Inspection on 14/02/06 for Doubleday Lodge LSC

This inspection was carried out on 14th February 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

Doubleday Lodge LSC 18/12/08

Doubleday Lodge LSC 08/01/07

Doubleday Lodge LSC 22/07/05

Doubleday Lodge LSC 03/12/04

Doubleday Lodge LSC 14/07/04

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 Doubleday Lodge LSC Glebe Lane Sittingbourne Kent ME10 4JW Lead Inspector Christine Lawrence Announced Inspection 14 and 15 February 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 Doubleday Lodge LSC DS0000037864.V273555.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. Doubleday Lodge LSC DS0000037864.V273555.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Doubleday Lodge LSC Address Glebe Lane Sittingbourne Kent ME10 4JW 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) 01795 671411 Kent County Council Mrs Jennifer Langthorne Care Home 36 Category(ies) of Learning disability over 65 years of age (1), Old registration, with number age, not falling within any other category (36) of places Doubleday Lodge LSC DS0000037864.V273555.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registration applies to one (1) person whose date of birth is 03.12.1924 and should revert to Older Persons only should this placement cease. 22 July 2005 Date of last inspection Brief Description of the Service: Double Day Lodge is owned and run by Kent County Council. It is an Old Persons Direct Service Unit (OPDSU). It is located on the edge of a large residential estate to the east of Sittingbourne and offers accommodation on two floors for up to 36 older people, all in single rooms. It is close to a bus route and there are small shops within walking distance. There is ample parking to the front and the side. There are two garden areas to the rear of the building. The home has 36 bedrooms, 9 of which are on the ground floor and 27 on the first floor, 13 of these have en-suite facilities. Doubleday Lodge LSC DS0000037864.V273555.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a statutory inspection carried out over two days. The inspector examined records, including care plans and spoke to residents. Some staff were formally interviewed and some were observed carrying out their duties and interacting with residents. The inspector joined residents for lunch on one of the days. Seventeen comment cards were received from relatives, as were ten residents’ comment cards. Information from these were used as part of the inspection. What the service does well: What has improved since the last inspection? 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. Doubleday Lodge LSC DS0000037864.V273555.R01.S.doc Version 5.1 Page 6 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 Doubleday Lodge LSC DS0000037864.V273555.R01.S.doc Version 5.1 Page 7 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 Residents have their needs assessed prior to moving into the home and thus can be assured that the home judges that it can meet those needs. EVIDENCE: Three individuals records were viewed as part of this inspection. A lot of information is sought prior to a resident being admitted to Doubleday and this might include a core assessment or a joint assessment (undertaken by a care manager and hospital or community nurse) and sometimes both. Dependency levels are assessed and a care plan is formulated from this information. There were examples of some careful planning before admitting a resident and some residents come in for regular respite visits. Jennie Langthorne said that residents who come into the home for regular short stays will be updated in terms of identifying any changes to needs. The home is sometimes asked to take ‘emergency’ or urgent admissions. There are guidelines to staff about this and checklists that need to be used to ensure that the home does not admit residents out of category. Doubleday Lodge LSC DS0000037864.V273555.R01.S.doc Version 5.1 Page 8 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 Residents’ health and social care needs might not be fully met. Residents are protected by the home’s policies and procedures regarding medication and they can be confident that their privacy and dignity will be considered important. EVIDENCE: On the whole care plans are clearly set out and contain relevant information. There is a need to further improve some of the assessments relating to risk such as falls, skin condition and nutrition. Jenny Langthorne is aware of this already. Residents praised staff for being helpful and caring. The care plans contain specific information about personal care preferences. The records clearly show that health care professionals are involved with residents as required. General practitioners are called when necessary and Jenny Langthorne explained that there is a very good working relationship with local community nurses who regularly come into the home. Chiropody, sight tests and other health care providers are facilitated on behalf of residents. There are appropriate policies and procedures in place regarding medication. The records of administration and the storage of medication were all Doubleday Lodge LSC DS0000037864.V273555.R01.S.doc Version 5.1 Page 9 satisfactory. The staff members responsible for giving out medication have received training. The manager confirmed that medicines would be retained for a period of seven days after the death of a resident. The records showed that staff involve general practitioners if there are any concerns about medication. All residents have single rooms. Residents’ preferences for how they wish to be addressed are recorded within the care plan. There are facilities for making phone calls in private and staff and residents confirmed that personal mail is passed to residents unopened. There are facilities for meeting with visitors in private. Staff confirmed that respect and privacy are part of the ethos at Doubleday Lodge. All the residents who answered the question about privacy in the comment cards confirmed that their privacy is respected. Doubleday Lodge LSC DS0000037864.V273555.R01.S.doc Version 5.1 Page 10 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 Not all residents’ expectations and preferences regarding activities are being satisfied. Residents are supported to maintain contact with family/friends and are able to exercise choice giving them control over their lives. Residents receive a wholesome, appealing and balanced diet in pleasant surroundings. EVIDENCE: Lots of examples were noted of residents making choices about their daily routines and this was confirmed by residents and staff. Of the ten residents who completed comment cards, eight of them said that they did not feel the home provided suitable activities. The inspector was informed by the manager that the in-house activity programme is currently being reviewed due to the previous two members of staff responsible for this, no longer working at Doubleday Lodge. It is clear that some residents in particular miss this input. All seventeen relatives who completed comment cards said that they were always made welcome when they visited and they could visit their relative in private if they wished. There are no restrictions on visiting times although people are asked to avoid mealtimes if possible. There is information available about advocacy services which can be provided to residents and/or their relatives if required. The home is fully aware of its Doubleday Lodge LSC DS0000037864.V273555.R01.S.doc Version 5.1 Page 11 responsibilities under the Data protection Act (1998) and there are policies in place regarding access to personal records. Residents can bring personal items into the home if they wish but this does need to be agreed with the home prior to admission. Residents will be supported to manage their own finances if they wish. The inspector joined residents for lunch on one day and observed the meal on another day. The atmosphere was congenial and the food was tasty and well presented. Staff responded to individual’s wishes and preferences. Drinks and snacks are available throughout the day and staff can also provide this at night if required. Records are kept by staff to indicate what choices residents have made and also what they actually eat. It is clear that staff know individual resident’s needs because some people preferred knives and forks, others were better with a spoon, there were different sized plates and therefore portions and some residents like a protector for their clothes and some did not. There are water coolers within different areas of the home. Doubleday Lodge LSC DS0000037864.V273555.R01.S.doc Version 5.1 Page 12 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 Complaints would be handled objectively and in keeping with the home’s appropriate procedures and residents/their representatives can be confident that any concerns will be listened to, taken seriously and responded to. EVIDENCE: There are appropriate policies and procedures in place and this information is available through the service user guide and on display within the home. There is information about how to contact the Commission for Social Care Inspection. The inspector was informed that there has been one complaint in the past 12 months which was partially substantiated. The complaint was dealt with within 28 days. One of the senior staff spoken to during this inspection said that a lot of small things were dealt with as soon as they became apparent and in this way people were confident about speaking up. Doubleday Lodge LSC DS0000037864.V273555.R01.S.doc Version 5.1 Page 13 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): None These standards were not assessed at this time. Please see the report from the previous inspection of 22 July 2005 for more information about this home. EVIDENCE: Doubleday Lodge LSC DS0000037864.V273555.R01.S.doc Version 5.1 Page 14 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): 28, 29 and 30 Residents’ needs are met by staff who are competent and trained. Residents are supported and protected by the home’s recruitment procedures. EVIDENCE: National Vocational Qualification (NVQ) Level 2 in care has been achieved by more than 50 of staff at Doubleday Lodge. One senior member of staff has undertaken Level 4 and three other seniors have Level 3. Each new member of staff is offered the opportunity to undertake this training. The six staff records seen show that the recruitment procedures include references, interviews, application forms, criminal record bureau checks and written terms and conditions of service (which are regularly updated). The manager informed the inspector that staff are not currently given a copy of the General Social Care Council’s code. There is in-house induction training relating to working at Doubleday Lodge and new staff also attend an induction externally regarding working for Kent County Council. There is a programme of training available to staff and all four members of staff spoken to confirmed that they are given opportunities for training. Doubleday Lodge LSC DS0000037864.V273555.R01.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 and 35 Residents benefit from the home being managed by someone who is competent, experienced and knowledgeable. Residents’ financial interests are safeguarded by the home’s procedures. EVIDENCE: The manager has National Vocational Qualification Level 4 (Care) and has also completed her Registered Managers Award. Policies and procedures are regularly reviewed and Jenny Langthorne demonstrated knowledge of up to date legislation and good practice. She has access to the internet within the home and uses this for maintaining knowledge about specific areas of care. There are clear lines of accountability within and external to the home. The senior administrative assistant described the procedures for managing residents’ personal expenditure, where the home has any involvement. The systems are very good, with facilities for giving receipts to relatives if they are Doubleday Lodge LSC DS0000037864.V273555.R01.S.doc Version 5.1 Page 16 providing cash and also providing relatives with clear records of expenditure, making the whole process open and transparent. There are secure facilities within the home. Doubleday Lodge LSC DS0000037864.V273555.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X X Doubleday Lodge LSC DS0000037864.V273555.R01.S.doc Version 5.1 Page 18 No 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. 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. 1 2 3 Refer to Standard OP7 OP12 OP29 Good Practice Recommendations Risk assessments for pressure ulcers, nutrition and falls to be improved. The planned review of activities/ leisure pursuits should be undertaken. Copies of the GSCC codes to be given to all members of staff. Doubleday Lodge LSC DS0000037864.V273555.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Doubleday Lodge LSC DS0000037864.V273555.R01.S.doc Version 5.1 Page 20 - 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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