Inspection on 13/03/07 for Kent Lodge Residential Home

This inspection was carried out on 13th March 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Kent Lodge Residential Home 15/02/06

Kent Lodge Residential Home 15/06/05

Kent Lodge Residential Home 19/11/04

Kent Lodge Residential Home 04/08/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Kent Lodge Residential Home 434 Woodbridge Road Ipswich Suffolk IP4 4EN Lead Inspector Ray Burwood Unannounced Inspection 13th March 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 Kent Lodge Residential Home DS0000024426.V333976.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. Kent Lodge Residential Home DS0000024426.V333976.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kent Lodge Residential Home Address 434 Woodbridge Road Ipswich Suffolk IP4 4EN 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) 01473 716146 01473 729896 Mrs Pauline Kent Mrs Anne K McNamee Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Kent Lodge Residential Home DS0000024426.V333976.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th February 2006 Brief Description of the Service: The home is situated in a residential area, close to Ipswich town centre. Public transport is available in the form of regular buses into the main shopping areas and all town centre facilities. The home provides accommodation for 29 older people on two floors of the building with access to the first floor by either the staircase or stair lift. The home has a medium sized garden, with shrubs, trees and bird feeding tables included. There are 17 single and six shared bedrooms. Each bedroom is carpeted and is appropriately furnished. There are two lounges on the ground floor in addition to a number of smaller sitting areas. The dining room has adequate tables to accommodate all residents should they wish to take meals in the dining room although service users may take meals in their private rooms should they wish to. The fee charged by the home is £331.00 per week for single accommodation and £321.00 for a shared room. Items not covered by fees are hairdressing, newspapers and magazines. Requesting the Statement of Purpose and Service Users’ Guide direct from the home can provide information about the service. Kent Lodge Residential Home DS0000024426.V333976.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was carried out on the 13th March 2007 between the hours of 10.00 am and 3.30pm with the help of the senior’s on duty during the morning and afternoon; residents; relatives and care staff, my thanks to them all. The Registered Manager of the home was off duty. A total of 22 Key standards were inspected, a tour of the premises undertaken and discussions with residents and relatives took place throughout the site visit. Records and documents relating to care practices; protection; management of the home; safety; staff supervision and training were examined. Residents spoken with said they were happy living in the home and thought the standard of personal care was carried out in a professional manner with their independence and dignity respected. A relative visiting her mother was complimentary about how the home made her mothers admission a positive experience and ensured that an agreement with the resident she would share with was in place prior to admission. What the service does well: Kent Lodge provides a good standard of accommodation that is well furnished, decorated and comfortable. The home offers a good standard of care by experienced and qualified staff in sufficient numbers to meet the assessed personal and health care needs of service users. Service users feel that they are respected and their dignity preserved by a caring team of staff. Comments received from service users and visitors indicated that they were consulted about proposed changes, and their opinions sought in all aspects of the running of the home. Relatives and friends are made welcome and are encouraged to join in the daily routines if they wish. Kent Lodge Residential Home DS0000024426.V333976.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Kent Lodge Residential Home DS0000024426.V333976.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 Kent Lodge Residential Home DS0000024426.V333976.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): 1,3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s Statement of Purpose and Service User Guide are good in providing existing service users and prospective service users with information about the service, but neither provide sufficient information about advocacy services. Service users’ needs are comprehensively assessed prior to moving into the home and a plan of visits to enable individuals to make an informed choice about moving into the home. EVIDENCE: The home’s Service Users Guide was examined and did not include details relating to advocacy services available to prospective residents who may not Kent Lodge Residential Home DS0000024426.V333976.R01.S.doc Version 5.2 Page 9 have a relative or representative to help with the assessment/admission process. Three care plans were sampled, inspected and further discussed with each resident about their involvement in the assessment process. Two residents said they were involved in most areas of their assessment but were happy for the Manager to complete other details. Additional information was included that had been received through Care Management arrangements from social care and health services. One relative spoken with said she helped with her mothers’ assessment and provided additional information in order to generate a plan of care. The home does not offer intermediate care. Kent Lodge Residential Home DS0000024426.V333976.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): 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. The health, welfare and personal care needs of service users are well met with a clear consistent care planning system being in place. However, not all care plans had a risk assessment in place. The systems for the administration of medication are good with clear arrangements being in place to ensure service users’ medication needs are met. Kent Lodge Residential Home DS0000024426.V333976.R01.S.doc Version 5.2 Page 11 EVIDENCE: Care planning documentation examined had been replaced with a more detailed proforma and were sufficiently up to date, detailed, and contained clear information to support staff in meeting the needs of individual service users. Care plans covered areas such as bathing; mobility; personal and social care needs, special dietary needs and preferences, and continence. However, not all contained risk assessments. Three service users who were part of the case tracking process were interviewed and care planning documentation examined. Evidence that the home promoted equality and diversity was found in the three plans and ranged from supporting service users who were partially blind, diabetic (self injecting) and one service user who was carrying out her own personal care following a colostomy operation. Senior carers had received the appropriate training to be able to support these protocols. Care staff spoken with confirmed that they were responsible for the reviewing care plans on a monthly basis, or updating plans to reflect changing needs and current objectives for service users’ health and personal care. A range of health care professionals, district nurses, chiropodists etc, visit the home regularly, or visit following a referral made by individual service users’ General Practitioners. The administration of medication was observed to be safe with records examined being correct, also, the safety of service users being supported by relevant and appropriate policies and procedures. The home had introduced a system of information sharing with hospitals/clinics relating to service users’ medication when they were admitted or had appointments. One service user was able to take responsibility for his inhaler within a risk management framework. Another service user was supported in the self-administration of their insulin within a risk management framework. Observations continually carried out during the site visit showed that staff had a good awareness of how to protect the privacy and dignity of service users. All staff was seen to knock on doors and wait to be invited in. Service users spoken with said they were pleased with the standard of care provided by the home. Kent Lodge Residential Home DS0000024426.V333976.R01.S.doc Version 5.2 Page 12 Discussions with seniors and care staff confirmed that some service users showed signs of forgetfulness and possibly the onset of early stages of dementia developed during the time they had been living in the home. Seniors were advised to discuss this with the manager and make arrangements through the local CSCI office for advice about the home’s registration. . Kent Lodge Residential Home DS0000024426.V333976.R01.S.doc Version 5.2 Page 13 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): 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. Social activities and meals are well managed, creative, and provide a daily variation and interest for people living in the home. EVIDENCE: From observations made on the day of the site visit and the examination of care plans sampled, there was evidence that service users were involved in planned activities such as social and recreational activities if they wish. Service users are offered religious service weekly. One service user spoken with was looking forward to better weather so they could start to plant bulbs and flowers in the garden. Contact with relatives and friends is supported and encouraged by the home and visitors made welcome. Visitors spoken with felt that they are able to visit Kent Lodge Residential Home DS0000024426.V333976.R01.S.doc Version 5.2 Page 14 whenever they wished, and are encouraged to be involved in the routines and activities of the home. Service users’ who are able, manage their own finances/personal allowances and are encouraged to maintain these arrangements with the support of the home. Personal allowances are looked after by the home for those unable to manage their allowances, with records and receipts kept of transactions. The home provides secure facilities for cash and personal items. As previously reported under National Minimum Standard (NMS) 1, information regarding how to contact advocacy services is not made available to service users and their relatives through the home’s Service Users Guide. Evidence was seen during a tour of the premises that service users bedrooms contained items of their own furniture, and other personal possessions such as ornaments and photographs. Service users spoken with during the lunch time period were complimentary about the choice of food provided by the home. One lady who had special dietary needs was complimentary about the choice of food, given the restrictions she faced in maintaining her good health due to being a diabetic. Several of the other service users were also diabetic and known to the cook who prepares special meals. Kitchen facilities and records were examined and found to be correct in relation to food temperature checks, equipment maintenance, and cleaning routines. Kent Lodge Residential Home DS0000024426.V333976.R01.S.doc Version 5.2 Page 15 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): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s complaints policies and procedures help ensure that service users and their families feel confident in raising concerns or complaints, know they will be listened to, and action taken to resolve them. Adult Protection policies and procedures, together with appropriate staff training, help ensure that service users are protected from abuse. EVIDENCE: The home has a detailed complaints policy and procedure that is made available to individuals wishing to register a complaint. Information for service users is contained in the Service Users Guide, with the addresses and telephone numbers of other agencies, including the Commission for Social Care Inspection (CSCI), that service users and others may wish to contact. Neither the Commission or the home have received any complaints since the home’s last inspection. Policies and procedures relating to Adult Protection and Whistle Blowing were in place together with local policies and guidelines. Kent Lodge Residential Home DS0000024426.V333976.R01.S.doc Version 5.2 Page 16 Staff spoken with had a good understanding of how to protect and prevent abuse situations and confirmed that they had undertaken Adult Protection training courses. The Senior Carer provided the evidence of further training courses that were made available for new staff and refresher training for established staff. There are no current adult protection alerts relating to this home. Kent Lodge Residential Home DS0000024426.V333976.R01.S.doc Version 5.2 Page 17 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): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment within this home is good and provides residents with an attractive and homely place to live. EVIDENCE: From the evidence found during a tour of the premises and discussions with staff and service users, there had been a continuation of the refurbishment programme since the last inspection visit. At the time of the site visit a new stair lift was being fitted. Kent Lodge Residential Home DS0000024426.V333976.R01.S.doc Version 5.2 Page 18 The home was clean, tidy and well maintained on the day of the site visit with records seen of an ongoing programme of routine maintenance both internally and externally. Service users’ bedrooms both single and double were observed to be furnished to a good standard, and contained personal items. Double rooms were appropriately screened to ensure service users privacy and agreements in place in relation to sharing. The home’s laundry and sluicing facilities are well maintained and provide for all residents needs. They are located separately to the home’s communal areas and bedrooms, reducing the risk of cross infection. During the tour of the premises no evidence was found in any areas of offensive odours. Kent Lodge Residential Home DS0000024426.V333976.R01.S.doc Version 5.2 Page 19 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): 27,28 and 29. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from the support of competent, qualified and skilled staff, that results in good morale and enthusiasm to improve their quality of life. The home operates a robust recruitment process that helps ensure the safety of residents. EVIDENCE: Staffing levels during the day are the required hours calculated using the Department of Health ‘Residential Forum’ guidance and remain the same as the last site visit. Night working and domestic staff numbers are also the same as the previous inspection. Service users and their relatives spoken with thought there was always sufficient staff on duty to meet needs. Seven of the seventeen members of staff have completed their National Vocational Level 2 or above training. The Registered Manager has completed the Registered Managers Award (RMA) and is qualified in both care and management. Kent Lodge Residential Home DS0000024426.V333976.R01.S.doc Version 5.2 Page 20 The recruitment files of four members of staff were sampled and inspected against Schedule 2, Regulation 19 of the Care Homes Regulations 2001. All files contained the required information such as references and appropriate checks. Training and employment histories were also evident. Staff are currently following the induction programme and foundation training provided by the YMCA in line with the training targets of Skills for Care. Four members of staff are currently undertaking dementia training (Dementia Awareness). Kent Lodge Residential Home DS0000024426.V333976.R01.S.doc Version 5.2 Page 21 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): 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 management of the home is good ensuring that the health and safety of residents and others is promoted. EVIDENCE: As previously reported the Registered Manager is appropriately qualified, competent and experienced to manage the service for which they are employed. Unfortunately the Registered Manager was off duty at the time of the site visit, however, individuals spoken with said the home was managed effectively and in a homely manner with management planning and practice Kent Lodge Residential Home DS0000024426.V333976.R01.S.doc Version 5.2 Page 22 being open. Records relating to the home’s quality assurance were not accessible during this site visit, however, pre-fieldwork planning indicated that a system of consultation was in place and there was satisfaction expressed by those using the service or those supporting it. Service users’ finances were checked and records found to be in place regarding expenditures and transactions. Records relating to the health and safety of individuals living and working in the home were well maintained with appropriate training undertaken by staff in safe working practices. Records relating to routine the servicing and maintenance of equipment was examined and found to be up to date. Kent Lodge Residential Home DS0000024426.V333976.R01.S.doc Version 5.2 Page 23 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 X 3 X X 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 3 Kent Lodge Residential Home DS0000024426.V333976.R01.S.doc Version 5.2 Page 24 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. Standard OP7 Regulation 13 (4) Requirement Service users’ care plans must include up to date risk assessments and are reviewed appropriately. The Service User Guide must set out how a service user can access advocacy services should they wish to have an independent representative. Timescale for action 31/05/07 2. OP14 OP1 5 31/05/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Kent Lodge Residential Home DS0000024426.V333976.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Kent Lodge Residential Home DS0000024426.V333976.R01.S.doc Version 5.2 Page 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!