Inspection on 29/06/05 for Dr Anderson Lodge

This inspection was carried out on 29th June 2005.

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

Other inspections for this house

Dr Anderson Lodge 19/11/09

Dr Anderson Lodge 08/11/07

Dr Anderson Lodge 23/11/06

Dr Anderson Lodge 08/05/06

Dr Anderson Lodge 19/01/06

Dr Anderson Lodge 04/11/04

Dr Anderson Lodge 05/05/04

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Larchfield Manor

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Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE DR ANDERSON LODGE East Lane Stainforth, Doncaster South Yorkshire DN7 5DY Lead Inspector Beryl Horton Unannounced 29 June 2005 11:30 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. DR ANDERSON LODGE J55-J07 S49440 Dr Anderson Lodge V202132 200605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Dr Anderson Lodge Address East Lane, Stainforth, Doncaster, South Yorkshire, DN7 5DY 01302 350003 None None Platinum Care Homes Limited 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) Sara Louise Wilson Care Home 65 Category(ies) of Old age, not falling within any other category registration, with number (65) of places DR ANDERSON LODGE J55-J07 S49440 Dr Anderson Lodge V202132 200605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. All service users requiring nursing care only be admitted to the Dr. Anderson Lodge building, and not the building formerly known as Rannoch House 2. The service may admit persons between the age of 60 to 65 years only within their registration category of (OP). Date of last inspection 4th November 2004 Brief Description of the Service: Dr Anderson Lodge was amalgamated with the former Rannoch House in August 2003 to provide one large home registered for 65 beds. Both buildings are on the same site and adjacent to each other. The homes were bought by Mr. L Kandola in April 2002, who is the registered person. The majority of the existing staff were retained at this time and most are still employed at the home. Dr Anderson Lodge was purpose built and provides care for a maximum of 40 older people requiring personal care and nursing care. They are accommodated on ground and first floor level. Access to the first floor is via a large staircase and a shaft lift. The home is in good decorative order and has undergone extensive redecoration in the last 18 months. Rannoch House will be referred to in this report as the annexe and provides personal care for a maximum of 25 older people on ground and first floor level. This building was also included in the redecoration programme in the last 18 months. Both homes have pleasant gardens with external seating arrangements for the use of the residents and their guests. There is parking for several vehicles to the front of the homes. DR ANDERSON LODGE J55-J07 S49440 Dr Anderson Lodge V202132 200605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 3.5 hours. The inspection included reading residents care plans and other documentation, speaking to six residents, staff on duty, discussion with the manager and deputy manager, meeting the proprietor, observation of the lunch time and a tour of the home. The manager assisted throughout the inspection. In August 2003 the proprietor and registered person Mr. Kandola successfully applied to combine both Dr Anderson Lodge and Rannoch House into one larger home of 65 beds, to be called Dr Anderson Lodge. Mr Kandola remains the sole proprietor but has transferred the registration into the company name of Platinum Care Homes Ltd, trading as Dr Anderson Lodge. What the service does well: What has improved since the last inspection? The home has been working very hard with regard to NVQ training and has now achieved 50 of the homes’ staff with Level 2. Records show that staff training in all the statutory areas have been given high priority. The service has responded to the requirements and recommendations identified in the report of the last inspection. A formal supervision programme for all staff has now been organised. DR ANDERSON LODGE J55-J07 S49440 Dr Anderson Lodge V202132 200605 Stage 4.doc Version 1.30 Page 6 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. DR ANDERSON LODGE J55-J07 S49440 Dr Anderson Lodge V202132 200605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection DR ANDERSON LODGE J55-J07 S49440 Dr Anderson Lodge V202132 200605 Stage 4.doc Version 1.30 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 standard(s) 1, 2, 3, 5 and 6 Prospective residents are given a Statement of Purpose and a Service Users Guide so that they have the information they need to make an informed choice about whether to move into the home or not. To ensure that the home can meet their needs, residents are admitted to the home following a full assessment of their needs. To satisfy the prospective resident and their relatives that the home will meet their needs, they are invited to look around the home and spend a few hours there. Intermediate care is not provided at Dr Anderson Lodge. EVIDENCE: The Statement of Purpose and Service Users Guide were examined during this inspection. This document has been updated to reflect the changes to the registration. The complaints procedure has been reviewed and meets the requirements of standard 16 of this report. DR ANDERSON LODGE J55-J07 S49440 Dr Anderson Lodge V202132 200605 Stage 4.doc Version 1.30 Page 9 The home uses its’ own assessment of needs documentation, based upon the requirements of this standard. Care plans are developed from information obtained in the pre admission assessment. Four care plans were read. These were well written and detailed with risk assessments in place and clear instructions for staff to follow. Residents spoken to said that they were happy with the care they were given and were complimentary of the staff at the home. DR ANDERSON LODGE J55-J07 S49440 Dr Anderson Lodge V202132 200605 Stage 4.doc Version 1.30 Page 10 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) 7 and 10 Residents’ plans of care contained relevant information. To ensure privacy of the individual the residents are always seen by their G.P. in their own bedrooms, this applies to any other medical treatment. Privacy, dignity and respect for service users are all comprehensively covered in the homes’ induction programme. EVIDENCE: Four care plans were looked at. These covered in detail aspects of the resident’ health, personal and social care needs. Reviews of the care plans take place on a monthly basis to reflect the changing needs of the resident if applicable, and to agree new objectives for their health and personal care. Residents spoke highly of the staff and how they assisted with their care needs. During this inspection there were many examples of good practice. Staff were observed to knock on bedroom doors before entering and interact with the resident with respect. Residents were addressed using their preferred name. DR ANDERSON LODGE J55-J07 S49440 Dr Anderson Lodge V202132 200605 Stage 4.doc Version 1.30 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 standard(s) 12, 13 and 15 Social activities and entertainment is organised by the staff and they endeavour to satisfy the residents’ social, cultural, religious and recreational needs. Visitors are welcome at most reasonable times including in the privacy of their own rooms if required. Residents are encouraged to maintain contact with family, friends and participate in local events should they so wish. Meal times are enjoyable social occasions. Meals are cooked in the kitchen at Dr Anderson Lodge. The main meal of the day is transported to the annexe in a hostess trolley that has been approved by Environmental Health. EVIDENCE: Dr Anderson Lodge provides a good standard of communal facilities including dining areas and lounges. The home had a relaxed atmosphere and staff were observed interacting with residents throughout the inspection. There was evidence that residents had books and daily newspapers available to them. Some people liked to watch the television and others liked to spend DR ANDERSON LODGE J55-J07 S49440 Dr Anderson Lodge V202132 200605 Stage 4.doc Version 1.30 Page 12 time in their own rooms. Visitors were seen to come and go during the time of the inspection. Menus examined showed that a varied and balanced diet is available for the residents. The home operates a four week menu and residents are asked about their likes and dislikes when the menus are being prepared. A risk assessment is in place with regard to the safe handling of the hostess trolley by staff. Lunch was observed being served in the pleasant dining room of Dr Anderson Lodge. It looked well presented, appetising and smelled good. Residents said the food was always very nice. Staff were observed to give assistance to those who needed it in a sensitive manner. DR ANDERSON LODGE J55-J07 S49440 Dr Anderson Lodge V202132 200605 Stage 4.doc Version 1.30 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 standard(s) These standards were not assessed at this inspection. However there are no complaints recorded since the previous inspection. EVIDENCE: The complaints book was looked at and there were no complaints recorded since the previous inspection. DR ANDERSON LODGE J55-J07 S49440 Dr Anderson Lodge V202132 200605 Stage 4.doc Version 1.30 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 standard(s) 22, 25 and 26 The home provides suitable and appropriate disability equipment, including a shaft lift and in the annexe a stair lift. EVIDENCE: On a tour of the home it was noted that there are handrails in all corridors and communal areas and grab rails in the toilets, to ease the residents mobility. Storage areas are provided around the home for wheelchairs. For the safety of the residents all radiators have been fitted with guards. The home provides hoists and moving and handling equipment. The registered provider should consider providing a hoist to be stored at the annexe for the safe moving and handling of the residents. The home was clean and tidy and free from offensive odours at the time of the inspection. The inspector was accompanied on the tour of the home by the Manager who was able to assist with information about the home. DR ANDERSON LODGE J55-J07 S49440 Dr Anderson Lodge V202132 200605 Stage 4.doc Version 1.30 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 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) 28 There was sufficient staff on duty to meet the needs of the residents. The staff team are hard working and are aware of the residents’ needs. EVIDENCE: NVQ training was discussed with the manager. The home has now met the target of a minimum ratio of 50 of care staff trained to Level 2 or equivalent excluding the manager. The home is to be congratulated on this achievement. Staff who have not yet reached this level are to be enrolled on the course at Doncaster College. Staff were observed to work efficiently and unhurriedly and in many instances estimate the needs of the residents. DR ANDERSON LODGE J55-J07 S49440 Dr Anderson Lodge V202132 200605 Stage 4.doc Version 1.30 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 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) 31 and 32 The registered manager is responsible for the day to day running of the home. She holds a nursing and appropriate registered managers award qualification. The registered provider visits the home on a regular basis to discuss operations with the manager. EVIDENCE: A Discussion was held with the manager with regard to the history of the home and the needs of the residents. She is very experienced in the care of the client group for which she is responsible. The manager returned from maternity leave a few months ago and has taken on her role again with enthusiasm. DR ANDERSON LODGE J55-J07 S49440 Dr Anderson Lodge V202132 200605 Stage 4.doc Version 1.30 Page 17 The registered provider visits the home on a regular basis to discuss the day to day operations of the home with the manager. The provider was visiting the home on the day of the inspection. The inspector was able to meet the provider and look at the last few Regulation 26 reports. DR ANDERSON LODGE J55-J07 S49440 Dr Anderson Lodge V202132 200605 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION x x x 3 x x 3 3 STAFFING Standard No Score 27 x 28 3 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 x 3 3 x x x x x x DR ANDERSON LODGE J55-J07 S49440 Dr Anderson Lodge V202132 200605 Stage 4.doc Version 1.30 Page 19 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 18 Regulation OP38 Requirement The registered manager must ensure that there is a qualified first aid person on duty at all times. (timescale 1st Feb not met) Timescale for action ist Nov 2005 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. Refer to Standard OP19 OP222 Good Practice Recommendations The owners should consider replacing the flourescent lighting in the corridor area of the annexe with a softer more homely style of lighting. To ensure the safe moving and handling of the residents, a hoist should be stored at the annexe. DR ANDERSON LODGE J55-J07 S49440 Dr Anderson Lodge V202132 200605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection First Floor Barclay Court Heavens Walk Doncaster South Yorkshire DN4 5HZ 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 DR ANDERSON LODGE J55-J07 S49440 Dr Anderson Lodge V202132 200605 Stage 4.doc Version 1.30 Page 21 - 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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