Inspection on 07/01/06 for Dawson Lodge

This inspection was carried out on 7th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Dawson Lodge 19/04/07

Dawson Lodge 20/01/05

Dawson Lodge 09/09/04

Dawson Lodge 30/01/04

Dawson Lodge 10/02/03

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Dawson Lodge Botley Road West End Southampton Hampshire SO30 3RS Lead Inspector Mrs Michelle Presdee Unannounced Inspection 6th January 2006 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 Dawson Lodge DS0000011591.V276635.R01.S.doc Version 5.1 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. Dawson Lodge DS0000011591.V276635.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Dawson Lodge Address Botley Road West End Southampton Hampshire SO30 3RS 023 8046 5707 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) Anchor Trust Mrs Ann Saunders Care Home 41 Category(ies) of Dementia - over 65 years of age (41), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (41), Old age, not falling within any other category (41), Physical disability (41), Physical disability over 65 years of age (41) Dawson Lodge DS0000011591.V276635.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the PD category may not be admitted under the age of 50 years 14/7/2005 Date of last inspection Brief Description of the Service: Dawson Lodge is a care home providing personal care and accommodation for forty-one older people with an age related mental health problem and/or a physical disability. The home is registered in the categories DE [E], MD [E] and PD/PD [E].The home is owned by Anchor Trust which is a charitable organisation providing services throughout the country.The home is located on the outskirts of the small village of West End near Southampton. The home is situated close to shops; pubs, post office, the Hampshire cricket ground (The Rose Bowl) and a large trading estate, which is home to several wellknown retail outlets. The home also looks out on to small fields, which is home to a variety of domestic animals and wildlife such as ponies, deer, rabbits and interesting birds.The accommodation is provided in single rooms with a front door with individual locks and letterboxes, the room includes a kitchenette, with a small refrigerator, sink and facilities for making hot drinks, and an en-suite assisted shower room and toilet. There are several large communal areas and main meals are coked on site. The home has extensive gardens that are well maintained and enable service users to move freely around. Dawson Lodge DS0000011591.V276635.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. On the day of the unannounced inspection 38 service users were being accommodated. Two service users were in hospital. The manager and deputy manager assisted the inspector during the three-hour inspection. Many of the service users were spoken to who all expressed satisfaction with the home and the services offered. The inspector looked around the home in all communal areas and the kitchen and found the home to be clean and tidy. Records were also looked at and were found to be well organised. All core standards, which were looked at during the last inspection were inspected on this occasion, ensuring all core standards have been covered over the year. What the service does well: What has improved since the last inspection? What they could do better: The home provides a good standard of care and décor for service users. Records are well maintained. It is difficult to find areas on which the home Dawson Lodge DS0000011591.V276635.R01.S.doc Version 5.1 Page 6 could improve which was also reflected by service users comments on the day of the inspection. 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. Dawson Lodge DS0000011591.V276635.R01.S.doc Version 5.1 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 Dawson Lodge DS0000011591.V276635.R01.S.doc Version 5.1 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): EVIDENCE: These standards were not inspected on this visit. Dawson Lodge DS0000011591.V276635.R01.S.doc Version 5.1 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): 9 Medication procedures in the home are adequate to ensure the safety of service user. EVIDENCE: The home has a medication procedure, which details the receipt, recording, storage, handling, administration and disposal of medicines. Medication is ordered and collected from the pharmacist on a monthly basis. All medication is checked and recorded when it enters the home. Medication is stored in a trolley, which is kept in a locked room. Only senior member of staff who have received training are involved in the medication procedure of the home. Four senior members of staff have just finished some accredited training from Southampton City College in medication. The medication and records of three service users were checked and it was found this was all correct. Controlled medication is stored and recorded correctly. Several service users manage their own medication. Risk assessments have been completed and the service users Doctors have been consulted. Staff keep regular checks to ensure no mistakes are being made. the drugs need to be administered two carers take the trolley around the home. The two carers sign to take the trolley and then individual records are signed as the medication is administered. Dawson Lodge DS0000011591.V276635.R01.S.doc Version 5.1 Page 10 Dawson Lodge DS0000011591.V276635.R01.S.doc Version 5.1 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, 14, 15 Choice is promoted in the home for service users to live as independently as possible. The home offers a range of social and recreational activities to ensure service users have a choice and their expectations of the home are met. The meals in the home are of a good quality with a choice always being available. EVIDENCE: The home offers a wide range of social activities in the home. This is displayed in the home on a monthly basis. During December the range of activities offered included two trips to local shopping towns, exercises, sing-a-long sessions, Christmas party, carol services, bingo, quiz evenings and lunch at a hotel in the new forest. The hairdresser and the chiropodist had also called into the home. Activities are open for all service users to join in. the home has arranged a different activity for every night at 7 o’clock in the lounge to encourage service users to stay up a little longer. Service users spoken to enjoyed the range of activities in the home. Service users enjoyed the choice and were pleased they were not forced to take part in activities they did not enjoy. Dawson Lodge DS0000011591.V276635.R01.S.doc Version 5.1 Page 12 The home has a planned menu, which the cook in consultation with service users was in the process of changing. The home offers a wide variety of meals with a choice always being available. On the day of the inspection service users had a choice of spaghetti bolognaise or fish with mashed potatoes and fresh vegetables. Some service users were having egg and chips, as this was their choice. The cook spends time with the service users, finding out what they enjoy and would like in the menu. Service users spoken to confirmed the food in the home is of good quality and a varied menu is available. The kitchen was well stocked with plenty of fresh fruit and vegetables. Food deliveries are made to the home at least three times a week. Dawson Lodge DS0000011591.V276635.R01.S.doc Version 5.1 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): 16,18 The home has a satisfactory complaints procedure, which service felt confident to use. The home has relevant documentation and staff have received training to ensure service users are protected from abuse EVIDENCE: The home has a comprehensive complaints procedure, which details all the necessary timescales, names, addresses and telephone numbers. The procedure is displayed in the home with the inspection report. The commission has received no complaints. One complaint was investigated by social services but the complaint was not substantiated. The home keeps a record of all complaints made by service users in the home and records what action has been taken. Information relating to adult protection, Hampshire abuse procedure, the Department Of Health guidance “No Secrets” and a whistle blowing procedure are all available in the home. The deputy manager in the home recently attended a training session by Hampshire County council on their new abuse procedure. This information will be cascaded down to the care staff in the home. Staff also receive training on abuse during their induction period and Anchor has it’s own information on abuse, which staff receive training on. The home has no aggressive service users at the present time, but a policy on dealing with aggressive behaviour is available. Dawson Lodge DS0000011591.V276635.R01.S.doc Version 5.1 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): EVIDENCE: These standards were not inspected on this visit. Dawson Lodge DS0000011591.V276635.R01.S.doc Version 5.1 Page 15 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): EVIDENCE: These standards were not inspected on this visit. Dawson Lodge DS0000011591.V276635.R01.S.doc Version 5.1 Page 16 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): 31,35, 38 The home is well managed and run in the best interests of service users. The financial arrangements protect service users from abuse. The home takes adequate steps to ensure the home and the equipment in the home are safe for the protection of service users and staff members. EVIDENCE: Mrs Saunders has been the registered manager for fourteen years and has completed her Registered Managers Award. It was clear from discussions with both staff and service users they have a respect for Mrs Saunders and her management style. The home does not manage any service users finances, but does oversee the pension and personal allowance of five service users. These records are well maintained with individual records, totals, and receipts maintained. All finances are kept secure. Dawson Lodge DS0000011591.V276635.R01.S.doc Version 5.1 Page 17 The home has a policy and procedures file in the home, which is accessible to all staff. A training record is maintained and training is routinely undertaken. The kitchen was clean and tidy with plenty of space for the preparation of food. Food was being stored appropriately. All cleaning materials in the home are kept locked away and cosh assessments have been completed. The fire logbook was seen, which demonstrated all the necessary tests were being carried out within the agreed timescales. Certificates were seen to demonstrate the fire alarm, emergency lighting, fire extinguishers, stair lift, gas, electricity and portable electrical appliances and all been inspected recently. Dawson Lodge DS0000011591.V276635.R01.S.doc Version 5.1 Page 18 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 X X X N/A X X X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 3 Dawson Lodge DS0000011591.V276635.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Dawson Lodge DS0000011591.V276635.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Dawson Lodge DS0000011591.V276635.R01.S.doc Version 5.1 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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