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Inspection on 15/02/06 for Kent Lodge Residential Home

Also see our care home review for Kent Lodge Residential Home for more information

This inspection was carried out on 15th February 2006.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Staffing levels remain good, with a minimum of 4 care staff on duty at all times during the day. Feedback from residents was particularly positive about the choice available to residents in all areas of daily living.

What has improved since the last inspection?

Monitoring of the home`s activities by the provider has improved over the last 12 months; with new forms being used which evidence the activities undertaken. Care plans have also improved, with additional `pen pictures` of residents daily needs available for staff to use as a working tool if needed. Assessments were seen to include more information than identified at previous inspections.

What the care home could do better:

Of the low number of National Minimum Standards assessed at this inspection, the main area for development identified was the need for the home to ensure that information on the availability of advocacy services was available to residents as part of the service user guide, and in the form of general information available at the home.

CARE HOMES FOR OLDER PEOPLE Kent Lodge Residential Home 434 Woodbridge Road Ipswich Suffolk IP4 4EN Lead Inspector Joe Staines Unannounced Inspection 15th February 2006 03:00 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.V283913.R01.S.doc Version 5.1 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.V283913.R01.S.doc Version 5.1 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.V283913.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th June 2005 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 stairlift. 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. Kent Lodge Residential Home DS0000024426.V283913.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the second inspection of Kent Lodge to take place in the inspection year 2005/6. The visit took place over 2 hours during the morning of 15th February. The manager, Mrs McNamee was present throughout the inspection and assisted by providing access to all the required documentation and clarifying issues raised by the inspector. The inspection included discussion with 3 members of staff and individual interviews with 4 residents. The feedback from residents was positive regarding the quality of care offered, and no adverse comments were made. This inspection focussed on those key standards, identified by The Commission for Social Care Inspection as needing to be inspected over the course of 12 months that were not inspected at the last inspection, those relating to shortfalls identified at the last inspection, and those relating to issues raised by staff and residents during the course of this visit. What the service does well: What has improved since the last inspection? Monitoring of the home’s activities by the provider has improved over the last 12 months; with new forms being used which evidence the activities undertaken. Care plans have also improved, with additional ‘pen pictures’ of residents daily needs available for staff to use as a working tool if needed. Assessments were seen to include more information than identified at previous inspections. Kent Lodge Residential Home DS0000024426.V283913.R01.S.doc Version 5.1 Page 6 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. Kent Lodge Residential Home DS0000024426.V283913.R01.S.doc Version 5.1 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.V283913.R01.S.doc Version 5.1 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 the following standard(s): 3 Residents and their representatives can be confident that the home ensures pre admission assessments are undertaken in respect of prospective residents. EVIDENCE: The inspector examined the files of the 3 residents admitted since the last inspection of the home. On each occasion, there was a full assessment undertaken by the placing authority, covering all of the areas identified in the National Minimum Standards. The manager also completed an additional assessment tool, a mini care plan, which gave additional information in specific areas relating to the daily living activities of residents. Kent Lodge Residential Home DS0000024426.V283913.R01.S.doc Version 5.1 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 the following standard(s): 7 Residents and their representatives can be confident that the home produces plans of care that set out the health, personal and social needs of individuals. EVIDENCE: 10 of care plans were examined as part of this inspection. Each of the plans contained information related to the needs of residents, as identified in the assessments undertaken as part of the admission process. The plans were reviewed 3 times a year, with additional changes made as/when required. Residents’ files also contained pen pictures and manual handling risk assessments. Kent Lodge Residential Home DS0000024426.V283913.R01.S.doc Version 5.1 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 & 15. Residents and their representatives can be confident that the home encourages and enables residents to exercise choice and control over their lives, however, the lack of clearly available information regarding the means to access advocacy services was a shortfall. Residents and their representatives can be confident that the home provides a balanced diet of meals approved of by residents and available in accordance with the individual preferences of residents. EVIDENCE: Residents interviewed by the inspector stated that the home encouraged and facilitated residents in making their own choices regarding mealtimes, room decoration, and attendance at activities. Residents also confirmed that they could see visitors in their own rooms for privacy if they chose to. The inspector interviewed one resident in their recently re-decorated room. The occupant stated she had a preference for blue colours in her clothing and surroundings and the room had been painted blue in accordance with this residents wish. Residents’ rooms also contained personal items such as ornaments, pictures, photographs and furniture. There were no references to advocacy services in the home’s service user guide, or in information displayed within the home. Kent Lodge Residential Home DS0000024426.V283913.R01.S.doc Version 5.1 Page 11 This was accepted by the manager as a shortfall and they assured the inspector such information would be displayed in future. The inspector spoke with a member of kitchen staff who confirmed that the kitchen had a list of residents with specials needs in relation to their diet. Nine of the residents have diabetes, and the kitchen was experienced in creating sugar free alternatives to the meals offered to residents. All of the residents interviewed stated that they found the meals appealing, and confirmed that it was the choice of the individual whether to eat in the dining room or in their own room and at what time to take meals. The staff interviewed confirmed that there was no set finishing time for meals, and that at least two members of staff were allocated to help residents who required assistance with eating, either in the dining room or their own rooms. The manager confirmed that the menu had recently been reviewed, including consultation with residents, and was due to change in the near future to reflect current preferences. Kent Lodge Residential Home DS0000024426.V283913.R01.S.doc Version 5.1 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 the following standard(s): Both of the key standards identified above were assessed as fully met at the last inspection of the home in June 2005. EVIDENCE: Kent Lodge Residential Home DS0000024426.V283913.R01.S.doc Version 5.1 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 the following standard(s): 24 & 26 Residents and their representatives can be confident that the home ensures all residents bedrooms are appropriately furnished, and that all parts of the home are maintained to a clean and fresh standard. EVIDENCE: As stated previously in this report some residents were interviewed in their own bedrooms. The observations of the inspector and the feedback from residents confirmed that the rooms were carpeted, furnished with all the required items, including those brought into the home by the residents. The inspector toured the interior of the home and found no evidence of any problematic odours, poor hygiene or lack of cleaning. The laundry was fitted with an impermeable floor covering and equipped with machines capable of sluicing and washing at 60°. Kent Lodge Residential Home DS0000024426.V283913.R01.S.doc Version 5.1 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): 27 Residents and their representatives can be confident that the home provides staff in numbers sufficient to meet the needs of residents. EVIDENCE: Examination of the home’s staff rota confirmed that during the week at least 4 members of staff are on duty up until 9pm, including at least one senior carer. The manager works one weekend day on two weeks out of 3, enabling them to maintain experience of care work, and see how the home works at weekends. Two waking night staff are on duty every night, and two domestic staff work a total of 32 hours per week. Staff who were interviewed stated that they felt able to meet the needs of residents within the staffing levels provided, and residents stated that they felt the staff were present in numbers high enough to ensure they responded to their needs when required to, including at night. Kent Lodge Residential Home DS0000024426.V283913.R01.S.doc Version 5.1 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): 37 Residents and their representatives can be confident that the provider regularly monitors the home, with appropriate records kept. EVIDENCE: The home has responded positively to the requirement made following the last inspection of the home by changing the format of, and the records maintained in respect of monthly monitoring visits by the provider. The provider now records the visits using a form provided by the Commission, which contains sections of the areas identified by regulation. Kent Lodge Residential Home DS0000024426.V283913.R01.S.doc Version 5.1 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X 3 X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X 3 X Kent Lodge Residential Home DS0000024426.V283913.R01.S.doc Version 5.1 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. 1 Standard OP14 Regulation 5 Requirement The registered persons must ensure that the service user guide sets out how a service user may access advocacy services. Timescale for action 03/04/06 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.V283913.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Kent Lodge Residential Home DS0000024426.V283913.R01.S.doc Version 5.1 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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