Inspection on 01/06/05 for Latham Lodge Nursing and Residential Care Home

This inspection was carried out on 1st 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

Latham Lodge Nursing and... 19/12/08

Latham Lodge Nursing and... 30/06/08

Latham Lodge Nursing and... 10/04/06

Latham Lodge Nursing and... 03/10/05

Latham Lodge Nursing and... 19/08/04

Latham Lodge Nursing and... 13/04/04

Similar services:

St Vincents

The Cotswold Home

Winton House

Newbeech House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Latham Lodge Nursing and Residential Care Home. 137-139 Stakes Road Purbrook Hampshire PO7 5PD Lead Inspector Martin Bayne Unannounced 1/6/05 09:30am 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. Latham Lodge Nursing and Residential Care Home. H54 S11509 Latham Lodge V230973 010605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Latham Lodge Nursing and Residential Care Home 137-139 Stakes Road, Purbrook, Hampshire, PO7 5PD Address 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) 02392 254175 02392 262281 Latham Lodge Limited Mrs Francis Janet Hill CRH 20 Category(ies) of OP- Old Age: 40 registration, with number PD- Physical Disability: 8 of places PD(E)- Physical Disability over the age of 65 years: 40 TI- Terminally ill: 8 TI(E)- Terminally ill over the age of 65 years: 20 Latham Lodge Nursing and Residential Care Home. H54 S11509 Latham Lodge V230973 010605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1- Service users admitted in PD and TI categories cannot be admitted under the age of 55 years 2- Service users may be in receipt of Personal care and/or Nursing care Date of last inspection 19/8/04 Brief Description of the Service: Latham Lodge is registered as a care home where nursing care can be provided for up to forty people in the categories of old age, terminal illness or physical disability. The home can also admit up to eight people above the age of 55 in the category of terminal illness and physical disability. The home has twenty-six single rooms, of which twelve have ensuite bathrooms and seven shared rooms, one of which is ensuite. The home is located in a residential area and the building is on two floors with a shaft lift to access the first floor. The home has a large car park at the front of the building and a garden accessible to the residents at the rear. Latham Lodge Nursing and Residential Care Home. H54 S11509 Latham Lodge V230973 010605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A tour of the building was made and introductions made to the residents and staff. The registered manager, the regional manager and a peripatetic manager all assisted with the inspection. The majority of the residents were spoken with as well as three relatives and the staff on duty. Two residents were tracked through the inspection in respect of the documentation of their care at the home. Staffing levels were discussed and the recruitment records relating to two staff were viewed. Issues raised by residents during the inspection were discussed with the manager. One requirement about the call bell system from the previous inspection remains in force. The other requirement about providing access for residents to the garden has been met. A new requirement was made with respect to the recording of the medication administration records. What the service does well: What has improved since the last inspection? The improvements to the garden area have now been completed save the laying of some grass and borders. Residents have access via ramped pathways to a large patio and decked area. Areas of the home have been redecorated. Latham Lodge Nursing and Residential Care Home. H54 S11509 Latham Lodge V230973 010605.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. Latham Lodge Nursing and Residential Care Home. H54 S11509 Latham Lodge V230973 010605.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 Latham Lodge Nursing and Residential Care Home. H54 S11509 Latham Lodge V230973 010605.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) 1, 2 & 4 Residents are informed of their rights through a signed contract and available Statement of Purpose. EVIDENCE: A Statement of Purpose was available if the front reception area for residents and relatives to read. The files for two residents were tracked through the inspection. A copy of a contract containing the terms and conditions of residence, signed by the resident were in each file. In general the residents spoken with said that the staff team were caring met their needs. The one area of concern voiced by many of the residents was that their call bells on occasion were not answered promptly. This matter is addressed later in the report. Latham Lodge Nursing and Residential Care Home. H54 S11509 Latham Lodge V230973 010605.doc Version 1.30 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 standard(s) 7, 8 & 9 Health needs of the residents are met in general, however there are potential health risks resulting from some recording omissions by staff who administer medication to residents. EVIDENCE: The home operates a named nurse key worker system. Each resident is registered with a GP. Within the two personal files for the residents tracked through the inspection there were assessments of needs for each resident. On the day of inspection the peripatetic manager for the organisation was working with the nurses at the home on how to carry out assessments and completion of the company recording formats. Detailed care plans were also within the files and a sheet signed by the residents informed that their care plan had been discussed and agreed with them. Each file also contained a photo of the resident and appropriate risk assessments in relation to moving and handling, skin care, mobility and falls and nutrition. The home also records the wishes of residents in the event of their death. The medication administration records for the two residents tracked were viewed and it was found that there were some gaps within the records. The Latham Lodge Nursing and Residential Care Home. H54 S11509 Latham Lodge V230973 010605.doc Version 1.30 Page 10 home uses a unit dosage system and has a medication trolley. It was reported that the procedure was for medication to be administered, witnessed as taken and then a record made. It was noted that one of the residents spoken with had their medication on their table in an administering pot. A requirement was made that the procedure for the home is to be followed with respect to administering and recording. Residents spoken with said that their health needs were attended to and that the staff treated them with dignity as individuals. Latham Lodge Nursing and Residential Care Home. H54 S11509 Latham Lodge V230973 010605.doc Version 1.30 Page 11 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 & 15 The management of the home has a strategy for improvements in food provided, from which residents should benefit. EVIDENCE: The home employs an activities co-ordinator and a list of the activities for the month was on display in the hallway. The interests of residents and a short life history are taken with residents as part of the assessment of need. This then links in with activities arranged in the home. During the inspection the inspector spoke with three relatives who said that they were able to visit at any time. The inspector was able to see when visiting residents within their rooms that they were able to personalise their rooms with their own possessions. All of the residents spoken with were asked about the food provided in the home. As well as some favourable comments some residents made negative comments about the quality. This was discussed with the home’s managers and it was reported that the home had recently appointed a new cook as part of a strategy to raise the standard and quality of food provided in the home. It was reported that there was ongoing liaison between the residents and staff on providing a menu that suited the resident group. It was clear that the Latham Lodge Nursing and Residential Care Home. H54 S11509 Latham Lodge V230973 010605.doc Version 1.30 Page 12 management were aware of difficulties in this period of change and it was agreed that the views of the residents would be canvassed at the next inspection as to improvements that have been achieved. Residents are generally offered a vegetarian option or a choice of the main meal. Latham Lodge Nursing and Residential Care Home. H54 S11509 Latham Lodge V230973 010605.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) Not inspected on this occasion. EVIDENCE: It was noted that a copy of the complaints procedure for the home was on display in the main reception area. These standards were not inspected in depth. Latham Lodge Nursing and Residential Care Home. H54 S11509 Latham Lodge V230973 010605.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 & 22 Residents would benefit from the instalment of a modern call bell system that is accessible to all the residents who need this means of contacting the staff. EVIDENCE: On the day of inspection the home was found to be clean and in the main free from adverse smells. The paths and patio area that allow residents access to the garden have now been completed as agreed at the last inspection. Flowerbeds have yet to be made and some areas seeded with grass. The dining room has been decorated since the last inspection and the inspector was told that there were plans to improve the front of the home. The home has a schedule for the maintenance of the building, thus meeting the requirement made at the last inspection. At the last inspection a requirement was made that more call bell alarm points are provided in the main sitting area, this was also a requirement from the inspection before that. It was found that no additional points had been Latham Lodge Nursing and Residential Care Home. H54 S11509 Latham Lodge V230973 010605.doc Version 1.30 Page 15 provided, although the home had tried to rectify this with the use of walkietalkies, which had not proved successful. On the weekend before the inspection there had been an intermittent fault with the alarm call system and some residents relayed their fear of the system breaking own again. This was discussed with the managers and a requirement was made that an action plan be submitted within one month as to how the home address these deficiencies. It was evident from visiting residents in their rooms that they were able to personalise their rooms with their personal possessions. Latham Lodge Nursing and Residential Care Home. H54 S11509 Latham Lodge V230973 010605.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) 27 & 29 Residents would benefit from the management undertaking a staff review of staffing requirements with the residents and the staff. EVIDENCE: The home is owned by Latham Lodge Limited and the registered manager has the support of a regional manager and for specific issues, a peripatetic manager. At the time of inspection, the regional manager and the registered manager were available, whilst the peripatetic manager was working with the nursing staff in the home to train them in the corporate systems. The care staff work in pairs in three designated areas. It was reported that usually there are two nurses on duty at all times. A proportion of the residents spoken with said that at times they felt it took too long for the staff to answer their call bells. The staff on duty were also spoken with who said that at times they were stretched to meet the needs of the residents and it was frustrating for them that they knew people were waiting for their assistance. This was discussed with the managers is respect of whether there were sufficient numbers of staff or whether the staff could be deployed more efficiently to meet the needs of residents. It was agreed that the management would carry out a staffing review with resident and staff participation to ensure that the needs of the residents are met. It was further agreed that CSCI would be kept informed of the results of this review. Latham Lodge Nursing and Residential Care Home. H54 S11509 Latham Lodge V230973 010605.doc Version 1.30 Page 17 Latham Lodge Nursing and Residential Care Home. H54 S11509 Latham Lodge V230973 010605.doc Version 1.30 Page 18 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) These standards were not inspected on this occasion. EVIDENCE: These standards were not inspected on this occasion. Latham Lodge Nursing and Residential Care Home. H54 S11509 Latham Lodge V230973 010605.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 3 3 x 2 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x 2 x x x x STAFFING Standard No Score 27 2 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x x x x Latham Lodge Nursing and Residential Care Home. H54 S11509 Latham Lodge V230973 010605.doc Version 1.30 Page 20 yes No 1 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. 2. Standard 9 23 (2) (n) Regulation 13 (2) 22 Requirement You are required to maintain full records of medication administered to residents You are required to provide an action plan on the call bell system to ensure that is suitable for the needs of the residents You are required to carry out a review of staffing with reference to ensuring that residents call bells being answered. Timescale for action 1-6-05 14-7-05 3. 27 18 (1) (a) 21-7-05 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 27 Good Practice Recommendations It is recommended that a review of staffing is carried out with reference to meeting residents need Latham Lodge Nursing and Residential Care Home. H54 S11509 Latham Lodge V230973 010605.doc Version 1.30 Page 21 Commission for Social Care Inspection 4th Floor- Overline House Blechynden Terrace Southampton Hampshire 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 Latham Lodge Nursing and Residential Care Home. H54 S11509 Latham Lodge V230973 010605.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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