Inspection on 27/07/05 for Haven Lodge

This inspection was carried out on 27th July 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

Haven Lodge 07/04/06

Haven Lodge 18/11/05

Haven Lodge 29/12/04

Haven Lodge 07/06/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Haven Lodge 54 Terrace Road Plaistow London E13 0PB Lead Inspector Helen Fontaine Unannounced Inspection 27th July 2005 at 10:00am 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. Haven Lodge G57 G06 S28357 Haven Lodge V241478 270705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Haven Lodge Address 54 Terrace Road, Plaistow, London, E13 0PB 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) 020 8472 3032 020 8470 8959 Pridegold Ltd Dhunraz Ramjeawon Care Home 15 Category(ies) of Dementia - over 65 years of age (15) registration, with number of places Haven Lodge G57 G06 S28357 Haven Lodge V241478 270705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 29th December 2005 Brief Description of the Service: Haven Lodge is a registered care home for older people, including those who suffer from dementia. The home provides both respite and permanent care. The home has thirteen single and one double room. The building is located in a quiet residential area in Plaistow, close to public transport and other amenities. Car parking is unrestricted on the road. The proprietors are Pridegold Ltd. Haven Lodge G57 G06 S28357 Haven Lodge V241478 270705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Unannounced Inspection took place over 3 hours and was carried out as part of the usual yearly inspections. There were two Requirements from the previous Inspection, both of these had been acheived within the time scale set in the previous inspection. Inspector did a tour of the building and a number of records were inspected. Two residents of the 15 and one member of staff were spoken to, other residents and staff were spoken to during the tour of the building. There were no visitors present during the inspection. What the service does well: What has improved since the last inspection? What they could do better: The home does need to employ an activities worker, the residents spoken to clearly enjoyed this activity. The staff are trying to maintain activities, but do have to fit this in with their other work. The staff are still having to carry hot meals down the corridor, the home is in the process of looking at different ways of preventing this. Haven Lodge G57 G06 S28357 Haven Lodge V241478 270705 Stage 4.doc Version 1.40 Page 6 The flooring in the dinning room was lifted to allow maintenance on the floor that had subsided, this had caused cracking to the flooring. All cracks had been appropriately taped with visible tape, but does need to be replaced. 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. Haven Lodge G57 G06 S28357 Haven Lodge V241478 270705 Stage 4.doc Version 1.40 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 Haven Lodge G57 G06 S28357 Haven Lodge V241478 270705 Stage 4.doc Version 1.40 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) 3 The home has met the standard, its admission procedure is in depth with a good assessment. EVIDENCE: Individual records are kept for each of the residents and inspection of the records for the most recent admission and two other had a full assessment and information recorded. The homes own assessment was in place, that clearly evidenced the home could meet the residents needs. Relatives are encouraged to be involved, this was evidenced by a relative bringing a resident back and being invited in to discuss the visit. Haven Lodge G57 G06 S28357 Haven Lodge V241478 270705 Stage 4.doc Version 1.40 Page 9 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) 7,9 and 10 Haven Lodge have continued to improve arrangements to ensure that the health care needs of residents are identified and met. EVIDENCE: Individual records inspected showed individual plans of care are available, which showed all aspects of health, personal and social care needs are identified and planned for. Significant events in the home had been recorded, daily entries into case records had been made and entries available gave indication of care given. A new record of administered and disposed of medication was inspected and found to adequate. All residents where appropriate were encouraged to be responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. During the inspection of the new record and the customer’s files, there was a clear documented track of medication with staff signatures. Residents had all personalised their rooms, this was evidenced during the tour of the home. The two residents spoken to both spoke of enjoying time in their Haven Lodge G57 G06 S28357 Haven Lodge V241478 270705 Stage 4.doc Version 1.40 Page 10 room and being able to get up and go to bed when they wanted to. One resident said “I do like to watch all the soaps on my television in my room”. Haven Lodge G57 G06 S28357 Haven Lodge V241478 270705 Stage 4.doc Version 1.40 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) 14 Social activities could be improved, but there are activities going on with staff on duty. EVIDENCE: Two people living in the home were spoken to and both commented that they were offered daily choices. Menus were found to be balanced and interesting and meal times were flexible, both people spoken to said “we can have our breakfast when ever we want to”. Both people spoken to commented on how much they enjoyed the activities organised by previous activities worker and how much they missed this. One of the people living in the home had been taken to visit a relative and said how much they enjoyed this. Another commented that they had lots of visitors with a cake and party laid on for their special birthday. It was noted however that both people spoken to did say that they would have liked to go out more than they did. Haven Lodge G57 G06 S28357 Haven Lodge V241478 270705 Stage 4.doc Version 1.40 Page 12 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 Complaints are dealt with well and the Service Users are protected from abuse. EVIDENCE: There is currently a complaint by one of the people living in the home, the member of staff is suspended and the Commission for Social Care Inspection was informed. A statement from the resident was taken and was seen during the inspection, the home is currently investigating this incident and will take statement from the suspect. The procedure for Vulnerable Adults was inspected and the home has its own internal procedure as well as that of the Local Authority. Haven Lodge G57 G06 S28357 Haven Lodge V241478 270705 Stage 4.doc Version 1.40 Page 13 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) 26 The home was clean, pleasant and hygienic, there are now the necessary sluicing facilities which was the requirement from the previous inspection. EVIDENCE: During the inspection a tour of the building was undertaken and the home was clean, pleasant and hygienic. One toilet in a resident’s bath room, was in need of cleaning but the Manager said that he had employed a cleaner who kept this clean. Other bathrooms in the home were all clean, pleasant and hygienic. All carpets were clean and the Manager said that he had them steamed cleaned regularly and the last one had only been done the week before this inspection. A member of staff spoken to; who had worked in other homes, commented that the home was very clean. The home have leased a new washing machine that has sluicing facilities, this was a requirement from the previous inspection. Haven Lodge G57 G06 S28357 Haven Lodge V241478 270705 Stage 4.doc Version 1.40 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 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) 29 and 30 All staff go through a recruitment procedures, with a development programme and training. EVIDENCE: During the inspection staff files were looked at one of the files inspected was for a new member of staff. Two references were seen on the file and a current CRB issued for the appointment of this member of staff. All induction forms were seen as complete, along with a current training schedule. Other staff files also showed references, CRB’s photo’s of the member of staff and all necessary information. Separately kept were the training schedule, which evidenced the competency of the staff to do their jobs. Haven Lodge G57 G06 S28357 Haven Lodge V241478 270705 Stage 4.doc Version 1.40 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 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 welfacre of Service users are protected. However there remains the issue of hot food being carried down the corridor. EVIDENCE: During the tour of the building, the new large shed was seen at the bottom of the garden. The garden was seen to be clean and tidy and no gardening equipment was seen, although it needs to be noted that no tour of the garden was made. During the tour of the home, no furniture was seen stored in the home that would put residents at risk. The staff still have to walk down the corridor with plates of hot food, the manager said that there are now risk assessments in place. The manager produced a brochure of possible trolleys, it was difficult to find one that would negotiate the corner between the kitchen and the corridor. It was clear however that efforts to address this problem were being made. Haven Lodge G57 G06 S28357 Haven Lodge V241478 270705 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 x COMPLAINTS AND PROTECTION x x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 3 30 3 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 3 Haven Lodge G57 G06 S28357 Haven Lodge V241478 270705 Stage 4.doc Version 1.40 Page 17 NO 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 38 Regulation 23(2) Requirement The Registered Manager shall have regard to physical layout of the building to prevent hot meals being carried down a corridor. Timescale for action 27/10/05 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 12 Good Practice Recommendations Service users are given the for stimulation and recrational activities. Haven Lodge G57 G06 S28357 Haven Lodge V241478 270705 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Gredley House 1-11 Broadway London E15 4BQ 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 Haven Lodge G57 G06 S28357 Haven Lodge V241478 270705 Stage 4.doc Version 1.40 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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