Inspection on 29/09/05 for Lobswood House

This inspection was carried out on 29th September 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 20/05/05

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 Mrs J Wright Unannounced Inspection 29th September 2005 15:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Lobswood House DS0000014615.V254169.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Lobswood House DS0000014615.V254169.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Lobswood House Address 16 Fitzalan Road Littlehampton West Sussex BN17 5JR 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) 01903 715055 lobswood_house@hotmail.com Dr G S Kalkat Mr G S Nijjar Mr James Muldoon Care Home 26 Category(ies) of Dementia - over 65 years of age (26), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (26) Lobswood House DS0000014615.V254169.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th May 2005 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. Apex Healthcare privately owns the service, 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 DS0000014615.V254169.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the second of a minimum of two statutory visits that an inspector must make to each care home during the course of a year. The first inspection, which was announced, was undertaken earlier in the year. At this inspection the Inspector looked at standards that were not looked at during the previous inspection, as well as any outstanding issues from the last report. The reader is advised to look at the reports of both inspections for a fuller picture of the home. The Manager was not available on the day of inspection, but the Inspector was very ably assisted by the Deputy Manager, and after her shift finished, by a Senior Carer. During this inspection the Inspector examined records of care being provided to residents; as well as records of any accidents, issues, concerns or complaints, to make sure that the residents at Lobswood House were being taken care of. The inspector met many residents, but due to their mental frailty, they were not all able to tell the Inspector what it was like living at Lobswood House, they were, however, seen to be comfortable and well cared for, and appeared happy. A visitor spoken to on the day of inspection told the Inspector that she had no concerns at all about the care being provided by Lobswood House. At this inspection Lobswood House was audited against the National Minimum Standards for Older Persons. The vast majority of the elements in each of the standards assessed were met, however it was found that one of the concerns raised during the last inspection had not been fully addressed, and a requirement is made that all residents bedroom doors have locks fitted. The Inspector would like to thank everyone who cooperated with her on the day of this inspection. What the service does well: All of the residents, who were spoken to on the day of inspection, spoke very highly of the staff members, the food and their bedrooms. The building is maintained safely, and it was seen that parts of the home had been recently decorated. All the records required by the Inspector on the day of inspection, were found to be in order. A visitor was very complementary with regard to the care being provided by the staff at Lobswood House. A visiting theatre group was coming to the home the day following the inspection, to entertain the residents with music, and songs. The Inspector that told that Lobswood House do not use agency workers, ensuring that the residents always know their carers. Lobswood House DS0000014615.V254169.R01.S.doc Version 5.0 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. Lobswood House DS0000014615.V254169.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lobswood House DS0000014615.V254169.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 4 Each resident has a written contract/ statement of terms and conditions with Lobswood House, and residents and their representatives know that the home will meet their needs. EVIDENCE: The terms and conditions, for both private and funded residents, contain all the requirements of the National Minimum Standards. Evidence from care plans, and a discussion with the Deputy Manager and a resident’s daughter, confirmed that the home was able to meet the assessed needs of the residents accommodated there. Lobswood House DS0000014615.V254169.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 The resident’s health, personal and social care needs are set out in an individual plan of care. EVIDENCE: Several care plans were inspected and were seen to be comprehensive and up to date. Monthly review are undertaken to ensure that the plan is constantly updated with the changing needs of the resident. The Deputy Manager informed the Inspector that Health professionals are consulted, as need dictates. Lobswood House DS0000014615.V254169.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed at this inspection, however they were all met at the previous inspection. EVIDENCE: Lobswood House DS0000014615.V254169.R01.S.doc Version 5.0 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Residents and their relatives or representatives are confident that their complaints will be listened to and taken seriously. EVIDENCE: Lobswood House has a complaint’s procedure that is made available to everyone. There were no complaints recorded at the time of the inspection. Lobswood House DS0000014615.V254169.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21 and 23 and 24 Residents live in a safe, well-maintained environment and have access to safe and comfortable indoor and outdoor communal facilities. Residents have sufficient and suitable lavatories and washing facilities. Residents have the specialist equipment they require to maximise their independence. EVIDENCE: Lobswood House was seen to provide level access to all areas used by residents, and maintenance records were available to show that the home is well maintained with periodic checks carried out by out side contractors. Lobswood House offers separate sitting and dining areas and provides sufficient communal space to meet the National Minimum Standards. There is outdoor space for residents, which is accessible to those residents with mobility problems. Lobswood House has a sufficient number of assisted baths or showers, and there are accessible toilets close to the communal sitting areas and the dining room. Lobswood House DS0000014615.V254169.R01.S.doc Version 5.0 Page 13 During the course of the inspection every room was visited. Not every bedroom was fitted with a lock. A requirement is made in this report for this matter to be addressed. Two of the bedroom doors did not shut tightly when released. The Inspector was assured that the maintenance man would undertake a regular check to ensure that they always shut in the future. On the day of inspection a door was wedged open, the staff member accompanying the Inspector was made aware of the safety implications surrounding this. Lobswood House DS0000014615.V254169.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 Residents are in safe hands at all times. EVIDENCE: There was evidence that all staff members receive good training to enable them to care for the vulnerable people who live at Lobswood House. A visitor told the Inspector that she was very pleased with everything that she found at the home every time she visited, and that there always appeared to be enough people on duty to assist the residents when they need it, Lobswood House DS0000014615.V254169.R01.S.doc Version 5.0 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34, 36 and 37 Residents are safeguarded by the accounting and financial procedures of the home, staff are appropriately supervised, and resident’s rights and interests are safeguarded by the home’s record keeping and policies and procedures. EVIDENCE: The inspector saw that insurance cover is in place, and there is a business and financial plan for the home, which would be available upon request. The staff members at Lobswood House receive formal bi-monthly supervision, and policies and procedures were in place with regard to Data Protection. All records seen kept up to date, and secure. Lobswood House DS0000014615.V254169.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x 3 x 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x 2 3 3 x 3 2 x x STAFFING Standard No Score 27 x 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x 3 x 3 3 x Lobswood House DS0000014615.V254169.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard 24.1 Regulation 12(4)(a) Requirement That the registered person shall make suitable arrangements to ensure that the establishment is conducted in a manner, which respects the privacy of service users. Timescale for action 31/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Lobswood House DS0000014615.V254169.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Worthing LO 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. Extracts may not be used or reproduced without the express permission of CSCI Lobswood House DS0000014615.V254169.R01.S.doc Version 5.0 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!