Inspection on 07/12/06 for Laura Chambers Lodge Care Home

This inspection was carried out on 7th December 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Laura Chambers Lodge Care Home 25/11/05

Laura Chambers Lodge Care Home 20/07/05

Laura Chambers Lodge Care Home 19/03/05

Laura Chambers Lodge Care Home 01/02/05

Laura Chambers Lodge Care Home 28/01/04

Laura Chambers Lodge Care Home 26/02/03

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Laura Chambers Lodge Care Home Swansdowne Drive Clifton Nottingham NG11 8HW Lead Inspector Rob Cooper Key Unannounced Inspection 7th December 2006 10:00 X10029.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 Laura Chambers Lodge Care Home DS0000037303.V318010.R01.S.doc Version 5.2 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 and Care Homes for Adults 18 – 65*. 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. Laura Chambers Lodge Care Home DS0000037303.V318010.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Laura Chambers Lodge Care Home Address Swansdowne Drive Clifton Nottingham NG11 8HW 0115 9157900 0115 9157902 steff.wilkinson@nottinghamcity.gov.uk 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) Nottingham City Council Mrs Stephanie Wilkinson Care Home 30 Category(ies) of Dementia - over 65 years of age (25), Old age, registration, with number not falling within any other category (30) of places Laura Chambers Lodge Care Home DS0000037303.V318010.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Out of the total number of beds 25 beds may be used for the category of DE(E) 25th November 2005 Date of last inspection Brief Description of the Service: Laura Chambers Lodge is a care home primarily for older people who have dementia. It is situated in the residential area of Clifton, approximately five miles to the south west of the city centre. The care home is owned, managed and staffed by Nottingham City Council. Laura Chambers Lodge is located on two floors with the upper floor being accessed via a passenger lift and stairs; there is also a range of assisted bathing for those people who need additional physical support. The City Council’s Domiciliary Care service - The Jack Dawe team is also located within the building, as is a small day care service, which serves the local community. Laura Chambers Lodge is a very well presented care home, with high quality fixtures and fittings. To the rear of the property is a pleasant, enclosed garden area, designed with numerous sitting areas. Fees: Fees are assessed on an individual basis by the referring social worker. Laura Chambers Lodge Care Home DS0000037303.V318010.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection – so that no one at Laura Chambers Lodge knew that the inspection was going to take place. The inspection took approximately five hours through the middle of the day with one Inspector present. The method used to carry out the inspection was to send out a questionnaire, which asked questions about the service, to gather statistics, such as how many service users there are, the numbers of staff etc. This was followed with a visit to Laura Chambers Lodge, where a method called case tracking was used; this involved identifying three residents and looking at their individual files and making a judgement about the quality of care they are receiving, and if their needs are being met. This was done by a partial tour of Laura Chambers Lodge, looking at the activities on offer, and talking to residents and staff. As a result four service users were spoken with about the service they are receiving. Three members of staff were also spoken with to get their views on how resident’s needs are being met. In addition to the key inspection of Laura Chambers Lodge, a thematic probe was carried out. This involved looking at four specific issues or topics: Resident’s assessments, resident’s contracts, information given to residents and complaints. Stephanie Wilkinson the Registered Manager was present throughout the inspection of Laura Chambers Lodge. This was a good inspection, and there were many examples of good practice seen, and examples of good experiences for residents identified. What the service does well: Laura Chambers Lodge is a well-maintained care home with high quality fittings. Every bedroom has it’s own en-suite toilet and shower, and the building is decorated to a high standard throughout. The staff are suitably qualified and experienced to be working at Laura Chambers Lodge, and they are friendly, approachable and treat residents with respect and dignity. There are a number of activities arranged within Laura Chambers Lodge, and residents have a good choice. The Intermediate care wing provides a professional service, and residents in this area say that they have been helped to ‘get back on their feet’ and ready to return to their own homes. Laura Chambers Lodge Care Home DS0000037303.V318010.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Laura Chambers Lodge Care Home DS0000037303.V318010.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Laura Chambers Lodge Care Home DS0000037303.V318010.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 123&6 Quality in this outcome area is adequate; this judgement has been made using available evidence including a visit to this service and meeting with residents. Prospective residents at Laura Chambers Lodge have the information they need to make an informed choice about where to live, although the statement of purpose needs to be updated. No resident has a written contract for Laura Chambers Lodge either in his or her possession or in his or her file. No resident moves into Laura Chambers Lodge without having had his or her needs assessed and been assured that these will be met. Residents assessed and referred solely for intermediate care at Laura Chambers Lodge are helped to maximise their independence and return home. EVIDENCE: Laura Chambers Lodge Care Home DS0000037303.V318010.R01.S.doc Version 5.2 Page 9 As part of this inspection a thematic probe was carried out – this means that certain issues were looked at in more depth, for the purpose of informing a national information gathering exercise. As a result the information available to residents prior to entering Laura Chambers Lodge, the contracts/terms and conditions of residence and the assessment of needs for residents were reviewed. Both the Statement of Purpose and Service User Guide were seen. The Statement of Purpose needs to be updated to ensure that it meets the requirements outlined in Schedule 1 of the Care Homes regulations. The Service user Guide was found to be a well-written document in large print, and containing lots of useful information about Laura Chambers Lodge. Six resident’s files were seen, to inspect the contract/terms and conditions of residence. However none of the six files contained a contract or similar document and none could be located in any resident’s file at Laura Chambers Lodge. There was a blank copy of the terms and conditions of residence in the welcome pack, but this was by way of an example. It is possible that the contracts/terms and conditions of residence are held elsewhere within the Social Services network, but none of the resident’s files indicated that this was the case. None of the residents had a copy of the documentation in their personal possession, and this requires further investigation by Laura Chambers Lodge’s manager to locate the required documentation. Three resident’s files were seen as part of the case tracking process, and each file contained a formal assessment of need. Two files had Standard Community Care Assessments completed by the individual resident’s social worker before they moved into Laura Chambers Lodge. The third had a Shared Nottinghamshire Assessment Process (a SNAP), which is Nottinghamshire’s multi-agency assessment tool for older people, again this document was dated before the resident moved into Laura Chambers Lodge. Laura Chambers Lodge does offer intermediate care – this is short-term care usually offered to people who have been in hospital, and who need a little help to improve their self-help skills, or to build up their confidence before they return to live in their own homes. The Laura Chambers Lodge intermediate care unit is well organised, and two residents were spoken with. Both were highly complimentary, and one said that they thought the unit was “marvellous, and I can’t praise the staff highly enough, they have been brilliant in helping me get back on my feet”, with the other one adding: “I couldn’t manage the bath at home, and one or two other little things, but the staff have really helped me and I’m going home next week.” Laura Chambers Lodge Care Home DS0000037303.V318010.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): 7 8 9 10 & 11 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service and meeting with residents. Resident’s health, personal and social care needs are set out in an individual plan of care at Laura Chambers Lodge. Residents at Laura Chambers Lodge have their health care needs fully met. Residents, where appropriate, are responsible for their own medication, and are protected by Laura Chamber’s policies and procedures for dealing with medication. Residents feel they are treated with respect and their right to privacy is upheld at Laura Chambers Lodge. Residents are assured that at the time of their death, staff at Laura Laura Chambers Lodge Care Home DS0000037303.V318010.R01.S.doc Version 5.2 Page 11 Chambers Lodge will treat them and their family with care, sensitivity and respect. EVIDENCE: Three resident’s files were seen, and each one had a clear plan of care within it, which contained care plans and risk assessments relating to each individual’s assessed needs. Within each of the three resident’s files that were seen there were examples of care plans related to health care, and individual resident’s health care needs. Reviews of these care plans showed that resident’s health needs were identified and that plans were in place to meet them, and record any relevant information relating to the resident’s health. Laura Chambers Lodge uses a monitored dosage system, which is supplied by Boots (the Chemists). This system provides each resident with a weekly card, which contains each dose of medication in a blister pack, for ease of the staff dispensing it. The records relating to ordering, dispensing, and where appropriate destroying or returning medication to the pharmacy was seen, and all found to be complete and correct, with no obvious errors or omissions. Medication was also seen to be stored securely. Currently only one resident in Laura Chambers Lodge self-medicates. This resident has a care plan and risk assessment relating to self-medication. They were kind enough to show me that their medication was kept under lock and key, and explain to me how the system for their self-medication works. Each of the resident’s who was spoken with said that they felt the staff were: “very kind”, and “always treat us very well” another said that they thought the staff were “marvellous”, and the third described the staff as “very caring”. All four residents said they liked living at Laura Chambers Lodge, and they agreed that their privacy and dignity was respected. Observations of staff interactions during the inspection were very positive, with many examples of residents being spoken to in a polite and respectful manner. Each of the three files that were seen contained details of the resident’s wishes in relation to their death. There was clear evidence in the way that the information was recorded that the individual residents had been involved in making choices and decisions about their funeral arrangements. Laura Chambers Lodge Care Home DS0000037303.V318010.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 & 15 Quality in this outcome area is excellent; this judgement has been made using available evidence including a visit to this service and meeting with residents. Residents find that the lifestyle experienced at Laura Chambers Lodge matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Residents at Laura Chambers Lodge maintain contact with family/ friends and representatives and the local community as they wish. Residents are helped to exercise choice and control over their lives. Residents receive a wholesome appealing balanced diet in pleasing surroundings at times that are convenient to them. Laura Chambers Lodge Care Home DS0000037303.V318010.R01.S.doc Version 5.2 Page 13 EVIDENCE: Since the last inspection the reminiscence room, has been further developed with many objects that would be familiar to older residents. The manager said that many of these had been found in people’s attics or at car boot sales, and that the staff were always on the lookout for additional items. The hobbies room with arts and crafts materials on offer to residents continues, and several ‘christmas items’ made by residents were on display. One of the two smoking rooms is being turned into a Snoezlan room – this is a quiet sensory room, where different lighting and soft music combine to create a peaceful and calm environment. A coffee evening for relatives was planned for the evening, and Jack Dawe staff were going to sit with short term care service users in their own homes to allow relatives to attend. In addition a carol concert had been organised, and local band (from the estate) were coming in to play to the residents. There is also a small day centre primarily for community service users located within Laura Chambers Lodge, although there are very good relations between the two, and a number of joint activitries have taken place. Unfortunately no relatives were visiting Laura Chambers Lodge during the inspection, so it was not possible to gain any views, however the coffee evening organised for that evening was a good example of positive relations and the local band coming in to play showed that the local community were involved in the day to day life of Laura Chambers Lodge. Two residents were asked about choice, and both said they were freee to do what they wanted. Both residents said that there were plenty of activities on offer, and that they could attend any of the activities – or not, as they wished. The menues were seen, and these showed that there was always a choice at meal times, which was confirmed by both residents who said there was always a very good choice available, with the choice for lunch and tea being made after breakfast every day. The kitchen was seen, and found to be clean and tidy. The records relating to food preparation and storage were seen, and all found to be complete and correct. Food preparation areas were clean, and the food that was being prepared appeared wholesome and appetising. Three residents were asked about meals, and everyone said they liked the food very much. One resident said: “There’s always plenty”, and another adding: “it’s always very nice, and if you don’t like it, they always find you something else.” Laura Chambers Lodge Care Home DS0000037303.V318010.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service and meeting with residents. Residents and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon at Laura Chambers Lodge. Residents at Laura Chambers Lodge are protected from abuse. EVIDENCE: The complaints records formed part of the aforementioned thematic probe. Since the last inspection Laura Chambers Lodge have received two complaints – the first related to haddock not being available (this is a particular favourite with Laura Chambers Lodge’s residents), and the second concerned the second smoke room being ‘decommissioned’. Both complaints were dealt with in line with the complaints policy and procedure, and a review of the documentation showed that both complaints were dealt with within the time scales specified by the complaints procedure. The complaints procedure is displayed throughout the building, and is also included in the welcome pack, which has been given to every resident at Laura Chambers Lodge. Two residents were asked about complaints, and both said that if they were unhappy they would speak to Stephanie the Manager. A requirement was set at the last inspection Laura Chambers Lodge Care Home DS0000037303.V318010.R01.S.doc Version 5.2 Page 15 that staff should receive training in Safeguarding Adults, a review of staff training records and discussions with two members of staff showed that training in Safeguarding Adults has taken place, and further courses are booked to take place in the coming weeks. Discussions with the two staff members showed that they were aware of the procedure for reporting abuse, and were also aware of the types of abuse that might occur in a care setting. It is important that staff understand issues around abuse, so that they will have a greater awareness and understanding of how to prevent it. Laura Chambers Lodge Care Home DS0000037303.V318010.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service and meeting with residents. Residents at Laura Chambers Lodge live in a safe, well-maintained environment. Laura Chambers Lodge is clean, pleasant and hygienic. EVIDENCE: The building which was refurbished six years ago and is maintained to a high standard by the Nottingham City council maintenance department, with minor Laura Chambers Lodge Care Home DS0000037303.V318010.R01.S.doc Version 5.2 Page 17 repairs carried out by the in-house handyman. Not only does every bedroom have en-suite facilities (toilet and shower) but there are a good number of lounges and sitting areas, and a number of specialist rooms for use by the residents such as a reminisence room, a smoking room, and a craft room, together with different dining rooms, so that residents can experience small social gatherings, as opposed to a large communal setting. The building was found to be clean, and tidy, and the domestic staff were cleaning throughout the inspection. Two residents were asked about the cleanliness of the building, and both said they thought it was very clean, and the staff worked hard to keep it that way. Laura Chambers Lodge Care Home DS0000037303.V318010.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 28 29 & 30 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service and meeting with residents. The numbers and skill mix of staff at Laura Chambers Lodge meets the residents’ needs. Residents at Laura Chambers Lodge are in safe hands at all times. Residents are supported and protected by Laura Chambers Lodge’s recruitment policy and practices. The staff who work at Laura Chambers Lodge are trained and competent to do their job. EVIDENCE: The staffing rota was seen which showed that there were sufficient numbers of staff allocated to each shift through the day to be able to meet the resident’s needs. Two residents were asked about staffing levels, and one said: “Yes I think there are enough staff here”, while the second said: “I never have to wait long if I need someone, so no I can’t say that there are not enough staff.” Two Laura Chambers Lodge Care Home DS0000037303.V318010.R01.S.doc Version 5.2 Page 19 members of staff were asked about staffing levels, and one said that they didn’t think it was a problem, while the other added that they felt: “they could do with an extra person, as sometimes it was quite difficult with all the moving and handling with the hoists.” A discussion with the manager about staffing levels suggested that staffing levels were being reviewed, and it is hoped that they will be increased. A review of the staff training records showed that there is an ongoing programme of staff training in the National Vocational Qualification (NVQ). This is the industry standard within care for staff training. Of the two staff members spoken with, one has completed their NVQ at level II, and the other is hoping to start the course in early 2007. Laura Chambers Lodge is a care home owned, managed and operated by Nottingham City Council, all of their recruitment is managed centrally through the council’s Human Resources department, and an appointment to visit and inspect staff records will be made in early 2007. Laura Chambers Lodge are increasingly keeping relevant information about their staff which demonstrates that they have been recruited in a safe and professional manner – copies of references, and application forms for example. Previously all of this information was held off site at the Human Resources department. Staff training records show that there is an ongoing programme of training for all staff. Discussions with two staff members identified that they had undergone training that is relevant to their jobs, and that updates for this training is regularly available. Laura Chambers Lodge Care Home DS0000037303.V318010.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 33 35 & 38 Quality in this outcome area is good; this judgement has been made using available evidence including a visit to this service and meeting with residents. Residents at Laura Chamber Lodge 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 Laura Chambers Lodge Care Home DS0000037303.V318010.R01.S.doc Version 5.2 Page 21 her responsibilities fully. Laura Chambers Lodge is run in the best interests of its residents. Resident’s financial interests are safeguarded at Laura Chambers Lodge. The health, safety and welfare of residents and staff at Laura Chambers Lodge are promoted and protected. EVIDENCE: The Registered manager is Stephanie Wilkinson, who is suitably qualified and experienced to hold the post of registered manager. Stephanie has been through the City Council’s recruitment process, and also undergone the Commission for Social Care Inspection’s own review process to assess her competence and suitability to be the registered manager. Laura Chambers Lodge run monthly resident’s meetings, and the minutes were seen. Two residents were asked about how involved they felt in the running of the home. The first said: “They are always asking us things, and saying what’s going on, so I do feel quite involved.” The second resident said: “It’s alright, I can go to the meetings if I want, and there is always lots of information about what’s going on.” Laura Chambers Lodge operate a ‘small cash needs’ system for resident’s personal finances. The records for four residents were checked at random, and were found to be correct, and with receipts in place to evidence expenditure. Two residents when asked said that they could get their money when they wanted it, and that they were quite happy for the staff to look after their money – “so that they didn’t lose it.” At the last inspection the records relating to the staff’s formal supervision indicated that staff members were not being properly supervised. This issue has now been addressed, with evidence in staff files to show that staff are having a formal supervision session approximately once every two months. The two staff members who were spoken with said that they were having a formal supervision session every six to eight weeks. Both members of staff said they felt they were well supported, and said that the manager and senior staff were approachable, and both felt they could ask for help if they needed it. A range of health & safety records were seen, and all found to be correct and up-to-date. These included the fire safety records, the Control of Substances Hazardous to Health (COSHH) records, and the water testing records for Legionella. Laura Chambers Lodge Care Home DS0000037303.V318010.R01.S.doc Version 5.2 Page 22 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 2 1 3 3 4 X 5 X 6 4 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 4 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 4 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 3 37 X 38 3 Laura Chambers Lodge Care Home DS0000037303.V318010.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP1 Regulation Requirement Timescale for action 31/03/07 Regulation The Registered Person shall keep 6a&b under review and, where appropriate, revise the statement of purpose and the service user guide; and notify the Commission and service users of any such revision within 28 days. 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 OP2 Good Practice Recommendations The Registered person should ensure that every resident has an up-to-date contract or copy of the terms and conditions of residence on their file within Laura Chambers Lodge. This should include any financial agreements which indicate who will be responsible for paying the resident’s fees. Laura Chambers Lodge Care Home DS0000037303.V318010.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: 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 © 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. Laura Chambers Lodge Care Home DS0000037303.V318010.R01.S.doc Version 5.2 Page 25 - 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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