Inspection on 28/09/05 for Eden Lodge Care Home

This inspection was carried out on 28th September 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

Eden Lodge Care Home 15/07/08

Eden Lodge Care Home 14/08/07

Eden Lodge Care Home 14/02/07

Eden Lodge Care Home 26/04/06

Eden Lodge Care Home 09/06/05

Eden Lodge Care Home 09/02/05

Eden Lodge Care Home 06/10/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Eden Lodge Care Home Park Road Bestwood Village Nottingham NG6 8TQ Lead Inspector Elaine Cray Unannounced Inspection 28th September 2005 9:15 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 Eden Lodge Care Home DS0000008666.V253512.R01.S.doc Version 5.0 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. Eden Lodge Care Home DS0000008666.V253512.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Eden Lodge Care Home Address Park Road Bestwood Village Nottingham NG6 8TQ 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) 0115 977 0700 Sai Om Limited Heather Carol King Care Home 60 Category(ies) of Dementia (44), Old age, not falling within any registration, with number other category (60) of places Eden Lodge Care Home DS0000008666.V253512.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide personal care for service users of both sexes whose primary needs fall within the following catgories: Old Age (OP) (60) Dementia (DE) (44) The category DE applies to service users aged 55 years and over, and included in the total number of registered users. The maximum number of service users to be accommodated is 60. Date of last inspection 4th July 2005 Brief Description of the Service: Eden Lodge is situated in Bestwood Village and there is access to public transport to the wider community and the city centre. The home is registered to cater for the needs of older people as well as people with a diagnosis of dementia. Accommodation, comprising of single bedrooms, is on the ground floor and there is level access throughout. Some bedrooms have en-suite toilets and there is sufficient adaptive equipment in the toilets and bathrooms to meet the needs of service users with a physical disability. There are a number lounges and two dining rooms. The grounds are expansive and mainly set to lawn. There is a large car park to the front of the home. Eden Lodge Care Home DS0000008666.V253512.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by two inspectors on 28th September 2005 over a period of 7 hours. The owner and the manager were present throughout the visit. This inspection focused on requirements which had been set at a previous inspection and on the progress made since subsequent monitoring visits in July and August 2005. Several residents were spoken with and three staff were interviewed. Inspectors case tracked four residents, looking at assessment of need, care planning processes, staff knowledge of the resident’s needs and the care provided to the residents. Four care plans, 3 staff files and a variety of records were inspected and a tour of the building was made. What the service does well: What has improved since the last inspection? The home has addressed concerns raised by the fire officer and environmental health agency. Staffing levels have been increased and the manager has recently introduced a staff supervision system. The owner and manager have organised a schedule of staff training and this has impacted on the improvements in care practices, cross infection procedures, the promotion of residents rights to privacy and dignity and health and safety procedures. Eden Lodge Care Home DS0000008666.V253512.R01.S.doc Version 5.0 Page 6 Service users now enjoy a choice at mealtimes, they are more aware of the meals on offer as the menu is displayed and the dining rooms are more attractive with tablecloths, flower arrangements and condiments on the tables. Care planning procedures have also improved, with a new care planning process. 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. Eden Lodge Care Home DS0000008666.V253512.R01.S.doc Version 5.0 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 Eden Lodge Care Home DS0000008666.V253512.R01.S.doc Version 5.0 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): 1, 2, 3 and 5 The arrangements for providing information about the home need some further development. Prospective service users and their representatives are able to visit the home to talk about care needs and the services at the home, but information was not consistently obtained and recorded. EVIDENCE: The home has a written Statement of Purpose and the manager said that this is given to prospective service users and their relatives as a Service User Guide. The manager should consider providing a Service User Guide which is more concise and in a format which is suitable for people of older age, for example larger print and/or on an audio tape. Written contracts are issued to privately funded residents, but other service users are not currently issued with a copy of Terms and Conditions for the home. Eden Lodge Care Home DS0000008666.V253512.R01.S.doc Version 5.0 Page 9 The manager said that people may visit the home to look around and discuss the prospective resident’s care needs. A new resident moved into the home on the day of this inspection and his relative confirmed that she had already looked around the home and was very complimentary about the manager’s helpful manner. The home has an assessment of need format and some of these had been completed and then information transferred to the care plan. However, a recently admitted service user did not have a current assessment of need recorded. Eden Lodge Care Home DS0000008666.V253512.R01.S.doc Version 5.0 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 the following standard(s): 7, 8, and 10 Health care and medical needs were, on the whole, assessed, identified and recorded. Residents presented as well kempt and clean and there was a relaxed and respectful rapport between the staff and residents. EVIDENCE: Four care plans were requested for viewing on this inspection. Medical histories and health needs were recorded in each plan, with the exception of a newly admitted service user. Whilst the manager and some staff were aware of the medical needs of residents, there were other staff who did not have appropriate knowledge about dementia, other medical needs and they had not viewed care plans. Eden Lodge Care Home DS0000008666.V253512.R01.S.doc Version 5.0 Page 11 The manager has introduced a new care planning format, which is comprehensive and in most cases the format was complete and well written for most residents. One recently admitted service user did not have a care plan and another service user’s care plan could not be located. The manager said that the care plans are produced and are available on the home’s computer. Hard copies should also be available in order that all staff working in the home can access information about each resident. Observations made on this inspection indicated that residents are spoken to with respect and staff are sensitive when helping with personal care. Staff interviews demonstrated a sensitive approach to promoting residents’ dignity and privacy, particularly when helping people with their personal care. Eden Lodge Care Home DS0000008666.V253512.R01.S.doc Version 5.0 Page 12 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 Residents are able to exercise choice and control over their daily routines, and family and friends are able to visit the home. However, residents have few opportunities to access recreational activities. Residents receive a choice of meals from a well balanced menu in a relaxed and social environment. EVIDENCE: Care plans provide information about the individual choices and preferences of service users, including how they would like to get up in the morning. Residents presented as happy and relaxed, but some commented that there is little to do other than walk around the home or watch TV. The manager and staff commented that residents can play a ball game, darts or have a singalong, but this is usually reliant on care staff, who are often too busy to provide activities. The owner of the home said that she is currently attempting to recruit an activities co-ordinator and the Commission advised that this position should be taken by an individual who has experience of working with people with dementia. Eden Lodge Care Home DS0000008666.V253512.R01.S.doc Version 5.0 Page 13 The menus presented as varied, balanced and nutritional. The environmental health officer, visiting the home on the day of this inspection, commented positively on the improvements made to the organisation of and safety checks in the kitchen. Residents said that the food was satisfactory and a choice of meal is displayed in the dining room each day. The meal time was a relaxed and social time and staff sensitively helped some residents to eat their meal. Eden Lodge Care Home DS0000008666.V253512.R01.S.doc Version 5.0 Page 14 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 and 18 The procedures for the protection of residents from abuse are addressed in the home and there is a complaints procedure. EVIDENCE: The manager presented a good understanding of the procedures about vulnerability of older people living at the home. Staff were aware of the need for consistent observation, providing a safe environment and some had covered adult protection in recent training. The manager and owner have liaised with the local social services team to ensure that adult protection matters are appropriately addressed. The complaints procedure is displayed in the home and the manager has a documented complaints process, with a complaints log, which was viewed on this visit. The Commission for Social Care Inspection have received some complaints which are being looked at in conjunction with the owner and manager of the home. Residents spoken with on this inspection did not present any concerns and said they can talk to the manager. Eden Lodge Care Home DS0000008666.V253512.R01.S.doc Version 5.0 Page 15 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): 19, 20, 21, 22, 23, 24, 25 and 26 EVIDENCE: All lounges and the two dining rooms were viewed and presented as clean and relatively well maintained. Some new chairs have been added to the lounge in the dementia wing, but the damaged chairs have been moved to the cream lounge. The carpet in the dementia wing lounge has some stains. Attempts have been made to make this room more homely with pictures, ornaments and a new TV. A number of bedrooms were viewed and most presented as well furnished, safely maintained, well decorated and clean. However, one bedroom, as identified to the owner on this inspection, requires repairs and some decoration. Additionally, bulb and light covers were missing from some bedside lights. Eden Lodge Care Home DS0000008666.V253512.R01.S.doc Version 5.0 Page 16 The home is level throughout, there is handrail provision and, whilst a certain number of hoists are currently out of use, there are adaptations to help with residents’ mobility and personal care. Some bedrooms have en-suite facilities and there is an adequate number of bathrooms and toilets in the home. Levels of hygiene and cleanliness were adequately maintained in the home. Eden Lodge Care Home DS0000008666.V253512.R01.S.doc Version 5.0 Page 17 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): 27, 28, 29 and 30 Staffing arrangements have been improved and were adequate on the day of this inspection, staff have enjoyed a variety of training over recent months. EVIDENCE: Documentation and discussion with the owner, manager and staff presented a view that the staffing arrangements in the home have been increased in numbers and improved with training. Some staff have worked at the home for a period of some months to several years and new staff reported that they have received induction, which was also evidenced on a new member of staff’s file. Staff interviews evidenced that staff were very committed to their caring role and attempting to meet the needs of the residents. Whilst staff reported some awareness of how to manage residents who are very confused and may present challenging behaviour, there was some lack of knowledge about dementia, presenting behaviour and techniques in how to enable and manage people who may be very confused. The home has provided a schedule of training over recent months and this has included dementia awareness, but the owner and manager are advised to provide further information and/or training in dementia and managing challenging behaviour. Eden Lodge Care Home DS0000008666.V253512.R01.S.doc Version 5.0 Page 18 Three staff files were checked and these evidenced that staff have relevant reference and criminal background checks before commencing employment at the home. Eden Lodge Care Home DS0000008666.V253512.R01.S.doc Version 5.0 Page 19 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): 33, 35, 36, 37 and 38 The management of the home has improved with the development of procedures, monitoring strategies and general organisation. Record keeping had greatly improved and was generally well maintained, accurate and up to date. EVIDENCE: The owner of the home has provided written monthly reports on the functioning of the home to the Commission and questionnaires to service users, relatives and visitors are now placed in the entrance hall to the home. The manager and one of the administrators stated that new procedures for the safeguarding of residents’ finances have been introduced and each residents money is stored separately, with an individual record and receipts. Eden Lodge Care Home DS0000008666.V253512.R01.S.doc Version 5.0 Page 20 The owner and manager have held two staff meetings and a schedule for staff supervision has been introduced with a recording format for each session. Record keeping has improved greatly, however, one service user did not have a care plan and another care plan could not be located. Records are kept in the office and the bolt type lock was replaced with a more secure device on the day of this inspection. The environmental health officer and the fire safety officer have been encouraged by the improvements made in health and safety matters at the home. Checks on the heating system, electrical appliances and lifting equipment had also been carried out. Eden Lodge Care Home DS0000008666.V253512.R01.S.doc Version 5.0 Page 21 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 1 2 x 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 3 3 3 3 2 3 3 STAFFING Standard No Score 27 3 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 3 2 3 Eden Lodge Care Home DS0000008666.V253512.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? yes 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 2 Standard 2 3 Regulation 5 14 Requirement Provide all residents with a copy of Terms and Conditions for the home. Ensure that all service users have an assessment of need prior to admission. This requirement was set at the last inspection. Some improvements have been made, but assessments must be consistently carried out prior to admission Ensure all service users living at the home have a care plan Ensure all staff have access to care plans and are aware as to how the service user’s needs in respect of health and welfare are to be met. Provide a schedule of activities to meet the needs of the service users. Clean or replace the carpet in the lounge in the dementia lounge and replace the damaged chairs in the cream lounge. Repair the plaster and decorate the bedroom adjacent to the DS0000008666.V253512.R01.S.doc Timescale for action 31/12/05 30/11/05 3 4 7 7 15 15 31/10/05 31/10/05 5 6 12 19 16 23 30/11/05 31/12/05 7 24 23 31/12/05 Eden Lodge Care Home Version 5.0 Page 23 8 30 18 9 37 17 Sch 3 cream lounge and provide bulb and light covers in bedside lights. Ensure dementia training is sufficient in order that staff are able to understand and meet the needs of the service users at the home. Ensure all records relating to service users are completed and available 31/03/06 30/11/05 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 1 Good Practice Recommendations Consider developing Statement of Purpose into a more useful content and format for the service users living at the home. Eden Lodge Care Home DS0000008666.V253512.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Eden Lodge Care Home DS0000008666.V253512.R01.S.doc Version 5.0 Page 25 - 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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