Inspection on 10/07/07 for Garden Lodge

This inspection was carried out on 10th July 2007.

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

Garden Lodge 27/09/06

Garden Lodge 10/10/05

Garden Lodge 09/05/05

Garden Lodge 01/11/04

Garden Lodge 26/04/04

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

CARE HOMES FOR OLDER PEOPLE Garden Lodge 37a Lincoln Road Glinton, Peterborough PE6 7JS Lead Inspector Alan Buttery Key Unannounced Inspection 10th July 2007 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 Garden Lodge DS0000015117.V347128.R01.S.doc Version 5.2 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. Garden Lodge DS0000015117.V347128.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Garden Lodge Address 37a Lincoln Road Glinton, Peterborough PE6 7JS 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) 01733 252980 F/P 01733 252980 gardenlodge37a@aol.com Mrs Touran Watts Mrs Touran Watts Care Home 10 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (10) of places Garden Lodge DS0000015117.V347128.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th September 2006 Brief Description of the Service: Garden Lodge is a residential home in the village of Glinton close to the city of Peterborough. The home is registered for 10 older people. Garden Lodge is a chalet bungalow providing residential accommodation on the ground floor, with office accommodation on the first floor. The residential accommodation consists of eight single and one double bedroom. Two bedrooms have en-suite facilities. There is one large communal room set out with separate seating and dining area, and a smaller seating area in an annex. There is a patio outside and a very large well-stocked garden. The home is close to village amenities, which include a shop, post office and public houses. Peterborough city centre is approximately six miles from the home. The service currently charges weekly fees ranging between £379 and £432 depending on the assessed needs of the individuals. A copy of the last inspection report was in the reception area in the home for people living there or their families to view. Garden Lodge DS0000015117.V347128.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, and looked at the key standards for older people. The home is owned and managed by Mrs Touran Watts, who was available throughout the inspection to provide the information required. The service is registered for up to 10 people, including four with a diagnosis of dementia. What the service does well: What has improved since the last inspection? What they could do better: The service should continue with the recordation, and care plans need to be more user focussed, and show how people living there are involved in the process. Although staffing levels are suited to the number of people living in the home, they should ensure that long term recruitment difficulties are dealt with, and further management support put in place. Garden Lodge DS0000015117.V347128.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Garden Lodge DS0000015117.V347128.R01.S.doc Version 5.2 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 Garden Lodge DS0000015117.V347128.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 3, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed information is obtained and people encouraged to visit the service to be clear that their identified needs can be met EVIDENCE: The service’s policy on the admission of new people to the home was discussed with the proprietor during the inspection. Any vacancy is notified to the local commissioning team, and Mrs watts would visit any new referral either in hospital or in their home to complete an assessment of their need. Wherever possible, the prospective admission would visit the service with their family to make sure they were happy with the home, which also gives the service further opportunity to assess the individual needs of the particular individual. The service has had one new admission since the last inspection, and their records for this admission were looked at which showed that the detailed process had been followed, and appropriate information and assessments available. Garden Lodge DS0000015117.V347128.R01.S.doc Version 5.2 Page 9 The service does not offer intermediate care. Garden Lodge DS0000015117.V347128.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual plans detail the support required by people living in the home, but should show the involvement of the individuals, and the outcomes required EVIDENCE: As part of the assessment process detailed above, individual plans are prepared and these detail the identified needs and how these are met, looking at both health and social needs. A long discussion considered these plans and how they could be based more on outcomes people living in the home should expect, and how the individuals themselves could have more involvement in writing these plans, and the proprietor is already looking at alternative formats for the plans. The plans currently contain the basic information required, but more detail would offer better support to staff, and demonstrate further the involvement of the people receiving support from this service. Garden Lodge DS0000015117.V347128.R01.S.doc Version 5.2 Page 11 Discussions with the proprietor and people living in the home confirmed that the service does provide those living there with privacy and regard for their dignity at all times. People living in the home are supported in taking prescribed medication, and would support anyone living in the home that was able to manage their own medication. The proprietor confirmed that one of the people currently living there is able to manage her own medication, which is stored in a locked cupboard in her room. A risk assessment is in place to ensure the safety of this process. Garden Lodge DS0000015117.V347128.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. A variety of activities are available, and people living in the home retain choice and independence as far as possible with support from the service. EVIDENCE: The service provides a domestic scale of life for the people living there and a variety of activities and events are available, including walks in the local area, trips to shops and local facilities, quiz sessions, entertainers, a regular church service and one to one conversation. Contact with families is very good, with regular visitors, and events planned to include the families. The service is situated in a quiet residential area, and has good links with the local community. People living in the home are able to take control over their lives, and as a relatively small home, the proprietor is able to take an active interest in their likes and dislikes, and plan services accordingly. Garden Lodge DS0000015117.V347128.R01.S.doc Version 5.2 Page 13 A variety of home cooked food is available, often prepared by care staff, and advice and support is available from dieticians and nutritionists where required. The choices of people living in the home are taken into account in planning menus, for example sausages from the local butcher are particularly well liked by the people living in the home, and therefore a popular menu item. A choice of main course is always available to the people living in the home. Garden Lodge DS0000015117.V347128.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Policies and procedures are in place to ensure any concerns or allegations are dealt with appropriately. EVIDENCE: The service has a complaints procedure in place, which is in accordance with the requirements of this standard. Since the last inspection, no complaints have been received, either by the service or by the CSCI, but the proprietor confirmed that in the event of a complaint being received, it would be dealt with in accordance with the service’s policy. A policy is also in place to deal with any incidents of possible abuse, and together with the relevant training for all staff ensures that incidents are properly investigated and dealt with. One incident has been reported in the last year, and this was clearly managed very appropriately and followed the homes procedure, and that of the local authority. Records of training provided to members of staff were seen on the files examined. Garden Lodge DS0000015117.V347128.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Improvements to the decoration of the property have started and further updating of facilities is planned, ensuring the comfort of people living in the home. EVIDENCE: The service is in a small village close to Peterborough, and offers a domestic scale to the service it offers. Since the last inspection, the County Council have provided a grant for improvements to the home, which will include the access drive, and redecoration of communal areas, which will improve the standard available to people living there. Since the last visit, new carpets have been laid in parts of the home, and on the day the home was clean and tidy, with no unpleasant odours. Garden Lodge DS0000015117.V347128.R01.S.doc Version 5.2 Page 16 There are particularly pleasant garden to the rear of the home, with access to the people living there, and one of the ladies living in the home enjoys tending to the garden, and the service have recently supported her in some fundraising activities to provide a bird bath in the garden which the people living in the home can observe and enjoy. Garden Lodge DS0000015117.V347128.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. A well trained and competent team of staff ensure the needs of the people living there are met. EVIDENCE: The proprietor indicated that the service are finding it difficult to recruit and retain the right calibre of staff, and are now recruiting staff from abroad. In addition, the deputy manager is no longer with the service, leaving the proprietor with the responsibilities of day to day management. The existing staff team cover the required support needs of the people living in the home, and sufficient staff are available, but the long term recruitment issues need to be resolved. Records of the service’s recruitment procedures were seen, and files of three staff employed in the service were examined, and these demonstrated that the required records of staff are being maintained. Training plans were discussed with the proprietor, and staff are all receiving the required mandatory training as well as some additional specific training, for example dementia training is being given to all staff. Garden Lodge DS0000015117.V347128.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 and 38 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is well run and procedures in place, provided they are followed, ensure the health and safety of the people living and working there. EVIDENCE: As indicated earlier the home is managed by the proprietor, and although there has been a deputy manager appointed since the last inspection, she is no longer with the service, leaving the proprietor/manager running the service on a day to day basis. It would obviously assist the proprietor to have someone around to provide management support and cover, and ease the workload currently on her. However, the service appears well run, people living in the home are happy withy the support they receive, and able to take control of a number of areas of their lives, with support from the proprietor and staff. Garden Lodge DS0000015117.V347128.R01.S.doc Version 5.2 Page 19 The financial interests of people living in the home are protected by policies and procedures, and management help service users with day to day financial issues where required. Health and safety procedures are in place, and staff receive the necessary health and safety training. Maintenance records were examined, together with fire alarm checks, and the service must ensure that the emergency lighting is checked at least once a month. Garden Lodge DS0000015117.V347128.R01.S.doc Version 5.2 Page 20 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 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Garden Lodge DS0000015117.V347128.R01.S.doc Version 5.2 Page 21 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. 1 Standard OP7 Regulation 15(1) Requirement Timescale for action 31/10/07 2 OP38 Care plans must demonstrate the involvement of the person they relate to ensure support is provided in a way suited to the individual. 23(4)(c)(v All required health and safety 30/09/07 ) checks must be carried out to ensure the safety of people living and working in the home 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 OP7 Good Practice Recommendations Care plans should include the desired outcomes of people living in the home and receiving support Garden Lodge DS0000015117.V347128.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Garden Lodge DS0000015117.V347128.R01.S.doc Version 5.2 Page 23 - 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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