Inspection on 21/05/07 for Coneygar Lodge Ltd

This inspection was carried out on 21st May 2007.

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

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Coneygar Lodge Ltd Coneygar Lodge Coneygar Park Bridport Dorset DT6 3BA Lead Inspector Gloria Ashwell Key Unannounced Inspection 21st May 2007 11:00 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 Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 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. Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Coneygar Lodge Ltd Address Coneygar Lodge Coneygar Park Bridport Dorset DT6 3BA 01308 427365 01308 427365 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) Coneygar Lodge Ltd Natily Berry Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Coneygar Lodge is situated in a secluded area on the outskirts of Bridport; it is accessed via a private lane. The home provides personal care for up to 22 people aged 65 years and over. Residents’ accommodation is provided in four buildings grouped around a courtyard with a separate building for the laundry and kitchen. The Lodge has 9 bedrooms, (including 8 with en suite hygiene facilities) a bathroom, and a communal lounge/dining room. All the rooms and facilities are on the ground floor. The Stable Block has 3 en suite hygiene facility ground floor bedrooms. The House has 6 bedrooms, including 4 with en suite facilities; a stair lift has been recently installed. There are 2 separate bathrooms and a communal conservatory/dining room. 3 bedrooms are on the ground floor and are fully accessible. A further 2 first floor bedrooms known as the Flats have en suite facilities and are accessed via an outdoor ramp or indoors by stairs. The property and gardens are well maintained and the garden has seating for the use of residents and visitors. Much of the garden is fully accessible to wheelchair users. Weekly fees range between £443 - £475 with additional charges for hairdressing (£5 - £10 approximately) & chiropody (£12 approximately) plus “market price” for other commodities i.e. newspapers. The home has a suitably equipped laundry. Since the previous key inspection the home has been registered to Coneygar Lodge Limited and Miss Natily Berry has become the registered manager. Coneygar Lodge is a short walk from the centre of Bridport where major bus routes and local amenities are available. The home provides suitable transport to take small groups of residents out for afternoon tea or visits to local places of interest. Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 Page 5 Coneygar Lodge has a loyal staff team led by the Registered Providers. The investment in the staff and their training was acknowledged when The Investors in People Award was obtained. Information regarding the subjects Value for Money and Fair Terms in Contracts can be obtained from the web link: www.oft.gov.uk A report entitled Care Homes in the UK - A Market Study is available on web link http:/www.oft.gov.uk/NR/rdonlyres/5362CA9D-764D-4636-A4B1-A65A7AFD347B/0/oft780.pdf Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This was a key announced inspection that took place at the home over two days, comprising a total of six hours. Additionally, time was spent in preparation for the visit, looking at previous inspection reports and other relevant documents and preparing a plan for the inspection visit. The inspector arrived on 21 May 2007 and spoke to residents and staff and toured the premises. By arrangement with the Registered Providers, she returned to the home at 13.30 on 31 May 2007 and assisted by the Registered Providers and Registered Manager, discussed and examined documentation relating to the care provision and administration of the home. The care records of four people who live at the home were examined in detail. The inspector was able to meet and speak with most of the residents both individually and in small groups in the communal areas. Four “Have your say”, comment cards were returned from residents or their representatives and all indicated satisfaction with the services, environment and care received. Additional information used to inform the inspection process included the reports routinely sent to the Commission by the Registered Providers. What the service does well: Coneygar Lodge offers an attractive home for residents. The premises are clean, well maintained, safe and homely. Bedrooms are comfortably furnished and well decorated. All residents have single bedroom accommodation; most have en suite hygiene facilities. The staff has a positive attitude and adapt their work routines to meet residents’ individual preferences and choices. Residents reported that everyone at the home was very friendly and felt that the home operated around their needs; “they’re all so kind and do anything they can for you…extremely comfortable…I couldn’t be better off”. Residents stated they are satisfied with the care provided by staff. Staff are sensitive and caring and promote a calm and pleasant atmosphere in the home. Care records are maintained to an excellent standard. Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 Page 7 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 report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home does not provide Intermediate Care so Standard 6 does not apply. Prior to admission, the needs of each proposed resident are assessed to ensure the home will be properly able to meet them. EVIDENCE: The records of two residents admitted since the last inspection included details of pre-admission assessment carried out by the registered manager when the prospective residents visited Coneygar Lodge to meet staff and residents and view the accommodation. The assessment records identified the needs of the prospective residents and enabled the manager to determine that the home would be able to properly meet them. Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 Page 10 The inspector spoke to the particular residents for the purposes of case tracking; both confirmed their unreserved satisfaction with all aspects of the home. Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The standard of care is excellent and in accordance with a written plan of care for each resident ensuring that staff have sufficient information upon which to base their care practice. Residents health needs are met and all accidents are investigated. Medicines prescribed by doctors are safely stored and correctly administered. Residents are treated with respect and their privacy and dignity is protected at all times. Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 Page 12 EVIDENCE: Residents and their relatives believe they are properly cared for; written comments received by the home from relatives indicate their unreserved satisfaction with all aspects. Computerised care records are kept for all residents; those of 4 residents were examined and found to be of excellent standard containing risk assessments forming the basis for care plans and daily records describing the care of each resident. Medication administration records were properly kept indicating that residents receive prescribed medicines at the correct times and in correct amounts those wishing to do so can manage their own medicines in accord with a risk assessment process; none of the currently accommodated residents manage their own medicines. The handling of medicines is carried out by care staff trained in this work. In the presence of staff residents appeared relaxed, confident and at ease; staff interactions with residents were of a friendly and considerate manner. Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The quality of daily life in the home is good with residents assisted to maintain as much independence as possible. Social and leisure activities are suited to the preference and ability of each resident. Residents are encouraged to maintain contact with the local community and visits by their friends and relatives are welcomed by the home. Residents are helped to exercise choice and control over their lives. Meals are appetising and of good quantity and quality. Most meals are taken in the dining area of the lounge on the ground floor; breakfast is provided in the bedrooms. Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 Page 14 EVIDENCE: From discussions with residents, staff and management and examining records there was evidence that suitably active lifestyles are encouraged. Routines around the home are flexible and residents spoken with were quite clear about being able to please themselves around the home. Recreational and leisure activities are provided on a one-to-one or group basis in accordance with the preferences of the residents. The programme of events is displayed on a notice-board in The Lodge. During one half day each week a visiting Activities Leader organises and leads a social and exercise session. Residents are encouraged and assisted to go into the local community or to the homes of friends/relatives as frequently as they wish; some attend local places of worship, others have faith representatives visit them – each according to personal preference. Residents appeared relaxed and comfortable in the presence of staff; staff interacted well with residents and expressed enthusiasm for their work. The atmosphere throughout the home was quiet and calm. Visitors are welcome at any time. Residents indicated their satisfaction with the quality, choice and quantity of food provided; one said “The food is always very good”. Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home adheres to a policy/procedure for the prevention of abuse and all staff are trained in the understanding and prevention of abuse to ensure that they remain vigilant to protect vulnerable residents from such risks. The complaints procedure provides information for persons wishing to make a complaint; service users and their representatives know how to complain if the need arises. EVIDENCE: Residents and/or their representatives feel confident that if they had concerns or complaints they will be listened to and taken seriously. To ensure residents and their representatives have access to the complaints procedure it is included in the service user guide to the home and a copy is provided to each residents’ relative/representative. Residents said they know how to complain and feel confident that if they had concerns or complaints they will be listened to and taken seriously. The home keeps records of all complaints received and investigated; since the previous key inspection there has been one complaint investigated and resolved by the management team of Coneygar Lodge. Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 Page 16 Good standards in training staff about safeguarding vulnerable people have been continued. There have been no instances or reports of any incidents at the home. Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Good standards of maintenance, cleanliness and hygiene of the home have been continued. Coneygar Lodge remains a comfortable and attractive place for residents to live in. EVIDENCE: The communal areas and bedrooms viewed during this inspection were clean, tidy and free from odours. Bedrooms are suited to the needs of residents and all are decorated to suit individual tastes. Bedroom doors are lockable; not all the residents choose to have their own key. The property has pleasant gardens for use by residents and visitors; some areas and paths are accessible to wheelchair users. Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 Page 18 Residents are satisfied with the laundry service of the home and all residents appeared well cared for and wearing well maintained clothing. The laundry operates two machines; one for resident’s personal laundry and the other for bed linen etc. The laundry was tidy and well organised with residents each having their own laundry basket. Carers do the washing during the day and night staff do the ironing. There is an ongoing and continuous programme of improvements to the premises to ensure the high standards are maintained; during the first visit of this inspection the modern conservatory was undergoing repainting and a few days later replacement carpets and furniture for the conservatory were delivered. Since the last key inspection a stair lift has been installed in The House, and a new boiler to serve all areas with heating and hot water has been installed. Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home employs enough staff to meet the needs of residents and to ensure their safety and comfort and maintenance of the good condition of the premises. Recruitment practices ensure the protection of residents from potentially unsuitable staff. Staff receive appropriate training and are competent to carry out their jobs. EVIDENCE: At the time of inspection there were sufficient staff on duty to properly meet the needs of residents and residents stated they consider there are always enough staff. One described the particular importance of available night staff; “at night I sometimes have to get up…I have the bell quite handy…certainly they come… essential to be able to call …and they come… I like to watch late TV… and I read in bed…and use the alarm to let them know I’m ready to be tucked in”. Staff spoken with during the inspection were enthusiastic about their work and felt that they provided a good standard of care to residents, properly supported by the training provision. Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 Page 20 No new staff have been employed since the previous inspection; a sample of records examined confirmed that all staff had undergone appropriate recruitment procedures including provision of Criminal Records Bureau checks and references. The service operates a comprehensive induction process for all new staff, designed to ensure their familiarity with all aspects of the home and a clear understanding of their responsibilities. Staff receive training appropriate to their needs and are supported and encouraged to train for National Vocational Qualifications. At present most of the care staff currently employed by the home hold a National Vocational Qualification in care; the home thereby meets the standard for at least 50 of the care staff to hold an NVQ in care. Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have good leadership from the registered manager and the registered providers. Residents are satisfied with the home and feel staff care for them well and put them at their ease. A quality assurance system is in use to ensure that residents remain satisfied with all aspects of the home. With the exception of the personal allowance of one resident, the home does not manage the finances of residents. The premises and equipment are properly maintained in good condition to ensure provision of a comfortable and safe environment. Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 Page 22 EVIDENCE: Since the previous key inspection Natily BERRY has become the registered manager; she has been employed at Coneygar Lodge for 6 years and holds the Registered Manager’s Award and a National Vocational Qualification (Level 4) in care. Residents said they are very satisfied with the calm, peaceful and relaxed atmosphere and lifestyle at Coneygar Lodge. With the exception of the personal allowance of one resident (for which all transactions are confirmed by receipt), the home does not manage the finances of residents. Staff trained in emergency response are on duty in the home at all times; all staff receive periodic training in fire safety. All staff are supervised and each has a personal profile containing records of appraisal ensuring that performance standards are monitored and training needs are identified, in the interests of providing good care to residents. During the inspection a sample of records regarding equipment servicing and maintenance, including those regarding fire safety equipment were examined and confirmed that regular safety checks take place. Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 Page 23 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 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 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 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 X 3 X X 3 Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 Page 24 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 Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Coneygar Lodge Ltd DS0000068914.V339532.R01.S.doc Version 5.2 Page 26 - 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!