Inspection on 15/06/05 for Kent Lodge Residential Home

This inspection was carried out on 15th June 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

Kent Lodge Residential Home 13/03/07

Kent Lodge Residential Home 15/02/06

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 Joe Staines Announced 15 June 2005 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. Kent Lodge Residential Home v218325 i54-i04 s24426 kent lodge v218325 050621 stage 4.doc Version 1.30 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 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 681609 Mrs Pauline Kent Mrs Anne McNamee Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Kent Lodge Residential Home v218325 i54-i04 s24426 kent lodge v218325 050621 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 9/11/04 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 v218325 i54-i04 s24426 kent lodge v218325 050621 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was conducted by Joe Staines (Regulation Inspector), between the hours of 10am and 3pm. The inspection was facilitated by Mrs McNamee (Registered Manager) and Mrs Kent (Registered Proprietor), both of whom were present throughout. The Commission for Social Care Inspection received 14 comment cards from service users and one from the relative of a service user. All of the responses were positive about the quality of care provided at the home, and no complaints or concerns were raised, either in the comment cards, or in the verbal statements made by 7 service users who were spoken to due during the inspection. What the service does well: What has improved since the last inspection? The home have responded to recommendations made, following the last inspection, in relation to the provision of hygienic facilities in bathrooms and toilets. The numbers of staff with NVQ 2 was not inspected at the last inspection, although reports from the manager confirmed that the current situation is an improvement on where the home was at the time of the last inspection. Kent Lodge Residential Home v218325 i54-i04 s24426 kent lodge v218325 050621 stage 4.doc Version 1.30 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 v218325 i54-i04 s24426 kent lodge v218325 050621 stage 4.doc Version 1.30 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 Kent Lodge Residential Home v218325 i54-i04 s24426 kent lodge v218325 050621 stage 4.doc Version 1.30 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 & 4 The home could not assure all prospective residents and their families that comprehensive pre admission assessments would be undertaken. Service users and relatives could be assured that the home is equipped to meet the needs of those, whose needs fall within the home’s category of registration. EVIDENCE: The inspection included the examination of the files of the three most recently admitted service users. Two contained detailed pre admission assessments completed by the placing authority, however the file of one service user did not contain the same level of information. The inspection of records and discussion with service users and staff confirmed that specialist and clinical services were accessed for and on behalf of individual service users as required. Staff training records confirmed that the staff team, as a whole, was equipped to meet the identified needs of service users. Kent Lodge Residential Home v218325 i54-i04 s24426 kent lodge v218325 050621 stage 4.doc Version 1.30 Page 9 Kent Lodge Residential Home v218325 i54-i04 s24426 kent lodge v218325 050621 stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10 & 11 The home has set out how it intends to meet the needs of service users in the plans of care, however, these could not be said to address all areas of care and should be expanded. Service users and their relatives could be assured that the home will provide medication within a policy and procedure framework that protects service users. Service users and their relatives can be assured that the home will meet the health care needs of service users, including personal care in a way which protects service users and promotes the privacy and dignity of individuals. The practices and policies of the home around providing care to service users at the time of their death ensure that the issue is handled with dignity and propriety, and that spiritual needs are ascertained and respected. EVIDENCE: Care plans were examined in respect of three service users. The plans were split into four main sections, manual handling, day care, night time care and personal care. A wide range of information was contained within these sections, but some gaps were noted, including social interests and hobbies. Visits by health care professionals were recorded in care plans. Appointments were seen recorded in the homes communication book, with hospital Kent Lodge Residential Home v218325 i54-i04 s24426 kent lodge v218325 050621 stage 4.doc Version 1.30 Page 11 appointments recorded in the home’s diary. One service user was identified as having a pressure ulcer. The manager reported that the service user concerned was discharged from hospital with this condition. The records in relation to this service user confirmed that district nurse visits were undertaken twice a week. The inspection of medication storage and record keeping confirmed that the home complied with the National Minimum Standards in this area. Records were complete, with no gaps and clear records when medication had not been administered, identifying the reason. Medicines were appropriately stored, including controlled drugs, which were signed for by two members of staff when administered. Service users stated that the way personal care was provided in the home did not compromise the privacy or dignity of those receiving the care. Personal care, including medical treatment, was provided in bedrooms. The manager confirmed that bed baths were available to service users if requested. There was a quiet area of the home that could be used for contact between service users and visitors, if the service user’s bedroom was not appropriate for this. The home had a policy on working with service users who had a terminal illness. Staff training records confirmed that training in relation to the funeral process had been delivered recently. Interviews with staff confirmed that the arrangements the home had in place for supporting service users and relatives of service users who were nearing the end of their lives were based on the known views of those concerned, and the promotion of the dignity of service users. Kent Lodge Residential Home v218325 i54-i04 s24426 kent lodge v218325 050621 stage 4.doc Version 1.30 Page 12 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) 12 & 13 The home provides a range of activities, which matches the expressed preferences of service users, who have choice over whether to take part. Contact with visitors is facilitated, as is contact with the local community. EVIDENCE: There was a notice board, situated in a central location within the home, containing information about the activities planned for that day. The activities programme was based on a four week rolling programme, which was included in the home’s service users guide. Feedback from service users spoken to during lunch was consistently positive about the activities offered at the home, and the choice afforded to service users, as to whether they take part or not. An example of good practice was the increased provision of bird watching tables and feeders in the garden, placed following requests from service users. Kent Lodge Residential Home v218325 i54-i04 s24426 kent lodge v218325 050621 stage 4.doc Version 1.30 Page 13 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) 16 & 18 Service users and their relatives can be assured that they will be enabled to complain, and that complaints will be listened to and acted upon. The home’s policies and procedures ensure the protection of service users. EVIDENCE: The records examined during the inspection included the home’s records of complaints. No complaints had been received by the home since 2001. One complaint had been made to the Commission for Social Care Inspection. This complaint was investigated by the undertaking of an unannounced inspection visit. The complaint was not upheld. The home had a simple, clear and accessible complaints procedure that was published within the statement of purpose as well as being displayed at prominent points throughout the Home. The complaints procedure included information for referring a complaint to the Commission for Social Care Inspection should the complainant wish to do so. The Home had a copy of the Suffolk Vulnerable Adults at Risk of Abuse Joint policy and Operational Procedures documents and the Manager of the Home had attended training in its application. The Home’s own policies regarding the reporting of abuse and ‘whistle blowing’ reflect and refer to the joint policies and procedures. These documents detail robust procedures for responding to suspicion or evidence of abuse or neglect to ensure the safety and protection of service users. Kent Lodge Residential Home v218325 i54-i04 s24426 kent lodge v218325 050621 stage 4.doc Version 1.30 Page 14 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) 19, 21, 23, 24 & 26 The home maintains a safe and comfortable environment, which provides service users with bedrooms and lavatory/washing facilities that meet the National Minimum Standards. Health and hygiene is taken seriously by the home and high standards are maintained in this area. EVIDENCE: The home was clean, tidy and well maintained on the day of the inspection, with records evidencing an ongoing programme of routine maintenance. Externally the car park area had been resurfaced and a number of trees removed in order to provide better parking and health & safety. As mentioned earlier in this report, the home had responded to individual service users’ requests by providing bird watching attractions in the garden, and the daily routines of the home now include filling birdfeeders. The inspection of the premises confirmed that the home provides three assisted baths for service users. There is also a hoist for facilitating transfers where needed. All service users had access to toilet facilities within close Kent Lodge Residential Home v218325 i54-i04 s24426 kent lodge v218325 050621 stage 4.doc Version 1.30 Page 15 proximity of their private accommodation. Service users also had access to clearly marked toilet facilities within close proximity to communal areas. The number of single rooms had not changed since the last inspection and equates to 59 of total of places available. This level confirmed that the home’s number of spaces available within single rooms had not decreased since 31st March 2002. The inspection of double rooms confirmed that adequate screening was in place to provide privacy for both occupants. The rooms contained service users’ own furniture, pictures and ornaments. The home had responded positively to the recommendation made following the last inspection, by removing soap bars from toilets and bathrooms, and putting liquid soap dispensers and hand towels in place instead. Kent Lodge Residential Home v218325 i54-i04 s24426 kent lodge v218325 050621 stage 4.doc Version 1.30 Page 16 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) 28, 29 & 30 There is a commitment to promoting the development of skills within the staff team, through both induction, NVQ and ongoing training. Service users are protected and supported by the home’s recruitment practices. EVIDENCE: The information provided by the home as part of the pre inspection material confirmed that 7 of 17 care staff hold the NVQ level 2 or above. This equates to 40 , with a further 3 members of staff currently undertaking the award. Recruitment records confirmed that the home undertakes and records all the required checks prior to employees starting work at the home. References and employment histories were present, as well as CRB checks. The home has a contract with the YMCA to provide regular inductions to staff, in line with the training targets of the National Training Organisation (TOPSS). The contract also includes the provision of manual handling and NVQ training. Kent Lodge Residential Home v218325 i54-i04 s24426 kent lodge v218325 050621 stage 4.doc Version 1.30 Page 17 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) 31, 33, 35 37 & 38 Service users and their relatives can be assured that the manager of the home is competent and had the required experience to run the home in the best interests of service users. The moneys held at the home on behalf of service users is the subject of robust security and protection measures, and the health & safety of service users is promoted and protected. The home’s system for undertaking internal quality assurance is flawed and must be amended to evidence full compliance with the requirements of the Care Homes Regulations 2001. EVIDENCE: The registered manager had completed the registered manager’s award, which combined learning at an appropriate level in both care and management. Kent Lodge Residential Home v218325 i54-i04 s24426 kent lodge v218325 050621 stage 4.doc Version 1.30 Page 18 The inspection included the examination of the home’s quality assurance records. There was a survey of service users undertaken in June 2005, with consistently positive views expressed about the service by those who use it. Records of the monies held at the home on behalf of service users were checked. All of the amounts corresponded with the records held at the home, and receipts were kept going back over three years. Previous requirements for the home to produce reports of monitoring visits made by the proprietor had been complied with, however the content of the reports did not contain any evidence that the visits had included the activities identified in the Care Homes Regulations. A further requirement has been made in respect of this. The home’s records of safety checks were inspected and found to contain good evidence that routine servicing and maintenance visits had been made in relation to electrical appliances, asbestos, assisted baths and hoists, sluice equipment, stair lift, fire equipment and alarm systems, macerator, boilers and pharmacy. There was guidance on communicable diseases, and positive reports from environmental health following their last visit and the health & safety department who reported no health & safety issues following the reporting of an accident to a service user who suffered a fractured femur. Kent Lodge Residential Home v218325 i54-i04 s24426 kent lodge v218325 050621 stage 4.doc Version 1.30 Page 19 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 2 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 x 3 x 3 3 x 3 STAFFING Standard No Score 27 x 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 x 3 x 2 3 Kent Lodge Residential Home v218325 i54-i04 s24426 kent lodge v218325 050621 stage 4.doc Version 1.30 Page 20 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 2 Regulation 14 Requirement The registered persons must ensure that no service users are admitted to the home without the home obtaining an assessment of their needs, undertaken by a person qualified to do so. The registered persons must ensure that monthly monitoring visits made under this regulation include all of the activities identified in regulations. Timescale for action 25th July 2005 2. 37 26 25th July 2005 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 4 Good Practice Recommendations The registered persons should expand the care planning documents to include plans for care in relation to all the areas isdentified in National Minimum Standard 2. Kent Lodge Residential Home v218325 i54-i04 s24426 kent lodge v218325 050621 stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 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 v218325 i54-i04 s24426 kent lodge v218325 050621 stage 4.doc Version 1.30 Page 22 - 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. 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