Inspection on 30/01/06 for Lodge (The) Collier Row

This inspection was carried out on 30th January 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

Lodge (The) Collier Row 01/06/07

Lodge (The) Collier Row 03/10/05

Lodge (The) Collier Row 17/02/05

Lodge (The) Collier Row 03/08/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Lodge (The) Collier Row Lodge Lane Collier Row Romford Essex RM5 2HX Lead Inspector Ms Edi O`Farrell Unannounced Inspection 30th January 2006 11:00 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 Lodge (The) Collier Row DS0000027862.V280124.R01.S.doc Version 5.1 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. Lodge (The) Collier Row DS0000027862.V280124.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Lodge (The) Collier Row Address Lodge Lane Collier Row Romford Essex RM5 2HX 01708 732293 01708 781122 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) Mr Ian George Nicoll Mrs Patricia Constance Nicoll Care Home 63 Category(ies) of Old age, not falling within any other category registration, with number (63) of places Lodge (The) Collier Row DS0000027862.V280124.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd October 2005 Brief Description of the Service: The Lodge is situated in Lodge Lane, which is close to Collier Row, where there are shops, cafes and restaurants. There is easy access to local towns such as Romford and Ilford. The 249 bus stops directly outside the home. Train services are close by which go to London Central and the Home Counties. Thirty of the 62 bedrooms are ensuite, and the one double room is only used as such on request. The communal areas consist of three well-furnished lounges on the ground floor with one lounge on the first floor. There are two spacious dining rooms to cater for the differing needs and choice of the residents. Residents are free to choose which dining room they would prefer. The home caters for residents over the age of 65 and provides a range of activities and services both internally and externally. The home was well decorated and welcoming. The home is one of five homes privately owned by the organisation and managed by one of the proprietor with the assistance of an experienced staff team. Personal care is provided on a 24-hour basis, with health care needs being met by visiting professionals. Lodge (The) Collier Row DS0000027862.V280124.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This, unannounced, inspection took place on a weekday from mid morning to mid afternoon. It was the second statutory inspection visit in the inspection programme for 2005/6. Over the course of the two visits all core Standards have now been assessed. Seven Requirements were set at the last inspection, six of which were restated from previous visits. These were checked during this visit and all but one have been met. Where Standards were assessed as met at the last inspection they were not covered on this visit. Information from the previous inspection has been used in this report. The building was toured, and service users were asked their views. Staff were observed, both directly and indirectly, interacting with service users. Care records were examined, and compared to the care being provided. The findings were discussed with the manager at the end of the inspection. What the service does well: What has improved since the last inspection? What they could do better: Some of the paperwork could be simplified, so that service users’ needs are always very clear to staff. Lodge (The) Collier Row DS0000027862.V280124.R01.S.doc Version 5.1 Page 6 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. Lodge (The) Collier Row DS0000027862.V280124.R01.S.doc Version 5.1 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 Lodge (The) Collier Row DS0000027862.V280124.R01.S.doc Version 5.1 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): 4 Service users, and their representatives know that the home will meet their needs. EVIDENCE: The files of the two most recent admissions were examined, and compared to the care being provided. The manager carries out a pre-admission assessment, which includes obtaining a copy of the social worker’s assessment. Where possible potential service users visit the home prior to moving in, and they, and their representatives, are asked about likes and dislikes. They are given a copy of the Service User Guide, and their rights, and responsibilities are explained to them. Lodge (The) Collier Row DS0000027862.V280124.R01.S.doc Version 5.1 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, 8, 9, 10 & 11 Service users’ health, personal, and social care needs are set out in individual plans, and are met on a day-to-day basis. Service users and staff would benefit from review information being consolidated on one form. Staff follow safe medication practices, and treat service users with respect. Wishes in the event of dying and death are recorded. EVIDENCE: Two care plans were examined, along with daily logs, and accidents records. Service users, and two relatives were asked their views, and staff were observed, both directly, and indirectly, carrying out their duties. A sample audit was carried out on medication administration. On admission a single sheet care plan is prepared, and filed with the daily log. This means that care staff know what needs the new service user has, and how to meet these. The care plan is based on the pre-admission, and admission assessments, and includes full risk assessment. Standardised formats for tissue viability, nutrition, mobility, mental health, and physical health are used. Lodge (The) Collier Row DS0000027862.V280124.R01.S.doc Version 5.1 Page 10 There was evidence of review when needs change, and of promptly obtaining medical input where needed, for example, staff noting that one service user had swollen ankles, and asking the GP to prescribe treatment. Daily staff handovers are used to ensure that all staff are aware of all needs, and at that stage the initial care plan is removed from the daily log. Changes in need, and reviews, are recorded either in the daily log, on the shift handover record, or on a review form. This means that information can be in several places, and runs the risk of needs not being met. A safer method would be for the initial, one sheet, care plan to be updated at each review. This is Requirement 1, which was discussed with the manager during the inspection. There are good working relationships with health care professionals, such as district nurses, GP, optician, chiropodist, pharmacist, and tissue viability nurse. Where possible service users are encouraged to be responsible for their own medication, but most prefer for staff to take this responsibility. The home uses a blister pack dosage system, which means that there is a high level of protection from mistakes. A senior carer always gives out medication, and both were observed to be very competent at this task. Service users’ wishes in the event of dying and death are recorded. Lodge (The) Collier Row DS0000027862.V280124.R01.S.doc Version 5.1 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 the following standard(s): 12 Service users find the lifestyle within the home matches their expectations, and preferences. EVIDENCE: Service users were very clear that they enjoyed living in the home, with many particularly appreciating the amount of space. As there are three lounges, this allows a choice of companions. Some service users prefer to stay in their rooms for most of the time, and staff respect this, whilst still encouraging them to join in any social activities. The activity co-ordinator arranges a range of inhouse entertainment, which service users said they liked very much. All said that they had enjoyed the Christmas shopping outing to Romford market. Lodge (The) Collier Row DS0000027862.V280124.R01.S.doc Version 5.1 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 the following standard(s): 18 Service users are protected from any potential, or actual, abuse, including bad practice. EVIDENCE: Service users, and two relatives, were asked their views, and staff were observed interacting with them. In response to a previous Requirement staff have received adult protection training. The manager has, in the past, acted promptly when suspecting abuse of a service user by people external to the home. Lodge (The) Collier Row DS0000027862.V280124.R01.S.doc Version 5.1 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 the following standard(s): None at this inspection These Standards were not tested on this visit. However evidence from the last inspection was that service users live in a safe, well-maintained, environment. They have access to safe and comfortable indoor and outdoor facilities. Service users have comfortable bedrooms, with their own possessions around them. The home is very clean, pleasant, and hygienic. EVIDENCE: The above Standards were not specifically tested on this visit, as there were no outstanding Requirements. At the time of the last inspection all of the outcome Standards were assessed as met. These Standards will be re-tested at a future inspection. Lodge (The) Collier Row DS0000027862.V280124.R01.S.doc Version 5.1 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): 27, 28 The numbers and skill mix of staff meet Service users’ needs, and they are in safe hands at all times. EVIDENCE: A Requirement has been set at previous inspections that staffing levels be reviewed, in order to ensure that there are always sufficient staff to meet the needs of service users. On this visit service users were specifically asked about the availability of staff, and all comments were very positive. The rota was examined, and discussed with the manager, who confirmed that when extra staff were needed, they would be provided. The needs of each service user, for things such as bathing, are documented, and the numbers of staff on duty at any time are based on these assessments. The home has a good skill mix of staff, with clearly defined roles, covering direct care, catering, domestic, administration, and finance. There is an on-going NVQ training programme, and the home has exceeded the target of at least 50 of care staff achieving level 2 by 31 December 2005. Several staff are now doing level 3. Lodge (The) Collier Row DS0000027862.V280124.R01.S.doc Version 5.1 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): 31, 35 & 38 Service users live in a well run home, and their financial interests are safeguarded. The health, safety, and welfare of service users and staff are promoted and protected. EVIDENCE: There has been a repeat Requirement over several inspections that the manager gain an appropriate qualification, and this has not yet been met. In discussion during this visit it was apparent that there are very practical reasons why this is the case. Requirement 2 has therefore been brought forward with a lengthy timescale. Information from service users, and relatives, and observation of the smooth running of the home during this inspection demonstrates that this is a well run home. The manager has a very obvious commitment to high quality care, and places the service users at the centre of all decision making. Lodge (The) Collier Row DS0000027862.V280124.R01.S.doc Version 5.1 Page 16 Service users manage their own financial affairs, or have relatives who do so on their behalf. Health and safety records were checked, all required certificates are up to date, and all checks are carried out on a regular basis. Lodge (The) Collier Row DS0000027862.V280124.R01.S.doc Version 5.1 Page 17 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 X X 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X 3 X X 3 Lodge (The) Collier Row DS0000027862.V280124.R01.S.doc Version 5.1 Page 18 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 OP7 Regulation 15 (1) Requirement The Registered Provider must ensure that each service users’ current care plan is available for all care staff, in an easily usable format. The Manager must complete her NVQ level 4 management training. This requirement has been restated, previous timescale of 31/12/05 not met Timescale for action 31/03/06 2 OP31 10 31/12/06 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 Lodge (The) Collier Row DS0000027862.V280124.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 Lodge (The) Collier Row DS0000027862.V280124.R01.S.doc Version 5.1 Page 20 - 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!