Inspection on 22/07/05 for Doubleday Lodge LSC

This inspection was carried out on 22nd July 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Doubleday Lodge LSC 18/12/08

Doubleday Lodge LSC 08/01/07

Doubleday Lodge LSC 14/02/06

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 Unannounced 22/07/05 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 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 H56-H05 S37864 Doubleday Lodge V233213 220705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Doubleday Lodge Registered Care Centre (Olders Persons Direct Service Unit) Glebe Lane, Sittingbourne, Kent, ME10 4JW Address Telephone number Fax number Email 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 Registered Care Home 36 Category(ies) of Care Home for Older People registration, with number of places Doubleday Lodge LSC H56-H05 S37864 Doubleday Lodge V233213 220705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: That the registration applies to the named person only and should revert to all Older People should that person die or leave the home. Date of last inspection 03/12/04 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 H56-H05 S37864 Doubleday Lodge V233213 220705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection. The inspector was reviewing some of the outstanding recommendations/requirements from previous inspections. The inspector was in the home for four and a half hours. A tour of the building was made and the inspector observed interactions between staff and residents, spoke to staff and also to residents and viewed some paperwork. 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 H56-H05 S37864 Doubleday Lodge V233213 220705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Doubleday Lodge LSC H56-H05 S37864 Doubleday Lodge V233213 220705 Stage 4.doc Version 1.30 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 standard(s) 0 These standards were not assessed at this time. EVIDENCE: Doubleday Lodge LSC H56-H05 S37864 Doubleday Lodge V233213 220705 Stage 4.doc Version 1.30 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 standard(s) 0 These standards were not assessed at this time. EVIDENCE: Doubleday Lodge LSC H56-H05 S37864 Doubleday Lodge V233213 220705 Stage 4.doc Version 1.30 Page 9 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 standard(s) 0 These standards were not assessed at this time. EVIDENCE: Doubleday Lodge LSC H56-H05 S37864 Doubleday Lodge V233213 220705 Stage 4.doc Version 1.30 Page 10 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 standard(s) 18 Residents are protected from abuse. EVIDENCE: In-house training is provided by Kent County Council regarding adult protection. This training is carried out off site. There is also a regular programme of updates. Appropriate procedures are in place including the new protocols. Information is included within the induction training and there are leaflets available and on display for information about adult protection, including whistle blowing procedures. The manager is fully aware of the Protection of Vulnerable Adults (POVA) register and her responsibilities under the Care Standards Act. There are policies and procedures in place regarding physical and/or verbal aggression and the use of appropriate restraint and these are currently being reviewed. There are systems in place for ensuring that residents’ valuables and finances are protected including Personal Property Accounts and the use of a Financial Affairs Officer. Staff spoken to were very clear about their responsibilities and residents said that they felt safe and cared for. One person said ‘…they make sure you’re all right here. They look after you…’. Doubleday Lodge LSC H56-H05 S37864 Doubleday Lodge V233213 220705 Stage 4.doc Version 1.30 Page 11 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 standard(s) 19, 20, 24 and 26 Although generally the home appears reasonably well maintained, the problem identified with regard to the safety of the electrical installation means that residents may not be living in a safe environment. Residents can access outdoor areas and comfortable communal areas and their own rooms are comfortable and contain personal possessions. The home is clean, pleasant and hygienic. EVIDENCE: The home is purpose built and is within a residential part of Sittingbourne, close to the town centre with all of its amenities. Not all areas are up to date with regard to re-decoration but the manager monitors this. It would be helpful for a programme to be recorded indicating planned routine redecoration. This could also include requirements and recommendations from the inspection process relating to the environment. The inspector was informed that urgent repairs are carried out as required. Please see Standard 38, which identifies an area of concern regarding electrical safety. Doubleday Lodge LSC H56-H05 S37864 Doubleday Lodge V233213 220705 Stage 4.doc Version 1.30 Page 12 The grounds are kept tidy and safe for residents. One of the rear garden areas has recently been redesigned with support from the local Round Table and staff members. The area is very attractive and two residents in particular spoke of how much pleasure they had from this. It includes raised beds and seating. Another garden area to the rear is also an attractive area and this is maintained voluntarily by members of staff. The communal space within the home has recently been improved by clearing an area not previously fully utilised. The use of this area will need to be carefully monitored with regard to the need for extra staff at some times. (Please see Standard 27). The furnishings and lighting in communal areas are domestic in style and offer a variety of different atmospheres. There is a room designated the Library which although small is comfortable and well used. There is a Visitors’ Room which is comfortable and welcoming and residents who smoke have a comfortable lounge for this. There is a large dining area and two lounge areas. One resident said he was ‘…very pleased…’ with his room and other people indicated that they were satisfied with their room. One resident who has lived in the home for several years said she thought her room was ‘…lovely…’. The tour of the building identified that residents can and do have a variety of personal possessions and some residents choose to have their doors locked. The home was free from any offensive odours. Everything appeared in order in the laundry including hand-washing facilities. Appropriate policies and procedures are in place and equipment and systems are up to date. A member of staff confirmed that she had received relevant training ie Control of Substances Hazardous to Health (COSHH) Regulations, manual handling and infection control. Doubleday Lodge LSC H56-H05 S37864 Doubleday Lodge V233213 220705 Stage 4.doc Version 1.30 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 Residents’ current needs are met by the numbers and skill mix of staff. EVIDENCE: The rota seen indicates that there are sufficient care and other staff on duty. The record of training shows that staff are provided with various courses. The plan to use new areas within the home for communal activities will necessitate a review of staff levels. The manager informed the inspector that work has already been undertaken about this and proposals have been presented to the Registered Provider. Doubleday Lodge LSC H56-H05 S37864 Doubleday Lodge V233213 220705 Stage 4.doc Version 1.30 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 The health, safety and welfare of both residents and staff is compromised. EVIDENCE: To achieve compliance with the legal requirements of the Electricity at Work Regulations 1989 (EAWR), proof must be provided that an electrical system is safe. This includes the proper inspection and testing of a system by competent people. The inspection and testing of the electrical installation at Doubleday Lodge took place in October 2003. This identified many things that need attention, 11 of which were designated as requiring immediate action. This work has yet to take place. The manager has tried to progress this but has been unsuccessful because of procedures which depend on external agents. She is hopeful that work will be carried out in the very near future. Doubleday Lodge LSC H56-H05 S37864 Doubleday Lodge V233213 220705 Stage 4.doc Version 1.30 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 1 3 x x x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x x x x x x 1 Doubleday Lodge LSC H56-H05 S37864 Doubleday Lodge V233213 220705 Stage 4.doc Version 1.30 Page 16 YES 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 19 Regulation 12(1)(a) Requirement Work needed to the electrical installation (identified as urgent in October 2003) to be completed. As above Timescale for action 31.01.06 2. 38 Electricity at Work Regulation s 1989 31.01.06 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 Good Practice Recommendations Doubleday Lodge LSC H56-H05 S37864 Doubleday Lodge V233213 220705 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection 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 H56-H05 S37864 Doubleday Lodge V233213 220705 Stage 4.doc Version 1.30 Page 18 - 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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