Inspection on 10/05/05 for Chesswood Lodge

This inspection was carried out on 10th May 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

Chesswood Lodge 06/11/08

Chesswood Lodge 16/04/08

Chesswood Lodge 26/09/06

Chesswood Lodge 02/11/05

Chesswood Lodge 02/09/04

Chesswood Lodge 28/05/04

Chesswood Lodge 05/06/03

Similar services:

1 Marten Road

Daubeney House

Three Gables

Deepdene Care Centre

Aldwick House

49 Glendale

Ferndale Residential Care Home

David Gresham House

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

CARE HOMES FOR OLDER PEOPLE Chesswood Lodge 49 Chesswood Road Worthing West Sussex BN11 2AA Lead Inspector Mrs G Davis Announced 10 May 2005, 09.30am, V220139 th 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. Chesswood Lodge H60-H11 S14445 Chesswood Lodge V220139 100505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Chesswood Lodge Address 49 Chesswood Road, Worthing, West Sussex, BN11 2AA 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) 01903 230886 Chesswood Lodge Ltd Post Vacant CRH 14 Category(ies) of DE (E) DEMENTIA OVER 65 14 registration, with number MD (E) MENTAL DISORDER OVER 65 of places 14 Chesswood Lodge H60-H11 S14445 Chesswood Lodge V220139 100505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: One named person under 65 Date of last inspection 22.10.2004 Brief Description of the Service: Chesswood Lodge is registered with the Commission for Social Care Inspection to provide care for up to fourteen persons in the registration categories Mental disorder and Dementia over 65 years of age and includes one named person in the category of Mental Disorder over the age of 50 years. The property is situated in Worthing in a residential area close to a wellestablished park, local transport, railway and shops. The sea front, main shopping centre with all its amenities is approximately ½ mile away. The home is a large mature house with plenty of parking to the front and a secluded grassed garden to the rear. The accommodation comprises of 10 single bedrooms - 4 with en-suite facilities and 2 double bedrooms. There is a lift to the first floor but the home is not suitable to accommodate anyone in a wheelchair due to dimensions of the corridoors Chesswood Lodge Limited privately owns the service. Mrs Shoai, a director of the company is the registered responsible individual. The registered managers position is currently vacant. Chesswood Lodge H60-H11 S14445 Chesswood Lodge V220139 100505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first of the two inspections (minimum) that an inspector must make in a year. On this occasion this inspection was announced and took place over one day in May 2005. The aim of this inspection was to find out how the home cared for the residents and the residents’ opinions as to how well the home did this. To gain more information about how the home cared for the residents, questionnaires were given to residents, their relatives and others before the day of inspection. No responses from relatives or others were received, although a visitor on the day of inspection told the inspector that he had no complaints about the way the home cared for his relative. A response from an unnamed relative/visitor was received after the inspection had taken place, and suggested that there were not always enough staff on duty and that they were unaware of when an inspection was to take place or how to make a complaint. During the inspection it was seen that a copy of the notice telling of our intention to make an inspection visit was put on the notice board in the main hall along with copies of the Statement of Purpose and the Complaint procedure. A tour of the home took place. Staff and care records were inspected as well as the Home’s Statement of Purpose, Service Users Guide and some of the Policies and Procedures. All of the staff on duty, and 10 of the residents were spoken to during the course of the inspection. What the service does well: Most of the staff members have worked at the home for a long time and the good relationships between staff members and residents were shown during the course of the care staffs’ work with the residents, with much laughter and good humour. The residents said that the staff were hard working and always willing to do anything no matter how small that might be. They also informed that they were given choice in all that they did and that there were no petty rules to observe, for example they could go to bed and get up at whatever time they wished and staff would be careful to observe their privacy at all times. Regular review of the care plans and other records helps the care staff to give individual and suitable emotional and physical support to the residents. The residents enjoy the activity programme and confirmed that the person responsible for organising activities was careful to ensure that each person was asked what sort of activity they would like to do and made sure that it was made possible for them. Chesswood Lodge H60-H11 S14445 Chesswood Lodge V220139 100505 Stage 4.doc Version 1.20 Page 6 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Chesswood Lodge H60-H11 S14445 Chesswood Lodge V220139 100505 Stage 4.doc Version 1.20 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 Chesswood Lodge H60-H11 S14445 Chesswood Lodge V220139 100505 Stage 4.doc Version 1.20 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. 3. 4. St6 N/A All of the residents had their needs assessed before moving into the home and they or their representative had been given information about how they would be looked after and what services they could expect from the home EVIDENCE: The files of five of the residents were examined and each one had a written pre admission assessment identifying the emotional and physical care needs of the person and their suitability for admission into the home. All contained a copy of the contract which was explicit about what the home could or could not provide and these had been signed by the resident or by a representative if they were unable to sign, one resident was the subject of guardianship. Copies of the Service Users Guide and Statement of Purpose were available on the board in the main hall and each resident had their own copy in their bedroom along with a shortened version of their care plan. One resident said that they did not bother to read the guide because “they know what I like” Chesswood Lodge H60-H11 S14445 Chesswood Lodge V220139 100505 Stage 4.doc Version 1.20 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. All the information needed to make sure that the residents are looked after in a safe and effective way is recorded satisfactorily, giving the staff members the knowledge needed to give each individual person the attention that they require. Residents are treated with respect and their privacy is considered at all times. EVIDENCE: If possible the residents care plans are drawn up with the person concerned or a relative/ representative of theirs. They are very detailed and reviewed on a regular basis, details of changes are regularly included and all of the care plans seen on the day of inspection accurately reflected the person’s mental and physical state and their particular wishes about their care. The medication policy was examined and observed practice showed that the policy was followed in all aspects. All of the residents spoken to suggested that they considered that they were treated with respect and that their privacy was considered “ the staff here have always treated me very well” “ there’s nothing here to change”. Chesswood Lodge H60-H11 S14445 Chesswood Lodge V220139 100505 Stage 4.doc Version 1.20 Page 10 Observation of the staff members confirmed that they approached each individual in a polite and respectful way and were seen to always knock on the door and wait for a reply before entering. The staff members confirmed that the National Vocational Qualification training that they were undergoing had raised their awareness of how their behaviour affected the residents. Chesswood Lodge H60-H11 S14445 Chesswood Lodge V220139 100505 Stage 4.doc Version 1.20 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) 12. 13. 14. 15. The residents are provided with the opportunity to follow their chosen lifestyle at all times. Where the resident is unable to make those choices and decisions for themselves, family or representatives are consulted to make sure that the person has as much control over their lives as possible. An interesting and appealing menu is provided and the residents’ consider the standard of food good. EVIDENCE: All preferences and interests are recorded on the care plans. The home has a visiting Occupational Therapist, who, twice weekly, provides various activities, which the residents can take part in if they wish. At the time of inspection 9 residents were taking part in a trivia quiz and thoroughly enjoying it. Some of the residents had been out for coffee that morning. Notices informing of each day’s activity were displayed on the wall of the lounge. The residents told the inspector “ The staff are all very pleasant “ “ It’s all right to be here it’s a very nice place” “They’ve always treated me very well “ “ Mrs Shoai is very good and will do anything to try and help “. Chesswood Lodge H60-H11 S14445 Chesswood Lodge V220139 100505 Stage 4.doc Version 1.20 Page 12 All residents spoken to were complimentary about the meals and lunch was sampled on the day, it was piping hot, well presented, smelled appetising and tasted good. The food is prepared in the central kitchen and transported in a heated trolley, this had not been harmful to the quality of the food in any way. Chesswood Lodge H60-H11 S14445 Chesswood Lodge V220139 100505 Stage 4.doc Version 1.20 Page 13 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. 18. The residents are sure that they can trust the home to protect them as far as possible from bad practice and unacceptable behaviour from others. EVIDENCE: All of the residents spoken to knew how to complain if they needed to “ I would tell Maureen ” “ I’d go to Mrs Shoai “, but most said that they had no need to. The home has policies and procedures in place to ensure that action is taken if a resident was worried and the complaint book has two recent issues clearly recorded with the outcomes. One of those complaints had been the subject of an Adult Protection Investigation that is still to be concluded by the Social Service Department but the inspector was satisfied that the registered provider had acted appropriately and that there was no risk to the residents. The home has clear instructions for staff members as to what to do if abuse of a resident is suspected and both the members of staff that were spoken to in depth were knowledgeable about the procedure to take and had both received training. The recruitment files examined showed that all the checks to ensure proper security screening on all applicants had been carried out. Chesswood Lodge H60-H11 S14445 Chesswood Lodge V220139 100505 Stage 4.doc Version 1.20 Page 14 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. 23.24.25.26. The home is a comfortable, pleasant and well-maintained building, which has a satisfactory standard of cleanliness. As well as a choice of communal day space it provides each resident with a room that has been furnished to meet their wishes and needs. Regular maintenance makes sure that the environment is safe. Chesswood Lodge H60-H11 S14445 Chesswood Lodge V220139 100505 Stage 4.doc Version 1.20 Page 15 EVIDENCE: During the course of the inspection the majority of rooms were visited to make sure that the environment was safe and comfortable for people who live there. It was seen that many residents had brought personal possessions into the home, including small items of furniture, ornaments and photographs. On the day of inspection, Chesswood Lodge was clean, and free from offensive odours. Policies and procedures were available for staff about the control of infection, and the safe disposal of clinical waste. Residents told the inspector how much they liked their bedrooms, and one said that “nothing is too much trouble, they have moved my furniture around several times for me”. A resident, who had chosen to share a bedroom, said that she was very happy sharing and found nothing to complain about. One bedroom was having some repairs and redecoration carried out. Chesswood Lodge H60-H11 S14445 Chesswood Lodge V220139 100505 Stage 4.doc Version 1.20 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 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) 27.29.30. Chesswood Lodge has an adequate number of staff members with appropriate training and skills to provide competent care to the residents at all times. EVIDENCE: The registered manager has recently resigned and an Acting Manager is in place with an application to register pending. The rota for the week showed that there would always be a suitable number of staff on duty to care for the residents at any time. Examination of two recruitment files, (one of a recent appointment and the other of a member of staff who had been in post for two years), evidenced that all security checks such as written references and Criminal Records Bureau checks had been obtained. Proofs of identity were available and in one case an appropriate visa. Chesswood Lodge H60-H11 S14445 Chesswood Lodge V220139 100505 Stage 4.doc Version 1.20 Page 17 There is a commitment to training in the home and all of the staff members on duty said that they were enjoying the training opportunities available. The newest member of staff confirmed that he had been given comprehensive induction training and had considered that he had been well prepared for the work and the residents’ requirements. The other members of staff on duty were undergoing National Vocational Qualification Level III and said how helpful it was in raising their awareness of their own behaviour and how it could affect the residents. Other work related training organised by the Company had also been undertaken and the staff files contained certificates to evidence attendance. The majority of staff members are either undergoing National Vocational Qualification level II training or have the qualification. Two members of staff are currently undertaking Level III, the Acting Manager National Vocational Qualification Level IV and the Registered Manager’s Award. Observation of the care staff members’ actions whilst going about their work further reinforced that the residents were supported in a discreet and respectful way to follow their chosen lifestyle. Chesswood Lodge H60-H11 S14445 Chesswood Lodge V220139 100505 Stage 4.doc Version 1.20 Page 18 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. 37. 38 The home is run in a manner that offers protection to all aspects of the residents’ interests. EVIDENCE: Although the registered manager’s position is vacant an acting manager is in place that has all the skills and competence to discharge her responsibilities fully. Other senior managers in the company support her. There are comprehensive policies and procedures in place to provide protection to the residents and guidance to staff members on how to carry out their duties; records were found to be accurate and up to date. In particular the individual care plans contained vital information regarding the residents’ health and welfare needs and promote a uniform approach to the care and protection of the residents. Chesswood Lodge H60-H11 S14445 Chesswood Lodge V220139 100505 Stage 4.doc Version 1.20 Page 19 Mrs Shoai, the Responsible Individual for the home visits often and the residents told the inspector that they consider her very approachable and helpful. “ Mrs Shoai is very good and will do anything to try and help “. She undertakes a regular visit for the purpose of fulfilling Regulation 26 and provides a copy of her report to the Home and the Commission for Social Care Inspection Chesswood Lodge H60-H11 S14445 Chesswood Lodge V220139 100505 Stage 4.doc Version 1.20 Page 20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 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 3 3 Chesswood Lodge H60-H11 S14445 Chesswood Lodge V220139 100505 Stage 4.doc Version 1.20 Page 21 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 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. 1. Refer to Standard Good Practice Recommendations Chesswood Lodge H60-H11 S14445 Chesswood Lodge V220139 100505 Stage 4.doc Version 1.20 Page 22 Commission for Social Care Inspection Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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. 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