Inspection on 27/02/07 for Lordington Park

This inspection was carried out on 27th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Lordington Park 15/01/09

Lordington Park 31/01/06

Lordington Park 28/07/05

Lordington Park 15/02/05

Lordington Park 26/10/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Lordington Park Lordington Chichester West Sussex PO18 9DX Lead Inspector Mrs D Peel Unannounced Inspection 27th February 2007 11:30 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 Lordington Park DS0000014616.V325878.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. 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. Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lordington Park Address Lordington Chichester West Sussex PO18 9DX 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) 01243 371536 Mr David Harold Rutland Mrs Fiona L Gordon-Smith, Mrs E Rutland, Mrs J Smith Mrs E Rutland Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st January 2006 Brief Description of the Service: Lordington Park is a privately owned care home registered to accommodate up to eighteen residents in the category older persons not falling within any other category (OP). Lordington Park is situated approximately eight miles from Chichester. The property is a large detached house set in its own grounds and providing eighteen single rooms with en suite facilities on the ground and first floors. A vertical lift provides access between the floors. Communal accommodation includes a dining room and a large drawing room situated on the ground floor. The registered providers of this care home are Mr D Rutland, Mrs E Rutland, Mrs F Gordon-Smith, and Mrs J Smith. The registered manager, who is responsible for the day-to-day running of the establishment, is Mrs E Rutland. The current scale of fees being charged at the home is from £600 to £800 per week. Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by Mrs Diane Peel on the 27th February 2007. During this visit the intended outcomes for 31 standards were assessed; these included the key standards for care homes providing a service to older people. Prior to the visit to the home the inspector reviewed information provided in a pre inspection questionnaire completed at the request of the inspector prior to this visit, the inspection report of the last visit to the home on the 31st January 2006, twelve satisfaction questionnaires returned from residents living at the home and other information received from the provider since the last visit to the home. During the visit a tour of the home took place with all communal areas and five bedrooms chosen at random being visited. The inspector spoke with one visitor to the home to find out what their views were of the quality of care and the process of selecting a care home. A case tracking exercise for three residents was undertaken to look at how the assessed needs of this group of residents needs were being met. Residents were spoken with to gain some information about what it is like to live at the home either in the privacy of their rooms or at lunchtime when the inspector joined residents for a meal. Staff were observed assisting and interacting with residents during the visit and it was observed that the atmosphere at the home was calm, relaxed and friendly. Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The management team discussed making some improvements to areas of quality assurance by asking people to complete a questionnaire after short stays at the home to see if they can suggest ways that their stay could have been improved. It was also discussed that staff should be encouraged to take an NVQ qualification but there is no evidence to suggest that residents have a lesser service by staff not having NVQ qualifications. Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 7 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. Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 8 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 Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,4,5,6 Quality in this outcome area is Excellent This judgement has been made using available evidence including a visit to this service. Prospective residents and their families have the information they need to make an informed choice about where they want to live and residents have their needs assessed before they move to the home as permanent, so that they know that the home can meet those needs. There is an opportunity to visit the home, have a short stay and assess its suitability so that prospective residents know what facilities and services are offered. EVIDENCE: Lordington Park has a Statement of Purpose and Service users Guide that had recently been updated to show changes in the complaints procedure. Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 10 All twelve residents returning satisfaction questionnaires reported that they felt that they had had enough information about the home before they moved in. One person commented that their daughter had visited a few homes and they said, “this was by far the best one she inspected”. Another person said, “Lordington Park was recommended by our GP”. This person also commented that they were able to visit twice before deciding to move in. A third person reported that their daughter had looked at several places and not been impressed and then visited Lordington Park and had said “this is it! You will never find anywhere to compare it with”. This person felt that their daughter had been right. The home now has a room dedicated to respite care so that people can come for short stays and test out the service. The manager and deputy manager reported that this is working well because it gives people a chance to see if Lording Park is a place that they would be able live should they move into a care home permanently. Residents spoken with throughout the visit confirmed that they had either had chance to visit the home themselves or that they had had a relative visit on their behalf. One person told the inspector that they had been visiting a friend who already lived at the home so they knew which home they should want to live at and another person said that they had visited the home and when a room became vacant had returned to see if the room would be suitable to house some furniture which they wanted to bring to the home with them. Lordington Park does not offer intermediate care. Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care planning systems are regularly updated and they give clear information to assist with all aspects of health, personal and social care needs. Resident’s healthcare needs are being addressed by healthcare professionals to make sure that these identified needs are being met. The home can demonstrated satisfactory medication handling. Residents are treated with dignity and their right to privacy is respected. EVIDENCE: All residents have a care plan which they have been encouraged to sign to show their agreement. Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 12 The three care plans viewed at this visit identified the interventions needed by staff and set out how that identified need should be met whilst enabling residents to retain their own levels of independence. Each person had a profile which detailed their past medical history, details of next of kin and other personal information. Nutritional assessments and risk assessments were observed to be in place, which included a falls, risk assessment. The plans viewed had regularly been updated and record is kept of significant events for each resident. Resident’s medical needs are met by outside professionals. Residents told the inspector that the Doctor visits the home weekly in addition to emergencies. One person spoke about their visits to the eye clinic at Worthing hospital for consultations and treatment. Hospice staff support at least one person living at the home so that they can remain there during their illness and the deputy manager confirmed that district nurses visit the home when needed after a GP referral. All twelve people returning satisfaction questionnaires reported that they always receive the medical support, which they need. There are some people who live at Lordington Park who look after their own medication and have signed an agreement to be responsible for their medication for as long as it is agreed that it is safe. Others people’s medication is administered by the manager and deputy manager who are both qualified nurses. The medication is ordered on a weekly basis form a local pharmacy. Medication is stored in a lockable metal cabinet attached to the wall in a lockable room. Records are kept of medications received, administered and leaving the home to ensure that there is no mishandling. These records were observed to be clear and well kept. Residents spoken with throughout the visit were very complimentary about the staff and residents returning satisfaction questionnaires all reported that they received the care and support that they required. One person commented that they could not have known about all the kindness and friendship that they would find when they moved into Lordington Park. Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 13 Another person said, “ The level of care at Lordington Park is outstanding. The team of carers is always friendly and polite and help me with things I find difficult”. Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has flexible routines, which allows people to make choices and have some control over their lives. Activities are offered and residents are encouraged to maintain contact with their family and friends so that they so that they can satisfy their social and emotional needs. Home cooked food is provided to a good standard with choices of alternatives available. EVIDENCE: Residents returning satisfaction questionnaires were of the opinion that there are some activities provided by the home, which they can choose to take part in. Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 15 However some people made it clear that it was their choice not to join in. One person said that they found dealing with groups overwhelming and preferred to “relax in the comfort of their room”. They did say that the home organises events such as piano recital evenings. Another person said “ I am not a very sociable person, but I am sure I could take part in anything going if I felt like it.” And other people commented that they liked to stay in their rooms reading and watching TV. The deputy manager told the inspector that in the summer months people liked to use the gardens, there are occasional barbecues and a couple of people take part in art classes. A visitor to the home was complimentary about the facilities available and commented about how friendly and helpful the staff are. They felt that they made it easy to visit the home and said that they could come in whenever they wanted. The inspector joined residents for the main meal of the day which was home made cream of vegetable soup, followed by beef stew, potatoes, broccoli, swede and carrots and then a lemon dessert. The meal was very enjoyable, and a very social occasion taken in a lovely bright dining room. Some residents chose to eat their meal in their room. One person had commented when speaking with the inspector in the privacy of their room that they preferred this. All residents spoken with during this visit were satisfied with the food and it seemed that people felt that they could have whatever they wanted instead of the main meal, which was prepared. One person said “ the food is always of a high standard with good sized portions”. Another person who required a soft diet was very pleased with the “ flexibility of the food. I can ask for anything”. Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 16 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. 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. The complaints procedure enables those using the service to have the confidence that any will be taken seriously and responded to. The registered person has arrangements in place to protect residents from being placed at risk of harm or abuse. EVIDENCE: The complaints procedure is included in the service users guide and all residents whom the inspector asked about how they would make a complaint were sure that the management of the home would take all complaints seriously, however no-one spoken with had had any reason to raise a complaint. All twelve residents returning satisfaction questioners reported that they knew how to make a complaint. One person commented, “ I have no need to make a complaint this is a very happy home, very well organised and I have no complaint to make”. Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 17 Further comments were “ have absolutely no cause to complain” and “I have no complaints”. The home has an Adult protection policy which information provided prior to the visit, reported had last been updated in November 2006. This is used in conjunction with the West Sussex Multi Disciplinary Adult Protection procedures. The deputy manager told the inspector that all staff have a flow chart to inform them of how they should respond to an allegation of abuse. The Adult protection briefing pack at the back of the West Sussex Multi Agency pack was discussed as further information for staff. The deputy manager agreed that it would be a good training tool and now intends to use it. Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,23,24,25,26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is exceptionally clean and residents have a comfortable, homely environment to live in. Bedrooms are comfortable and meet the needs of the residents. Residents are encouraged to contribute to making their bedrooms their own by having their own personal possessions around them and bringing some of their own furniture to the home. The home is well maintained and provides a reasonably safe environment for residents to freely move around in. EVIDENCE: Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 19 Lordington Park is large, property situated in the countryside outside of Chichester. Some residents spoken with commented about its location and excellent standard of décor and furniture as being one of the reasons that they had chosen the home. Comments from residents returning satisfaction questionnaires about the environment were: “The home is always fresh and clean and someone cleans my room almost everyday. My laundry is also done on a daily basis”. “ One could not imagine a better place in which to reside. It is a very happy and friendly place”. “ Far cleaner than my own home”. Over the past few years the providers have been undertaking a modernisation programme, which is now coming to an end. The last phase is to be the complete refurbishment of the kitchen, which the manager said, is to be carried out in April this year. All communal areas of the home were observed to be of an excellent standard and those individual bedrooms viewed were also to a very high standard. Residents told the inspector that they appreciated the fact that they had been able to bring items of their own furniture to their rooms and everybody spoken with loved the views from their rooms. Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 20 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. 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. The needs of the people living in the home, are met by a competent staff team. Residents are protected by recruitment procedures and checks. Staff members receive appropriate training in line with the residents assessed needs. EVIDENCE: Staffing rotas observed prior to the visit show that sufficient staff are employed with the appropriate skill mix to meet the needs of residents over the 24-hour period. There is a low turnover of staff at Lordington Park with no new staff being recruited since October 2002. Residents say that the staff are very committed to their jobs. Comments made in returned satisfaction questionnaires about staff were: “Kindness and support way beyond the call of duty”. Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 21 “The owners and staff are very kind and helpful”. “The level of care at Lordington Park is outstanding. The team of carers is always friendly and helpful”. “The house is well staffed and organised”. Since a last visit to the home staff working at the home have undertaken moving and handling training and food hygiene courses which had been identified as areas for improvement required at the last inspection. Staff have yet to undertake an NVQ qualification but there was no evidence to suggest that staff do not have the skills to meet the needs of residents. Training certificates are collated to evidence staff competences within their roles. Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well managed care home which is run in the best interests of its residents. Procedures are in place to ensure that the home is a reasonably safe environment to live in. EVIDENCE: Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 23 The registered manager has owned and managed the home for many years with the assistance of her daughter who is the deputy manager. They are both qualified nurses. Their homes are within the grounds of Lodington Park and they told the inspector that they ensure that either one of them are always available on call if they are not working in the main house. Residents had many positive things to say about the management of the home. It was clear that residents thought that the home was well organised and that all those residents spoken with wanted to live at the home and had no regrets at choosing the home. The deputy manager told the inspector as the owners of the home working on the premises they are always monitoring the quality of the service . They have sent out satisfaction questionnaires to permanent residents but there had been little response. With the introduction of the dedicated respite room it was discussed that there might be a benefit to finding out through surveys what respite residents thought of their stay and if they had any suggestion of how their stay could have been improved. All residents at the home either manage their own financial affairs or have solicitors or their relatives manage their finances. The home does not act as an appointee for handing financial affairs. Residents say that they feel safe in the home and records viewed showed that there were few accidents. Policies and procedures are in place to ensure that staff and residents are reasonably safe. Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 24 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 3 x 3 4 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 4 4 X 4 4 4 4 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X 3 3 Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 25 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. 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. Refer to Standard Good Practice Recommendations Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Lordington Park DS0000014616.V325878.R01.S.doc Version 5.2 Page 27 - 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!