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Inspection on 19/12/08 for Latham Lodge Nursing and Residential Care Home

Also see our care home review for Latham Lodge Nursing and Residential Care Home for more information

This inspection was carried out on 19th December 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

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

There is a quality audit system now in place to monitor the quality of the care plans and the information they contain. These are completed by the manager. Managers from other services will be visiting the service to carry out audit checks and part of this is to review care plans. Trained nurses who complete service user plans have received training from the Responsible Individual in respect of expectations regarding service user plans and their is a policy for trained staff to refer to when completing service user plans.

What the care home could do better:

The organization need to review their admission policy to include guidance on emergency admission. Those staff involved in admissions and assessments need to be clear on the services categories of registration to ensure the right people are admitted to the service and they can be confident the service can meet their needs. Service user plans need to be improved to ensure all necessary information is in place, that service users are involved in the compilation of their plans and these are reviewed and updated regularly. Action needs to be taken to ensure that potential fire safety risks are minimised.

Inspecting for better lives Random inspection report Care homes for older people Name: Address: Latham Lodge Nursing and Residential Care Home 137 - 139 Stakes Road Purbrook Hampshire PO7 5PD The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Kathryn Emmons Date: 1 9 1 2 2 0 0 8 Information about the care home Name of care home: Address: Latham Lodge Nursing and Residential Care Home 137 - 139 Stakes Road Purbrook Hampshire PO7 5PD 02392254175 02392262281 latham@caringhomes.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Latham Lodge Ltd care home 40 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 40 Conditions of registration: The registered person may provide the following category of service only: Care home with nursing - N to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - OP The maximum number of service users who can be accommodated is: 40 Date of last inspection Brief description of the care home 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. Latham Lodge Limited owns the home. A manager who is not currently registered is managing the home. The home has twentysix single rooms (of which twelve have en-suite bathrooms) and seven shared rooms Care Homes for Older People Page 2 of 8 (one of which is en-suite). The home is located in a residential area. 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. The provider makes information available about the service, including the commissions report to prospective residents on request. Copies of this information are available at the home and may be sent out by post on request. The home states in the pre-visit information questionnaire completed by the manager that the fees range from #375 to #600 for residential care and from #442 to #789 for nursing care per week. Care Homes for Older People Page 3 of 8 What we found: We visited the service in an unannounced capacity for four hours to look at the services admission process and service user plans. We did this because concerns had been raised regarding the quality of information in service user plans following a safe guarding adult referral. We looked at the admission details and service user plans for two service users. We found that one resident had not been assessed as per the service policy before they were admitted to the home. The manager confirmed that all prospective service users are assessed but we found that on this occasion the service user had not been assessed and was admitted as an emergency admission with needs which were outside the services categories of registration. Service users care plans were inconsistent with the information they contained and it was not always clear how residents were to be supported. We identified a fire risk issue which has not been addressed by the organization even though they are aware of it and that it places a service user at potential risk in the event of a fire. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 4 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 5 of 8 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 3 14 No service user may be admitted to the service unless an assessment has been carried out to identify how health and welfare needs will be met. An assessment needs to be carried out so that the service user can be confident that the service is clear regarding the support the service user needs and that the service can meet these needs. 23/01/2009 2 7 15 A written plan called a 23/01/2009 service user plan must be in place for all service users. This must contain all the necessary information to ensure service user needs are known and met and they are kept safe. The service user plan must be reviewed regularly. The service user should be involved in the production of the plan. A service user plans enables the service user to be involved in the decisions regarding how their care Care Homes for Older People Page 6 of 8 needs are met. Care staff can be clear how to deliver care safely and what needs the service user has. Regular review of the service user plans means service users can be confident their current needs are known. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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