Inspection on 28/07/05 for Lordington Park

This inspection was carried out on 28th July 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Lordington Park 15/01/09

Lordington Park 27/02/07

Lordington Park 31/01/06

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 David Bannier Unannounced 28 July 2005, 11:00 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. Lordington Park H60-H11 S14616 Lordington Park V236876 280705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Lordington Park Address Lordington, Chichester, West Sussex, PO18 9DX 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) 01243 371536 Mr David Harold Rutland, Mrs Fiona L GordonSmith, Mrs E Rutland, Mrs J Smith Mrs E Rutland Care Home (CRH) ony (PC) 17 Category(ies) of Old age, not falling within any other category registration, with number (OP), 17 of places Lordington Park H60-H11 S14616 Lordington Park V236876 280705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15 February 2005 Brief Description of the Service: Lordington Park is a privately owned care home registered to accommodate up to seventeen service users in the category older persons not falling within any other category (OP). The property is a large detached house set in its own grounds. Private accommodation is in seventeen single rooms, which have ensuite facilities, located on the ground and first floors. Communal accommodation includes a dining room and a large drawing room situated on the ground floor. The ground and first floors are serviced by a vertical lift. The property is surrounded by extensive gardens. Lordington Park is situated approximately eight miles from Chichester. 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 care home is Mrs E Rutland. Lordington Park H60-H11 S14616 Lordington Park V236876 280705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and started at 11am. It took place over four and a half hours. The inspector spoke separately to five residents and to two staff who were on duty. Mrs J Smith showed the inspector around the care home. Some records were also examined. What the service does well: What has improved since the last inspection? What they could do better: The home’s statement of purpose needs to be amended to ensure prospective residents are provided with the necessary information about the care home Lordington Park H60-H11 S14616 Lordington Park V236876 280705 Stage 4.doc Version 1.40 Page 6 before deciding to be admitted. The home’s service user’s guide also needs to be amended to ensure all residents are provided with the necessary information about what the care home can provide. Care plans need to be improved to ensure staff are clear about the care they should provide in order to meet residents’ needs. 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. Lordington Park H60-H11 S14616 Lordington Park V236876 280705 Stage 4.doc Version 1.40 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 Lordington Park H60-H11 S14616 Lordington Park V236876 280705 Stage 4.doc Version 1.40 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 and 6 The home’s statement of purpose and service user’s guide needs to be amended to ensure they include all the information required by current legislation. This will mean that prospective residents will have appropriate information with which to make a choice about the care home in which they wish to live. This care home does not provide intermediate care. EVIDENCE: At present prospective residents are supplied with an informative document about the care home. However, the document is confusing, as it has combined some parts of the statement of purpose and some parts of the service user’s guide together. The document needs to be amended in order to separate them and to ensure all necessary information is included. The home’s statement of purpose needs to be amended to ensure prospective residents are provided with the necessary information about the care home before deciding to be admitted. The home’s service user’s guide also needs to be amended to ensure all Lordington Park H60-H11 S14616 Lordington Park V236876 280705 Stage 4.doc Version 1.40 Page 9 residents are provided with the necessary information about what the care home can provide. At present this document is provided in a written format. Some thought should also be given to ensure each document is in an appropriate format, e.g. in large print or recorded on tape for those residents with poor eyesight. Lordington Park H60-H11 S14616 Lordington Park V236876 280705 Stage 4.doc Version 1.40 Page 10 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 and 10 Individual care plans have been drawn up for each resident. However, there was insufficient information for staff to follow to ensure residents’ needs are fully met. Staff treat residents with respect and when providing care. Residents’ right to privacy is also upheld. EVIDENCE: Care records of four residents were seen, which confirmed that the needs of each resident had been assessed. However, there was very little information for staff to follow to ensure the care provided is as agreed with the resident concerned. Mrs Smith told the inspector that residents’ physical care needs are minimal. However, where a resident does have a particular need, care plans do not make it clear to staff what they should do to ensure the care provided is appropriate. Residents who were spoken to, told the inspector that staff is excellent. Staff does treat residents with respect, ensuring they call residents by the name and Lordington Park H60-H11 S14616 Lordington Park V236876 280705 Stage 4.doc Version 1.40 Page 11 the title preferred by residents. Residents also said that staff ensures their privacy is respected when care is provided to them. Lordington Park H60-H11 S14616 Lordington Park V236876 280705 Stage 4.doc Version 1.40 Page 12 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 The lifestyle experienced at Lordington Park matches the expectations of residents who are accommodated. Residents are able to exercise choice and take control over their lives. Residents are able to have visitors at any reasonable time. A wholesome, nutritious and balanced diet is provided. EVIDENCE: Residents said that they prefer to enjoy activities of an individual nature, such as reading, sewing and embroidery. Residents prefer to use their private accommodation for the most part of the day. However, those residents who wish to come down to the dining room for their meals where they also enjoy socialising with fellow residents. Residents also go out for meals, particularly when entertaining family and friends. They have use of a car, which is owned by the care home; alternatively they use local taxi services. One resident said that she enjoys pottering in the garden and was very pleased that she had been able to do some weeding that morning. Lordington Park H60-H11 S14616 Lordington Park V236876 280705 Stage 4.doc Version 1.40 Page 13 From time to time concerts and musical entertainments are arranged. Residents said that they are very enjoyable. The inspector sampled the main meal which was very appetising and consisted of home made parsnip soup, braised steak with mashed potatoes, marrow, carrots and green beans, followed by fresh fruit salad with cream. Many of the vegetables used at mealtimes are grown in the extensive grounds of Lordington Park. Residents are allowed to eat undisturbed by staff and in an unhurried manner. Records seen showed that residents are provided with a varied, nutritious and balanced diet. Lordington Park H60-H11 S14616 Lordington Park V236876 280705 Stage 4.doc Version 1.40 Page 14 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 The complaint procedure has been amended to include the name of the Commission for Social Care Inspection. EVIDENCE: During the previous inspection the providers were required to amend the care home’s complaint procedure to include the name of the Commission. This means that, where residents or their families are not satisfied with the way any complaint has been dealt with they know whom they may contact if they wish to take the matter further. Lordington Park H60-H11 S14616 Lordington Park V236876 280705 Stage 4.doc Version 1.40 Page 15 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, 20 and 26 On the day of the inspection work was in progress to complete the building of extensions to the premises to improve accommodation. Despite the building work Lordington Park was clean, appropriately furnished, decorated in a homely manner and well maintained. This made it very pleasant for residents who live in the home. The location of the home is suitable for the residents who live there. The cleanliness and hygiene throughout the care home had been well maintained to a high standard. EVIDENCE: During the course of the inspection several of the bedrooms, particularly those in the new extension, and the communal accommodation were visited. The environment was attractively presented and was homely, safe and comfortable for people who live there. Many residents had brought personal possessions into the home, including small items of furniture, ornaments and photographs. Residents have been able to use these items to make their own rooms Lordington Park H60-H11 S14616 Lordington Park V236876 280705 Stage 4.doc Version 1.40 Page 16 comfortable and reflect their own personality. One resident told the inspector that it was “Home from home” at Lordington Park. The communal areas consist of a large drawing room and a dining room. An outdoor veranda, which gives attractive views of the surrounding grounds and parkland, is accessed via the drawing room. This area has been equipped with outdoor furniture and parasols so that residents can sit outside and enjoy the view. Temporary laundry facilities are being provided in an outhouse adjacent to the main building. Residents therefore, continue to be provided with an efficient laundry service whilst the new laundry room is being built. Lordington Park H60-H11 S14616 Lordington Park V236876 280705 Stage 4.doc Version 1.40 Page 17 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 Lordington Park is adequately staffed with employees who are skilled and experienced in caring for older people. EVIDENCE: Rotas were seen which showed that staffing levels, including domestic staff were sufficient to ensure residents are well cared for. Mrs Rutland and Mrs Smith take responsibility for preparing and cooking the meals. Residents said that staff is very friendly and helpful. One resident told the inspector that staff is “excellent”. The Inspector spoke to the staff that was on duty during the afternoon. They were able to tell the inspector about what the owners expect of them. All staff knew about the individual care requirements, which had been agreed with each resident. Lordington Park H60-H11 S14616 Lordington Park V236876 280705 Stage 4.doc Version 1.40 Page 18 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) 33, 35 and 38 The registered providers are running in the home in the best interests of the residents. Residents take responsibility for their own financial affairs. The registered providers play no part in this. The registered providers have taken appropriate action to ensure the health and safety or residents and staff have been protected. EVIDENCE: Residents told the inspector that Lordington Park is home from home. They have their own accommodation and the staff and the owners respect their right of privacy. Residents are able to enjoy a lifestyle of their own choosing. Mrs Smith informed the inspector that residents at Lordington Park take responsibility for their own financial affairs. Lordington Park H60-H11 S14616 Lordington Park V236876 280705 Stage 4.doc Version 1.40 Page 19 Staff told the inspector that they have been provided with mandatory training with regard to health and safety, fire prevention and moving and handling. Records seen indicated that an accident book had been maintained and kept up to date. When necessary notifiable accidents and incidents are reported to the appropriate agencies, including the Commission. Lordington Park H60-H11 S14616 Lordington Park V236876 280705 Stage 4.doc Version 1.40 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 3 x N/A x x 3 Lordington Park H60-H11 S14616 Lordington Park V236876 280705 Stage 4.doc Version 1.40 Page 21 Yes 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 1 Regulation 4 (1) (c ) Requirement Timescale for action 30th September 2005 2. 1 5(1) The registered person shall amend the statement of purpose to ensure it includes a statement as to the matters listed in Schedule 1. The registered person shall 30th produce a written guide to the September care home (in these Regulations 2005 referred to as the service users guide) which shall include all the information specified by this regulation. 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 7 Good Practice Recommendations It is recommended that care plans are amended to ensure there is clear information for staff to follow so that they know what level of care each resident needs. Lordington Park H60-H11 S14616 Lordington Park V236876 280705 Stage 4.doc Version 1.40 Page 22 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. Extracts may not be used or reproduced without the express permission of CSCI Lordington Park H60-H11 S14616 Lordington Park V236876 280705 Stage 4.doc Version 1.40 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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