Inspection on 22/09/05 for Chevington Lodge Residential Home

This inspection was carried out on 22nd September 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

Chevington Lodge Residential Home 04/10/06

Chevington Lodge Residential Home 01/12/05

Chevington Lodge Residential Home 03/03/05

Chevington Lodge Residential Home 11/11/04

Chevington Lodge Residential Home 12/02/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Chevington Lodge Residential Home 8 Flixton Road Bungay Suffolk NR35 1HQ Lead Inspector Mike Usher Announced Inspection 22nd September 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 Chevington Lodge Residential Home DS0000024356.V252455.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.V252455.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.V252455.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd March 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.V252455.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection focused on progress regarding previous requirements and recommendations, significant developments, and management issues. The inspection used observation, examination of records and other documents, discussions with management, staff, and residents, and made use of information provided by the home prior to the inspection visit. The home has now completed the transition to a specialist care home for older people with dementia, and is continuing to develop its ‘person-centred’ approach to care, in a positive and structured manner. What the service does well: What has improved since the last inspection? The owners continue to improve the environment, with new and refurbished facilities provided. The new front garden provides a safe and pleasant area for service users and visitors to use easily and freely, and is proving very popular. Specialist training has been further developed to assist staff in providing an appropriate level of person-centred care for people with dementia. Chevington Lodge Residential Home DS0000024356.V252455.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.V252455.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.V252455.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): This area will be examined in more detail during the next inspection, which will be unannounced. EVIDENCE: N/A Chevington Lodge Residential Home DS0000024356.V252455.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): 7, 8, 10 The health and personal care needs of service users are well met. EVIDENCE: Care plans contain a good level of detail and plenty of relevant detail. Life story work is being developed as a major theme of care planning. Risk assessments are completed and records confirm that care plans and risk assessments are being regularly reviewed and updated. The health needs of service users are properly addressed in care planning, including risk assessments, and visits by health professionals are properly recorded. Chevington Lodge Residential Home DS0000024356.V252455.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 Daily life is well organised to meet the individual needs of service users. Relatives are encouraged to visit freely and maintain contact. EVIDENCE: Two relatives visiting on the day of the inspection were spoken with, and both expressed great satisfaction with the care provided by the home, specifically identifying the accommodation, and staffing as being very good. Visiting is a relaxed and welcome aspect of the home’s daily life, with many comings and goings during the day. Relations between staff and service users were relaxed and friendly. Staff were engaging with individuals, and demonstrated a sensitive and inclusive approach to caring. There was much activity throughout the day, and it was notable that staff were equally friendly and at ease with each other, as well as with residents. This all helped to create a very warm and positive atmosphere in the home. In discussions with the cook it was confirmed that all meals are prepared in the home, using fresh ingredients from local sources. Special diets are catered for including diabetics, soft and liquidised meals, and a list of personal preferences (likes and dislikes) for service users was kept on the wall. Chevington Lodge Residential Home DS0000024356.V252455.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): 16, 18 Service users are adequately protected and safeguarded. EVIDENCE: The owners take an active role in the day-to-day running of the home, and give a high priority to the safeguarding of service users. This was recently demonstrated by the firm disciplinary action taken against two carers who had not shown a proper respect for a service user’s privacy and dignity. The Commission was fully consulted with regard to this action. There have been very few complaints in the last 12 months, and the management take a suitably active approach to addressing any concerns raised. Relatives spoken with, and who corresponded with the Commission during the inspection process, sometimes had concerns but mostly felt that these were well addressed, and that they were listened to. Chevington Lodge Residential Home DS0000024356.V252455.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): 19 - 26 The home is able to meet the needs of service users through a comfortable and homely environment. EVIDENCE: On the day of the inspection the home was clean, tidy and in good order throughout, with no odour. There have been a number of developments in the building. Two bedrooms have now been fitted with en suite facilities, without compromising the size of the rooms, and most of the bathrooms have now been refurbished, with new assisted baths installed, and more homely decoration. Although all baths have been fitted with thermostatic limiting valves, it is recommended that staff still use a bath thermometer to check that the temperature is correct. Some exposed hot water pipes on the first floor need to be covered. The kitchen is well-equipped and suitable for its purpose. Chevington Lodge Residential Home DS0000024356.V252455.R01.S.doc Version 5.0 Page 13 The new front garden is proving very popular and was being well used by service users and visitors throughout the day. The design is well thought out, providing a safe environment for service users that is pleasant and stimulating. The grounds to the rear have been landscaped to assist service users with paths, steps and hand rails, and slope down for some distance to the river. The grounds have been designed so that service users do not have unrestricted access to the rear gardens. Chevington Lodge Residential Home DS0000024356.V252455.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 Staff are well trained to deliver a specialist service for people with dementia. EVIDENCE: On the day of the inspection there were 8 carers on duty, plus the manager, assistant manager, cook and 5 ancillary staff. In the afternoon there were 7 carers on duty, but as one of these was involved in kitchen duties this effectively leaves 6 carers on duty for 42 service users. The adequacy of this level was discussed and the owners expressed confidence that this was sufficient, and works well. This should be monitored to ensure that it continues to be effective. At night there are 3 waking care staff, including a Senior Carer. Nights were described as quite busy with a number of service users being active on a regular basis. The approach to night caring duties seems measured and appropriate – encouraging a ‘normal’ routine of sleep and activity, but not insisting, thus allowing routines to be individual and relaxed. Staff are grouped with service users to ensure adequate supervision, and the Activities Co-ordinator ensures that there is always something going on that service users can be involved with. Staff training has continued to focus on caring for people with dementia, with nearly all the carers having completed a specialist 6-week course provided by the Alzheimer’s Society. In addition, training has also been provided on Food Chevington Lodge Residential Home DS0000024356.V252455.R01.S.doc Version 5.0 Page 15 and Nutrition for People with Dementia, and a specialist dementia care trainer has provided sessions for staff on spending ‘quality time’ with people with dementia. Further training on manning challenging behaviour is planned. Other training has not been neglected, with courses completed recently including Fire Safety, First Aid, Health and Safety, Medication, and Key Working. Currently 15 carers have achieved the NVQ2 award, which represents just under 50 . In addition, 12 carers have obtained a First Aid certificate. Chevington Lodge Residential Home DS0000024356.V252455.R01.S.doc Version 5.0 Page 16 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 management and administration of the home is on a sound footing. EVIDENCE: The management have confirmed that appropriate maintenance is carried out on all essential equipment and services in the home, and this is properly recorded. Both the Fire Service and Environmental Health Service have visited in the last 12 months and the owners confirm that both services are satisfied with standards in the home. The home has a comprehensive set of policies and procedures and these are kept up-to-date and regularly reviewed. The owners have recently supplied the Commission with a copy of the results from the latest annual Relatives Satisfaction Survey, which indicate a high Chevington Lodge Residential Home DS0000024356.V252455.R01.S.doc Version 5.0 Page 17 level of satisfaction with the service provided – expressed as 89 , which is up 3 on the previous year. The questionnaire asks relatives to score the home’s performance in a range of areas of operation, from poor to excellent. Space has been provided to encourage participants to comment on the reasons for the scores given. The management are considering the results of the survey, and how they may inform future service. The home continues to benefit from the day-to-day involvement of the owners, in addition to the presence of the manager. Chevington Lodge Residential Home DS0000024356.V252455.R01.S.doc Version 5.0 Page 18 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 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 x 18 3 3 3 3 3 3 3 3 2 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.V252455.R01.S.doc Version 5.0 Page 19 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. 1 Standard OP25 Regulation 13(4) Timescale for action All exposed hot water pipes must 29/09/05 be guarded. Requirement 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 OP25 Good Practice Recommendations It is recommended that staff still use a bath thermometer to double-check that the temperature of bath water is suitable. Chevington Lodge Residential Home DS0000024356.V252455.R01.S.doc Version 5.0 Page 20 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.V252455.R01.S.doc Version 5.0 Page 21 - 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. 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