Inspection on 08/08/06 for Normanton Lodge

This inspection was carried out on 8th August 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

Normanton Lodge 20/08/08

Normanton Lodge 10/01/06

Normanton Lodge 09/08/05

Normanton Lodge 18/11/04

Normanton Lodge 30/06/04

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 Normanton Lodge 14-16 Normanton Avenue Bognor Regis West Sussex PO21 2TX Lead Inspector Mrs D Peel Unannounced Inspection 8th August 2006 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 Normanton Lodge DS0000059020.V302743.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Normanton Lodge DS0000059020.V302743.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Normanton Lodge Address 14-16 Normanton Avenue Bognor Regis West Sussex PO21 2TX Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (If applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01243 821763 Normanton Limited Mrs Susan English Care Home 26 Category(ies) of Dementia (1), Old age, not falling within any registration, with number other category (25) of places Normanton Lodge DS0000059020.V302743.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 person under the age of 65. Date of last inspection 10th January 2006 Brief Description of the Service: Normanton Lodge is a care home able to provide personal care and support for up to 26 residents over 65 years of age. It may also offer care to 1 resident who may have dementia and 1 resident who may be under 65 years of age, but the maximum persons living at the home must not exceed 26. Normanton Lodge is located in a quiet residential area of Bognor Regis. Local amenities are within walking distance of the home and Bognor Regis seafront and promenade is a short drive away. There is a small car park at the front of the home and gardens to the rear, which are accessible to residents. Communal areas consist of a main lounge with a small dining area and a separate dining room on the ground floor. There is an additional quiet sitting room on the upper floor. There are twenty-four single bedrooms and one double bedroom. Nine bedrooms have en suite facilities. Normanton Lodge DS0000059020.V302743.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out by Mrs Diane Peel on the 8th and 9th August 2006. During this visit the intended outcomes for 31 standards were assessed; these included the key standards for care homes providing a service to older people. Prior to the visit to the home the inspector reviewed information provided in a pre inspection questionnaire completed at the request of the inspector some weeks prior to the visit and other information received from the provider since the last visit to the home on the 10th January 2006. The inspector arrived on the first day at 9am and was greeted by the staff on duty. During the visit a tour of the home took place with all communal areas and private accommodation visited. A case tracking exercise for four residents was undertaken to look at how the assessed needs of this group of residents with diverse needs were being met. Residents were spoken with to gain some information about what it is like to live at the home either in the privacy of their rooms or in the lounge. Staff were observed assisting and interacting with residents in the lounge and bedrooms. The atmosphere at Normanton Lodge was relaxed and staff were observed to speak to residents meaningfully taking time to explain things when they seemed confused. Staff were spoken with informally to find out what it is like to work at the home and to discuss aspects of residents care plans and assessed needs. The inspector returned at 10am on the following day to meet with the manager who had been who had had a day off on the previous day. During this visit the records of four staff were inspected and staff were spoken with informally during the visit to find out what it is like to work at the home and what training had been provided. The current scale of fees being charged at the home is from £325 to £475 per week. Normanton Lodge DS0000059020.V302743.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The manager and staff should explore ways in which they can ensure that residents at the home are able to recognise that they can make choices about their lives. This should include helping them to recognise that there is a choice of food offered at meal times. Normanton Lodge DS0000059020.V302743.R01.S.doc Version 5.2 Page 7 Because the home has experienced problems with excessive hot water temperatures the inspector recommends that water temperature records are documented formally and records are kept of what action is taken to reduce hot water temperatures. Hot water signs should be on display above all offending hot water outlets whilst action is being taken. 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. Normanton Lodge DS0000059020.V302743.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Normanton Lodge DS0000059020.V302743.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,4,5,6 Prospective residents and their families are provided with the information they need to make an informed choice about the home and are encouraged to visit the home before deciding if they want to live at the home. Residents are assessed prior to moving into the home to make sure that the home can meet their needs. Outcomes for residents are good. EVIDENCE: Normanton Lodge has a Statement of Purpose and Service Users Guide. The most recent version was provided to the inspector prior to the visit to the home and was observed to provide informative information, which would assist prospective residents and relatives to make a choice about the suitability of the home. Care records viewed during the visit showed the needs of the resident accommodated at the home had been assessed prior to them moving into the home. Normanton Lodge DS0000059020.V302743.R01.S.doc Version 5.2 Page 10 Residents spoken with had a representative visit the home on their behalf before making a choice about moving into the home. Training records show that collectively staff have the skills and experience to provide the service to residents, which live at the home. Normanton Lodge does not provide intermediate care but does offer periods of respite care. Normanton Lodge DS0000059020.V302743.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Care planning systems are regularly updated and they give clear information to assist with all aspects of health, personal and social care needs. Resident’s healthcare needs are being addressed by healthcare professionals to make sure that these identified needs are being met. The home can demonstrated satisfactory medication handling. Residents are treated with dignity and their right to privacy is respected Outcomes for residents are good. EVIDENCE: All residents have a plan of care, which is written in a language, which could be used by anyone not familiar with the content. Four care plans/records were examined and a case tracking exercise was undertaken to find out if the assessed needs of residents had been developed into a care plan, which staff were following to meet individual residents needs. Normanton Lodge DS0000059020.V302743.R01.S.doc Version 5.2 Page 12 The four care plans viewed had been regularly reviewed and recorded changes to the health and welfare of residents. Careful recording showed a steady decline in one resident’s heath, referral to other healthcare professionals were noted in daily records. Frequent accidents recorded for this person showed that staff were finding it increasingly difficult to supervise this person to a level needed for their safety. Records showed that discussion had already taken place with this person’s representatives and health care professionals about a move to a nursing home and a move was planned. Other care plans showed that residents have access to the normal healthcare services. District nurses attend the home to provide nursing care to some residents who have the need for dressing to be changed. Lockable medication storage was well organised and included a medicines trolley located within a locked medication room. Medicines are administered by senior staff, who delegated the application of barrier creams to carers. Medication records viewed at this visit were observed to be clear and up to date. Normanton Lodge DS0000059020.V302743.R01.S.doc Version 5.2 Page 13 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): 12,13,14,15, The routines of the home are planned around the resident’s needs and wishes so that there is some flexibility in the service. Activities are offered and residents who are able are encouraged to be part of the community. Residents are encouraged to maintain contact with their family and friends so that they so that they can satisfy their social and emotional needs. Home cooked food is provided to a good standard although not all residents seem to recognise the availability of choice. Outcomes for residents are good. EVIDENCE: A resident said, “they liked living at Normanton Lodge because it is as much like living at home as you would get in a care home” The routines of the home take into account peoples individual likes and dislikes recorded in their care records. Normanton Lodge DS0000059020.V302743.R01.S.doc Version 5.2 Page 14 Residents spoken with confirmed that activities take place regularly and these include: regular quizzes, keep fit, bingo, games, painting. There are also visiting musical entertainers and mobile shops. Residents are also offered the opportunity to go to local shops, and attend shows and concerts. On the second day of the visit a resident went out for lunch with a member of their family. Daily care records viewed at this visit showed that staff record what activities each resident has taken part in. Residents say that the home makes all visitors welcome. The inspector spoke with one visitor during the visit that confirmed that they visit regularly and are always made to feel welcome. They always visit in the privacy of the resident’s room. The visitor’s book shows regular visitors to the home. Residents have the flexibility of meal arrangements, being able to eat in their rooms if they wish or in the comfortable dining room with its large, grand family dining table or in an area set aside from the main lounge. Food is considered to be of a good standard by residents who are able to express their opinion to the inspector. Some residents didn’t seem to think that they had a choice about what they had for their meals. However during the course of the inspection the inspector saw and heard residents being asked what they would like to eat the next day. The manager told the inspector that a member of the kitchen staff goes round each day to offer the choices for the next day meal. This information is then provided to the cook. Menus and choices were discussed further to explore ways of making sure that residents know what choices are available. This might include an alternative being offered on the menu board, which is on display outside the kitchen. Normanton Lodge DS0000059020.V302743.R01.S.doc Version 5.2 Page 15 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): 16,18 The complaints procedure is clear and enables those using the service to have the confidence that their complaint will be responded to within a maximum of 28 days. The registered person has arrangements in place to protect residents from being placed at risk of harm or abuse. Outcomes for residents are good. EVIDENCE: The complaints procedure is on display in the home and included in the Statement of Purpose and Service User Guide. The homes complaints record book showed one complaint made to the home since the last visit, which had been attended to, and the outcome recorded. No complaints have been received by CSCI about the home since the last visit. Residents spoken with knew that they could speak to the person in charge if they were not satisfied. Staff have attended adult protection training and the home has its own guidelines for staff to use at the home, which have been reviewed since the last visit in January 2006 and are used alongside the West Sussex Multi Agency guideline for reporting abuse. Normanton Lodge DS0000059020.V302743.R01.S.doc Version 5.2 Page 16 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): 19,20,21,22,23,24,25,26 The home is clean and residents have a comfortable, homely, well-maintained environment to live in. Bedrooms are comfortable and meet the needs of the residents. Residents are encouraged to contribute to making their bedrooms their own by having their own personal possessions around them. Outcomes for residents are good. EVIDENCE: The inspector visited all of the communal and private accommodation during the visit to the home. The home was observed to be clean and well maintained. Communal areas are nicely decorated, comfortable and have many homely touches. There are twenty-four single bedrooms and one double bedroom, which is being used for single occupancy. Nine bedrooms have en suite facilities. Normanton Lodge DS0000059020.V302743.R01.S.doc Version 5.2 Page 17 Residents visited in their rooms were satisfied with their accommodation and had personal items on display, which they had brought to the home. Some resident had brought small items of furniture from home. There is specialist equipment in bathrooms and toilets and hoists available to use. Handrails are fitted to the hallways to offer additional safety to residents. Since the last visit to the home new carpets have been laid in four bedrooms, the hall and extension corridor. The hall way and the upstairs lounge have been redecorated and a new call system has been installed. Hot water temperatures continue to be monitored and records kept although the inspector has suggested that the format for recording water temperature should be a formal document. Normanton Lodge DS0000059020.V302743.R01.S.doc Version 5.2 Page 18 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): 27,28,29,30 Staffing numbers are set at a level, which allows residents assessed needs to be met. Recruitment procedures safeguard and protect residents at the home. Staff receive training to support them in carrying out their jobs and meeting the needs of residents. Outcomes for residents are good. EVIDENCE: Staffing rotas observed prior to the visit show that sufficient staff are employed with the appropriate skill mix to meet the needs of residents over the 24-hour period. Residents confirmed that there are two staff on duty at night and that there are usually enough staff on duty. Information provided prior to this visit provided by the manager states that there are 16 care staff and that 8 care staff have an NVQ at level 2 or above, which meets the 50 target required to be met by December 2005. The staff files of thee members of staff were fully inspected during the visit and other records were viewed to make sure that Criminal Record Bureau (CRB) and Protection of Vulnerable Adult (POVA) clearance is sought for all staff. It was noted that all staff except for one person who had just started working at home had CRB and POVA clearance. The manager explained that an Normanton Lodge DS0000059020.V302743.R01.S.doc Version 5.2 Page 19 application had been sent to the Criminal Record Bureau some time ago but had yet to be returned. This person has now started work and is being supervised until clearance is received. Other required documentation was in place. Staff-training records show that the training programme provides staff with the training, which helps them to provide a safe environment for themselves and the residents, which live at the home. Normanton Lodge DS0000059020.V302743.R01.S.doc Version 5.2 Page 20 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): 31,33,35,37,38 Systems are in place to ensure the effective management of the home. The views of residents, their families and friends are sought to measure how successful the home is at meeting its aims and objectives and the statement of purpose of the home. The homes record keeping with regard to residents monies kept by the home safeguards service users rights and best interests. Procedures are in place to ensure that the home is a reasonably safe environment to live in. Outcomes for residents are good. Normanton Lodge DS0000059020.V302743.R01.S.doc Version 5.2 Page 21 EVIDENCE: The registered manager has more than two years experience as a manager and has worked at the home for many years. She has completed an NVQ Level 4 in Care Management. Customer consultation questionnaires are used to consult with residents and their families about their views of the home. A few residents have monies kept by the home on their behalf. The records of records of incoming and outgoing expenditures were observed to be detailed and those samples were correct. Other records examined at this visit were up to date and well maintained. There were no health and safety issues, which came to the attention of the inspector other than the hot water temperatures in four sinks. However steps were taken to reduce the temperatures during the inspection, hot water outlets already have valves fitted which are being monitored and water temperatures are being recorded. Normanton Lodge DS0000059020.V302743.R01.S.doc Version 5.2 Page 22 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 3 3 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 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 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 X 3 X 3 X 3 3 Normanton Lodge DS0000059020.V302743.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP14 Good Practice Recommendations The manager and staff should explore ways in which they can ensure that residents at the home are able to recognise that they can make choices about their lives. This should include helping them to recognise that there is a choice of food offered at meal times. Because the home has experienced problems with excessive hot water temperatures the inspector recommends that water temperature records are documented formally and records are kept of what action is taken to reduce hot water temperatures. Hot water signs should be on display above all offending hot water outlets whilst action is being taken. 2 OP38 Normanton Lodge DS0000059020.V302743.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Worthing LO 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 Normanton Lodge DS0000059020.V302743.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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