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Inspection on 05/09/05 for Cedar Lodge Nursing And Residential Home

Also see our care home review for Cedar Lodge Nursing And Residential Home for more information

This inspection was carried out on 5th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The atmosphere of the home is relaxed and friendly. Service users appear to be happy and contented and this is reflected in a number of complimentary letters the home received from relatives of service users. Service users relatives spoken to on the day of inspection, spoke highly of the care their relatives were receiving.

What has improved since the last inspection?

The home has acquired its own transport in the form of a small van capable of transporting mostly goods for the home and one service user and driver. Four new pressure mattresses have been purchased for the use of service users. A new bingo set with rotating balls has been purchased, and the staff along with the help of the service users have began a card group.

What the care home could do better:

Provide suitable transport capable of taking more than one service user at a time. The Registered Manager needs to maintain a more accurate record of service users finances. The Registered Manager needs to ensure that the nurse call system is checked and serviced on a regular basis. The Registered Manager must arrange for care staff to attend the course on recognition, reporting and documenting of abuse of vulnerable adults.

CARE HOMES FOR OLDER PEOPLE Cedar Lodge Nursing and Residential Home St Catherines Road Frimley Green Camberley Surrey GU16 6PY Lead Inspector Mavis Clahar Announced 5 September 2005 : 09.00am 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. Cedar Lodge Nursing and Residential Home H58 H09 S17597 Cedar Lodge V239691 050905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Cedar Lodge Nursing and Residential Home Address St Catherines Road Frimley Green Camberley Surrey GU16 6PY 01252 837019 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) Forest Care Limited Mrs Jane McAuley CRH - Care Home N - Nursing 63 Category(ies) of DE(E) Dementia over 65 (4) registration, with number OP - Old Age (62) of places Cedar Lodge Nursing and Residential Home H58 H09 S17597 Cedar Lodge V239691 050905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 - Up to 49 of the 63 beds may be used for the provision of nursing care for older people from the age of 60 years. 2 - Up to 4 service users falling within the category DE(E) - Demential over 65 - may be accommodated. Date of last inspection 27 April 2005 Brief Description of the Service: Cedar Lodge is a purpose built nursing and residential home, set in its own landscaped gardens. The home is surrounded by woodland which creates an atmosphere of peace and tranquility. The home is privately owned and managed by Forest Care Ltd. Accomodation is mainly in single rooms with en-suite facilities, although there is capacity to accommodate couples in shared bedrooms. The home is situated in the outskirts of Frimley Green in a quiet location, with ample car parking facilities. All around the home there is excellent access to the garden for wheelchair users. Seating in the garden is strategically placed for the comfort and privacy of the servicde users and their visitors. The home caters for older people with nursing or residential needs and has four beds available for service users diagnosed with dementia. There is a variety of aids and equipment around the home to enable service users to move around independently. Toileting facilities are strategically placed within easy distance of communal areas. Cedar Lodge Nursing and Residential Home H58 H09 S17597 Cedar Lodge V239691 050905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second inspection to be undertaken in the Commission for Social Care Inspection year April 2005 to March 2006. This announced inspection took place on the 5th September 2005. The first part of the inspection was spent reviewing service users records including random 10 financial records, checking policies and procedures, relating to the care and management of the service users. The second part was spent speaking with service users, relatives visiting the home, the Chef, and care workers. This was followed by a tour of the home and gardens. Both service users and their relatives informed the inspector that they are very happy with the standard of care in the home. One service user said he sometimes has to wait for some one to answer his bell, but he is always given an explanation for the delay. The inspector formed the opinion that both service users and their relatives were happy and confident in the care offered and delivered by the home. What the service does well: What has improved since the last inspection? The home has acquired its own transport in the form of a small van capable of transporting mostly goods for the home and one service user and driver. Four new pressure mattresses have been purchased for the use of service users. A new bingo set with rotating balls has been purchased, and the staff along with the help of the service users have began a card group. Cedar Lodge Nursing and Residential Home H58 H09 S17597 Cedar Lodge V239691 050905 Stage 4.doc Version 1.40 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. Cedar Lodge Nursing and Residential Home H58 H09 S17597 Cedar Lodge V239691 050905 Stage 4.doc Version 1.40 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 Cedar Lodge Nursing and Residential Home H58 H09 S17597 Cedar Lodge V239691 050905 Stage 4.doc Version 1.40 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) 1 2 3 These standards were assessed on the last inspection 27th April 2005 EVIDENCE: For information on these standards please refer to the report of 27th April 2005. Standard 6 does not apply to this service. Cedar Lodge Nursing and Residential Home H58 H09 S17597 Cedar Lodge V239691 050905 Stage 4.doc Version 1.40 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 9 10 These standards were assessed on the last inspection. EVIDENCE: For information on these standards please refer to the inspection report of 27th April 2005. Cedar Lodge Nursing and Residential Home H58 H09 S17597 Cedar Lodge V239691 050905 Stage 4.doc Version 1.40 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 standard(s) 12 15 The care workers have a good understanding of the service users support care needs. This is evident from the positive relationships, which, have been formed between the care workers and the service users. EVIDENCE: Service users spoken were unanimous in their praise for the staff. The home is without an Activity Coordinator, but service users were quick to inform the inspector that the staff improvised. The inspector was informed that one care worker takes in her Karioke and the service users and staff have a good sing a-long and dance to the music. Also the staff and service users have started a card game, and one service user said she particularly likes the whist sessions. The inspector was informed that a good many of the service users go out to lunch with their relatives. During the tour of the home the inspector met one service user and her family who were returning to the home following lunch at the local garden centre. Review of the menu for the week and for the day demonstrated a good and wide variety of foods being served to the service users. In discussion with the Chef, it was good to hear that service users are consulted about their food and that a list was kept in the kitchen showing each service users likes and dislikes. The Chef informed the inspector that a close relationship is maintained with the dietician regarding dietary needs of the service users. The Cedar Lodge Nursing and Residential Home H58 H09 S17597 Cedar Lodge V239691 050905 Stage 4.doc Version 1.40 Page 11 inspector was able to review the dietary needs of the two service users on special low fat diets. Cedar Lodge Nursing and Residential Home H58 H09 S17597 Cedar Lodge V239691 050905 Stage 4.doc Version 1.40 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 17 18 These standards were assessed on the last inspection. EVIDENCE: For information on these standards please refer to the inspection report of 27th April 2005. Cedar Lodge Nursing and Residential Home H58 H09 S17597 Cedar Lodge V239691 050905 Stage 4.doc Version 1.40 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 20 21 22 23 24 25 26 These standards were assessed on the last inspection. EVIDENCE: For information on these standards please refer to the inspection report of 27th April 2005. Cedar Lodge Nursing and Residential Home H58 H09 S17597 Cedar Lodge V239691 050905 Stage 4.doc Version 1.40 Page 14 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) 30 Staff morale is high resulting in an enthusiastic workforce that works positively with service users to improve their quality of life, even though an area of training was lacking. EVIDENCE: Care workers spoken to on the day of inspection were enthusiastic about their work, and were very pleased to inform the inspector of their excellent training. On questioning them it was revealed that there is a gap in their training surrounding issues with protection of vulnerable adults. Further more it apparent to both the inspector and the care workers that their knowledge about whistle blowing was not sound. A requirement was issued on this standard. Cedar Lodge Nursing and Residential Home H58 H09 S17597 Cedar Lodge V239691 050905 Stage 4.doc Version 1.40 Page 15 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) 35 Written records of transactions are maintained, but this is in a haphazard way. EVIDENCE: Service users and their families are responsible for service users finance. However, each service user has a small amount of pocket money that is kept by the home. Random sample review of service users finance revealed that each service user’s finance is kept separately and is locked away. Records of outgoing payments are haphazard and do not allow easy tracking. A requirement was issued on this standard. Cedar Lodge Nursing and Residential Home H58 H09 S17597 Cedar Lodge V239691 050905 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x 2 x x x Cedar Lodge Nursing and Residential Home H58 H09 S17597 Cedar Lodge V239691 050905 Stage 4.doc Version 1.40 Page 17 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 30 Regulation 19 (5) (b) Requirement Care workers to attend Protection of Vulnerable Adults Course Timescale for action 5th December 2005. 2. 35 17 Ensure that financial records of 5th service users are sorted and kept Nov,2005 up to date 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 12 Good Practice Recommendations The nurse call system should be serviced and tested more freequently than every two years. Cedar Lodge Nursing and Residential Home H58 H09 S17597 Cedar Lodge V239691 050905 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Cedar Lodge Nursing and Residential Home H58 H09 S17597 Cedar Lodge V239691 050905 Stage 4.doc Version 1.40 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. 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