Inspection on 08/11/06 for Country Lodge Nursing Home

This inspection was carried out on 8th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Country Lodge Nursing Home 12/10/05

Country Lodge Nursing Home 10/05/05

Country Lodge Nursing Home 06/01/05

Country Lodge Nursing Home 07/09/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Country Lodge Nursing Home Cote Street Worthing West Sussex BN13 3EX Lead Inspector Mr D Bannier Unannounced Inspection 8th November 2006 09:45 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 Country Lodge Nursing Home DS0000024171.V320619.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. Country Lodge Nursing Home DS0000024171.V320619.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Country Lodge Nursing Home Address Cote Street Worthing West Sussex BN13 3EX 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) 01903 830600 01903 693696 enquiries@countrylodgenursing.co.uk www.countrylodgenursing.co.uk Mr John Patrick Wright Mrs M Wright Mrs Deborah Susan Spokes Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Country Lodge Nursing Home DS0000024171.V320619.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th October 2005 Brief Description of the Service: Country Lodge is a care home which is registered to accommodate up to twenty five residents in the category (OP) old age, not falling within any other category. It provides personal and nursing care. Country Lodge is a detached two storey property which provides accommodation in three double and nineteen single bedrooms located on the ground and first floors. A vertical passenger lift provides access to all floors. A dining room and lounge are located on the ground floor. There is also a small sitting area on the first floor. The property is located on the outskirts of Worthing. The fee levels range from £590 to £745 per week. The service is privately owned by Mr and Mrs John Wright, whilst the registered manager, who is responsible for the day to day running of the care home, is Mrs Debbie Spokes. The website address for this care home is: www.countrylodgenursing.co.uk Country Lodge Nursing Home DS0000024171.V320619.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection report has been written using new methods introduced on 1st April 2006. Some evidence used to assess standards has been gathered before this visit took place, during the visit and afterwards. For example, information has been used from the previous inspection report; comments made by residents at the time of the visit have been noted; the registered manager has also supplied further information on request that has been considered after the visit took place. This visit was unannounced and started at 9.45am. It took place over approximately five hours. The inspector spoke to three of the twenty four residents who are currently being accommodated at this care home. This enabled to inspector to form an opinion about how it was to live there. The inspector also spoke to all of the staff who were on duty. They told the inspector about their jobs within the care home and the training they had received in order carry out their duties. Some records were also examined. The inspector looked at those standards that are about how new residents are admitted to the care home; how residents are cared for; the daily life and social activities provided for residents; how the care home deals with complaints and how they protect residents from abuse; the environment in which residents live; how staff are recruited and trained; and how the care home is managed. Mrs Debbie Spokes was present throughout the inspection and kindly assisted the inspector with his enquiries. The inspector returned the following day for an hour to let Mrs Spokes know his opinion regarding how the home was being run. Discussion also took place to agree the action required to deal with any work to be done to ensure the home is being run in accordance with current legislation. These can be found on page 26 of this report. What the service does well: This is a care home where older people continue to be well looked after. It has a competent staff team who understand the needs of the elderly people living there, including their nursing needs. Staff have been provided with appropriate training to ensure they have the necessary skills to provide good Country Lodge Nursing Home DS0000024171.V320619.R01.S.doc Version 5.2 Page 6 quality care. Where possible residents are encouraged to make decisions and choices about their lifestyle. The registered provider has ensured a range of activities and entertainment is regularly provided for residents to enjoy. The residents who were spoken to said they liked living in the care home. They also said that staff are very caring and considerate and the atmosphere was very homely. One resident said, “ I am very happy, it is a joy to live here.” What has improved since the last inspection? What they could do better: The registered person should amend the statement of purpose to ensure the information provided to prospective residents is up to date and includes the recent improvements made to the premises. The registered manager has confirmed that this document has been amended since the inspection. A copy of the amended document will be sent to the Commission in due course. Before a prospective resident is admitted, the registered person should write to them to confirm the care home is able to meet their needs identified by the assessment process. This will mean the prospective resident will know that the care home can provide the care they require. The registered manager has confirmed that, since this inspection, she has written to prospective residents once she has assessed their needs. This is now part of the established admission procedure. Some improvements are needed to the laundry and sluice areas. This will ensure infection control in this care home is further improved. Country Lodge Nursing Home DS0000024171.V320619.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Country Lodge Nursing Home DS0000024171.V320619.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Country Lodge Nursing Home DS0000024171.V320619.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s statement of purpose must be amended to reflect improvements made to the accommodation. This care home does not prove intermediate care. Residents’ needs have been assessed before they move into the care home. There was no evidence to confirm that residents have been assured their needs will be met. EVIDENCE: Country Lodge Nursing Home DS0000024171.V320619.R01.S.doc Version 5.2 Page 10 The inspector viewed a number of bedrooms, some bathrooms and WC’s and the lounge/dining room. The inspector noted that some improvements had been made to the environment since the last inspection. One identified bedroom had been fitted with an ensuite WC/shower room facility. This means that the floor space in which residents can live has been reduced. The registered manager was advised to amend the care home’s statement of purpose with regard to the size of this room. The registered manager has confirmed that this document has been amended since the inspection. A copy of the amended document will be sent to the Commission in due course. The inspector examined the records of two residents who had been admitted since the last inspection. Records seen confirmed that either the manager or deputy manager had carried out an assessment of each resident’s needs prior to admission. The paperwork seen confirmed assessments were comprehensive and covered such as areas as physical and nursing care needs, social and cultural needs and risk assessments. Residents spoken to confirmed that a member of staff had assessed their needs. In one instance the resident had visited the care home in person to view the accommodation. The family of the second resident had visited the care home on their behalf. There was no evidence to confirm that the registered person has written to the resident, or their representative, to confirm the care home is able to cater for their assessed needs. In addition, the home’s written admission procedure will need to be amended to include the changes made. The registered manager has confirmed that, since this inspection, she has written to prospective residents once she has assessed their needs. This is now part of the established admission procedure. Country Lodge Nursing Home DS0000024171.V320619.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager has ensured residents’ needs have been assessed prior to admission. Staff have appropriate information to ensure they are able to meet residents’ needs. Residents’ have been consulted with regard to making choices about how their needs will be met. The registered manager has taken appropriate steps to ensure residents’ health care needs have been fully met. The registered manager has ensured residents are protected by the home’ policies and procedures for dealing with medicines. Residents feel they are treated with respect and their right to privacy has been upheld. Country Lodge Nursing Home DS0000024171.V320619.R01.S.doc Version 5.2 Page 12 EVIDENCE: The inspector examined the care plans of two residents admitted since the last inspection and the care plan of a third resident. Care plans have been drawn up from the information gathered when residents’ needs were assessed. Care plans are informative and include appropriate information and instructions which staff are expected to follow. This will ensure residents’ care is provided in a consistent and continuous manner. Records seen also demonstrated that care plans are reviewed on a regular basis to ensure they are up to date. The notes of such reviews have been signed by the resident concerned and also include their wishes and personal preferences. This demonstrates the resident has been consulted as part of the process. From direct observations, residents seen and spoken to appeared to be relaxed when talking with staff and very well cared for. Residents spoken to told the inspector, “Staff are very pleasant and helpful”, and “I get cared for pretty well at Country Lodge.” Care plans seen included a record of nursing interventions and visits made by GP’s to provide residents with medical treatment. Some residents are being nursed and cared for in bed. In these instances fluid intake, nutrition and turning charts were present. This ensures staff can monitor and record any changes to the condition of residents who are bed bound. From direct observations, the inspector concluded that residents’ health care needs are being met. The inspector examined medication records, including the controlled drugs register. Records seen had been well maintained and were up to date. The inspector was advised that the current practice is for medication to be given to residents directly from packs and containers marked with the name of the resident the dosage and strength and time the medication is to be given. The inspector also noted photographs of residents were present as a further means of ensuring medication is administered to the right person. The manager confirmed that unused medication has been disposed of appropriately. The inspector also saw up to date records that demonstrated the disposal of such medication. From direct observations the inspector noted that staff treated residents with respect. Care practices also ensured residents’ right to dignity have been upheld. The inspector also examined the records of induction training provided to staff. Records seen included a section entitled “Understanding the Principles of Care” which covered the importance of ensuring residents’ privacy and dignity are respected at all times. One resident told the inspector, “Staff are very helpful and very friendly. It is a joy to be here at Country Lodge” Country Lodge Nursing Home DS0000024171.V320619.R01.S.doc Version 5.2 Page 13 Country Lodge Nursing Home DS0000024171.V320619.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 – 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. The registered provider has ensured the lifestyle residents experience in the care home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Residents are able to maintain contact with family and friends as they wish. Residents are helped to exercise choice and control over their lives. The registered provider has ensured residents receive a wholesome appealing and balanced diet in pleasing surroundings. EVIDENCE: Country Lodge Nursing Home DS0000024171.V320619.R01.S.doc Version 5.2 Page 15 Residents’ social, religious and recreational interests have been recorded in individual care plans. Residents spoken to have confirmed they enjoyed the programme of activities provided at Country Lodge. Activities were displayed on the residents’ notice board and include scrabble, dominoes, crosswords, gentle exercise. There are also art and craft sessions, including making cards and bookmarks. Residents also participate in making decorations for seasonal events. Residents have recently made decorations for a Halloween party. One resident spoken to said, “Since I have been here I have enjoyed taking part in gentle exercise sessions and I have played scrabble and dominoes.” Another resident said, “ I occasionally take part in activities, I prefer to stay in my room, especially for my meals.” Outside entertainers also come in to the care home. This includes musicians and a theatre group who put on regularly shows for residents to enjoy. Residents’ care plans include a record of residents’ families and the contact they have with them. The inspector did not meet any families during his visit. However, residents spoken to said, “ I am visited by my family nearly every day. The staff make them most welcome.” Residents told the inspector that they are afforded choice and control over their lives. Residents are not expected to get up if they do not wish to, nor are they required to go down to the dining room for their meals. The inspector noted several instances when residents were exercising this choice during his visit. Residents individual wishes have been recorded in care plans. Also residents are encouraged to bring in their own possessions to make their rooms personalised. According to menus seen residents are afforded a choice of cooked meal for lunch and supper. The chef informed the inspector that the menu had recently changed to the winter menu. On the day of his visit the inspector noted that the choice of meal was between gammon and pineapple with roast potatoes, broccoli and red cabbage or pasta Bolognese. Most residents spoken to had chosen the gammon and told the inspector it was very tasty. From direct observation, the inspector noted that meals were attractively presented and looked very appetising. One resident told the inspector, “There are two choices of meal each day. If it is something you don’t want, you can have something else. The chef will make you scrambled eggs, something on toast or sandwiches”. Another resident said, “The food is excellent. Every other day I get raw vegetables with my meal.” The resident confirmed that this is their personal preference. The inspector toured the premises before lunch and noted that dining room tables had been laid in readiness for the mealtime. Tables had been covered with fresh, clean linen tables clothes and attractively decorated with small vases of fresh flowers. The inspector was satisfied there were sufficient staff on duty to ensure all residents who required assistance with eating could be helped. Country Lodge Nursing Home DS0000024171.V320619.R01.S.doc Version 5.2 Page 16 Country Lodge Nursing Home DS0000024171.V320619.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. 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. The registered provider has taken appropriate steps to ensure residents and their relatives know that their complaints will be listened to by the manager, taken seriously and, where necessary, acted upon. The manager has ensured that residents are protected from abuse. EVIDENCE: The inspector asked one resident what they would do if they wished to make a complaint. The resident replied, “I would speak to the management if there was a problem.” The resident also told the inspector they were satisfied they would have the management’s full attention. Another resident told the inspector of an incident which had been dealt with on their behalf by the registered manager. They also confirmed they were satisfied with the outcome of the investigation. Whilst the inspector did not look at the complaints record on this occasion, it has been noted in previous inspections that the registered person does have a means of recording complaints about the conduct of the care home. There is evidence in reports of visits made by the registered Country Lodge Nursing Home DS0000024171.V320619.R01.S.doc Version 5.2 Page 18 provider that the complaint record is regularly examined to monitor how complaints have been dealt with. The inspector also noted that the home’s complaint procedure is included in the Statement of Purpose and has been made available to residents. Residents spoken to told the inspector, “The staff are very pleasant and helpful” and “the staff are very friendly.” According to records seen training provided to all staff includes training in Adult Protection procedures. The registered manager informed the inspector that she intends to arrange further training for senior staff in what to do when staff report instances or allegations of potential abuse. It was also noted that the registered provider has a copy of the Adult Protection procedures published by West Sussex Local Authority. Country Lodge Nursing Home DS0000024171.V320619.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered provider has taken appropriate steps to ensure residents live in a safe, well-maintained environment. The home is clean, pleasant and hygienic. Some work is required to the laundry and sluice areas to further reduce the risk of cross infection. EVIDENCE: The inspector toured the premises accompanied by the registered manager. It was noted the premises were very clean, tidy and well maintained in a homely manner. The inspector viewed a number of bedrooms, some bathrooms and Country Lodge Nursing Home DS0000024171.V320619.R01.S.doc Version 5.2 Page 20 WC’s and the lounge/dining room. The inspector noted that some improvements had been made to the environment since the last inspection. One identified bedroom had been fitted with an ensuite WC/shower room facility. Several bedrooms had been redecorated and refurbished to a good standard. The registered manager informed the inspector that there were plans to re-carpet and redecorate the lounge/dining room and also to re-carpet the corridors. One resident informed the inspector that the cleanliness of the care home was a factor that prompted them to choose to move into Country Lodge. The resident told the inspector, “ Country Lodge doesn’t smell and is beautifully clean.” Another resident said, “Every day the cleaner comes in to clean my room.” Residents have been able to bring small items of furniture, photographs, pictures and ornaments. Those rooms seen were presented in a homely and comfortable way, and reflected the personality of the resident accommodated. The inspector viewed several bathrooms and WC’s, the laundry room and the sluice area. Overall the standard of cleanliness was considered to be good. However, some improvements are required to the laundry and sluice areas to further reduce to possibility of cross infections. The manager informed the inspector that the laundry had been fitted with a new tumble drier. The floor covering, where the previous machine had been sited is now in need of repair or replacement. This is because the person laying the floor covering had cut around the old machine. This means an area of concrete floor is now exposed. The inspector advised the manager that the floor covering must be impervious and easily cleanable to prevent the risk of cross infections. It was also noted that commode pots and urine bottles are stored on wooden shelving. The inspector brought this to the attention of the manager and confirmed that such shelving is not satisfactory. This is because clean commode pots and urine bottles which have been taken out of the mechanical sluice must be given the opportunity to dry and drain on racking to prevent the build up of bacteria in the bottom of containers were small amounts water can collect and stagnate. The registered manager was advised to seek further guidance from the Royal College of Nursing regarding the type and siting of racking to prevent cross infections. Country Lodge Nursing Home DS0000024171.V320619.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. 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. The registered provider has ensured there are adequate staffing levels and skills mix of staff to ensure the numbers meet residents’ needs. The registered provider has ensured residents are in safe hands at all times. The registered provider has ensured residents are supported and protected by the home’s recruitment policy and practices. The registered provider has ensured staff are trained and competent to do their jobs. EVIDENCE: On the day of the inspection, the inspector noted that a trained nurse was on duty supported by a team of four care assistants. In addition there were house keeping and catering staff to ensure the premises are kept clean and residents are provided with cooked meals, snacks and drinks throughout the day. Country Lodge Nursing Home DS0000024171.V320619.R01.S.doc Version 5.2 Page 22 According to the staff rota there were sufficient trained nurses, care assistants and ancillary staff to meet the needs of residents accommodated. This also ensures staff are in safe hands at all times. Residents told the inspector they were very happy with the care and services provided. One resident said, “The staff are very pleasant and helpful. That includes all staff.” Another resident told the inspector, “The staff are very friendly. It is a joy to live here!” The inspector examined the records of three staff recruited since the last inspection. Records seen were well maintained and were up to date. However, there appears to be a tendency for staff to commence work before the criminal records checks had been returned. The inspector was informed that there had been some difficulties in obtaining checks in a timely manner. The inspector advised the manager that, although appropriate safeguards had been put in place, this should not become normal practice. Safeguards included obtaining clearances from the Protection of Vulnerable Adults (POVA First) register and ensuring newly appointed staff are appropriately supervised when working with residents. The manager was also reminded that, despite these safeguards, it remains the responsibility of the registered person to ensure all staff employed to work at the care home are fit to work with vulnerable elderly people. The manager confirmed that all staff have undergone a structured induction programme. According to records seen, the model currently used has been devised by the Care Training Consortium (CTC) and includes Understanding the Principles of Care; Understanding the Organisation and the Role of the Worker; Maintenance and Safety at Work; Effective Communication; Recognising and Responding to Abuse and Neglect; Development as a Worker. Staff training records were also seen and showed that they had been provided with mandatory training. The inspector noted that several staff were in the process of completing the National Vocational Qualification (NVQ) in care at Level 2 or were about to start the course. Currently eight care staff hold this qualification at Level 2 and one person holds it at Level 3. The manager also advised the inspector that she, and her deputy hold the Registered Managers Award (RMA), which is equivalent to NVQ in Care at Level 4. This means that all staff have been provided with appropriate training to ensure they are able to do the work expected of them. Country Lodge Nursing Home DS0000024171.V320619.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered provider has ensured the home is run and managed by a person who is fit to be in charge. The registered provider has taken appropriate steps to ensure the home is being run in the best interests of the residents. An appropriate secure facility has been provided for residents to deposit money and valuables for safe keeping. The registered provider has taken appropriate action to ensure the health, safety and welfare of residents and of staff. Some work has been identified which needs to be done to further reduce the risk of cross infections. Country Lodge Nursing Home DS0000024171.V320619.R01.S.doc Version 5.2 Page 24 EVIDENCE: The registered provider has appointed Mrs Debbie Spokes, a registered nurse, to the post of manager. Mrs Spokes has satisfied the Commission she is fit to be in charge has therefore been registered in accordance with the Care Standards Act 2000 and its accompanying regulations. Records seen indicated that the registered provider has visited the home unannounced on a regular basis in order to monitor the way in which the home has been managed. Records seen provided evidence to confirm that residents and staff are spoken to as part of the visit o ensure the home has been run in the best interests of the residents. The inspector spoke to residents during his visit. Comments made were very positive about the way has been managed, one resident said “ Deborah (the manager) is a super girl. She is honest, pleasant and friendly.” Another resident said, “We get cared for pretty well.” From direct observation the inspector noted that atmosphere in the care home was relaxed and homely. Daily routines appeared to be set by the needs and wishes of residents. Some residents had chosen to remain in bed for the morning. Residents are able to go to the dining room for lunch whilst others told the inspector they prefer to have meals in their rooms. A range of activities have be organised for those residents who wish to participate, but residents are not pressured to take part. The registered provider has made appropriate arrangements to look after residents’ monies and valuables that have been deposited for safekeeping. Appropriate records of such items have also been kept, including records of monies spent on behalf of residents. The registered provider does not act as appointee on behalf on any resident. One resident told the inspector, “My family deals with my finances for me.” The premises have been well maintained, ensuring a safe environment in which residents can live and staff can work. Some improvements have been identified earlier in order to reduce the risk of cross infections. Residents have told the inspector that they are very satisfied with the accommodation and services provided. According to training records staff have been provided training in such subjects as moving and handling, food hygiene, infection control, health and safety and general maintenance and safety at work. Staff on duty, who were spoken to confirmed the training they had received. Country Lodge Nursing Home DS0000024171.V320619.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 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Country Lodge Nursing Home DS0000024171.V320619.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP26 Regulation 13(3) Timescale for action The registered person shall make 04/01/07 suitable arrangements to prevent infection, toxic conditions and the spread of infection at the care home. This refers to the identified improvements to be made in the laundry and sluice areas. Requirement RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Country Lodge Nursing Home DS0000024171.V320619.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Country Lodge Nursing Home DS0000024171.V320619.R01.S.doc Version 5.2 Page 28 - 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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