Inspection on 20/05/05 for Lobswood House

This inspection was carried out on 20th May 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

Lobswood House 24/07/06

Lobswood House 29/09/05

Lobswood House 15/12/04

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

CARE HOMES FOR OLDER PEOPLE Lobswood House 16 Fitzalan Road Littlehampton West Sussex BN17 5JR Lead Inspector Jennifer Wright Announced 20 May 2005, 12:00 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. Lobswood House H60-H11 S14615 Lobswood House V220721 200505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Lobswood House Address 16 Fitzalan Road, Littlehampton, West Sussex, BN17 5JR 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) 01903 715055 Dr G S Kalkat Mr James Muldoon Care Home (CRH) 26 Category(ies) of Dementia-65 years of age (DE(E)), (26) registration, with number Mental Disorder, excluding learning disability or of places dementia-over 65 years of age (MD(E)), (26) Lobswood House H60-H11 S14615 Lobswood House V220721 200505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15 December 2004 Brief Description of the Service: Lobswood House is a care home that is registered to accommodate up to 26 residents in the category of dementia and mental disorder in older people. It is a large detached older property covering three floors, (with a passenger lift to all floors,) located in the seaside town of Littlehampton, opposite a wooded green, and near to the sea and the town centre.. Twenty two of the bedrooms in the establishment are single, six en-suite, in a newly built extension. The home has a secure secluded garden to the rear of the property, which includes a patio and a water feature. The service is privately owned by Apex Healthcare, and the registered Manager is Mr. J Muldoon. The responsible person operating on behalf of the company is Dr. G S Kalkat. The proprietor and Manager have both received satisfactory Criminal Record Bureau checks. Lobswood House H60-H11 S14615 Lobswood House V220721 200505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, the first of a minimum of two statutory visits that an inspector must make to each care home during the course of a year. A second inspection, which will be unannounced, will be undertaken later in the year. During this inspection the Inspector toured the building, visiting every room. The inspector met many service users, but due to their mental frailty, they were not able to tell the Inspector what it was like living at Lobswood House, however they were seen to be comfortable, and well cared for and appeared happy. Visitors spoken to on the day of inspection told the Inspector that they were very pleased with the care at Lobswood House Four staff members were also spoken to on the day of inspection about how they find working at Lobswood House. The Inspector examined records about care being provided to residents; as well as records of any accidents or concerns or complaints, to make sure that the residents at Lobswood House were being taken care of. At this inspection Lobswood House was audited against the National Minimum Standards for Older Persons. The vast majority of elements in each of the standards were met. The Inspector would like to thank everyone who cooperated with her on the day of this inspection. What the service does well: Lobswood House offers the residents who live there, good care, good food and the opportunity for some activities. All of the people who were spoken to or written to at the time of this inspection responded favourably with regard to the care on offer at Lobswood House. The building is maintained safely, and parts were seen to have been recently decorated, with all relevant records in place to ensure the safety of the people living there. The inspector was assured by the Manager that staff training was very important at Lobswood House, and it was seen that many of the staff members have worked at the home for many years. A Social Care Worker spoke very highly of the care being provided by Mr. Muldoon and his staff members. Lobswood House H60-H11 S14615 Lobswood House V220721 200505 Stage 4.doc Version 1.20 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Lobswood House H60-H11 S14615 Lobswood House V220721 200505 Stage 4.doc Version 1.20 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 Lobswood House H60-H11 S14615 Lobswood House V220721 200505 Stage 4.doc Version 1.20 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) 1,3,5 and 6 The Manager informed the Inspector that prior to moving into Lobswood House people, and their representatives are given sufficient information about what the home offers, to enable them to make a choice as to whether or not they want to live there. In addition before moving into the home, people are assessed, by a member of staff, in their own home whenever possible, to make sure they are suitable, and invited for a trial period. In that way people know exactly what they can expect from Lobswood House. EVIDENCE: Due to their mental frailty the residents spoken to on the day of inspection were not able to tell the Inspector whether or not they had been given any information about Lobswood House, but a visitor did confirm that she had received information all about the home, enabling her to make a choice. The visitors spoken to on the day of inspection told the Inspector that they would go to the Manager or any staff member if they had any queries, and had no complaints whatsoever about the way the person they were visiting were being looked after. The Inspector looked at the care records of the residents, and found them all to be satisfactory. Lobswood House H60-H11 S14615 Lobswood House V220721 200505 Stage 4.doc Version 1.20 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) 7,8,9,10and 11 Where possible residents are involved with the drawing up of their care plans. All residents are informed of all services available under the National Health Service, and specialist equipment is provided where necessary. Correct medication procedures were seen to be in place, to protect the people living at Lobswood House from harm, and from the comments made by some residents and a visitor, it would appear that the staff members respect the privacy and dignity of the people living there. EVIDENCE: Where resident are not able to be involved with the drawing up of their care plans, then the residents relative or advocate is involved. A visitor confirmed this on the day of inspection, and told the Inspector that she is “always kept informed as to what is happening”. It was seen that specialist equipment had been installed for one resident who was poorly, to enable them to remain at Lobswood House for as long as possible. A Social Care Worker told the Inspector that she was “impressed with the care being provided by the staff at Lobswood House.” Records of drug administration are maintained, and the correct procedures, relating to medication, are being adhered to. Mr. Muldoon confirmed to the Lobswood House H60-H11 S14615 Lobswood House V220721 200505 Stage 4.doc Version 1.20 Page 10 Inspector that staff members administering medication had all received the appropriate training. Lobswood House H60-H11 S14615 Lobswood House V220721 200505 Stage 4.doc Version 1.20 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) 12,13,14 and 15 People living at Lobswood House are not always able to make the day-to-day decisions about how they want to live their life. Where this is so, then their relatives or representatives are consulted. There is a range of activities for those who wish to participate, including a Theatre Group that visits four times a year, gardening every other week, a weekly “sing-a-long” and various arts and crafts from an activities therapist. Residents are charged extra for some of the activities. The Manager informed the Inspector that that where this is so, it is clearly written in the home’s Statement of Purpose and Service Users Guide. EVIDENCE: On the day of inspection one resident was drawing at one of the dining room tables, whilst another was playing the piano, assisted by a member of staff. Residents are encouraged to maintain contact with friends and family wherever possible. A visitor told the Inspector that she “was always made welcome” when she visited the home. There is a new cook at Lobswood House, and it was seen that the home offers a choice of menu, with people able to eat either with other residents, or in their own room or the lounge should they prefer. Residents told the Inspector that they “had plenty to eat” and that the food at Lobswood House “wasn’t too bad”. Lobswood House H60-H11 S14615 Lobswood House V220721 200505 Stage 4.doc Version 1.20 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17 and 18 Regular training sessions for staff, a complaints book, plus policies and procedures regarding abuse, ensure that, as far as is possible, the people who live at Lobswood House are protected from bad practice. EVIDENCE: The home has a complaint’s procedure in place, and relatives spoken with said they knew who to complain to, but that they have had never had occasion to. A visitor told the Inspector that should they have any concerns at all, then they would have no hesitation in going to any staff member, and know that they would be listened to. The Manager informed the Inspector that residents, visitors and fellow professionals are aware that they can always come to him whenever they want to. Lobswood House H60-H11 S14615 Lobswood House V220721 200505 Stage 4.doc Version 1.20 Page 13 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, 23, 24, 25 and 26 On the day of inspection Lobswood House appeared clean and well maintained, and the location of the home is suitable for the residents who live there. The grounds to the rear of the property are secure to enable the residents to access them safely. The home was seen to provide a lift, aids, ramps and assisted bathing facilities. Some fire doors did not close tightly when released. EVIDENCE: The residents have access to two communal lounges, plus a dining room, which are comfortably furnished and have a homely atmosphere. There is a passenger lift for those residents whose rooms are upstairs. There are enough toilets and assisted baths to meet the needs of residents. During the course of the inspection all the rooms were visited to ensure that the environment was safe and comfortable for people who live there. Resident’s rooms were homely and comfortably furnished. Radiator guards are fitted to protect residents. It was noted that many residents had brought Lobswood House H60-H11 S14615 Lobswood House V220721 200505 Stage 4.doc Version 1.20 Page 14 personal possessions into the home, including small ornaments, pictures and photographs. Records were available to show that hot water from the taps of sinks, used by residents, is tested at appropriate intervals to ensure that people are not put at risk from scalding. On the day of inspection, Lobswood House was seen to be clean, and reasonably free from offensive odours. Policies and procedures were available for staff regarding control of infection, and the safe disposal of clinical waste. Residents told the inspection that they “liked their bedrooms”, and two visitors spoken to on the day of inspection also appeared very satisfied with them. There is a patio, with a water feature, to the rear of the property. On the day of inspection there were many pots, full of flowers, which had been planted by some of the resident. Residents told the Inspector that they enjoyed sitting in this area “very much”. Lobswood House H60-H11 S14615 Lobswood House V220721 200505 Stage 4.doc Version 1.20 Page 15 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 and 30 Lobswood House is adequately staffed with employees who appear competent to care for older people who are mentally frail. Staff training, including NVQ, is ongoing and all training undertaken is recorded on staff member’s files. The duty rotas indicated that enough staff are on duty over the 24 hours period to meet the needs of the residents. EVIDENCE: Mr. Muldoon informed the Inspector that training of staff members at Lobswood House is ongoing. Many of the staff have worked at Lobswood House for a long time, and a staff member spoken to on the day of inspection told the Inspector that were supported by the Manager and other staff members, and “wouldn’t change a thing”. Another member of staff told the Inspector that they all had delegated “tasks” so everyone knew what they had to do, and that this “worked very well”. A visitor told the Inspector that there always appeared to be enough people on duty to assist the residents when they needed it. Lobswood House does not have a call bell system in all of the resident’s bedrooms, but the Inspector was assured that the residents are checked regularly to ensure that they are never at risk. Lobswood House H60-H11 S14615 Lobswood House V220721 200505 Stage 4.doc Version 1.20 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31. 32, 33, 35 and 38 Mr. Muldoon, the registered Manager, is experienced and qualified in working with older people with mental health issues. Records needed for the safe running of a care home are kept up to date. Policies and procedures are available for staff members to refer to, to ensure the safety of the people who live and work at Lobswood House. EVIDENCE: Visitors confirmed to the Inspector, that Mr. Muldoon and the staff members who work at Lobswood House are approachable and supportive. Staff members told the Inspector that they liked the way Lobswood House was run. A visitor told the Inspector “things have improved a lot during the time I have been coming here”. The Manager informed the Inspector that all staff Lobswood House H60-H11 S14615 Lobswood House V220721 200505 Stage 4.doc Version 1.20 Page 17 members attend food handling training, first aid training, training in fire safety and moving and handling. Also that COSSH policy is observed and risk assessments regarding the safety of all residents and staff members are undertaken. Any accident or emergency is recorded appropriately and reported to the Commission for Social Care Inspection accordingly. Lobswood House H60-H11 S14615 Lobswood House V220721 200505 Stage 4.doc Version 1.20 Page 18 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 x x 3 x 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 x 3 x x 3 Lobswood House H60-H11 S14615 Lobswood House V220721 200505 Stage 4.doc Version 1.20 Page 19 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action 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 Good Practice Recommendations Lobswood House H60-H11 S14615 Lobswood House V220721 200505 Stage 4.doc Version 1.20 Page 20 Commission for Social Care Inspection 2nd Floor, Ridgeworth House, Liverpool Gardens Worthing West Sussex BN11 1RY 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. 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