Inspection on 21/02/06 for Knightsbridge Lodge

This inspection was carried out on 21st 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.

Other inspections for this house

Knightsbridge Lodge 18/08/09

Knightsbridge Lodge 17/09/07

Knightsbridge Lodge 08/11/06

Knightsbridge Lodge 17/02/05

Knightsbridge Lodge 18/08/04

Knightsbridge Lodge 27/02/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Knightsbridge Lodge Knightsbridge Green Cheltenham Glos GL51 9TA Lead Inspector Sharon Hayward-Wright Unannounced Inspection 21st February 2006 12:30 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 Knightsbridge Lodge DS0000016488.V281222.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. Knightsbridge Lodge DS0000016488.V281222.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Knightsbridge Lodge Address Knightsbridge Green Cheltenham Glos GL51 9TA 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) 01242 680168 Mrs Ann Dorothy Easdown Mr David Easdown Mrs Carol Ann Coates Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Knightsbridge Lodge DS0000016488.V281222.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th June 2005 Brief Description of the Service: Knightsbridge Lodge is situated approximately a quarter of a mile from the main Tewkesbury Road near the hamlet of Knightsbridge. The home is conveniently positioned about six miles between Gloucester and Cheltenham. The house was originally a Victorian Toll House and has been sympathetically extended to provide accommodation for 22 older people. Bedrooms are positioned on the ground and first floor; a shaft lift provides access to the first floor. All bedrooms have wash hand basins and three rooms have en-suite facilities. All the rooms are single occupancy. Well-equipped bathrooms are provided on each floor with a shower room on the ground floor. Toilets are provided within close proximity of all bedrooms and communal areas. On the ground floor there are two lounges and one dining room. The home is decorated and furnished to high standards. The gardens are well maintained and fully accessible to all Service Users. Knightsbridge Lodge DS0000016488.V281222.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 3 hours on one day in February 2006. Five service users were spoken with to gain their views on the home and the care provided. Three staff members, the Registered Manager and Administrator were also spoken with. Staff were observed going about their duties and interacting with each other and service users. A part tour of the premises took place and care records, complaints, medication, service users monies, menus, maintenance records and personnel files of new staff were inspected. All requirements issued at the last inspection have been addressed. Since the last inspection the new Manager has been registered with the Commission for Social Care Inspection. All service users spoken with praised the home and two service users said the home deserves ‘ten out of ten’. What the service does well: The home is a family run business where staff morale is good, resulting in an enthusiastic workforce that works positively with service users to improve their whole lives. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. The Registered Manager and Registered Providers have a supportive, open approach to running the home, which benefits the service users, staff and relatives. Knightsbridge Lodge DS0000016488.V281222.R01.S.doc Version 5.1 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. Knightsbridge Lodge DS0000016488.V281222.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 Knightsbridge Lodge DS0000016488.V281222.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): EVIDENCE: No standards were assessed at this inspection. Knightsbridge Lodge DS0000016488.V281222.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&9 There is a clear and consistent care planning system in place to adequately provide service users with an individualised plan of care to meet their needs. The home has improved the arrangements for safe administration and storage of medication to ensure service users are not put at risk. EVIDENCE: Standard 7 was not assessed in full only a requirement issued at the last inspection and care plans for three new service users were examined. The requirement was to provide evidence that service users and where applicable their families are involved in devising their care plans and are made aware of any changes. The home has addressed this where practicable. Three service users care plans were examined, all contained individualised care plans based on their needs. Monthly reviews were also seen. Standard 9 was not inspected in full only the requirement issued at the last inspection; this has been addressed as compliance was followed up at an additional visit. Knightsbridge Lodge DS0000016488.V281222.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): 15 Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. EVIDENCE: Menus were examined and the Registered Manager said they are devised two weeks in advance and then checked by her. A copy is placed on the notice board for service users who also confirmed that drinks are offered at regular times during the day. Lunchtime was not observed at this inspection. All service users spoken with said the food provided is excellent and alternatives and choices are offered. The kitchen and records relating to checks undertaken by the kitchen staff were not examined on this occasion. Knightsbridge Lodge DS0000016488.V281222.R01.S.doc Version 5.1 Page 11 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): 16 & 18 The home has a complaints system in place but to date has yet to be tested. Arrangements are in place for protecting service users from possible risk of harm and abuse. EVIDENCE: The home has a complaints procedure as directed by the Care Homes Regulations. A copy of this can be found in the homes Service Users Guide and a copy of this guide is situated in the main entrance hall. The Registered Manager said she has not received any complaints. The Registered Manager has devised an updated adult protection policy that includes information about abuse. Evidence was seen of staff signing to say they have read this policy. The Registered Manager is also going to attend an update on this subject and will disseminate the information to her staff. Knightsbridge Lodge DS0000016488.V281222.R01.S.doc Version 5.1 Page 12 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): EVIDENCE: No standards were assessed in full at this inspection. A requirement issued at the last inspection in relation to the stair carpet has been addressed as the home is monitoring the situation. The home has plans in place to re carpet the stairs. Service users asked said they felt the home is cleaned to high standards. Knightsbridge Lodge DS0000016488.V281222.R01.S.doc Version 5.1 Page 13 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): 29 Since the last inspection the standard of vetting and recruitment practices has improved with the appropriate checks being carried out to reduce any risks to service users. EVIDENCE: Service users said the staff in the home are very good, friendly and always willing to help them. Two personnel files of new staff were examined, both contained the required information. A recommendation made at the last inspection for the home to maintain records of interviews has been repeated at this inspection. Knightsbridge Lodge DS0000016488.V281222.R01.S.doc Version 5.1 Page 14 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): 32, 35 & 38 The Registered Manager and Registered Providers have a supportive, open approach to running the home, which benefits the service users, staff and relatives. Systems are in place to safeguard service users financial interests. EVIDENCE: Service users and staff all said the new Registered Manager is approachable and friendly and they would be able to go to her if they had any concerns. The same was said for the Registered Providers. Knightsbridge Lodge DS0000016488.V281222.R01.S.doc Version 5.1 Page 15 Standard 33 was not assessed in full only the two recommendations made at the last inspection; one has been repeated but the Registered Manager is looking at ways of addressing this. The home has secure facilities and manages a number of service users monies. The home maintains the appropriate records and receipts are kept. Evidence was seen of monthly checks on the environment and of servicing of equipment. The home must provide evidence that an electrical wiring check has taken place on the home. Knightsbridge Lodge DS0000016488.V281222.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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 2 X 3 X X 2 Knightsbridge Lodge DS0000016488.V281222.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 OP38 Regulation 23(2c) Requirement The Registered Person must provide evidence that a suitably trained and competent person has checked the electrical systems in the home. A copy of this must be sent to the Commission for Social Care Inspection. Timescale for action 01/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP29 OP33 Good Practice Recommendations The home should have two people to interview prospective staff and maintain records of the interview. The Manager should consider devising a quality assurance monitoring system for care practices. Knightsbridge Lodge DS0000016488.V281222.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Knightsbridge Lodge DS0000016488.V281222.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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