Inspection on 12/07/06 for Bradstowe Lodge

This inspection was carried out on 12th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Bradstowe Lodge 19/09/07

Bradstowe Lodge 12/01/06

Bradstowe Lodge 22/10/04

Bradstowe Lodge 28/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Bradstowe Lodge Bradstowe Lodge 22 Victoria Parade Broadstairs Kent CT10 1QL Lead Inspector Sandra Crosby Unannounced Inspection 12th July 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Bradstowe Lodge DS0000023329.V299963.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Bradstowe Lodge DS0000023329.V299963.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bradstowe Lodge Address Bradstowe Lodge 22 Victoria Parade Broadstairs Kent CT10 1QL 01843 861962 01843 604672 enquiriesradstowelodge.org.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Kent Old People’s Housing Society Limited Post Vacant Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places Bradstowe Lodge DS0000023329.V299963.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th January 2006 Brief Description of the Service: Bradstowe Lodge is a large older style property, which has twenty-one single bedrooms. Every room has a call bell and TV point. There is a shaft lift in the home. The home caters for men and women over the age of 65 years, and is located opposite Broadstairs seafront, and within walking distance to the centre of Broadstairs town therefore close to all amenities. There is a small paved patio area to the rear of the premises, together with a paved area to the front of the premises. Both areas are maintained for the use of service users. On the road parking is limited to one hour around the vicinity of the home. Information from the Registered Provider in July 2006 states that the fees range from £367.00 to £444.00 per week. Bradstowe Lodge DS0000023329.V299963.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection visit was unannounced and carried out over two visits the first on Wednesday 12 July 2006 between 10.00 and 13.30, and the second on Wednesday 19 July 2006 between 14.00 and 16.30 On the first day of the inspection the Inspector spoke mainly with the Manager. The visit was shortened due to there being a staff meeting in the afternoon. At the time of the second visit the Inspector was able to speak with Service Users, staff and view some areas of the home. Various records were seen and an accompanied tour of the premises. The key standards were inspected at this inspection visit. The atmosphere of the home was welcoming, calm and relaxed, and the home was clean and orderly at the time of the inspection visit. The Pre-inspection Questionnaire completed by the home together with observational information and discussion with the Manager, Service Users and staff at the time of the inspection, has been used when compiling this report. There was a good response from surveys sent out, and ten care homes surveys, nine relative/visitors comments cards, two General Practitioners and one Care Manager comment cards were received all of which provided positive comments about the home. It was found that the management and staff at the home were working hard towards setting up the necessary systems in order to comply with the requirements of the regulations. The information in this inspection report indicates that the home aims to provide a good standard of care and to comply in full with all aspects of the Standards. What the service does well: Service Users confirmed that they liked the food at the home, and a varied and nutritious diet is provided with alternatives available. Food seen on the second day of the inspection visit was well presented and looked appetising. Recruitment procedures are thorough which protects Service Users. Training is ongoing at the home. Potential risks are managed so as not to be restrictive to Service Users wherever possible. Bradstowe Lodge DS0000023329.V299963.R01.S.doc Version 5.2 Page 6 Regular staff supervision is undertaken with written records kept. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Bradstowe Lodge DS0000023329.V299963.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bradstowe Lodge DS0000023329.V299963.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes Statement of Purpose and Service User Guide provide Service Users and prospective Service Users with the information they need to make a decision about moving into the home. Service Users move into the home knowing that their needs can be met and that their independence will be maximised and promoted. It is not the general policy of the home to admit Service Users on a short-term basis. Bradstowe Lodge DS0000023329.V299963.R01.S.doc Version 5.2 Page 9 EVIDENCE: The Statement of Purpose and Service User Guide were seen and following discussion the Manager agreed to make small amendments and to update the documents. Completed pre-assessment documentation was seen at this inspection visit, together with Care Management assessment documentation. One Service User Plan was seen for a person who is admitted to the home for regular short breaks. Bradstowe Lodge DS0000023329.V299963.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care planning system meets the requirements of the minimum standards and regulations, however cross-referencing and continuity of information needs to be maintained. The health needs of Service Users in the main are met. The systems for medication administration are mainly good with clear and comprehensive arrangements being in place to ensure Service Users medication needs are met. Personal care is offered in a way to protect Service Users privacy and dignity. Bradstowe Lodge DS0000023329.V299963.R01.S.doc Version 5.2 Page 11 EVIDENCE: Discussion took place in relation to the Service User Plans seen. The system used provides all necessary documentation, and the overall written information seen recorded had improved. However it was seen that reviews were not always comprehensive, and not all risk assessments has been carried out. The Manager stated that she was in the process of implementing a more ‘user friendly’ service user plan paperwork and showed the Inspector an example. The medication records were seen and indicated on the whole that they were appropriately signed and up to date, however there were several gaps seen where medication had not been signed for and this issue was discussed with the Manager. The home uses a monitored dosage system of administration, and a suitable lockable medication trolley has now been provided to aim in the storage and ease of taking medications around the home. Bradstowe Lodge DS0000023329.V299963.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users spoken with confirmed they were happy with the lifestyle they had living at the home. Service Users are encouraged to maintain contact with family and friends. The meals in the home are good offering both choice and variety and catering for special diets. EVIDENCE: Two of the nine relatives/visitors comment cards returned indicated that more activities would be appreciated, it was seen from the entertainments books that one to one activities are undertaken for example going for a walk. In door activities include Bingo, and Belle Exercises, and the home arranges for outside entertainers to visit the home. Bradstowe Lodge DS0000023329.V299963.R01.S.doc Version 5.2 Page 13 Service Users commented that the food was good at the home, and the records seen indicated that a varied and nutritious diet was provided with alternatives available. Good individual food records maintained at teatime. The cook needs to ensure that alternatives provided at dinnertime are recorded. Bradstowe Lodge DS0000023329.V299963.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system with some evidence that Service Users feel that their views are listened to and acted on. Policies and Procedures are in place to safeguard Service Users from abuse. EVIDENCE: The manager confirmed that there had been no complaints, and commented that working relationships with District Nurses and Hospital Social Workers had improved. The pre-inspection questionnaire indicates that staff have undertaken training in relation to POVA. Bradstowe Lodge DS0000023329.V299963.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The standard of the environment within the home is average and the Responsible Person has a good understanding of the areas in which the home needs to improve. Currently Service Users bedrooms suit their needs and lifestyles. The home was clean, pleasant and hygienic at the time of the inspection visits. EVIDENCE: Plans for refurbishment are being considered, and will provide an upgrade of some of the facilities at the home. The newly completed ‘wet room’ shower facility has been furbished to a good standard. Bradstowe Lodge DS0000023329.V299963.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. From discussion with the Manager it is indicated that currently Service Users needs have been met at all times by the numbers and skill of staff. Service Users are protected by the homes thorough recruitment procedures, and staff training is ongoing. EVIDENCE: At the times of the inspection visits it was indicated that currently there are sufficient staff on duty at all times to meet the needs of the current group of Service Users. Three staff files were seen, these were well maintained and contained all necessary information. A couple of issues were discussed with the Manager and she agreed that written supporting evidence would need to be documented. The pre-inspection questionnaire states that 50 of staff have acquired NVQ Level 2, and the Manager confirmed that NVQ training is ongoing at the home. Bradstowe Lodge DS0000023329.V299963.R01.S.doc Version 5.2 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service Users are now beginning to benefit from a better run home since the Manager was appointed, and the health, safety and welfare of service users and staff are mainly promoted and protected. Service Users are safeguarded by the accounting and financial procedures of the home. Member of staff are appropriately supervised, and the health, safety and welfare of Service Users and staff are promoted and protected. Bradstowe Lodge DS0000023329.V299963.R01.S.doc Version 5.2 Page 18 EVIDENCE: The Manager is experienced in running a home, and is working towards achieving an open, positive and inclusive atmosphere. The records of Service Users personal allowance monies were seen at the announced inspection visit dated 07 June 2005, and a sound system of recording is in place. The Administrator at the home carries out this accounting process. Regular supervision is undertaken with written records kept. The fire log book was seen and indicated that all regular monitoring checks are undertaken, together with regular fire drills taking place. The accident book records were also viewed. The homes insurance certificate was seen on display. Bradstowe Lodge DS0000023329.V299963.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 2 2 2 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Bradstowe Lodge DS0000023329.V299963.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP7 Regulation 15 Timescale for action Maintain continuity and cross 19/07/06 referencing within the records of the Service User Plans - ensure that all necessary entries are recorded Previous timescales 08/06/05, 12/01/06 The registered person ensures 19/07/06 that there is a policy and staff adhere to the procedures for the receipt, recording, storage, handling administration and disposal of medicines, and service users are able to take responsibility for their own medication if they wish, within a risk management framework Previous timescale 12/01/06 Requirement 2. OP9 13 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Bradstowe Lodge DS0000023329.V299963.R01.S.doc Version 5.2 Page 21 No. Refer to Standard Good Practice Recommendations Bradstowe Lodge DS0000023329.V299963.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Bradstowe Lodge DS0000023329.V299963.R01.S.doc Version 5.2 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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