Inspection on 24/05/06 for Nene Lodge

This inspection was carried out on 24th May 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 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

Nene Lodge 27/10/05

Nene Lodge 25/04/05

Nene Lodge 03/11/04

Nene Lodge 14/04/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Nene Lodge 224 Bridge Road Sutton Bridge Lincs PE12 8SG Lead Inspector Mr Toby Payne Key Unannounced Inspection 24th MAY 2006 08:30 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 Nene Lodge DS0000002391.V288153.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. Nene Lodge DS0000002391.V288153.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Nene Lodge Address 224 Bridge Road Sutton Bridge Lincs PE12 8SG 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) 01406 351000 01406 351 396 nazimnathu@hotmail.com Nathu Limited Ms Wendy Britton Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (42) of places Nene Lodge DS0000002391.V288153.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th October 2005 Brief Description of the Service: Nene Lodge Care Home is a Victorian house with a large, purpose built annexe, situated on the main road in the village of Sutton Bridge, which borders Norfolk. The home is within walking distance of local shops and facilities and the town of Holbeach is approximately 5 miles away. It is set in its own landscaped grounds and there are car parking spaces at the front of the home. The home provides personal care and accommodation for 42 residents over the age of 65 in 11 shared and 20 single bedrooms some of which are en-suite. On the day of the inspection there were 37 people living in the home. The home also has central garden areas, which lead, off the homes accommodation. The registered provider is actively involved in the day- today running of the home and works closely with the registered manager. The fees at the inspection on the 24/5/2006 ranged from £335 to £415 per week. Extras are for hairdressing, which range from £5 to £17.50p, chiropody £6, toiletries, personal newspapers and magazines. Nene Lodge DS0000002391.V288153.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was part of the key inspection, was unannounced and started at 8.30 am. It was undertaken using a review of all the information available to the inspector regarding our information about Nene Lodge. It took place over six hours. The inspector spoke to 11 residents, a visiting community nurse, 5 members of staff as well as the owner and manager. The main method of inspection was called “case tracking”. This involved selecting two residents and tracking their care they received through the checking of records, discussion with them, the care staff and observation of care practices. Prior to the inspection, a pre-inspection questionnaire had been completed by the home and sent to CSCI. Information was used when planning the inspection. Comment cards were received from 8 residents. What the service does well: What has improved since the last inspection? Improvements have been made to the central gardens. Two bedrooms have been redecorated. Nene Lodge DS0000002391.V288153.R01.S.doc Version 5.1 Page 6 The home has one fully integrated fire alarm system. 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. Nene Lodge DS0000002391.V288153.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 Nene Lodge DS0000002391.V288153.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): 1, 3 and 6 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. All residents are involved in their admission to this home. They make an informed decision about where to live. A detailed assessment results in their needs being met. Residents receive information to enable them to make a choice as to whether or not to enter the home. EVIDENCE: There was detailed correspondence showing that the way admissions take place is taken very seriously with the emphasis being on ensuring that all involved are kept fully informed. Trial visits can also be arranged. Detailed records are kept for each resident and inspection of records for 2 admissions showed evidence of a detailed assessment. There is a comprehensive statement of purpose and service user’s guide. Each resident receives a copy of the service user’s guide. There was also evidence Nene Lodge DS0000002391.V288153.R01.S.doc Version 5.1 Page 9 to show that each resident receives a contract/statement of terms and conditions. The home does not provide intermediate care. Nene Lodge DS0000002391.V288153.R01.S.doc Version 5.1 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 the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. There is good clear care planning in this home. This ensures that the health and welfare needs of the people living in this home are fully met. Staff know how to support and care for people in a dignified and respectful manner. EVIDENCE: All residents had detailed and up to date care plans. These described their health and welfare needs. Records included medication, diet, weight, communication, mobility, social interests and their daily routine. There was also a life history, which allowed staff to be aware of the resident’s interests and background. Where required these also include risk assessments. Care plans showed evidence of promoting the resident’s independence, respect, dignity and choice. There was also evidence to show that residents/relatives had been involved in their care planning. Their signatures showed this. Nene Lodge DS0000002391.V288153.R01.S.doc Version 5.1 Page 11 A visiting community nurse commented, “staff know what they are doing”, “we have a very good relationship with the home and are kept fully informed about the needs of the residents”. There were also clear and detailed policies concerning the administration of medication. Staff responsible for the administration of medication had received training. During the inspection staff were seen to talk to residents and deal with them in a quiet, sensitive and dignified manner. Residents commented, “the staff are very kind”; “I can’t fault the staff”. Comment cards received showed that the majority were satisfied with the care and support given. Comments were, “since coming to Nene Lodge I have been very well cared for and my family are happy for me to be here” and “excellent care” Nene Lodge DS0000002391.V288153.R01.S.doc Version 5.1 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 the following standard(s): Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. Social activities provide stimulation for residents living in the home. Meals are nutritious and offer a healthy and varied diet. However a number of residents feel that the activities and food provided could be improved. Visitors are welcome in the home. EVIDENCE: There are no resident’s meetings but residents spoke of the regular presence in the home of the owner and manager. They felt they could discuss any issues with them. Staff members are responsible for activities. There is no set activities programme but a 2 monthly newsletter outlines activities available. Activities can include trips out in the home’s mini bus, cards, dominoes, board games and bingo. Trips to local shops can be arranged with staff involvement. Outside entertainment is also arranged. Comment cards showed that a number of people did not like the range of activities and meals provided. This issue was discussed with residents during the inspection. Nene Lodge DS0000002391.V288153.R01.S.doc Version 5.1 Page 13 Comments regarding activities were “we had a most enjoyable concert the other day”, “I get bored at times” and “we could have more to do”. One resident was going out for the day with their family. Comments regarding food were, “I do not like the food”, “I enjoyed my lunch today and found the meat very tender”, “I find the food a bit monotonous” and “I would like the menu displayed. Tables were laid with table cloths and table decorations. The home received a 2 Tulips Food Safety Award from South Holland District Council in recognition of its catering service. Nene Lodge DS0000002391.V288153.R01.S.doc Version 5.1 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 the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. Any complaints received are taken seriously and there is a comprehensive complaints procedure. There are systems in place to ensure that residents are safe as a result of abuse training for staff. EVIDENCE: Each resident receives a detailed complaints procedure, which is in the service user’s guide when they are admitted to the home. No complaints have been received by the home or the CSCI since the last inspection. None of the residents or visitors had any complaints about the home. They all felt they could approach the staff if they had any concerns. As part of the homes’ induction programme all staff receive training concerning abuse prevention and all staff receive checks by the Criminal Records Bureau. This was confirmed by the examination of a staff record. Staff also showed knowledge of what constituted abuse and what they should do if abuse was suspected. Nene Lodge DS0000002391.V288153.R01.S.doc Version 5.1 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 the following standard(s): 19, 20 and 26 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. The home is well maintained and clean. Residents are provided with safe and comfortable surroundings in which to live. EVIDENCE: The home has 5 lounge areas and a visitor’s lounge as well as a large dining room. All these facilities are on the ground floor. All had comfortable seating with ornaments and pictures. There were also 2 caged birds and a cat. The home is non-smoking and this information is outlined in the service user’s guide. People who wish to smoke are asked to use the central patio, which has seating overlooking the gardens. Nene Lodge DS0000002391.V288153.R01.S.doc Version 5.1 Page 16 All bedrooms have locks and a lockable item of furniture is provided in each bedroom. Residents are encouraged to make their rooms individual with small items of furniture, pictures, television and personal mementoes. Resident’s comments were “I have a very comfortable bed”, “ I like my bedroom” and “the home is clean and tidy”. Comment cards showed that all the people were satisfied with the cleanliness of the home. The laundry is well equipped with a range of industrial washing machines and tumble dryers. This is sufficient to meet the needs of residents. Comments were, “my clothes are looked after well and the home is always clean”. A comment card stated, “rooms and laundry always very clean”. Nene Lodge DS0000002391.V288153.R01.S.doc Version 5.1 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 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, 29 and 30 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. There is a well trained and competent staff team. The number of staff are sufficient for the numbers of residents. Staff are correctly recruited and there is a well established and committed team of staff. EVIDENCE: There are separate staff for care, catering, domestic, laundry, and maintenance/gardening services. During the inspection, staff were seen to promptly attend to resident’s needs. The management monitor the needs and dependency of residents and ensure that where required additional staff are provided. Arrangements have been put in to ensure that care staff are involved in care duties only. Staff were correctly recruited and received an induction programme. Staff said they had sufficient time to care and support the residents. Specific comments were “I feel safe working here”, “I have time to talk and get to know the residents”, “If a person does not wish to get up early they can get up at a time to suit themselves” and “during my induction I received guidance”. There was evidence of a well trained and motivated team of staff. Training includes National Vocational Qualifications, internal training and attendance at Nene Lodge DS0000002391.V288153.R01.S.doc Version 5.1 Page 18 outside study days. Twenty five per cent of care staff have achieved a qualification in care (NVQ) and a further 10 staff will start in the future. Nene Lodge DS0000002391.V288153.R01.S.doc Version 5.1 Page 19 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, 32, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. There is a competent, well trained and committed manager. The owner who is actively involved in all aspects of the home also supports her. This in turn has given rise to a confident, supported and trained staff team. EVIDENCE: The manager and owner have been involved in the day to day running of the home for 18 years. They therefore have extensive knowledge of the home. The manager and owner are studying to obtain a management qualification. Staff receive regular formal supervision and appraisals. There are also regular staff meetings. Nene Lodge DS0000002391.V288153.R01.S.doc Version 5.1 Page 20 In January 2005 the home started to introduce a multi-skilled workforce. This to enable staff to be skilled in other areas such as care and domestic/laundry work and appreciate the role of other staff in the home. Residents, visitors and staff spoke of how approachable the manager, staff and owner were. The staff commented that “I have been here for a year and enjoy the work”, “Naz and Wendy know what goes on and are approachable and supportive”, and “when I first arrived I received a warm welcome”. Visitors commented “superb” and “I am very satisfied”. Management systems were in place and quality assurance has been established to obtain residents and outside professional workers (GPs, Community Nurses and Pharmacists) views of the home. Regular surveys are carried out to obtain residents views of the home. The last one was March 2006. Seven forms were received with positive views about the home and its service. The manager has also introduced internal audits. The majority of the resident’s financial affairs are managed by their family/advocate. Records were kept of all financial transactions and were seen to be well maintained. The home also has a comprehensive and up to date health and safety including risk assessment policy. Nene Lodge DS0000002391.V288153.R01.S.doc Version 5.1 Page 21 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 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 x x 3 x x 3 Nene Lodge DS0000002391.V288153.R01.S.doc Version 5.1 Page 22 no 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP33 Good Practice Recommendations It is recommended that the owner and manager carry out a survey of residents to obtain their views about the variety and type of activities and food provided by the home. Nene Lodge DS0000002391.V288153.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Nene Lodge DS0000002391.V288153.R01.S.doc Version 5.1 Page 24 - 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. 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