Inspection on 02/06/05 for Bury Lodge Nursing Home

This inspection was carried out on 2nd June 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Bury Lodge Nursing Home 04/04/07

Bury Lodge Nursing Home 06/12/05

Bury Lodge Nursing Home 03/11/04

Bury Lodge Nursing Home 14/06/04

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

CARE HOMES FOR OLDER PEOPLE Bury Lodge 77 Bury Road Alverstoke, Gosport Hampshire PO12 3PR Lead Inspector Pat Griffiths Unnannounced 2.06.05 10:00 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 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. Bury Lodge H54 S42003 Bury Lodge V230501 020605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Bury Lodge Address 77 Bury Road Alverstoke Gosport Hampshire PO12 3PR 02392 528135 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Numada Healthcare Ltd Mrs Elizabeth Richardson Care Home 22 Category(ies) of Dementia - DE - 22 registration, with number Dementia, Over 65 - DE(E) - 22 of places Learning Disability - LD - 1 Bury Lodge H54 S42003 Bury Lodge V230501 020605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of four service users can be admitted between the ages of 55 and 65 years. 2. That only one service user within the category of learning disability with the D.O.B 15/03/1941 can be accommodated. 3. That there is at least one full time registered mental nurse employed as part of the staff team. Date of last inspection 03.11.04 Brief Description of the Service: Bury Lodge is situated in Alverstoke, opposite the Gosport Memorial Hospital, close to shops and other local amenities. It is a care home providing nursing care for service users over the age of 55 years who have dementia. The home may also take one service user with a learning disability. The accomodation is over two floors and consists of fourteen single and three shared bedrooms, with two communal areas on the ground floor. There is a shaft lift for access to the first floor bedrooms. The home has a secure and attractive garden that is easily accessed by residents. The home is decorated to a high standard and is well maintained. Bury Lodge H54 S42003 Bury Lodge V230501 020605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first of two annual inspections for the inspection year 2005/06. The visit was unannounced, took place over one day and was undertaken by one inspector. The inspector was advised that the service users prefer to be referred to as residents. The inspector was made welcome by all staff and service users. The registered manager, Mrs Richardson, was available throughout the inspection and the registered provider visited during the course of the day The inspector was able to look around the home, view records, policies and procedures and talk to the staff and residents. The residents and visitors that spoke to the inspector were very positive about the care they received and the facilities available within the home. Due to communication difficulties it was not possible to obtain the views and opinions of a number of the residents. What the service does well: What has improved since the last inspection? Both of the bedrooms in the new extension are completed and occupied. They have been decorated and furnished to a high standard. The garden was partially inaccessible during the building work but has now been planted up with summer bedding plants, the hanging baskets are in place and the staff and residents are enjoying it all. Bury Lodge H54 S42003 Bury Lodge V230501 020605.doc Version 1.30 Page 6 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. Bury Lodge H54 S42003 Bury Lodge V230501 020605.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Bury Lodge H54 S42003 Bury Lodge V230501 020605.doc Version 1.30 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 standard(s) 2 and 3 The admission process is well-managed, potential residents and their families and friends are given clear information regarding the service. EVIDENCE: All residents have a written contract or statement of terms and conditions, which has been signed by them or for them by their nominated representative. All potential residents have a pre-admission assessment completed to ensure that their assessed needs can be met, before being offered a place in the home. Two of the resident’s files were looked at and comprehensive assessments were found to have been completed. Residents and their visitors that were spoken to on the day of the visit said that they were given clear information about the home before their arrival. They have continued to be kept well informed about their relatives and any changes in the home. The home does not provide intermediate care. Bury Lodge H54 S42003 Bury Lodge V230501 020605.doc Version 1.30 Page 9 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 standard(s) 7, 8, 10 and 11 Residents are well looked after in respect of their health and personal care needs. Residents are treated with respect and their privacy is protected. Staff have received training to ensure that they can care for residents who are seriously ill or dying. EVIDENCE: Comprehensive pre-admission assessment and care planning ensures that all staff are aware and informed about the residents needs. The inspector looked at several of the residents care plans and was able to see that all relevant information was available to ensure that their needs are met. Staff that spoke with the inspector said that the care plans contained the information they needed to provide the necessary care for the residents. Staff were seen speaking to residents and visitors in a respectful manner and demonstrated an awareness of how to protect their privacy and dignity. Staff have undertaken training to ensure they can provide suitable care for the residents nearing the end of their lives. Many residents and their families have not confirmed the resident’s wishes regarding their death and dying, preferring to decide at a more appropriate time. Bury Lodge H54 S42003 Bury Lodge V230501 020605.doc Version 1.30 Page 10 Bury Lodge H54 S42003 Bury Lodge V230501 020605.doc Version 1.30 Page 11 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 standard(s) 13 and 15 Residents receive visitors in the communal areas of the home and in the privacy of their own bedrooms. Residents have a choice of meals during the day and snacks are available between meals. EVIDENCE: Visitors spoken with during the visit said they were always made welcome, being offered drinks and meals if they visited during meal times. Representatives from local churches also visit the home for meetings or services, which are for individuals or groups of residents. The menus looked balanced and interesting, offering a wide variety of choices. Records are kept to indicate resident’s preferences and what they have. Supplementary drinks of milk and liquidised fruit are available to ensure that the residents have a balanced and nutritious diet. Bury Lodge H54 S42003 Bury Lodge V230501 020605.doc Version 1.30 Page 12 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 standard(s) 16 and 18 The home has a satisfactory complaints and an adult protection procedure in place. EVIDENCE: The inspector saw the complaints log and no complaints have been recorded. The home has robust policies and procedures regarding abuse and staff have received training regarding the recognition and prevention of abuse. Some of the residents display occasion outbursts of verbal abuse, never physical, and staff spoken with feel that they have enough training and experience to deal with these outbursts. Bury Lodge H54 S42003 Bury Lodge V230501 020605.doc Version 1.30 Page 13 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 standard(s) 19 and 26 The home provides comfortable, safe and well-maintained accommodation for the residents. EVIDENCE: The home is decorated and furnished to a high standard and is well maintained. The home has a maintenance team who visit weekly. A new therapeutic bath will be fitted when one of the bathrooms is refurbished later this year. All areas of the home smelled pleasant, having been cleaned to a high standard. The garden is contained mainly within an attractive courtyard that is easily accessed by residents. Fencing and a locked wrought iron gate ensure that the garden is secure. The manager, staff, friends and relatives of the residents are replanting the garden following some building work; this will include a sensory garden. Bury Lodge H54 S42003 Bury Lodge V230501 020605.doc Version 1.30 Page 14 Bury Lodge H54 S42003 Bury Lodge V230501 020605.doc Version 1.30 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: These standards were not inspected on this occasion. Bury Lodge H54 S42003 Bury Lodge V230501 020605.doc Version 1.30 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 38 The registered manager is committed and conscientious in her management of the home. A requirement was made regarding the storage of food, and a recommendation was made regarding the confidentiality and security of individual accident reports. EVIDENCE: The inspector spoke to staff, visitors and several residents during the course of the visit. Staff felt that they were given the right training and support to meet the needs of the residents. Visitors and residents spoke highly of the staff and the care given by them. A visitor said that she was confident that everything was done for her mother’s best interests, that nothing was too much trouble. Several visitors commented that they were also well looked after when they came to the home. The records for fire training and equipment checks were in good order. The service records for the boiler, lifts and other electrical equipment used in the Bury Lodge H54 S42003 Bury Lodge V230501 020605.doc Version 1.30 Page 17 home were up to date; a landlords certificate for the gas boiler system must be made available at the next inspection. The kitchen was very clean and tidy but all opened packets of food must be stored in labelled, sealable containers. The home uses the new format Accident Report book. The need to store the individual reports separately and the Data Protection Act was discussed. Bury Lodge H54 S42003 Bury Lodge V230501 020605.doc Version 1.30 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x x x x 2 Bury Lodge H54 S42003 Bury Lodge V230501 020605.doc Version 1.30 Page 19 No Are there any outstanding requirements from the last inspection? 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 38 Regulation 16(2)(g) Requirement The registered person must ensure that all opened packets of food are stored in sealable containers that are appropriately labelled Timescale for action 2. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 38 Good Practice Recommendations The individual accident reports should be stored securely and separately from the Accident Report book, as detailed in the Data Protection Act covering this matter. Bury Lodge H54 S42003 Bury Lodge V230501 020605.doc Version 1.30 Page 20 Commission for Social Care Inspection 4th Floor, Overline House Blechyden Terrace Southampton SO15 1GW 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 Bury Lodge H54 S42003 Bury Lodge V230501 020605.doc Version 1.30 Page 21 - 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. 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