Random inspection report
Care homes for adults (18-65 years)
Name: Address: Bowmans Lodge 46 Coombes Road London Colney Hertfordshire AL2 1ND one star adequate service 13/08/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Sheila Knopp Date: 1 4 1 2 2 0 0 9 Information about the care home
Name of care home: Address: Bowmans Lodge 46 Coombes Road London Colney Hertfordshire AL2 1ND 01727823273 01727823273FP bowmanslodge@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr V Pyneandee,Mrs M Pyneandee care home 3 Number of places (if applicable): Under 65 Over 65 0 0 learning disability mental disorder, excluding learning disability or dementia Conditions of registration: 3 3 The maximum number of service users who can be accommodated is: 3 The registered person may provide the following categories of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD Mental Disorder, excluding learning disability or dementia - Code MD Date of last inspection Brief description of the care home Bowmans Lodge is a privately owned and run care home, registered to provide care and accommodation for up to three younger adults with a learning disability or with a mental health disorder. The home aims to offer a supportive environment, to enable service users to gain or
Care Homes for Adults (18-65 years) Page 2 of 8 1 3 0 8 2 0 0 9 Brief description of the care home regain skills and to recover the confidence necessary for them to be able to move on and live independently within the community. The home is a semi-detached house, situated in a residential area of London Colney. The accommodation is on two floors and includes communal areas and office/sleep-in provision for staff. The home operates a no smoking policy although a covered area is provided adjacent to the garden, where residents may smoke if they choose to. he front garden has hard standing for car parking; the rear garden provides additional seating areas for residents. The current fees for the residents who are all sponsored by a local authority range from 650 pounds - 770 pounds per week. Information regarding the service is available in the Statement of Purpose and Service User Guide, these and a copy of the most recent CSCI inspection report are available on request from the service provider. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
We gave the owners of the service, Mr & Mrs Pyneandee, short notice of this visit as we needed access to records, which would not all be available to staff working in the home. The visit was planned to review the requirements we had made following our key inspection on 13/8/09. The owners have responded positively to the requirements and recommendations we made about the service. We are satisfied that the issues we raised have been addressed and we do not need to take any further action. If these areas had been in place when we visited on 13/8/09 the home would have achieved a 2 star good rating. Medicines are now being given directly out of the packet dispensed by the pharmacist, as this is a safer process. Staff have attended training updates in the administration of medicines to make sure there is consistent practice. A copy of the Royal Pharmaceutical society guidelines for the administration of medicines in care homes is available, for staff to refer to, as well as the homes own procedure. Guidance has been issued to staff on the use of medication that can be given on a when required basis (PRN) and detailed records for medicines used in this way are recorded each time they are given. This is to make sure staff are consistent when assessing if people need medication prescribed in this way and it is given appropriately. The temperature of the medication storage areas are now being checked and recorded to make sure medicines are kept safely and do not deteriorate. The staff training records have been updated to include details of the courses people have attended during 2009 and the dates of further training planned for the new year. This will enable the manager & provider to plan future training needs. At the time of our visit the whole house was in the process of being redecorated as it had become rather tired and worn looking. New flooring in planned in specific areas. When completed the house will have a modern bright feel to it. The owners have been reviewing the frequency of the staff meetings they hold and used training opportunities to increase the number of times staff have been able to get together. The owners have engaged the services of an outside consultant to look at developing systems for monitoring the quality of the service appropriate to a small provider. We have advised that information about new standards and regulations due in 2010 are considered as part of this process. What the care home does well:
Our last report said the people who live at Bowmans Lodge felt it was a good place to be. They said the staff and food were good and the home provided them with the support and reassurances they needed. Their relatives also told us they were happy with the service and it provided a safe closely knit group with individual care.
Care Homes for Adults (18-65 years) Page 4 of 8 People are encouraged to lead independent lives and follow areas of personal interest. Bowmans Lodge provides people with a comfortable family style home close to local amenities. People are supported by a consistent team of staff they have known over several years. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
