Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 01/12/05 for Chevington Lodge Residential Home

Also see our care home review for Chevington Lodge Residential Home for more information

This inspection was carried out on 1st 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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 home has developed an effective `person-centred` approach to caring for people with dementia. The investment in training, staffing and the environment is exemplary and testifies to the high standards set, and expected, by the management. The home is warm, comfortable and homely, within the limitations of the existing building, and provides a relaxed and positive atmosphere for service users and staff. Service users and visiting relatives consulted with during the inspection expressed a very high level of satisfaction with the service provided. They found staff to be friendly and supportive, and very attentive to their needs. Staff were observed to adopt a very positive approach. The home is well managed, and benefits from the close daily attention of the owners.

What has improved since the last inspection?

The home has continued to invest in staff training, improving their specialist knowledge and skills in working with people with dementia. The staff interaction with service users has become very positive and pro-active, exemplifying the person-centred approach to care which the home has adopted

What the care home could do better:

The home has achieved a very high degree of compliance with the national minimum standards, and as a result no requirements or recommendations arise from this inspection.

CARE HOMES FOR OLDER PEOPLE Chevington Lodge Residential Home 8 Flixton Road Bungay Suffolk NR35 1HQ Lead Inspector Mike Usher Unannounced Inspection 1st December 2005 10:30 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 Chevington Lodge Residential Home DS0000024356.V270991.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. Chevington Lodge Residential Home DS0000024356.V270991.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Chevington Lodge Residential Home Address 8 Flixton Road Bungay Suffolk NR35 1HQ 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) 01986 892710 01986 896490 Mr Malcolm Blackham Mr Robert Blackham, Mrs Sally Crawford Mrs Jean Margaret Clegg Care Home 42 Category(ies) of Dementia - over 65 years of age (42), Old age, registration, with number not falling within any other category (12) of places Chevington Lodge Residential Home DS0000024356.V270991.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd September 2005 Brief Description of the Service: Chevington Lodge provides personal care to up to 42 older people with dementia in a large converted house in a residential area of Bungay. It is within a short distance of the town centre and is on a bus route. The home overlooks the river Waveney to the rear and is set in a sizeable garden, which is accessible to service users. A new sensory garden to the front of the house has been completed and provides a safe and pleasant space for residents to use in good weather. The garden has been specifically designed for people with dementia and is a very positive and impressive addition to the environment of the home. The home is well equipped to meet the needs of older people with mobility problems. There is a shaft lift serving all floors, and a stair lift is fitted to a short flight of stairs on the first floor. A number of mechanical hoists are provided, and all but one of the baths is mechanically assisted. Some WC’s have been fitted with raised seats and grab rails. Accommodation in the home is on three floors and consists of 36 single bedrooms and three double bedrooms. Of these 28 have en suite facilities. There are a number of communal areas including the main lounge, a garden room, a television lounge, a quiet lounge, two dining rooms and space for service users to entertain guests in private. There are a number of slopes and changes of floor level throughout the home, but this is well managed, with handrails and grab handles fitted. Some bedrooms in the old house have steps up to the door and these have been fitted with grab handles. The management are aware that these rooms would not be suitable for frail residents, and this is taken into account when assessing residents for these rooms. Chevington Lodge Residential Home DS0000024356.V270991.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the second statutory inspection of the home during the current annual cycle of inspection. It follows the first inspection, which was announced, that took place on 22nd September. The current inspection focused on previous requirements and recommendations, recent developments, and the views of service users, and their relatives. The home continues to provide a very good standard of care, with a high degree of compliance with the national minimum standards, and the staff and management are to be congratulated on achieving such a good standard of service. What the service does well: What has improved since the last inspection? The home has continued to invest in staff training, improving their specialist knowledge and skills in working with people with dementia. The staff interaction with service users has become very positive and pro-active, exemplifying the person-centred approach to care which the home has adopted Chevington Lodge Residential Home DS0000024356.V270991.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. Chevington Lodge Residential Home DS0000024356.V270991.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 Chevington Lodge Residential Home DS0000024356.V270991.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): These standards will be examined in more detail in future inspections. EVIDENCE: Chevington Lodge Residential Home DS0000024356.V270991.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, 10 Service users are well cared for in a positive manner, with appropriate medication administration arrangements in place. EVIDENCE: An inspection of the medication arrangements confirmed that these were in good order. Medications are kept in a metal medication trolley that is secure. The home uses a monitored dosage system provided by the local pharmacist, who also provides staff training in administration and recording, and carries out regular audits. Additional specialist training is provided for senior staff by another pharmacist. The storage and administration of medication (including controlled drugs) was satisfactory. In conversation with service users and visiting relatives, it was confirmed that they felt that the staff adopted a very positive and supportive approach to service users which promoted their privacy and dignity. Staff were observed to respond to service users in a friendly and engaging manner that was informal and relaxed. Chevington Lodge Residential Home DS0000024356.V270991.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): 12 - 15 The home has a very positive and pro-active approach to daily life and routines. EVIDENCE: During the inspection it was possible to speak with a number of visitors, who all confirmed that they are always made welcome and find the home in good order. They praised the staff for being kind and friendly, and very caring. They were very pleased with the standard of service provided. An Activities Co-ordinator works in the home every weekday morning and helps service users with a variety of activities designed to stimulate and engage, on an individual and/or small group scale. During this period there was much positive interaction between staff and service users, and this confirmed that all staff engage in positive and therapeutic activity with service users, whether in keeping with arranged activities or in everyday tasks. This approach is apparent in the use of conversation as a therapeutic tool as well as specific activities such as crosswords. Chevington Lodge Residential Home DS0000024356.V270991.R01.S.doc Version 5.0 Page 11 A brief visit to the kitchen confirmed what was previously established – that the home provides a good variety of home-cooked meals using fresh ingredients, to suit the individual tastes and preferences of service users. Chevington Lodge Residential Home DS0000024356.V270991.R01.S.doc Version 5.0 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 the following standard(s): 16 - 18 The home has appropriate safeguards in place to care for service users. EVIDENCE: The home has a suitable complaints procedure, and there have been no recorded complaints since the last inspection. A recent incident, reported to the Commission separately, had highlighted the prompt and effective action taken by the management to address any shortfalls in service and this proactive approach is reassuring and confirms the high standards that the management has set and maintains. Staff continue to receive appropriate training in caring for people with dementia, which has a strong emphasis on protection. Chevington Lodge Residential Home DS0000024356.V270991.R01.S.doc Version 5.0 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 the following standard(s): 19 - 26 The hoe continues to provide a safe and comfortable environment for service users. EVIDENCE: On the day of the inspection the home was clean, tidy, warm, comfortable and being well maintained, with no odour. There have been no significant developments in the environment since the previous inspection, although it is planned to start replacing the large windows in the top lounge soon. A brief tour of the home confirmed that the established standard of accommodation is being maintained. Chevington Lodge Residential Home DS0000024356.V270991.R01.S.doc Version 5.0 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 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, 30 The home is well staffed with competent carers. EVIDENCE: On the day of the inspection all of the owners were on site, with an Assistant Manager on duty, plus one Senior Carer and 7 carers, and an Activities Coordinator. Since the last inspection the management have reviewed the afternoon care staffing and are in the process of strengthening the current level of 7. The home’s Training Co-ordinator is providing another round of training for staff in caring for people with dementia. This is in addition to the specialist trainer engaged to provide on-going training in person-centred care for all staff. In future this training will be certificated and all staff will attend at least two training sessions per year. Plans are in-hand to further develop the home’s staff induction training to meet new national standards published by the Skills for Care organisation (previously known as TOPSS). The issue of communication and language was discussed, given that the home now employs a number of staff for whom English is a second language. The approach adopted is a sensitive and pro-active one, and relatives and service suers spoken with confirmed no concerns in this area. Chevington Lodge Residential Home DS0000024356.V270991.R01.S.doc Version 5.0 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 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, 33, 37, 38 The home is well managed and run in the best interest of the service users. EVIDENCE: The management structure of the home has been strengthened and now consists of Manager, Deputy Manager, 2 Assistant Managers, and a number of Senior Carers (currently 3). Mrs Crawford carries out regular audits of the home’s operations and compiles reports and information which is made available to the Commission, and informs the home’s development programme. One proposal being considered is a more corporate approach to staffing, with a more distinctive uniform for staff and managers. This may well prove helpful to service users by more clearly identifying staff, as distinguished from visitors to the home. Chevington Lodge Residential Home DS0000024356.V270991.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 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X X 3 3 Chevington Lodge Residential Home DS0000024356.V270991.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? Yes 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 Chevington Lodge Residential Home DS0000024356.V270991.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Chevington Lodge Residential Home DS0000024356.V270991.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!