Inspection on 06/12/05 for Bury Lodge Nursing Home

This inspection was carried out on 6th December 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 02/06/05

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 Nursing Home 77 Bury Road Alverstoke Gosport Hants PO12 3PR Lead Inspector Pat Griffiths Unannounced Inspection 6th December 2005 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 Bury Lodge Nursing Home DS0000042003.V271371.R01.S.doc Version 5.0 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. Bury Lodge Nursing Home DS0000042003.V271371.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bury Lodge Nursing Home Address 77 Bury Road Alverstoke Gosport Hants PO12 3PR 02392 528135 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) Numada Healthcare Ltd Mrs Elizabeth Richardson Care Home 22 Category(ies) of Dementia (22), Dementia - over 65 years of age registration, with number (22), Learning disability (1) of places Bury Lodge Nursing Home DS0000042003.V271371.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. A maximum of 4 service users can be admitted between the ages of 55 and 65 years. That only 1 service user within the category of learning disability with the DOB 15/03/41 can be accommodated. That there is at least one full time registered mental nurse employed as part of the staff team. 2nd June 2005 Date of last inspection 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 Nursing Home DS0000042003.V271371.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the second 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 told that the service users prefer to be referred to as residents. The inspector was made welcome by all staff and residents. The registered manager, Mrs Richardson, was available throughout the inspection. 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 provided 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? The fabric of the home is being well maintained, so that all areas are clean, odour-free and pleasant to use. The garden has been completed and is enjoyed by the staff and residents. The home won two prizes for their gardens in the ‘Gosport in Bloom’ competition. Bury Lodge Nursing Home DS0000042003.V271371.R01.S.doc Version 5.0 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 Nursing Home DS0000042003.V271371.R01.S.doc Version 5.0 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 Bury Lodge Nursing Home DS0000042003.V271371.R01.S.doc Version 5.0 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): EVIDENCE: These standards were examined during the last inspection. Bury Lodge Nursing Home DS0000042003.V271371.R01.S.doc Version 5.0 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 the following standard(s): 9 The homes policies and procedures for medication protect the residents. EVIDENCE: The home has medication policies and procedures in place, which cover procedures such as receipt, storage and administration of medication. None of the residents have chosen to administer their own medication. The home has a contract with a local chemist for the disposal of medications, which complies with the recent changes in legislation. All medications are administered by the registered nurses, who have recently undertaken training in medication administration, which was provided by a pharmacist from a national chain of chemists. Staff that spoke with the inspector said that the training had been informative and had up-dated their professional skills and knowledge. Bury Lodge Nursing Home DS0000042003.V271371.R01.S.doc Version 5.0 Page 10 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): 13 and 14 Residents are encouraged to exercise choice and control in their lives, and their visitors are encouraged. EVIDENCE: Residents are encouraged by the staff to maintain contact with friends and family and the home has an open visiting policy. They can entertain their visitors in the communal rooms or in the privacy of their bedrooms. During the tour of the home the inspector noted that the bedrooms had been made homely and personalised with the residents own possessions, such as pictures, ornaments and small pieces of furniture. Residents are encouraged by the staff to choose what clothes they will wear, what time they get up and what time they will go to bed, this information is contained in the personal care plans. Bury Lodge Nursing Home DS0000042003.V271371.R01.S.doc Version 5.0 Page 11 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): EVIDENCE: These standards were examined during the last inspection Bury Lodge Nursing Home DS0000042003.V271371.R01.S.doc Version 5.0 Page 12 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): EVIDENCE: These standards were examined during the last inspection Bury Lodge Nursing Home DS0000042003.V271371.R01.S.doc Version 5.0 Page 13 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 and 30 Residents are protected and their needs met by an appropriately recruited and trained staff group. EVIDENCE: The staff skill mix includes qualified nurses, carers and ancillary staff for cleaning, catering and laundry services. The number of staff is sufficient and appropriate to meet the need of the residents. The home is part of a group of homes, which also employs gardening and maintenance staff. The home has robust recruitment policies and procedures in place. All care and nursing staff applicants are interviewed by the matron or director of care. Four staff files were examined by the inspector and found to contain suitable application forms, which had been completed. Proof of the applicant’s identity and documentary evidence of relevant qualifications was seen. Written references and CRB (Criminal Records Bureau) disclosures had been obtained before staff started work in the home. The home is one of a group of three, which has its own training department. The training co-ordinators organise the training for all staff. New care staff undertake the ‘Skills for care’ training as well as statutory training. All staff have undertaken statutory training, which includes manual handling, fire safety and adult protection. Seventy-five percent of the care staff have completed an NVQ (National Vocational Qualification) at level 2 or 3 and more staff have recently started the course. Bury Lodge Nursing Home DS0000042003.V271371.R01.S.doc Version 5.0 Page 14 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, 35 and 38 An experienced manager with good staff management, which is backed by sound procedures, runs the home in the best interests of the residents and safeguards their financial interests. EVIDENCE: The registered manager is a registered nurse, who has been in post for several years. She has recently completed a mentors course, which is required for her work with the overseas adaptation nurses that are working in the home. She is also doing her Registered Managers Award, which is an NVQ in management. The home has a comprehensive set of policies and procedures, which include Heath and Safety, Moving and Handling, Adult Protection and Record Keeping. The manager told the inspector that the policies and procedures are currently being reviewed and updated. Bury Lodge Nursing Home DS0000042003.V271371.R01.S.doc Version 5.0 Page 15 Some residents, with help from their relatives, manage their own money. Others keep small amounts of pocket money in the homes safe. This money is kept in separate, labelled, plastic wallets in the safe in the office. The balance was checked on three accounts and found to balance. When a resident is admitted an inventory is kept of all their personal belongings and possessions. Improvements in practices and processes such as all open packets of food being stored in appropriately labelled, sealable containers and individual accident reports are stored securely and separately from the Accident Report book, as detailed in the Data Protection Act mean that residents health, safety and welfare is being better safeguarded and promoted. Bury Lodge Nursing Home DS0000042003.V271371.R01.S.doc Version 5.0 Page 16 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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X 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 X X X 3 X X 3 Bury Lodge Nursing Home DS0000042003.V271371.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? NO 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Bury Lodge Nursing Home DS0000042003.V271371.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden 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 Nursing Home DS0000042003.V271371.R01.S.doc Version 5.0 Page 19 - 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!