Inspection on 14/07/06 for Coniston Lodge

This inspection was carried out on 14th July 2006.

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

Coniston Lodge 07/10/09

Coniston Lodge 10/12/07

Coniston Lodge 07/11/05

Coniston Lodge 29/06/05

Coniston Lodge 11/01/05

Coniston Lodge 14/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

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 Coniston Lodge 43 Beaufort Road Southbourne Bournemouth Dorset BH6 5AS Lead Inspector Debra Jones Unannounced Inspection 14th July 2006 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 Coniston Lodge DS0000003932.V304699.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. Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Coniston Lodge Address 43 Beaufort Road Southbourne Bournemouth Dorset BH6 5AS 01202 421492 NO FAX kevin@coniston43.fsnet.co.uk 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) Mrs Daphne Margaret Bailey Mrs Katrina Marlene Stephanie Bailey Care Home 11 Category(ies) of Old age, not falling within any other category registration, with number (11) of places Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th November 2005 Brief Description of the Service: Coniston Lodge is registered to provide accommodation for eleven older people in what were two attractive converted houses now linked together at the ground floor. It is set on a corner plot in the residential area of Southbourne. Local bus services provide easy access to Bournemouth and Christchurch. There is plenty of on road car parking in neighbouring side streets. There is a large well-maintained garden to the side and rear of the home. The accommodation for residents in the home is over the ground and 1st floors with a passenger lift between. There are a variety of aids and adaptations around the building to allow residents to move about more independently. There are 11 single rooms, 4 of which have en suite facilities. There are additional communal toilets and bathrooms around the home. Situated on the ground floor are the residents lounge and dining room, both of which overlook the garden. The weekly charge currently ranges between £354 and £370. Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 3 hours and the anticipated key inspection of the year. The 3 requirements and 3 recommendations made at the last inspection were followed up to see the progress made towards meeting them. Progress had been made. During the inspection some records were looked at. The Inspector walked around the building and met and chatted with the few residents who were at home. All spoke positively about the home and praised Mrs Bailey and her staff for their kindness. Mrs Bailey (Registered Person), and Mr Bailey helped the Inspector in her work. Prior to the inspection the Commission asked the home to send out a number of comment cards to get people’s views of the home. 21 were returned. 8 were from residents, 7 were from relatives, one from a friend, 1 was from a community nurse, 1 from a care manager, 1 from a chiropodist and 2 were from GP surgeries. All comment cards returned were very positive about the staff and service provided at Coniston Lodge and said that they were satisfied with the overall care provided there. ‘I am very happy here.’ (a resident) ‘We are looked after very well, the staff and owners are extremely nice and helpful and there is a wonderful garden (with an aviary) that we can all go and sit in and enjoy.’ (another resident) ‘They are always there to help you.’ (another resident) ‘Coniston Lodge provides very good care in all areas for my mother. All her medical needs are met. The home also provided her with a special bed and chair, which has made her more comfortable. My sister and I are more than happy with the level of care that she receives.’ (a relative) ‘I have had occasion to visit friends in other homes and none of them would compare favourably with Coniston Lodge which is a lovely home in every respect and cannot be faulted in any way.’ (a relative) ‘when visiting my friend at Coniston Lodge I am always made welcome. Always offered a drink. I find it clean, bright and caring there.’ (another relative) ‘Again I can only give them a glowing report for all the kindness and happiness the staff and owners express at the home. There are always smiles and nothing is too much trouble. Good quality home cooked food and a lovely garden with an aviary, that the residents can sit in and enjoy.’ (another relative) ‘My husband and I have been really pleased with the care mum has received. She went to Coniston Lodge this March and now looks so much better because Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 6 of the regular meals and care provided. We now have “‘peace of mind.”’ (another relative) ‘I have placed three service users at Coniston Lodge over the last 12 months all who have improved since admission. I find staff to be approachable and available. Feedback from relatives has also been positive.’ (a care manager) ‘Excellent home, never had a problem.’ (a GP) What the service does well: Coniston Lodge provides a good service for the older people living there in a comfortable relaxed atmosphere in a house decorated and furnished in a homely way. The care and contentment of residents is at the heart of the way the home is run. Ms Bailey, her family and her staff have developed good relationships with the residents and this results in a supportive and caring environment in which the residents feel secure and comfortable. A good admissions procedure is in place. Prospective residents are properly assessed by people from the home and have opportunities to visit the home to see if they like it before they move in. Care plans and notes are thorough and regularly updated to make sure that staff know how to care for the residents living at the home. Care staff are supported in caring for residents by community health professionals. Residents are treated with respect and their right to privacy is upheld. Residents are able to do as they wish at the home and join in or not with the activities on offer. Visitors are made welcome at the home and can come whenever it suits the residents they are visiting. Meals are wholesome and nutritious and planned around the likes and dislikes of residents. The complaints and adult protection policies and procedures reassure residents that their well-being and comfort are important to the home and that any concerns raised will be properly investigated and resolved. Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 7 The home is homely, well maintained and comfortable for the residents living there and anyone visiting. The home is kept clean and smells pleasant. Sufficient, well-trained and qualified care staff are on hand to meet the current needs of residents. Coniston Lodge is well organised and well managed by people with the skills, knowledge, qualifications and experience necessary. The home does not handle any money or valuables owned by residents. Systems are in place and records kept that demonstrate the home’s commitment to keeping residents safe. What has improved since the last inspection? What they could do better: Care plans could be improved by the inclusion of a section on medication. All residents should be assessed in respect of manual handling and where needs are identified a written plan must be put in place. Both medication and manual handling needs to be regularly reviewed along with the rest of the care plan. It will be good when the programme of covering radiators and pipe work, that pose some risk to residents, is completed. From now on when new people apply for jobs at the home they will need to provide their full employment history to help the home decide if they are suitable. Skills for Care have developed an induction programme which the home is advised to adopt for new care workers. The home must submit a copy of their most recent quality assurance report to the Commission. This should include the views of all parties who might have views on the home and how it might be made better for the people living Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 8 there. Such people might include relatives and friends of residents, health professionals and care managers. It would be good if more details about fire evacuations at the home were written down. As accident records or analyses of accidents could not be found on the day of inspection an analysis of the last 12 months will need to be submitted to the Commission. It would be good if data product sheets were kept near to where the products are stored or used. 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. Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 9 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 Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 10 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): 3. 6 is not applicable to this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A good admissions procedure enables prospective residents to make informed decisions about admission to the home and ensures that only service users whose needs can be met by the home are offered places there. EVIDENCE: Two files of recently admitted residents showed that prior to them moving to the home their needs were fully assessed either by the home or by the local authority responsible for the placement. Both were visited by people from Coniston Lodge prior to admission. Prospective residents are given the opportunity to visit the home, as are their representatives. Both of the residents whose files were reviewed had left this visit to their representatives. A relative commented ‘xx of Bournemouth Social Services supplied information about the home before I went to see it on mum’s behalf. Mrs Bailey provided further information on my next two visits.’ Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 11 The home is clear about their limitations and of the level of need that they can meet. This is demonstrated by them refusing some residents after they have met and assessed them and by thorough reviews after trial periods. Of the eight residents who returned comment cards all said that they had enough information before they moved in to the home so they could decide if it was the right place for them. One commented ‘I was on their waiting list.’ Seven remembered that they had received a contract. Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 12 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, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a good care planning system in place to make sure that staff have the information they need to meet the needs of the residents. The health needs of the residents are also well met with evidence of good support from community health professionals. The home has made good progress towards managing medication according to good practice guidelines in order to promote the good health and well being of residents. Residents are treated with respect and their right to privacy is upheld. EVIDENCE: Residents said the home looked them well. Care plans seen were of a good standard. They flowed from the assessments made by the home, were easy to read, to the point and informative about the needs of the resident and how the home was to meet their needs. Mrs Bailey was very knowledgeable about the care needs of the individuals and the steps that the home was taking to support them. Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 13 Care plans do not currently include a section on medication. Whilst there are no concerns about manual handling issues at the home they are not carrying out manual handling assessments and where appropriate writing plans. The care manager who returned a comment card to the Commission said it was the case that there was a care plan for each person that they had placed at the home and that it was being followed and reviewed regularly within the home. When asked ‘do you get the care and support you need?’ All of the eight residents who returned comment cards prior to the visit replied ‘always’. One commented ‘very good.’ A relative commented ‘mum says she is very happy at Coniston Lodge and my observations are that it is a very ‘homely’ place with attentive staff.’ When asked ‘do the staff listen and act on what you say.’ All residents said ‘yes.’ One commented ‘always!’ A relative said ‘ mum says that they do and she likes all of them.’ All the relatives and the care manager who responded by comment card said that they were informed of important matters in respect of their relatives / service users and consulted about their care. Daily notes support and evidence the delivery of care to residents. These give a good picture of the daily lives of residents, the care that is delivered to them by staff in the home and by visiting community health professionals such as GPs, district nurses and chiropodists. Notes also demonstrate that the interventions of health professionals are timely with the home responding quickly to concerns that staff and residents have about their health. One resident has to have regular blood tests. The home works with the district nursing service to ensure that these are done with the regularity with which they are needed and quickly respond to medication changes needed as a result of these tests. Residents are also accessing other community health services such as eye departments of hospitals and day hospitals. The eight residents who returned comment cards all said that they ‘always’ received the medical support they needed. One relative commented ‘Mrs Bailey and her staff have been very helpful and supportive. Mum has had problems with her leg recently and they have done all they can to make her comfortable and ensure that she is receiving the right medical treatment.’ The two GP surgeries, district nurse, chiropodist and care manager that returned comment cards to the Commission said that the home communicated clearly, worked in partnership with them and that staff demonstrated a clear understanding of the care needs of residents. The GPs also said that the home took appropriate decisions when they could no longer manage the care needs of residents. Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 14 Since the last inspection the home has moved to having their medicines supplied in blister packs. Not all medicines are provided in the packs but those that aren’t are all on the same ordering cycle so it is clear what medicines should be in the home at any time. The home used to keep their medicines in a cupboard in the kitchen. This was of some concern due to the temperature that this room could reach and the humidity. The cupboard has now been moved to a more appropriate place within the home. The home has obtained a plastic box to store medication in the fridge. Concerns raised with the home about the way that they were administering medication have also been addressed. Mrs Bailey told the inspector that the home does not re-dispense medication any more e.g. one member of staff puts medicines in pots for others to administer. Now one person sees the process through. The home was required to record the quantities of medicines received when a new resident moves into the home. This was seen as having been done with a record of the incoming medicines kept on the resident’s care file. One resident looks after their own medication. Their ability to do this safely is being kept under review. Last year the home had been required to update their medicines policy to include the recommended additions supplied by the Pharmacy Inspector. This has been passed to the Commission’s pharmacist for comment. The 2 GPs who returned comment cards said that in their opinion the home handled medication appropriately. Staff were seen to be treating residents in a respectful and dignified way during the course of the inspection and were polite and courteous. Staff were reassuring and supportive and quick to respond to anything residents needed or wanted. The two GPs, care manager, chiropodist, relatives and friend who returned comment cards to the Commission confirmed that they were able to see the residents in private. Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 15 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, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ lives are enriched by the social opportunities afforded by their visitors and the high degree of choice they are able to exercise in their daily lives at the home. The meals in this home are wholesome and varied and are served where it suits the residents. A pleasant dining room is available. EVIDENCE: Coniston Lodge is a family run home where residents are supported to live their lives as they choose. There are some structured activities run by staff and an entertainer is due to visit next week. References to visitors, outings and activities are made in daily notes. Residents talked to the inspector about their interests and how they like to spend their days e.g. doing jigsaw puzzles, knitting, watching TV, listening to the radio, looking at the aviary and sitting in the garden. Every afternoon some residents get together to do a crossword puzzle in the lounge. Two residents had recently been to celebrate the Queen’s birthday at a local church. One resident was off to the shops just after the inspector arrived. Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 16 Another resident had celebrated their birthday the day before and had been out for dinner with their family. Another who had recently had a birthday had not wanted the home to arrange a party for them. Their wishes were respected and the home got them some presents instead. Residents are encouraged to use the garden when it’s not too hot. Of the eight residents who returned comment cards 3 said that it was ‘always’ the case that there are activities arranged by the home that they can take part in; 1 said that this was true ‘usually’, and 2 said they were unable to take part. ‘I am not able to join in any activities- I am hard of hearing and have very limited sight. I am 102 years old.’ One resident who said there were always many things to take part in commented that they could choose to stay in their room. Another said ‘When I want to. I help with the crossword in the lounge.’ One person could not remember. Friends and relatives are made welcome at the home, with some residents having visitors most days. Residents can receive their guests in the communal areas, their own rooms and the garden. The visitors’ record held in the diary confirmed the number and range of visitors to the home. The relatives and friend who returned comment cards to the Commission all said that they felt welcome in the home at any time. Menus are based both around the known likes and dislikes of the residents and on striving to provide a good wholesome diet. Residents are well able to say what they enjoy and to make their preferences clear. All residents spoken to praised the food. The two Mrs Baileys do the cooking. The meal served on the day of inspection was breaded fish and chips served with peas and sweet corn. One resident described this as a ‘good old fashioned dish.’ Dessert was bananas, jelly and ice cream. Residents can have meals where it suits them. Residents can have whatever they want at teatime. The home has a pleasant dining area that residents can eat in if they wish. Three took their meal there on the day of inspection. Other residents prefer having their meals in their rooms. One resident is not enjoying eating at present and the home is providing them with a liquid diet e.g. soups and build up drinks. Prior to the inspection eight comment cards were received by the Commission from residents. Seven of the eight said that they ‘always’ liked the meals at the home and the other one said that they liked them ‘usually.’ A relative commented ‘mum says that she enjoys the food each time I ask her and when I call at teatimes the meals look very appetising.’ Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 17 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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A system is in place to deal with any complaints that might be made by residents. The home’s ongoing development of their adult protection policy and commitment to staff understanding in this area demonstrates the importance the home places on protecting their residents. EVIDENCE: The home has a complaints policy / procedure that meets the standard and regulation. This is displayed on the notice board at the home. No complaints have been received by the home since the last inspection or by the Commission. Residents spoken to said that they had nothing to ‘grumble’ about. The comment cards sent to residents asked the question ‘Do you know who to speak to when you are not happy?’ Eight residents sent back cards. All answered ‘always’ to this question. One commented ‘I am never unhappy, but will speak to Mrs Bailey or Katrina.’ In respect of knowing how to make a complaint all said yes ‘always’. The relatives who returned comment cards all said that they were aware of the complaints procedure. All said that they had never had to make a complaint. Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 18 The home has an adult protection policy, which Mr Bailey updated and expanded last year. Abuse is covered in the National Vocational Qualification training that staff undergo. Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 19 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, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well–maintained and a comfortable environment is provided for the residents living there and anyone visiting. Bedrooms are nicely decorated, well furnished and personalised to suit the residents. Adequate facilities are available to meet the number and needs of the people living there. The home is kept clean and smells pleasant thereby making daily life for all in the home more pleasurable. EVIDENCE: Coniston Lodge is a family run home with a warm and friendly atmosphere. The home is well decorated throughout. Since the last inspection the redecoration has been completed of the lounge and one of the bedrooms. The lounge and dining room are now bright, attractive places to sit and eat. Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 20 The garden is well maintained, attractive and accessible. Garden furniture is available for those wishing to sit outside. The garden boasts both summer houses and an aviary. Residents are mostly mobile and can choose where they spend their days. Some need a little assistance to get about. There are a number of communal bathing areas in the home. Four bedrooms have en suite facilities. Aids and adaptations are available throughout the home and some residents with particular needs have their own personal equipment to assist with their independence. Where residents need equipment to aid independence such as zimmers and rollators the equipment was seen to be to hand. Other useful aids and adaptations are around the home for use by all e.g. raised toilet seats and grab rails. Access into the home from outside has been made easier by levelling the pathway to the extension door (dining room). This is an improvement for all but especially for anyone using a wheelchair. The home has recently had the premises assessed to check that they are suitable for the residents living at the home. They are. Residents are able to personalise their rooms with furniture and general belongings. There is a passenger lift in the home, enabling easy access between the ground and first floor. There are emergency alarm bells throughout the home. Residents are able to have keys to their bedroom doors and lockable storage in their rooms for personal belongings of importance if they want them. Since the last inspection more of the radiators that might pose a risk to residents have been attractively covered. Plans are in place for those of lesser risk to be covered. The home is yet to assess the pipe work in the home for risk. Appropriate washing machines are in place to manage residents’ laundry. The home was clean and there were no unpleasant odours. All of the eight residents that returned comment cards said that the home is ‘always’ fresh and clean. One commented ‘yes, lovely.’ Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 21 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, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient, well trained and qualified care staff are employed and deployed to ensure that the care needs of residents can be met. Robust recruitment procedures are in place to protect residents from the risk of unsuitable staff working at the home. EVIDENCE: Staffing rosters are in place that show who is on duty and when. Rosters show all staff on duty, their full names and their designations i.e. what job they do. Care staff are on duty during the day and evening. The Bailey family are in addition to this. At night two people sleep on the premises. The call bell extends to the home of Mr Bailey should he be needed at any time. A cleaner supports Mrs Bailey, her family and her care staff in running the home. Residents were asked are the staff available when you need them? All eight who responded said ‘always.’ The relatives and friend who returned comment cards to the Commission all said that in their opinion sufficient numbers of staff are on duty. One said ‘my observations are that the staff are very attentive and always respond to ‘buzzers’ at once.’ Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 22 All the professionals who returned cards said that there was ‘always’ a senior member of staff available to speak with. Out of the 5 care staff employed at the home 3 have NVQ level 2 in care. Two more are studying for this qualification. Staff files are kept that demonstrate the recruitment process in action and all documents required that relate to staff are on file. Staff have contracts of employment. Staff are not currently asked for their full employment history when they apply to work at the home. Training is taken seriously at the home. Staff mostly either have or are studying for National Vocational Qualifications. In addition staff have access to other training courses relevant to their work e.g. medicines management. Other training to be held in the coming months includes refreshers such as manual handling and first aid. The home currently uses their own induction programme rather than the new industry standard developed by Skills for Care. Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 23 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, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well organised and the care, contentment and safety of residents is at the heart of the daily management and running of the home. Evidence of a full quality assurance system being in place has not been provided yet. EVIDENCE: Mrs Daphne Bailey is an experienced proprietor and is at the home daily. Mrs Katrina Bailey is the registered manager and also has a daily presence in the home. Mr Kevin Bailey deals with maintenance issues and management / administrative tasks. Mrs Katrina Bailey has a National Vocational Qualification (NVQ) at level 4 in management. One of their senior carers has a NVQ level 4 in care. Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 24 On the day of the inspection information about the most recent quality assurance audit was not available. The Commission has not received a report of this audit. The home sent out and made available comment cards for the Commission as requested prior to this inspection visit. Those that came back were very positive about the home. The home does not hold any money or valuables belonging to residents. An up to date insurance certificate was on display along with Coniston Lodge’s registration certificate. Both pages of the registration certificate were displayed. The Dorset Fire and Rescue Service visited July 2005 at which time the existing fire precautions were being satisfactorily maintained. Their next inspection will be in July 2007. Fire records were in place. An external company carries out quarterly checks of the fire equipment. Internal checks are being carried out and records showed this. Fire training, fire drills and fire evacuations are taking place. At the last inspection it was recommended that when the next fire evacuation took place that the record be more detailed e.g. showing when they took place, how long the evacuation took, what happened and who took part. The annual evacuation has not yet taken place and so this recommendation is repeated as a reminder. Records are kept of the servicing of equipment and facilities e.g. the passenger lift and the emergency call bell system. The Dorset Fire and Rescue Service will be visiting in July 2005. Accident records or accident analyses could not be located on the day of the inspection. Data Product sheets were not available near to where the products are stored or in use. Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 25 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 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 26 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. 1. Standard OP7 Regulation 13 Requirement A manual handling assessment must be undertaken for all residents and where appropriate a plan be put in place and regularly reviewed. Where risk has been identified radiators must be guarded or have guaranteed low temperature surfaces. Pipe work must be risk assessed and any risk identified eliminated / minimised. (Current timescale agreed at last inspection. Previous timescale 1/09/05) Applicants for posts at the home must be asked to provide their full employment history and any gaps in their employment history must be explored and documented. A report of the most recent quality assurance review conducted must be submitted to the Commission and be available to interested parties. This should DS0000003932.V304699.R01.S.doc Timescale for action 01/09/06 2. OP25 13 01/12/06 3. OP29 19 01/08/06 4. OP33 24 01/10/06 Coniston Lodge Version 5.2 Page 27 include the views of all parties who might have views on the home. 5. OP38 17 An analysis of the accidents / 01/09/06 incidents at the home for the last 12 months must be submitted to the Commission. 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 OP7 Good Practice Recommendations All care plans should include a section on medication that should be regularly reviewed along with the rest of the plan. It is recommended that new staff undergo the induction programme developed by Skills for Care. It is recommended that a more detailed record be made of fire evacuations. Data product sheets should be kept near to where products are stored / in use. 2. 3. 4. OP30 OP38 OP38 Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Coniston Lodge DS0000003932.V304699.R01.S.doc Version 5.2 Page 29 - 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. 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