Inspection on 25/04/05 for Nene Lodge

This inspection was carried out on 25th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Nene Lodge 24/05/06

Nene Lodge 27/10/05

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 Street Sutton Bridge Lincs PE12 8SG Lead Inspector Toby Payne Unannounced 25 April 2005 9:00 hours 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. Nene Lodge C53 C04 2391 Nene Lodge 222237 250405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Nene Lodge Address 224 Bridge Road Sutton Bridge Lincs PE12 8SG 01406 351000 01406 351396 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) Nathu Ltd, 224 Bridge Road, Sutton Bridge Lincs PE12 8SG Ms Wendy Britton CRH Care Home 42 Category(ies) of Old Age, not falling within any other category registration, with number (OP) 42 of places Nene Lodge C53 C04 2391 Nene Lodge 222237 250405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: There are no conditions of registration. Date of last inspection 3rd November 2004 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. The home 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 service users in 11 shared and 20 single bedrooms some of which are en-suite. On the day of the inspection there were 31 service users. The home also has central garden areas, which lead, off the homes’ accommodation. The registered provider is actively involved in the day- to- day running of the home and works closely with the registered manager. Nene Lodge C53 C04 2391 Nene Lodge 222237 250405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over four and a half hours. The inspector spoke to 15 residents, 4 visitors, one visiting community nurse and 5 members of staff as well as the owner and manager. The main method of inspection was called “case tracking”. This involved selecting three residents and tracking their care they receive through the checking of records, discussion with them, the care staff and observation of care practices. What the service does well: What has improved since the last inspection? New carpets have been laid in corridors and a new emergency lighting system installed to improve the resident’s safety and security. The garden in the central area, which is well used by residents in the warmer weather, has had spring plants sown and hanging baskets prepared. The garden area has been made attractive to sit out with patio chairs, umbrellas and benches. Residents spoke of how much they enjoyed this. The home has also since January 2005 recruited care staff to carry out tasks additional to care and where required training has been provided to assist this. This has lead to a team aware of the work of different members of staff. Nene Lodge C53 C04 2391 Nene Lodge 222237 250405 Stage 4.doc Version 1.30 Page 6 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 C53 C04 2391 Nene Lodge 222237 250405 Stage 4.doc Version 1.30 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 Nene Lodge C53 C04 2391 Nene Lodge 222237 250405 Stage 4.doc Version 1.30 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, 2 and 3 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 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. Two newly admitted residents confirmed this and evidence showed they had been involved in their admission. Two care staff were spoken to and knew about the needs of the residents. Detailed records are kept for each resident and inspection of records for 2 most recent 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 to show that each resident receives a contract/statement of terms and conditions. Nene Lodge C53 C04 2391 Nene Lodge 222237 250405 Stage 4.doc Version 1.30 Page 9 Nene Lodge C53 C04 2391 Nene Lodge 222237 250405 Stage 4.doc Version 1.30 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, 9 and 10 Residents care, health and welfare needs are met. Medication is also administered safely. EVIDENCE: All residents had detailed and up to date care plans. These described their health and welfare needs. Records outlined 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 included risk assessments. Care plans showed evidence of promoting resident’s independence, respect, dignity and choice. Visitors commented, “staff know what they are doing”. There were also clear directions concerning the administration of medication. Staff responsible for the administration of medication had received training. There was also evidence to show that residents/relatives had been involved in their care planning. This was shown by their signatures. Staff were observed to attend to residents in a kind and courteous manner giving time to talk and laugh with them. Residents commented, “staff are very kind and attentive” Nene Lodge C53 C04 2391 Nene Lodge 222237 250405 Stage 4.doc Version 1.30 Page 11 A visiting community nurse spoke of her total confidence in the home and of the excellent communications between the home and her service. Nene Lodge C53 C04 2391 Nene Lodge 222237 250405 Stage 4.doc Version 1.30 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 and 15 Social activities are well organised and provide stimulation for residents living in the home. Meals are nutritious and offer a healthy and varied diet. Visitors are welcome in the home. EVIDENCE: Residents told the inspector they enjoyed the food. Residents commented, “I can have breakfast in bed which I enjoy” and “the food is superb”. There are no resident’s meetings but residents spoke of the presence in the home of the owner and manager. They felt they could discuss any issues with them. A questionnaire sent out in April 2005 to 12 residents showed satisfaction with the food. A number of residents commented that on occasions they were asked what they would like and enjoyed the curries prepared by the owner. 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. Visitors spoke of “being made to feel welcome” whenever they visited. This was confirmed by residents. Nene Lodge C53 C04 2391 Nene Lodge 222237 250405 Stage 4.doc Version 1.30 Page 13 Nene Lodge C53 C04 2391 Nene Lodge 222237 250405 Stage 4.doc Version 1.30 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 and 18 Residents know that any concerns are taken seriously and acted upon. Residents in this home are protected from abuse. EVIDENCE: All staff receive training in communications and how to deal with a complaint. No complaints have been received by the CSCI and the home since the last inspection. Each resident receives a detailed complaints procedure when they are admitted to the home. None of the residents and visitors had any complaints about the home and felt they could discuss any concerns with the staff, manager or owner. Staff also knew what to do if they received a complaint from a resident. Staff receive abuse training and knew what to do if abuse was suspected. There is also a detailed abuse procedure. Nene Lodge C53 C04 2391 Nene Lodge 222237 250405 Stage 4.doc Version 1.30 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, 21, 22, 24 and 26 The home is well maintained and clean. Residents are provided with safe and comfortable surroundings in which to live. EVIDENCE: A number of chairs are to receive new covers as a result of wear and tear. Any maintenance is attended to swiftly as the home employs a maintenance person. There are also very attractive, colourful, accessible and comfortable garden areas. Residents spoke of how satisfied they were with the decoration and cleanliness in the home. They spoke of how much they liked their bedrooms. They spoke of how they enjoyed the central garden area, which is wheelchair accessible and has comfortable seating, with grass, plants and water feature. There are domestic and laundry staff and residents commented on how fast clothes were returned and how satisfied they were with the laundry. Nene Lodge C53 C04 2391 Nene Lodge 222237 250405 Stage 4.doc Version 1.30 Page 16 Nene Lodge C53 C04 2391 Nene Lodge 222237 250405 Stage 4.doc Version 1.30 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, 28, 29 and 30 Staff are well trained and competent to deliver the care and support to the residents. Staff are correctly recruited. EVIDENCE: Staff files examined of a member of staff who had recently been recruited showed the person had been correctly recruited . Residents, visitors and staff were satisfied with the availability of staff. During the inspection staff were seen to attend to residents needs promptly. A visitor commented, “staff know what they are doing” and “are kind and attentive”. Staff also felt they had sufficient time to care and offer support to the residents. A member of staff commented, “I have enough time to do my work”. Nene Lodge C53 C04 2391 Nene Lodge 222237 250405 Stage 4.doc Version 1.30 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) 31, 32 and 36 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 17 years. They therefore have extensive knowledge of the home. The manager has not yet started the Registered Manager’s award but as a result of finance having been obtained both the manager and owner are to study for this award in the future. There is an extensive training programme for staff, which includes National Vocational Qualifications, internal lectures and outside trainers. Staff receive regular formal supervision. There are also regular staff meetings. The last one being on the 23/3/2005. In January 2005 the home started to introduce a multi-skilled workforce. This to enable staff to be skilled in other areas such as Nene Lodge C53 C04 2391 Nene Lodge 222237 250405 Stage 4.doc Version 1.30 Page 19 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 was. Comments were “nothing is too much and I can talk to Dr Nathu and the manager if I have any problems” The staff commented that “the management are approachable and supportive” and “I like it here”. Visitors commented “I have confidence in the staff and I find the staff very caring” Management systems are in place and quality assurance has been established to obtain residents and outside professional workers (GPs, Community Nurses and Pharmacists) views of the home. Nene Lodge C53 C04 2391 Nene Lodge 222237 250405 Stage 4.doc Version 1.30 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 3 3 3 x x x 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 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 x 3 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 Standard No 16 17 18 Score 3 x 3 3 3 x x x 3 x x Nene Lodge C53 C04 2391 Nene Lodge 222237 250405 Stage 4.doc Version 1.30 Page 21 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. 1. 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 Good Practice Recommendations Nene Lodge C53 C04 2391 Nene Lodge 222237 250405 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 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 C53 C04 2391 Nene Lodge 222237 250405 Stage 4.doc Version 1.30 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. 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!