Inspection on 02/11/05 for Chesswood Lodge

This inspection was carried out on 2nd November 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 10/05/05

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 Unannounced Inspection 09:30 2 November 2005 nd 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 Chesswood Lodge DS0000014445.V262194.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. Chesswood Lodge DS0000014445.V262194.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Chesswood Lodge Address 49 Chesswood Road Worthing West Sussex BN11 2AA 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) 01903 230886 Chesswood Lodge Limited Post Vacant Care Home 14 Category(ies) of Dementia - over 65 years of age (14), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (14) Chesswood Lodge DS0000014445.V262194.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named person in the category Mental Disorder (MD) over the age of 50 years. 10th May 2005 Date of last inspection 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 corridors 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 DS0000014445.V262194.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of the two inspections (minimum) that an inspector must make in a year. On this occasion this inspection was unannounced and took place over one day in November 2005. The aim of this inspection was to inspect those standards not inspected in the previous announced inspection and to find out the residents’ opinions as to how well the home cared for them. This report should be read in conjunction with the previous inspection report to gain an overall understanding of the service provided by the home. 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 9 of the residents were spoken to during the course of the inspection. The residents were enjoying some quiet activities and appeared to be content and happy. One person said, “ I get on with everybody, the staff are good they are very good.” Another “ I’ve only been here a few weeks but I’ve settled in well and easily, everyone’s lovely.” Those who were unable to speak to the inspector were observed to be relaxed and the interaction with staff was calm and easy. What the service does well: What has improved since the last inspection? Although the home is without a Registered Manager there does not appear to be any drop in the standard of care given to the residents. Since the present Acting Manager has been in post the staff group have become more cohesive as a team. Recent increase in in-house training and supervision has enhanced the knowledge and skills of the staff group with associated benefits for the residents. The residents consider that they have a good quality of life Some areas of the Home have been decorated making the home attractive and homely for the residents. Chesswood Lodge DS0000014445.V262194.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. Chesswood Lodge DS0000014445.V262194.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 Chesswood Lodge DS0000014445.V262194.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): 1.5. Prospective service users have all the information they need to make an informed choice about where to live. 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: Copies of the Statement of Purpose were provided to prospective residents or their representative to inform them of the service provided by the home. A copy was seen to be available on the board in the main hall. Prospective residents are encouraged to visit as often as they like and if possible join other residents at a mealtime. Where the prospective resident was unable to visit relatives or the person’ representative are promoted to do so. Chesswood Lodge DS0000014445.V262194.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): Service Users are treated with care, respect and sensitivity at the time of their death. EVIDENCE: If possible the residents care plans are drawn up with the person concerned or a relative/ representative of theirs. A member of staff will facilitate the resident to share their wishes regarding the arrangements to be carried out at the time of their death. If the resident is unable to make those decisions then their representative will be consulted. There was evidence on the care plan scrutinised that this had been carried out. Staff members are provided with guidance via a policy and procedure regarding what to do when a resident dies. Family and friends are welcomed to take part in the nursing of a resident during the final days. Chesswood Lodge DS0000014445.V262194.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): This standard remains unchanged EVIDENCE: None of the above standards were inspected in depth on this occasion. All preferences and interests are recorded on the care plans. At the time of inspection five residents were taking part in a card game, others were listening to music and thoroughly enjoying it. The residents told the inspector “ It’s very nice here – it’s fun really.” “ We get entertainment in, we had a party on Halloween” Chesswood Lodge DS0000014445.V262194.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): 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: The home facilitates those residents who wish to vote and have entered all residents onto the electoral role. If the resident does not have a representative the home will endeavour to find an advocate for the person if they require it. A notice giving information regarding an advocacy service was displayed on the board in the office. Chesswood Lodge DS0000014445.V262194.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): 20.21.22.26. The home provides safe, suitable and comfortable indoor and outdoor accommodation and facilities that are equipped to maximise independence. EVIDENCE: There is a choice of communal room, which the residents were taking full use of. Four bedrooms were provided with en-suite facilities. There were sufficient bathing and toilet facilities to exceed the minimum standards. The residents confirmed that they had enjoyed social gatherings in the secluded garden in the summer time (Bar-B-Q’s) and one resident told the inspector that she was looking forward to the Firework evening planned for November the 5th. The home would not be suitable for anyone who used a wheelchair but other aids to mobility such as Zimmer frames, handrails and raised toilet seats were employed throughout to maximise the residents’ independence. Redecoration of the home continues. The home was found to be clean throughout with no unpleasant odours. Chesswood Lodge DS0000014445.V262194.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. 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 Acting Manager has continued to provide appropriate support and encouragement to the staff group. 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. 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. 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. Chesswood Lodge DS0000014445.V262194.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. 32. 34.35.36 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. The care staff confirmed that the acting manager was supportive and encouraging in her approach. Bi monthly supervision of care workers is carried out by the Senior Carers and this is recorded All budgets are managed centrally by the Company’s head office and residents or their representatives are billed on a monthly basis for any expenses that may have occurred. All of the residents’ finances are managed by themselves or a representative on their behalf. Chesswood Lodge DS0000014445.V262194.R01.S.doc Version 5.0 Page 15 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 X X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 x COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 x X 3 3 3 X X X 3 STAFFING Standard No Score 27 3 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 X 3 3 3 X X Chesswood Lodge DS0000014445.V262194.R01.S.doc Version 5.0 Page 16 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 Chesswood Lodge DS0000014445.V262194.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Worthing LO 2nd Floor, 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. Extracts may not be used or reproduced without the express permission of CSCI Chesswood Lodge DS0000014445.V262194.R01.S.doc Version 5.0 Page 18 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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