Inspection on 06/12/05 for Corner Lodge

This inspection was carried out on 6th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Corner Lodge 29/05/07

Corner Lodge 05/05/06

Corner Lodge 27/06/05

Corner Lodge 28/01/05

Corner Lodge 28/05/04

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Claremont House

Oak Ridge

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Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Corner Lodge 185-193 Meadow Way Jaywick Sands Clacton on Sea Essex CO15 2HP Lead Inspector Diane Roberts Unannounced Inspection 6th December 2005 09:00 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 Corner Lodge DS0000052195.V270339.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Corner Lodge DS0000052195.V270339.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Corner Lodge Address 185-193 Meadow Way Jaywick Sands Clacton on Sea Essex CO15 2HP 01255 220228 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) Mr Rahul Jagota Mr Sanjay Jagota Mrs Patricia Carol Webb Care Home 48 Category(ies) of Dementia - over 65 years of age (30), Old age, registration, with number not falling within any other category (48) of places Corner Lodge DS0000052195.V270339.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Persons of either sex, over the age of 65 years, who require care by reason of old age (not to exceed 48 persons) Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 30 persons) The total number of service users accommodated in the home must not exceed 48 persons Service users must not be admitted to the home under the Mental Health Act 1983 or the Patients in the Community (Amendment) Act 1995 27th June 2005 Date of last inspection Brief Description of the Service: Corner Lodge Residential Home is registered to provide care for older people over the age of 65 years and people over the age of 65 years with Dementia. The home accommodates 48 people in total and at the current time is primarily caring for people with dementia. The home is purpose built over three storeys with a passenger lift. The home has a garden and patio to the rear and car parking facilities. There are 42 single rooms and the majority have en suite toilets. There is a large dining room and four lounges, one of which is also used for dining. The home is situated in the seaside town of Jaywick and is within easy walking distance of the seafront and shops. Corner Lodge DS0000052195.V270339.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over six hours and was carried out as part of the annual inspection programme for this home. The registered manager was present at the inspection The Inspection focused upon outstanding standards not previously covered this year and the homes response to the last agenda for action . A partial tour of the premises was undertaken. Three relatives, three residents and two staff were spoken to during the inspection. Unfortunately no comment cards were received from residents or relatives. Due to the care needs of the residents at the home it was not possible to fully obtain their views but residents’ appeared happy, relaxed and comfortable. What the service does well: What has improved since the last inspection? Since the last inspection the care records have improved giving much more detail about each resident and their care needs. There is still some work to do on these. The home is providing a fuller programme of activities, with more variety and community input. Corner Lodge DS0000052195.V270339.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Corner Lodge DS0000052195.V270339.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Corner Lodge DS0000052195.V270339.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 is not applicable to this home. Prospective residents are properly assessed prior to admission to the home, which ensures the home can meet their current needs. EVIDENCE: The manager currently undertakes all pre-admission assessments. The forms used meet all the requirements under this standard and completed documentation was inspected at random. These were completed to a high standard, giving detailed and individualised information. Records show that the home obtains, where possible, copies of either NHS assessments or Com 5 – Social Service assessments. This gives the home a good overall assessment. Corner Lodge DS0000052195.V270339.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 8. The home has a care planning system in place that requires further development. Resident’s health care needs are generally met but records need to improve, to evidence this further. EVIDENCE: A new care planning system has been steadily introduced into the home and the manager has been completing training with staff in order to acquaint them with the system. The system introduced covers all the requirements and should be of value, if completed and used fully. At the current time there is no evidence that either residents or their families have input into the care plan although the new system has provision for this. Care plans were inspected at random. These have improved since the last inspection and are generally informative and individualised. Assessments and care plans are in place, including specific plans for the nighttime. Some care plans were noted to be incomplete and the daily notes evidence that some care needs do not have care plans in place. Corner Lodge DS0000052195.V270339.R01.S.doc Version 5.0 Page 10 Daily notes need to reflect the care plan and be more informative about the resident’s day and care provided. Records show that care plans reviews are currently inconsistent and further work is needed on getting the care staff to undertake meaningful care plan reviews. Some care plans were seen to be out of date, where residents care needs had increased and the plan had not been updated. Work is needed on ensuring that care staff date and sign care records and assessments. Risks assessments have been completed, which include nutritional, manual handling and falls but again review of these tools was seen to be inconsistent. The manager is planning further care planning training in the New Year. Records show that the general practitioner and district nurses attend the home in a proactive and timely manner. Residents are referred to hospital services where needed and records show attendance of outpatient appointments. It was noted from discussion and observation that the staff team are very supportive of the residents and are keen to offer to come in early if needed to act as escort and provide a consistent approach to the residents care outside the home. Relatives spoken to on the day of the inspection confirmed this. The recording of resident’s weights has improved but records show that these still remain inconsistent and need to improve further. Chiropody records need to improve to accurately reflect the service in the home. A letter from the chiropodist to the home comments positively on how the home deals with his visit and how he was well supported by staff. From observation residents looked well groomed and well dressed, including their nails. It was unfortunate to see one, more dependant resident, being helped into the lounge without having her hair combed or nails cleaned. It may be that further work is required in ensuring that the more dependant residents are receiving a satisfactory standard of care. It may well be that a small proportion of staff need input with regard to care standards. From records, visiting professionals have commented that the residents appear well groomed and happy. Relatives spoken to on the day of the inspection were happy with the standards of care provided by the home and they felt that the staff team knew the residents and their care needs well. Via the district nursing services the home has access to equipment for the prevention of pressure sores. Adequate manual handling equipment is available in the home. Corner Lodge DS0000052195.V270339.R01.S.doc Version 5.0 Page 11 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 and 14. Both care and social activities in the home are very resident led and where possible preferences are taken into account. Residents have good contact with family and friends and this is being developed further. As far as possible, residents are helped to exercise choice and control over their lives. EVIDENCE: The activities programme in the home is steadily developing. Activities range from Tai Chi and ball games to crafts, music and bingo. The activities programme is displayed in the downstairs hallways and from observation, staff remind and encourage residents of the activities on offer. On the day of the inspection the Salvation Army Band was visiting the home to play carols and the residents had sherry and mince pies when the Christmas decorations were put up, the previous week. One relative who visits the home undertakes seated Tai Chi lessons every week, which is popular with the residents, with about 9 people attending every time. This was observed on the day of the inspection. Corner Lodge DS0000052195.V270339.R01.S.doc Version 5.0 Page 12 The homes records need to improve to reflect the activities that are actually provided and do the home justice. From observation and discussion with residents and staff, residents are able to exercise choice, where possible, as to where and how they spend their day. Both residents and relatives spoke positively regarding their contact with relatives and friends. The relatives felt welcomed into the home and felt that communication between them and the staff team was good. The home has an open visiting policy. Where possible residents access the local community. On the day of the inspection one resident had been out to the local shops. The manager is planning to introduce family meetings to the home and develop further links with the local community. Information on advocacy services are displayed in the home. Residents, who are able, have their own keys to their rooms and where possible residents can bring in their own belongings to the home. Records show that inventories are made. Completed care plans show that staff are taking into account, personal preferences and choices and this was confirmed on discussion with residents and relatives in the home on the day of the inspection. Corner Lodge DS0000052195.V270339.R01.S.doc Version 5.0 Page 13 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 The home has systems in place to help ensure that concerns and complaints will be listened to and acted upon. EVIDENCE: The home has a clear and concise complaints procedure in place, which is to be found in the Service Users Guide. Copies of the Guide are in resident’s bedrooms and in the main reception area. Consideration could be given to displaying this procedure. The home has a recording system for any complaints or concerns. Completed records show that the home is dealing with concerns appropriately but records could be more detailed. The manager reports that the implementation of the quality assurance questionnaires has also helped to raise any concerns that can be dealt with proactively. The most current inspection report is freely available to relatives in the main reception area. The home retains letters and cards of compliment and these commented that staff are patient and understanding with residents. Corner Lodge DS0000052195.V270339.R01.S.doc Version 5.0 Page 14 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): 26 The home is clean and pleasant. EVIDENCE: A partial tour of the home was undertaken. No odours were noted. The home was seen to be clean. Attention to detail is needed when cleaning commodes. Some of the commodes are old and the manager reports that there are plans to replace these. There is obviously an ongoing maintenance programme in place for décor of the home. Since the last inspection the lounges downstairs and dining rooms have been painted and the small kitchens have been retiled. New carpet has been laid in the stairwells, giving a more homely environment. New chairs for the dining rooms and lounges are on order and due to be delivered before Christmas. Plans are also in place to steadily replace bedroom furniture in the New Year. Corner Lodge DS0000052195.V270339.R01.S.doc Version 5.0 Page 15 The laundry was inspected and found to be in good working order with satisfactory systems in place. Relatives who commented felt that the laundry system in the home was good. From observation, residents look well dressed and their clothes cared for. The home has infection control policies and procedures in place. It is recommended that the home obtain the local guidance produced by the Infection Control Team. Corner Lodge DS0000052195.V270339.R01.S.doc Version 5.0 Page 16 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 and 30. The numbers and skill mix of staff generally meets services users needs, but this is still developing. The home has a training programme in place, which will help to ensure that staff are competent to do their jobs, but shortfalls were noted. EVIDENCE: Recent staffing rotas were inspected at random. The home currently has a few staff vacancies but manages to cover these with their own staff rather than using agency. Staffing levels are currently being maintained at 7 a.m, 7 p.m and 4 at night. These levels are usually achieved apart from odd days, mainly at weekends, due to sickness. If required, extra staff will be used to cover escort duties. Sufficient domestic and kitchen staff are employed to cover the home. The experience and skill level of the staff team is increasing as the managers puts into place the planned training programme for the home. Care staff have been attending training in Dementia care and therapeutic activities. Relatives spoken to say that the staffing levels in the home have never given them any cause for concern and that staff were always available to talk to if needed. The manager has a full training programme in place and has secured a funding grant to supplement the costs. The home is providing both statutory and extra Corner Lodge DS0000052195.V270339.R01.S.doc Version 5.0 Page 17 training linked to the registration category of the home. Training has been provided in Fire safety, health and safety, moving and handling, the protection of vulnerable adults, prevention of pressure sores, medication and food hygiene. Further training is planned in care planning, communication and therapeutic techniques in dementia care. A new training board for staff has been put up to give them information about forthcoming training. Training in bereavement is planned and records also show that staff supervision is underway. Records inspected in the home show that the induction programme required work and is a weak point in the home. The induction should to be linked to Skills for Care and needs to be completed for all new staff. This was discussed with the manager. Corner Lodge DS0000052195.V270339.R01.S.doc Version 5.0 Page 18 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): 35 and 38. Resident’s financial interests are safeguarded. The health and safety of residents and staff is promoted, with only minor shortfalls noted. EVIDENCE: The home encourages residents and their families or representatives to deal with their financial interests as far as possible. The home does not act as appointee for any residents currently in the home. The home does hold small amounts of personal monies on behalf of residents and this was checked at random. These were kept in good order with records and receipts available. It is recommended that a two signature system is used with regard to recording balances etc. and an audit system be introduced. Corner Lodge DS0000052195.V270339.R01.S.doc Version 5.0 Page 19 The home has a satisfactory health and safety policy in place, which is due for review. The home has a system in place to whereby staff sign to say that they have read the policy. The home has a maintenance man, shared with another home. On the day of the inspection, it was noted that a toilet had been out of action for two weeks. Water temperature checks were last carried out in October 2005. On checking the water, hot water was not available in every room, or cold water was coming out of the hot tap and visa versa. This needs to be reviewed along with the provision of maintenance hours in the home. Safety certification/maintenance were checked and found to be in order apart from the gas safety certificate, which was not available for inspection. The manager reported that the work had been done and they were chasing the engineer for the certificate. The manager needs to develop safe working practice risk assessments, including a fire safety risk assessment. The manager has completed a health and safety audit and is planning a format for the risk assessments. Corner Lodge DS0000052195.V270339.R01.S.doc Version 5.0 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 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 2 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 2 Corner Lodge DS0000052195.V270339.R01.S.doc Version 5.0 Page 21 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 15 Requirement The registered person must ensure that each resident has a care plan in place, which is kept under review. This is a repeat requirement from 31.8.05. The registered person must ensure that where possible residents and/or their representatives have input into the care planning system. The registered person must ensure that residents receive appropriate health care and maintain records of such. The registered person must ensure that there is a satisfactory staff induction programme in place and that records are maintained. The registered person must ensure that safe working practice risk assessments, including fire, are in place and kept under review. The registered person must review the hot water system in the home to ensure a satisfactory provision. Timescale for action 30/04/06 2. OP7 15 30/04/06 3. OP8 13 31/03/06 4 OP30 18 31/03/06 5 OP38 13 31/03/06 6 OP38 13 31/03/06 Corner Lodge DS0000052195.V270339.R01.S.doc Version 5.0 Page 22 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. 2 3 4 5 Refer to Standard OP12 OP26 OP26 OP35 OP19 Good Practice Recommendations The registered person should improve the recording of the social activities provided in the home. The registered person should ensure that all equipment is clean and replaced where necessary – with specific regard to commodes. The registered person should obtain local up to date guidance from the Community Infection Control Team. The registered person should give consideration to developing the recording systems for resident’s monies and completing an audit. The registered person should review the maintenance provision for the home. Corner Lodge DS0000052195.V270339.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Corner Lodge DS0000052195.V270339.R01.S.doc Version 5.0 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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