Inspection on 23/06/05 for Clapham Lodge

This inspection was carried out on 23rd June 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.

Other inspections for this house

Clapham Lodge 08/11/07

Clapham Lodge 19/03/07

Clapham Lodge 28/11/05

Clapham Lodge 08/11/04

Clapham Lodge 20/05/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Clapham Lodge Woodland Close, Clapham Village Worthing West Sussex BN13 3XR Lead Inspector Jennifer Wright Announced 23 June 2005. 9:15 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. Clapham Lodge H60-H11 S14456 Clapham Lodge V222923 200605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Clapham Lodge Address Woodland Close, Clapham Village, Worthing, West Sussex, BN13 3XR 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 871326 Clapham Lodge Limited Miss Ann Marie Burch Care Home (CRH) 26 Category(ies) of Old age, not falling within any other category registration, with number (OP), (26) of places Clapham Lodge H60-H11 S14456 Clapham Lodge V222923 200605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8 November 2004 Brief Description of the Service: Clapham Lodge is a care home registered to accommodate up to 26 residents in the category of OP (Older Persons). Clapham Lodge is a large property, located in a rural setting, in Clapham Village, north of Angmering. Clapham Lodge has recently converted some of the single bedrooms into small independent suites, consisting of a bedroom, a sitting room/kitchenette and a bathroom. Full care will be available for people who chose this accommodation. The service is privately owned by Clapham Lodge Ltd, and the registered Manager is Miss Ann Burch. The responsible person acting on behalf of the company is Mr Paul Renshaw. Clapham Lodge H60-H11 S14456 Clapham Lodge V222923 200605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, the first of a minimum of two statutory visits that an inspector must make to each care home during the course of a year. A second inspection, which will be unannounced, will be undertaken later in the year. During this inspection the Inspector toured the building, visiting many of the rooms. The Inspector found Clapham Lodge to be homely and welcoming. The inspector spoke to the vast majority of residents, plus a visitor and a District Nurse, about what the care was like at Clapham Lodge. A District Nurse spoken to on the day of inspection said, “I have always found the staff to be very helpful”, and “residents tell me they are happy at Clapham Lodge“. Three staff members were also spoken to on the day of inspection about how they find working at Clapham Lodge. All were very positive in their response, and told the Inspector how much they enjoyed their work. The Inspector examined records about care being provided to residents; and questioned the Manager regarding any accidents or concerns or complaints, to make sure that the residents at Clapham Lodge are being taken care of. Prior to the inspection relatives and visitors were offered the opportunity to complete a short questionnaire where they could make their views on Clapham Lodge known to the Commission for Social Care Inspection. Four people responded, and they all stated that they were satisfied with the care provided by the home. At this inspection Clapham Lodge was audited against the National Minimum Standards for Older Persons. All but one of the elements in each of the standards assessed was met, and one was exceeded. The Inspector would like to thank everyone who cooperated with her at this inspection. What the service does well: Clapham Lodge H60-H11 S14456 Clapham Lodge V222923 200605 Stage 4.doc Version 1.30 Page 6 Clapham Lodge offers the residents who live there, good care, good food, the opportunity for a variety of activities and accommodation in either a single room or a suite. Clapham Lodge has its own web site for all potential residents to view. All of the people who were spoken to, or written to, at the time of this inspection responded very favourably with regard to the care on offer at Clapham Lodge. The building is in good decorative order, and reasonably well maintained, with the relevant records in place to ensure the safety of the people living there. The inspector saw that staff training was ongoing at Clapham Lodge, and it was seen that many of the staff members have worked at the home for many years. A District Nurse spoke very highly of the care provided by Clapham Lodge, and a visitor told the Inspector that she was very pleased with Clapham Lodge, because they “treat my mum like one of the family”. Clapham Lodge have an activities organiser who goes into the home on a regular basis, and arranges quizzes, games etc. What has improved since the last inspection? What they could do better: Every one who the Inspector spoke to said very positive things about Clapham Lodge, and could not fault it. It was seen however, that some of the carpets were in need of attention, and some decoration was required in parts of the home. One radiator in the small lounge has yet to be covered. A further requirement is therefore made in this report for this matter to be addressed. Clapham Lodge H60-H11 S14456 Clapham Lodge V222923 200605 Stage 4.doc Version 1.30 Page 7 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. Clapham Lodge H60-H11 S14456 Clapham Lodge V222923 200605 Stage 4.doc Version 1.30 Page 8 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 Clapham Lodge H60-H11 S14456 Clapham Lodge V222923 200605 Stage 4.doc Version 1.30 Page 9 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, 3, 5,6 Prior to moving into Clapham Lodge people are given sufficient information about what the home offers, including the new suites, to enable them to make a choice as to whether or not they want to live there. In addition before moving into the home, people are assessed, by a member of staff, in their own home or hospital whenever possible, to make sure they are suitable, and invited for a trial period. People know exactly what they can expect from Clapham Lodge and what is expected from them. EVIDENCE: Some of the residents that the Inspector spoke to on the day of inspection, confirmed that they had been given information about Clapham Lodge prior to admission, and that they had been invited to visit the home before they came to stay. Some residents could not remember if they had received any information, but told the Inspector how pleased they were, with the care provided at Clapham Lodge. Residents told the Inspector that they would go Clapham Lodge H60-H11 S14456 Clapham Lodge V222923 200605 Stage 4.doc Version 1.30 Page 10 to the Manager or any member of staff if they had any queries, and had no complaints whatsoever about the way they were being cared for. Clapham Lodge H60-H11 S14456 Clapham Lodge V222923 200605 Stage 4.doc Version 1.30 Page 11 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) 7,8,9,10,11 Where possible residents are involved with the drawing up of their care plans. All residents are informed of all services available under the National Health Service, and specialist equipment is provided where necessary. Correct medication procedures were seen to be in place, to protect the people living at Clapham Lodge from harm, and from the comments made by many residents, a visitor and a District Nurse, it would appear that the staff members respect the privacy and dignity of the people living at Clapham Lodge. EVIDENCE: The Manager informed the Inspector that where residents are not able to be involved with the drawing up of their care plans, then the residents relative or advocate is involved. This was confirmed by many of the residents who the Inspector spoke to on the day of inspection, one of who said “ I find this place very comfortable”. Records of drug administration are maintained, and the correct procedures, relating to medication, are being adhered to. The Manager confirmed to the Clapham Lodge H60-H11 S14456 Clapham Lodge V222923 200605 Stage 4.doc Version 1.30 Page 12 Inspector that staff members administering medication had all received the appropriate training. Clapham Lodge H60-H11 S14456 Clapham Lodge V222923 200605 Stage 4.doc Version 1.30 Page 13 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 People living at Clapham Lodge are able to make the day-to-day decisions about how they want to live their life. There is a range of activities for those who wish to participate. Residents are encouraged to maintain contact with all their old friends and family, wherever possible. Clapham Lodge offers residents a choice of menu, with people able to eat either with other residents in a sunny dining room, or in their own room should they prefer. EVIDENCE: Clapham Lodge H60-H11 S14456 Clapham Lodge V222923 200605 Stage 4.doc Version 1.30 Page 14 There were a variety of activities on offer Clapham Lodge, including “music for health” quizzes, games and craft work, and the majority of people told the Inspector that they felt that there was enough to do, should they wish it. The Manager informed the Inspector that “one resident regularly takes himself off on the local bus”. A priest visits the home on a regular basis, to offer communion. On the day of inspection, the Inspector joined in a musical quiz, in the morning, and a croquet game on the lawn was organised for the afternoon, with a cream tea. The Inspector shared a meal with the residents, which was a choice of either Hot Pot or pork, or a salad. Residents told the Inspector that they enjoy the meal times, and that “the food is good”. There was a light-hearted atmosphere during the meal, between residents and staff members. From direct observation, the Inspector noted that the mealtime appeared to be unhurried, with residents being afforded sufficient time to eat their meal. Where it was necessary staff members were seen to help residents in a sensitive and unobtrusive manner. Clapham Lodge H60-H11 S14456 Clapham Lodge V222923 200605 Stage 4.doc Version 1.30 Page 15 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 and 18 Regular training sessions for staff, a complaints book, plus policies and procedures regarding abuse, ensure that, as far as is possible, the people who live at Clapham Lodge are protected from bad practice. EVIDENCE: Complaints are recorded in the complaint’s book, although there was none recorded at the time of the inspection. Residents told the Inspector that should they have any concerns at all, then they would have no hesitation in going to any staff member, and know that they would be listened to. The Manager confirmed that residents, staff members, and visitors are aware that they can always come to her, or Mr. Renshaw if they have any concerns or queries. Clapham Lodge H60-H11 S14456 Clapham Lodge V222923 200605 Stage 4.doc Version 1.30 Page 16 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) 22, 23, 24, 25 and 26 On the day of inspection Clapham Lodge appeared clean and maintained to an acceptable standard, and the location of the home is suitable for the residents who live there. Clapham Lodge was seen to provide a lift, aids, ramps and assisted bathing facilities. EVIDENCE: During the course of the inspection many of the rooms were visited to ensure that the environment was safe and comfortable for people who live there. It was noted that many residents had brought personal possessions into the home, including small items of furniture, ornaments and photographs. Records were available to show that the home is maintained to a satisfactory standard. On the day of inspection, Clapham Lodge was seen to be clean, and free from offensive odours. Policies and procedures were available for staff regarding control of infection, and the safe disposal of clinical waste. Residents told the inspection how much they liked their bedrooms, and one resident invited the Inspector to inspect her suite, as she was so pleased with it. All the residents, when asked if they liked their rooms, replied that they Clapham Lodge H60-H11 S14456 Clapham Lodge V222923 200605 Stage 4.doc Version 1.30 Page 17 did. There is a large mature garden, with parts “left to nature” to encourage wild life. Clapham Lodge is on the edge of the South Downs, with splendid views, and country walks on the doorstep. The Manager informed the Inspector that the seating area outside the dining room is to be improved upon next year. Although much of the home has had new carpets, one area was seen to need attention, and the radiator in the small lounge is still in need of a guard. The Manager informed the Inspector that the radiator is to be covered before the end of the summer, and the carpets are to be replaced as part of the home’s maintenance programme. A requirement is made in this report for the radiator to be covered by 30.09.05. On the day of inspection, the weather was extremely hot, and several doors were seen to be wedged open to allow a through breeze. The Manager was made aware of the safety implications surrounding this. Clapham Lodge H60-H11 S14456 Clapham Lodge V222923 200605 Stage 4.doc Version 1.30 Page 18 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 and 30 Clapham Lodge is adequately staffed with employees who appear competent to care for older people. National Vocational Qualification is on going and further development training is expected. All training is recorded on staff member’s files. EVIDENCE: The Manager informed the Inspector that training is ongoing at Clapham Lodge. Many of the staff have worked at the home for a long time, and one staff member spoken to on the day of inspection told the Inspector that “ it is like one big happy family working here” and a new member of staff said “everyone, especially the residents, have treated me really well since I’ve worked here”. Residents told the Inspector that there always appear to be enough people on duty to assist them when they need it, and that their bell was always answered when they rang it. A visiting District Nurse confirmed that there always appeared to be adequate staff on duty, when she visited the home. Clapham Lodge H60-H11 S14456 Clapham Lodge V222923 200605 Stage 4.doc Version 1.30 Page 19 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) 31. 32, 33, and 38 Miss. Birch, the registered Manager, is a qualified nurse and is experienced in working with older people. Records needed for the safe running of a care home are kept up to date. Policies and procedures are available for staff members to refer to, to ensure the safety of the people who live and work at Clapham Lodge. EVIDENCE: All the residents confirmed to the Inspector, that the Manager and the staff are approachable and helpful. Residents told the Inspector that they liked the way Clapham Lodge was run. One resident said to the Inspector “they’re there when I want them, and they leave me alone to get on with what I want to do, at other times”. Another resident said “I don’t think I could have a better place”. Clapham Lodge H60-H11 S14456 Clapham Lodge V222923 200605 Stage 4.doc Version 1.30 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. 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 3 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 x x 3 3 3 x 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 3 3 3 3 3 x x x x 3 Clapham Lodge H60-H11 S14456 Clapham Lodge V222923 200605 Stage 4.doc Version 1.30 Page 21 yes 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 25 Regulation 23 Requirement The registered person must ensure that the remaining radiator cover be installed (previous timescales of 30.9.04 and 31.12.04 not met) Timescale for action 30.09.05 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 Clapham Lodge H60-H11 S14456 Clapham Lodge V222923 200605 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 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 Clapham Lodge H60-H11 S14456 Clapham Lodge V222923 200605 Stage 4.doc Version 1.30 Page 23 - 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!