Inspection on 22/09/05 for Corrina Lodge Nursing Home

This inspection was carried out on 22nd September 2005.

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

Corrina Lodge Nursing Home 30/05/06

Corrina Lodge Nursing Home 07/04/05

Corrina Lodge Nursing Home 03/11/04

Corrina Lodge Nursing Home 27/07/04

Corrina Lodge Nursing Home 25/02/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

Thorndene

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

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

CARE HOMES FOR OLDER PEOPLE Corrina Lodge Nursing Home 79 The Avenue Camberley Surrey GU15 3NQ Lead Inspector Mary Williamson Announced Inspection 22nd September 2005 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Corrina Lodge Nursing Home DS0000017600.V253623.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. Corrina Lodge Nursing Home DS0000017600.V253623.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Corrina Lodge Nursing Home Address 79 The Avenue Camberley Surrey GU15 3NQ 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) 020 7352 2224 Barchester Healthcare Homes Limited To be confirmed Care Home 51 Category(ies) of Old age, not falling within any other category registration, with number (51), Physical disability (10), Physical disability of places over 65 years of age (10) Corrina Lodge Nursing Home DS0000017600.V253623.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. In respect of this service persons accommodated falling within the catergory OP, may be admitted from the age of 60 years and over. Up to ten persons accommodated within the PD catergory may be admitted from the age of 50 years and over. Up to Ten persons may be accommodated in the (PD(E)) catergory 65 years and over. One named service user under the age of fifty (50) may be accommodated. 7th April 2005 Date of last inspection Brief Description of the Service: Corrina Lodge is a purpose built home providing accommodation and nursing care for fifty-one service users. The home is located on the outskirts of Camberley in a residential area. The town centre, railway station and local amenities are within easy walking distance. Accommodation is provided on two floors, with a stairs and passenger lift access to the first floor. There are fifty-one single rooms, forty-seven of which have en-suite facilities including either a bathroom or a shower. There is an attractive communal lounge and dining room on each floor. The home stands in secluded well-maintained gardens that have sheltered terraced areas and raised flowerbeds. There is on-site parking available at the side and the front of the building. Corrina Lodge Nursing Home DS0000017600.V253623.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and the second in The Commission for Social Care Inspection programme year 2005/2006. The inspection took place over 5.5 hours and was undertaken by Mary Williamson Lead Inspector for the service. Mr Rhys Evans, Sheena Wyllie, and Mrs. Mary Dannfald were present throughout the inspection. There was opportunity to talk with most of the service users, some in more detail than others. Five relatives were also spoken to. The feedback and comments received regarding the care being provided was very good. A tour of the premises was undertaken and records relating to the care of the service users and the management of the home were examined. On the morning of the inspection there was a story telling and music session taking place in the main lounge and this was well attended. During the afternoon a church service was organised and this was also popular with service users. There was a relaxed and happy atmosphere in the home. Staff were interacting in a professional and caring manner with service users and visitors. The home is well maintained, clean and tastefully decorated. Bedrooms are comfortable and have been personalised to reflect individual personalities. The catering arrangements are well managed offering a wide and varied choice of menu. The meals seen during the inspection were appetising, nutritious and wholesome. The number and skill mix of staff on duty met the assessed needs of the service users in the home. The management of the home is currently being shared by two senior corporate managers. Mary Dannfald the Regional Operations Manager is in the process on recruiting a home manager and is monitoring the situation daily. A requirement has been made in this report. The inspector would like to thank the service users, relatives, staff and management for their hospitality and positive contribution to the inspection process. Corrina Lodge Nursing Home DS0000017600.V253623.R01.S.doc Version 5.0 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Individual care plans are in place, which have improved since the last inspection. However some of these remain unsigned. All care plans must be signed by the service user or their designated representative following discussion. Corrina Lodge Nursing Home DS0000017600.V253623.R01.S.doc Version 5.0 Page 7 The care plans must also include the social aspect of care. The home has been without a registered home manager for eleven months. The acting manager resigned her post in August 2005. The organisation is currently making every effort to recruit a new manager and in the interim have made arrangements for senior corporate managers to share the responsibility for this post. This requirement is outstanding from the last inspection and has been carried forward. 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. Corrina Lodge Nursing Home DS0000017600.V253623.R01.S.doc Version 5.0 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 Corrina Lodge Nursing Home DS0000017600.V253623.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3. Prospective service users have the information necessary to make an informed decision about the home. The assessment process makes sure that prospective service users needs can be met. EVIDENCE: There is a statement of purpose and service users guide in place. All prospective service users and their relatives have access to a copy of this prior to admission to the home. This is currently being updated to incorporate the amalgamation of Westminster Health Care and Barchester Health Care Groups. Terms and conditions of occupancy are in place and were sampled during the inspection. These contracts include the room to be occupied, and the amount of fees payable and method of payment. A pre admission needs assessment is undertaken on all prospective service users by a qualified nurse to establish the suitability of the proposed admission Corrina Lodge Nursing Home DS0000017600.V253623.R01.S.doc Version 5.0 Page 10 to the home. A selection of these assessments were sampled and are satisfactory. Corrina Lodge Nursing Home DS0000017600.V253623.R01.S.doc Version 5.0 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, and 10. Service users health and personal care needs are met by competent staff in a respectful and dignified manner. The administration of medication is in line with the homes medication policy. EVIDENCE: Individual care plans are in place, which have been developed with input from service users, relatives, health care professionals, and the pre admission needs assessment. A selection of care plans were sampled and contained detailed information regarding health and personal care needs. These must be expanded to include social care needs and must also be signed. All service users are registered with local G P’s who visit the home on a regular basis. Two service users stated that they have access to regular chiropody and dental treatment. An outside optician service also visits the home. Arrangements were being made with the local surgeries for service users to have their annual flu vaccine. There is also input from the tissue viability nurse. One service user stated that she had a pressure sore for a very long time prior to admission to the home and this has now healed since admission. Corrina Lodge Nursing Home DS0000017600.V253623.R01.S.doc Version 5.0 Page 12 The staff on duty were observed to treat the service users with dignity and respect. They were observed to knock on service users bedroom doors prior to entering and explain procedures prior to undertaking them. Medication is managed and administered in line with the homes medication policy and The Nursing and Midwifery Councils Code of Professional Conduct. The required documentation was in place and all medication records are well maintained. There are currently no service users who self medicate. Corrina Lodge Nursing Home DS0000017600.V253623.R01.S.doc Version 5.0 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, and 15. Service users living at the home are provided with a comprehensive programme of activities, which meets individual and collective needs. The catering arrangements are satisfactory and well managed. EVIDENCE: On the morning of the inspection there was a music and story telling session taking place in the main lounge on the ground floor. This was well attended and sounded very entertaining. The activities co-ordinator explained the monthly activities programme which she produces with input from the service users. This is varied and includes activities such as board games, music and movement, gentle exercise. Several service users stated that they are satisfied with the level of recreational activities provided particularly the celebrations, like birthdays and organised parties. Several service users have a daily newspaper and choose to read this in quietness. Individual activities are also organised to meet assessed needs. Two relatives stated that they are made welcome in the home at any time. They were both having lunch with their individual relatives during the inspection. They also stated that they are involved in the care planning process and regular reviews of care. Corrina Lodge Nursing Home DS0000017600.V253623.R01.S.doc Version 5.0 Page 14 The catering arrangements in the home are well managed. There are two chefs in post. The chef with input and feedback from the service users plans menus. Daily menus are displayed on each table for lunch and supper. The choice and range of food offered is wholesome, nutritious and appetising. Special diets are catered for. The comments and feedback from the service users regarding the food were satisfactory. Corrina Lodge Nursing Home DS0000017600.V253623.R01.S.doc Version 5.0 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 There is a complaints procedure in place, and service users and relatives questioned were satisfied with this procedure. EVIDENCE: The home has a complaints procedure in place, which is part of the service user guide. This is available to all service users and their relatives on admission to the home. Relatives and service users questioned stated that they did not have to make a complaint but felt happy with the procedure in place. Corrina Lodge Nursing Home DS0000017600.V253623.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24,25,and 26. Service users individual and communal accommodation is of a high standard, which is comfortable and well maintained. Ample toilet and bathroom facilities are provided some of which have been adapted to meet mobility needs. EVIDENCE: The standard of accommodation is very good offering all service users single rooms with all but two with en-suite facilities. Several service users and relatives stated that the accommodation is very comfortable. Bedrooms are personalised and there was evidence that service users are encouraged to bring individual items of furniture and their personal belongings from home with them. Corrina Lodge Nursing Home DS0000017600.V253623.R01.S.doc Version 5.0 Page 17 The home provides a comfortable lounge and dining room on each floor with an extra lounge area on the first floor for some of the younger service users who have different social needs. Facilities are in place to support the less mobile service user with access to a physiotherapist and occupational therapist when required. The home is clean, well maintained and free from offensive odour. Corrina Lodge Nursing Home DS0000017600.V253623.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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, and 30. The number of staff on duty during the inspection was sufficient to meet the assessed needs of the service users. The recruitment procedure in place protects the service users living there. EVIDENCE: The staffing arrangements in the home meet the assessed needs of the current group of service users. There were three qualified nurses and ten care staff on duty. There was also one housekeeper, three cleaners, a laundry assistant, two chefs, one kitchen assistant, one dining room assistant, an activities coordinator and an administrator on duty during the inspection. There was opportunity to talk with staff who all confirmed the recruitment process, and induction training received. Staff had a good understanding of individual and collective needs of the service users in their care. Three staff employment files were sampled and all the required documentation to safeguard the service users was in place. Some staff questioned stated that they have a job description and contract of employment. One RGN is the designated trainer for the home and undertakes all the health and safety training in house for all the staff. The operational manager stated that all new overseas staff undertake one week residential training in the organisations office in Oxfordshire prior to commencement of employment. Two staff confirmed this. Corrina Lodge Nursing Home DS0000017600.V253623.R01.S.doc Version 5.0 Page 19 Corrina Lodge Nursing Home DS0000017600.V253623.R01.S.doc Version 5.0 Page 20 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, 34, 36, and 38. Currently the home dose not have a registered home manager. Leadership is being shared by two senior administration managers to ensure the safety and welfare of the service users. The health and safety of service users and staff are promoted. EVIDENCE: Since the last inspection the previous acting manager has resigned. On the day of the inspection the management of the home was being shared by Mr Rhys Evans, who was a former home manager at the home now working at senior corporate management level and Sheena Wyllie Special Projects Manager. They are also overseen by Mary Dannfald, who is Regional Operations Manager. Corrina Lodge Nursing Home DS0000017600.V253623.R01.S.doc Version 5.0 Page 21 It was a requirement at the last inspection that the organisation appoint a registered home manager. This was followed up by a serious concerns letter following the resignation of the acting home manager in August 2005. A further requirement has been made following this visit. The Operations Manager informed the inspector that an advertisement has gone to press regarding this post. Qualified nurses supervise the care staff. This supervision needs to be formalised. The fire safety records were seen and are well maintained. All staff receive fire safety training during their period of induction. This is updated regularly and recorded. Contracts are in place for the maintenance of the fire fighting equipment. There is a designated health and safety representative and trainer allocated for the home. Staff receive induction and regular updating in these procedures. During a tour of the premises the inspector observed several mops and buckets stored in the toilet allocated to the kitchen staff. An alternative storage space must be found for these items in line with health and safety. Accidents are recorded and records are well maintained. Corrina Lodge Nursing Home DS0000017600.V253623.R01.S.doc Version 5.0 Page 22 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 3 3 3 X X X 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 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 1 X X X X 2 X 3 Corrina Lodge Nursing Home DS0000017600.V253623.R01.S.doc Version 5.0 Page 23 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 Requirement Service users care plans must be signed either by them or their designated representative following discussion. The registered person must appoint a home manager for the home and seek registration with The Commission for Social Care Inspection within two months of this report. Timescale for action 04/11/05 2 OP31 8 22/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP31 Good Practice Recommendations It is recommended that an action plan outlining the progress and the time scale for the recruitment of the manager is sent to this office by 31/10/05 Corrina Lodge Nursing Home DS0000017600.V253623.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Corrina Lodge Nursing Home DS0000017600.V253623.R01.S.doc Version 5.0 Page 25 - 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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