Inspection on 27/10/05 for Nene Lodge

This inspection was carried out on 27th October 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 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 Unannounced Inspection 27th October 2005 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Nene Lodge DS0000002391.V260965.R01.S.doc Version 5.0 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.V260965.R01.S.doc Version 5.0 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 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.V260965.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th April 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 36 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. Email: nazimnathu@hotmail.com Fax: 01406 351396 Nene Lodge DS0000002391.V260965.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 09.00 a.m. It took place over five and a half hours. The inspector spoke to 11 residents, 2 visitors, 3 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. What the service does well: What has improved since the last inspection? 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.V260965.R01.S.doc Version 5.0 Page 6 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.V260965.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 4, 5 and 6 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: All staff receive a detailed and comprehensive induction, which includes the needs and approach of people living in the home. Where a person has a particular need, additional training can be provided to address their changing needs. Residents are routinely invited to visit the home, meet staff, other residents and stay for a day. Thereafter, a trial of up to 4 weeks is offered to enable the person to settle in. The assessment is undertaken with the involvement of the resident and family/advocate. One resident commented, “I come here regularly for respite care and always receive a warm welcome”. The home does not provide intermediate care. Nene Lodge DS0000002391.V260965.R01.S.doc Version 5.0 Page 8 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 and 11 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 who are dying and give support to relatives. 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. 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” and “staff are friendly and respectful”. Nene Lodge DS0000002391.V260965.R01.S.doc Version 5.0 Page 9 Staff receive training on how to care and support those residents who are dying. The home also has a detailed policy concerning death and bereavement, which gives guidance to staff. Where required, advice can be obtained from Macmillan Nurses. Nene Lodge DS0000002391.V260965.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 14 Social activities 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: 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. A Christmas programme of activities was being prepared. The majority of the resident’s financial affairs are managed by their family/advocate. Records are kept of all financial transactions and this is done with their permission. Nene Lodge DS0000002391.V260965.R01.S.doc Version 5.0 Page 11 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, 17 and 18 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. The home has details of CALL advocacy service for Lincolnshire. Legal advice can also be obtained where required. Residents are encouraged to vote at elections and assistance is offered where required 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. Nene Lodge DS0000002391.V260965.R01.S.doc Version 5.0 Page 12 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, 23, 24, 25 and 26 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. 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. 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 like my bedroom” and “the home is clean and tidy”. Nene Lodge DS0000002391.V260965.R01.S.doc Version 5.0 Page 13 Low surface temperature radiators have been installed to the extension/conversion part of the home. These areas also have thermostatic controls installed to all bathrooms and washbasins. In other parts of the home water temperatures are controlled at the hot water boiler for all washbasins and baths. This system also controls the surface temperatures to the radiators. 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 laundry is returned within the same day” and “clothing is washed well”. Nene Lodge DS0000002391.V260965.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 and 30 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: The home provides 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 said they had sufficient time to care and support the residents. Specific comments were “I feel safe working here” and “the home is very friendly”. There was evidence of a well trained and motivated team of staff. Training includes National Vocational Qualifications, internal training and attendance at outside study days. Throughout the inspection it was apparent that staff knew what to do and worked as one team. Staff were seen to knock on doors before entering rooms and politely address residents in a friendly manner. They were also seen to laugh and joke with the residents. Nene Lodge DS0000002391.V260965.R01.S.doc Version 5.0 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 34, 37 and 38 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 and owner have commenced a management qualification. Staff receive regular formal supervision. There are also regular staff meetings. 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. Nene Lodge DS0000002391.V260965.R01.S.doc Version 5.0 Page 16 The staff commented that “the management are approachable and supportive” “ I feel very supported”, “I was thanked by the owner the other day for doing a good job, this boosted my self esteem” and “I like it here”. Visitors commented “superb” and “I am very satisfied”. 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. An annual survey is to be sent out in the future to obtain these peoples views. Relatives/advocates are responsible for most of the resident’s financial affairs. This is done with their agreement. Where required, arrangements can be made for the safe keeping of their money. Records of all transactions are kept and the records are audited. Where required, financial and legal advice can be obtained. The home has an access to records policy and all records are kept securely. Records examined on the day of the inspection were available, well maintained, up to date and well organised. All staff receive training covering abuse, infection control, moving and handling, health and safety and fire prevention. In addition staff have first aid certificates. The home received a Food Safety Award from South Holland District Council. The home also has a comprehensive and up to date health and safety including risk assessment policy. The home received a fire inspection on the 13/7/2005. There were no concerns. . Nene Lodge DS0000002391.V260965.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X x x 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 x x x 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 3 x x 3 3 Nene Lodge DS0000002391.V260965.R01.S.doc Version 5.0 Page 18 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. Refer to Standard Good Practice Recommendations Nene Lodge DS0000002391.V260965.R01.S.doc Version 5.0 Page 19 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. 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