Inspection on 13/12/05 for Harbledown Lodge Nursing Home

This inspection was carried out on 13th December 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 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

Harbledown Lodge Nursing Home 15/05/08

Harbledown Lodge Nursing Home 16/05/07

Harbledown Lodge Nursing Home 31/08/06

Harbledown Lodge Nursing Home 22/06/05

Harbledown Lodge Nursing Home 14/04/04

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

CARE HOMES FOR OLDER PEOPLE Harbledown Lodge Nursing Home Upper Harbledown Canterbury Kent CT2 9AP Lead Inspector Announced Inspection 28th November 2005 09:30 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 Harbledown Lodge Nursing Home DS0000026096.V254711.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. Harbledown Lodge Nursing Home DS0000026096.V254711.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Harbledown Lodge Nursing Home Address Upper Harbledown Canterbury Kent CT2 9AP 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) 01227 458116 01227 453737 Unique Help Group Vacant Care Home 56 Category(ies) of Old age, not falling within any other category registration, with number (56) of places Harbledown Lodge Nursing Home DS0000026096.V254711.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd June 2005 Brief Description of the Service: Harbledown Lodge is an elegant Georgian Country House. It is set within 50 Acres of grounds. The Home is approached by its own private drive. Also within the grounds is a day centre. The Home has access to the centres facilities. The Home has parking spaces for visitors. Harbledown Lodge offers nursing care for up to 56 Service Users. It has forty-two single rooms and seven double rooms. Many rooms have en-suite facilities. Each room has a call system, telephone and TV Harbledown Lodge Nursing Home DS0000026096.V254711.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection. It was conducted with the assistance of the Registered Manager Mrs. Julie Caine over a one day period. The inspector spoke with people that live in the home and staff. The inspector received positive feedback in the form of comment cards from visitors and people that live in the home. 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. Harbledown Lodge Nursing Home DS0000026096.V254711.R01.S.doc Version 5.0 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 Harbledown Lodge Nursing Home DS0000026096.V254711.R01.S.doc Version 5.0 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 Prior to each person moving into the home, their needs assessed this is to ensure the home can meet individuals needs. EVIDENCE: People only move into the home after having a comprehensive, holistic assessment, conducted by the Manager or another nurse trained to do so. Pre-admission assessments viewed were in-depth, exploring physical, psychological, and social needs. Harbledown Lodge Nursing Home DS0000026096.V254711.R01.S.doc Version 5.0 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): 7,9 People that live at the home have an individual plan of care. The homes policies and procedures for administering medication safeguard the people that live there. EVIDENCE: A number of care plans were viewed. Care plans are developed from the information that is gathered at the initial pre-admission assessment and additionally for some people, the care manager’s assessment of needs. Care plans were well written, and well reviewed. They held appropriate information to enable staff to care for the people who live in the Home. Suitable risk assessments are in place to ensure as far as reasonably practicable the safety of people living in the home. Records for the receipt, administration and disposal of medicines were viewed. They are well documented and appropriately recorded. The home has a suitable medication room, with a sink, and controlled medications cupboard. Medication amounts were cross-referenced to the controlled medicines book and found to tally. It was noted that the sharps box in the medical room was not dated. Recommendation made regarding this matter. (Recommendation 1 Part A). Harbledown Lodge Nursing Home DS0000026096.V254711.R01.S.doc Version 5.0 Page 9 Medication administration records were well recorded. Only one person in the home self-administers. Suitable procedures, in line with the homes only policy allows for this to be monitored. Harbledown Lodge Nursing Home DS0000026096.V254711.R01.S.doc Version 5.0 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): 14 People that live in the home can exercise choice and control over their lives. EVIDENCE: People in the home are encouraged to make their own choices. They can make choices such as: when they get up and when they go to bed. There are meetings for the people that live in the home, so that they can influence the way in which they live. Meetings are recorded and actioned. People are encouraged to look after their own finances, but the home does hold small amounts of pocket money for people who cannot manage their own money. People that live in the home have their preferences regarding the way they live recorded in their care plan. Harbledown Lodge Nursing Home DS0000026096.V254711.R01.S.doc Version 5.0 Page 11 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): 18 People that live in the home are protected from abuse. EVIDENCE: All nurses and carers at the home have had training in the prevention of adult abuse. Carers cover this subject in their induction training. Carers that the inspector spoke with demonstrated a good knowledge of abuse issues. The home has a suitable whistle blowing policy. The home has had no allegations of abuse and no POVA referrals. Harbledown Lodge Nursing Home DS0000026096.V254711.R01.S.doc Version 5.0 Page 12 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): 19,21,26 The home is safe and well maintained. The home has a sufficient amount of bathrooms suitable to the needs of people that live in the home. The home is clean and hygienic throughout. EVIDENCE: The lay out and location of the home is suitable for its stated purpose. The Home is accessible and well maintained; the grounds are accessible to wheelchair users and are kept tidy, attractive and safe. The building complies with the requirements of the local fire service and environmental health department. The home has automatic door closures fitted on all doors. Bathroom and toilets were clean and uncluttered. All bathrooms have suitable locks. The home has a selection of assisted bathrooms. People that live in the home have the option of having either a bath or a shower. Harbledown Lodge Nursing Home DS0000026096.V254711.R01.S.doc Version 5.0 Page 13 The home was clean throughout and free from offensive odours. Bathrooms, toilets and sluices have appropriate hand washing facilities i.e. paper towels and liquid soap, for the control of infection. Harbledown Lodge Nursing Home DS0000026096.V254711.R01.S.doc Version 5.0 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): Not inspected at this inspection EVIDENCE: Harbledown Lodge Nursing Home DS0000026096.V254711.R01.S.doc Version 5.0 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): 31,35 The Manager is trained and competent to be in charge of the Home. Service users finances are safe guarded. EVIDENCE: The Registered manger is a trained nurse. She has recently been registered by the Commission to be the Manager of Harbledown Lodge. She was previously registered as the Manager of another Home within the group. Staff and people who live at the home agreed that the Manager was approachable. The Home has meetings for night staff, day staff, maintenance, the people who live in the Home, and the groups Managers. These are all minuted and actioned. The home holds pocket money for some people. The home provides secure facilities for the safe keeping of people’s money. Money is held individually, and not pooled. Receipts of any transactions are retained. Three peoples money was cross-referenced to their accounts and were found to be accurate. Harbledown Lodge Nursing Home DS0000026096.V254711.R01.S.doc Version 5.0 Page 16 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 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 3 3 x 3 x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x 3 x x x Harbledown Lodge Nursing Home DS0000026096.V254711.R01.S.doc Version 5.0 Page 17 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. 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 Refer to Standard OP9 Good Practice Recommendations The labels on sharps boxes should be dated. Harbledown Lodge Nursing Home DS0000026096.V254711.R01.S.doc Version 5.0 Page 18 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 Harbledown Lodge Nursing Home DS0000026096.V254711.R01.S.doc Version 5.0 Page 19 - 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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