Inspection on 16/04/09 for Jeannette Lodge

This inspection was carried out on 16th April 2009.

CQC found this care home to be providing an Poor service.

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

Jeannette Lodge 13/07/09

Jeannette Lodge 12/01/09

Jeannette Lodge 19/02/07

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St Joseph`s

Ridgemount

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Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Random inspection report Care homes for older people Name: Address: Jeannette Lodge 15-17 Park Avenue Gillingham Kent ME7 4AS zero star poor service 12/01/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Sue McGrath Date: 1 6 0 4 2 0 0 9 Information about the care home Name of care home: Address: Jeannette Lodge 15-17 Park Avenue Gillingham Kent ME7 4AS 01634852894 01634851647 richardraj@rosedenerch.freeserve.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Golden Slumbers Limited care home 21 Number of places (if applicable): Under 65 Over 65 0 21 dementia old age, not falling within any other category Conditions of registration: 21 0 The maximum number of service users to be accommodated is 21 The registered person may provide the following category of service only : Care home only (PC) to service users of the following gender; Either whose primary care needs on admission to the home are within the following category ; Old age, not falling within any other category (OP) Dementia (DE) Date of last inspection Brief description of the care home Jeanette Lodge offers residential care to older people. They are registered for 21 service users, 6 of which provide care for service users with dementia. The home is a large detached property situated in a residential area and directly opposite an attractive park. The home is close to local shops, bus stops and local amenities. Chatham and Gillingham town centres are approximately one mile away. Care Homes for Older People Page 2 of 12 1 2 0 1 2 0 0 9 Brief description of the care home Accommodation is provided on three floors, the upper floors are accessible by chairlifts. All bedrooms have a call bell point. The home has a large garden, which is accessible for all residents. Fees are from 323.00 pounds to 408.00 pounds per week. Care Homes for Older People Page 3 of 12 What we found: The reason for this inspection was to confirm compliance the Statutory Requirement Notice issued on 13/02/09 that had a compliance date of 16/03/09 and the Statutory Requirement Notice issued on 13/02/09 that had a compliance date of 12/04/09. The outcomes are as follows: You were required by 16 March 2009 to: (i) Write and produce a service users guide that provides all of the correct and up to date information that is required by regulation. (ii) Ensure that every service user and prospective service user is provided with a copy of the new service user guide. (iii) Send a copy of the service user guide to the Commission. Although the service users guide was sent to the Commission it still did not fully comply with regulations. Therefore the Commission concludes that this element of the Statutory Requirement Notice has not been complied with. You were required by 16 March 2009 to: (i) Develop and implement a quality assurance/monitoring system, which complies with the regulations. (ii) The quality assurance/monitoring system must include projected dates throughout the year when identified key stages of the quality monitoring will take place. (iii) To submit to the Commission a copy of the quality assurance plan. (iv) Accurate, clear and dated records of each stage of the quality monitoring process must be kept. i) There was no evidence that any further work had been undertaken on quality assurance. The question airs seen were dated December 08 and were seen at the previous inspection. There was no evidence that any questionnaires had been sent to families or any other stakeholder as required by regulation. ii) There was no evidence that there was any system in place that included projected dates throughout the year when identified key stages of the quality monitoring would take place. iii) A quality assurance plan was not submitted to the Commission. iv) There was no evidence that as a result of consultation a quality assurance plan had Care Homes for Older People Page 4 of 12 been developed. Therefore the Commission concludes that this element of the Statutory Requirement Notice has not been complied with. You were required by 12 April 2009 to: (i) Have a system in place that ensures that all staff are recruited following a thorough recruitment procedure. (ii) Have full and detailed recruitment records for every member of staff employed to work for the registered service, in accordance with the Regulations. These records must be kept at the registered service and be made available for inspection. (iii) Ensure that all staff employed do not start to work for the registered service before you have received a satisfactory POVA first check. (iv) Have a system in place that staff that are working at the registered service with a POVA check but before the receipt of the CRB check, are appointed a supervisor who works with this member of staff at all times, until such time as a satisfactory CRB is received. Records of these arrangements, including names and dates, must be kept and the appointed supervisor must be fully aware of their role and responsibilities. i) and ii) We found that although you had completed some work in meeting the statutory notice you still had staff that did not have the full information required by regulation and therefore did not have a suitable system in place. We still found staff without the necessary paperwork in places including work permits. A person working without a legal passport was still working in the home even after you were advised of the problem at the last inspection. iii) and iv) CRB checks were now in place and new staff were working with only POVA first checks under supervision. Therefore the Commission concludes that this element of the Statutory Requirement Notice has not been fully complied with. The overall outcome of this inspection was that the Statutory Requirement Notices have not been met and further action will now be considered by the Commission. What the care home does well: What they could do better: The owner has been asked to resined as the registered manager and appoint a person with the relevant qualifications and experience. The registered provider must also ensure he fully reads, understands and complies with Care Homes for Older People Page 5 of 12 the Statutory Requirements Notice. The Commissions enforcement pathway will now be followed and further action may be considered. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 12 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 1 4 The registered person must 30/04/2007 produce a service user guide as defined in part one section five of the Care Home Regulations 2001. A copy to be forwarded to the commission on completion. 2 16 22 The registered person must 27/02/2009 ensure that there is a simple, clear and accessible complaints procedure which includes the stages and timescales for the process, and that complaints are dealt with promptly and effectively. The homes complaint procedure must be made available to all residents and their relatives to ensure they are fully aware of the procedure of required. 3 29 19 All staff must hold a satisfactory police check (CRB) 31/03/2007 4 30 18 The registered person shall, having regard to the size of the care home, the statement of purpose and 31/03/2009 Care Homes for Older People Page 7 of 12 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action the number and needs of service users ensure that the persons employed by the registered person to work at the care home are trained appropriately to the work they are to perform. All staff must undertake mandatory training on Moving and Handling, First Aid, Fire Awareness Training and Safe Guarding Vulnerable Adults. The level of First Aid training must reflect the requirements of the Health and Safety Executive. 5 30 18 The registered person shall ensure that all staff are appropriately trained In that all staff undergo structured induction training that meets with the Common Induction Standards Framework. 6 33 24 An effective quality 31/08/2007 assurance and quality monitoring systems, based on seeking the views of service users, needs to be in place to measure success in meeting the aims, objectives and the statement of purpose of the home. It is recognised that the owner has only been at Jeanette Lodge for five months and is waiting for a suitable length of time so the judgements can be made on the change Page 8 of 12 31/03/2009 Care Homes for Older People Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action of ownership. 7 36 18 The registered person shall 27/02/2009 ensure that persons working at the home are appropriately supervised. In that all staff receive formal supervision at least six times a year. 8 37 17 The registered person shall 28/02/2009 ensure that records are kept up to date. In that policies and procedures are reviewed and amended as required on an annual basis 9 38 23 The registered person shall after consultation with the fire and rescue authority make adequate arrangements for people working in the care home to receive suitable training in fire prevention and ensure regular fire drills are undertaken. In that staff have receive instruction regarding fire drills and are aware of the procedure to be followed in case of fire. 28/02/2009 10 38 12 The registered provider shall 23/02/2009 ensure that the care home is conducted so as to promote and make proper provision for the health and welfare of Page 9 of 12 Care Homes for Older People Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action the service users and staff. In that all necessary maintenance and safety checks are carried out on a regular basis. 11 38 23 The registered person ensures that safe working practices include fire safety: understanding and implementations of appropriate fire procedures. All staff must be aware of the fire precautions and drills 24/01/2009 Care Homes for Older People Page 10 of 12 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 11 of 12 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. 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