Inspection on 09/08/05 for Normanton Lodge

This inspection was carried out on 9th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 08/08/06

Normanton Lodge 10/01/06

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 Diane Peel Announced Tuesday, 9 August 2005, 09.30am, V235026 th 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. Normanton Lodge H60-H11 S59020 Normanton Lodge V235026 090805 Stage 4.doc Version 1.40 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 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 CRH 26 Category(ies) of OP-25, DE1 registration, with number of places Normanton Lodge H60-H11 S59020 Normanton Lodge V235026 090805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 person under the age of 65. Date of last inspection 16/11/05 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 H60-H11 S59020 Normanton Lodge V235026 090805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 5.5 hours on the 9th August 2005. The inspector arrived at 9.20 am and was welcomed by the manager of Normanton Lodge A full tour of the home took place and the majority of the 23 residents living at the home were met. Five residents were spoken with in depth to find out if they felt that their needs were being met. The inspector joined residents for lunch to sample the meal and meet other residents who were not spoken with privately. The care records of four residents were inspected during the visit along with other records, which showed how care needs are to be met. The records of four staff were also inspected and staff were spoken with informally during the visit, Eight service user comment cards were returned during the visit to the home all indicating that residents were satisfied with the facilities at the home and the standard of care provided. The inspector met with two visitors, visiting the home and gained positive feedback about the service provided. What the service does well: Residents, who are able, are encouraged to retain an independent lifestyle, accessing local communal facilities and maintaining relationships. Care plans are clear and provide staff with the information, which they need to meet the needs of the residents. The staff team treat residents as individuals and are able to assist them to maintain their dignity. Meals are varied, nicely presented, offer choice and are served in pleasant surroundings. Visitors are made to feel welcome and find communication with the management and staff of the home open and friendly. Normanton Lodge H60-H11 S59020 Normanton Lodge V235026 090805 Stage 4.doc Version 1.40 Page 6 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. Normanton Lodge H60-H11 S59020 Normanton Lodge V235026 090805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Normanton Lodge H60-H11 S59020 Normanton Lodge V235026 090805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3,4,5,6 A Service User Guide provides information about the home and the service, which it offers to enable prospective residents to make an informed choice about moving into the home. Residents are assessed prior to moving into the home to make sure that the home can provide a care plan which residents or their families know will meet their needs. Prospective residents, their relatives and friends have an opportunity to visit the home to look at the facilities available and assess its suitability before moving in. EVIDENCE: There have been some changes made to the Service User Guide, which provides information about the care home. Prospective residents can use this information to ensure that Normanton Lodge can offer the service, which they require. Residents spoken with during the visit explained how they had come to live at Normanton Lodge. Usually relatives had visited on the behalf of residents. Two residents having a period of respite care at the home were hoping to stay permanently. One resident said that they were “trying it out to see if they wanted to stay”. Normanton Lodge H60-H11 S59020 Normanton Lodge V235026 090805 Stage 4.doc Version 1.40 Page 9 The manager was able to give an example of visiting a resident who had recently moved into the home, at another care home, to carry out an assessment of need prior to the resident moving into Normanton Lodge. Care records viewed at this visit showed that an initial assessment is carried out prior to moving into the home and then reviewed after moving into the home, to ensure that the residents needs can be met. Normanton Lodge does not provide intermediate care. Normanton Lodge H60-H11 S59020 Normanton Lodge V235026 090805 Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9 and10 Systems for care planning give clear information to assist with all aspects of health, personal and social care needs. Procedures for recording accidents are not always adhered to, which could result in residents risk assessments not being reviewed when not all falls are recorded. Medication at the home is well managed and ensures that residents are protected by the homes procedures for dealing with medication. Residents are treated with respect and their rights to privacy are recognised. EVIDENCE: Care plans examined were clear and gave staff the information, which they need to meet the needs of the residents in all aspects of heath, personal and social care. They had been reviewed monthly to show the changing needs of the residents. Daily progress notes are in use to monitor the heath and well being of residents and records examined showed significant events in residents daily lives. These records were used in a case tracking process for four residents to ensure that all accidents and falls sustained by residents were being recorded in the homes accident book. This process identified a shortfall in the homes procedures for reporting and recording accidents to residents by staff. A statutory requirement has been made to improve the practice so that Normanton Lodge H60-H11 S59020 Normanton Lodge V235026 090805 Stage 4.doc Version 1.40 Page 11 all incidents are recorded and accident records can be used to analyse trends for individual residents who are assessed as at risk from falls. Visits to residents by other heath care professionals are recorded and outcomes detailed. One resident spoke about visits by the Doctor and Nurses whilst she had been ill. One residents care records viewed showed regular visits by a District Nurses to dress wounds. During the visit staff were observed to treat residents in a respectful and courteous manner, providing comfort and assurance to confused residents. Medication records were observed to have clear recording systems and medication was stored in a locked trolley and cupboards. Normanton Lodge H60-H11 S59020 Normanton Lodge V235026 090805 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14and15 The home provides a lifestyle that respects privacy, dignity and choice so that resident’s expectations and individual preferences are met. Activities provided are varied to suit resident’s preferences and abilities. Residents are able to have visitors and are encouraged to be part of the local community. Meals are well managed and provide choice and variation. EVIDENCE: All residents spoken with during the visit were pleased to be living at the home as an alternative to their own home. One resident who had lived at Normanton Lodge for over three years commented that they “love it here its my second home.” Another resident said that they had moved to this home because they had not liked it at a previous care home. The resident showed the inspector their bedroom and talked about the personal items, which they had been able to bring to the home. This resident explained that they liked this home because it was “homely and everyone is friendly”. Routines at the home were observed to be flexible. When the inspector arrived at 9.20 am some residents were already up and dressed others had chosen to have a lie in. The atmosphere was noted to be relaxed. Residents are encouraged to maintain contact with their families and friends. The visitors book records regular visitors to the home and trips out by residents with relatives and friends. During the visit one resident went out for lunch with a visitor and two other visitors spoke with the inspector about their views of the Normanton Lodge H60-H11 S59020 Normanton Lodge V235026 090805 Stage 4.doc Version 1.40 Page 13 standard of care at Normanton Lodge. They said that they had been very impressed by the care and attention from staff at the home. Comments about food at Normanton Lodge both during the visit and in comments cards returned to the inspector was good. Residents spoken with said that the food is of a good standard and if they didn’t want what was on the main menu for the day they could always have an omelette or ask for something different. For tea there is also a choice. Staff were observed to ask residents during morning coffee what they would like to eat at teatime. A resident told the inspector that this was the normal procedure. The inspector joined a group of residents for the mid-day meal, which was ham, egg and chips followed by apple pie and custard or a yogurt. Everyone enjoyed the meal and there were compliments for the cook when she came to collect the empty plates. Normanton Lodge H60-H11 S59020 Normanton Lodge V235026 090805 Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 There is a clear complaints procedure, which enables those using the service to have the confidence that their complaint will be responded to within a maximum of 28 days. Residents are protected by the homes adult protection procedure and staff have attended training in how to protect vulnerable adults. EVIDENCE: The home has a complaints procedure included in the Service User Guide and on display on the notice board in the entrance hall. There have been no complaints made to the home or to the Commission for Social Care and Inspection (CSCI) since the last visit to the home. Information provided prior to the visit to the home confirmed that Normanton Lodge has its own policies and procedures for responding to suspicion or evidence of abuse or neglect in addition to the West Sussex Multi-Agency Policy for protecting vulnerable adults from abuse. Staff training records viewed showed that training has been provided for some staff in February 2005 to ensure that those in daily contact with residents are aware of their responsibilities in recognising and reporting abuse. Care staff that have completed an NVQ in care have completed Unit Z1 (contribute to the protection of individuals from abuse) as part of their qualification. Normanton Lodge H60-H11 S59020 Normanton Lodge V235026 090805 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,23,24,25 and 26 The home is clean and residents have a comfortable, homely 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. Vulnerable residents are at risk from excessive hot water temperatures, which could scald them. 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. There is a patio/garden to the rear of the building, which residents can access. Communal areas are nicely decorated, comfortable and have many homely touches. Residents visited in their rooms commented upon the personal items, which they had been able to bring to the home and have in their bedrooms. Some resident had brought small items of furniture from home. There is specialist equipment in bathrooms and toilets and a new hoist. Normanton Lodge H60-H11 S59020 Normanton Lodge V235026 090805 Stage 4.doc Version 1.40 Page 16 Handrails are fitted to the hallways to offer additional safety to residents. Hot water temperatures were sampled during the tour of the home. Five bedroom wash basins and one of the baths sampled, had water leaving the hot water taps in excess of 50 degrees centigrade, this places vulnerable people at risk. Records viewed by the inspector showed that the maintenance person had been regular checking hot water temperature since the last inspection at the home because of a problem identified at that visit. The most recent check has been the day prior to this inspection. Comment was made that the water had been tuned off since the check, for boiler maintenance. A requirement has been made that steps are taken to avoid residents been at risk of scalding from excessive hot water temperatures. Normanton Lodge H60-H11 S59020 Normanton Lodge V235026 090805 Stage 4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 and 30 Staffing numbers are set at a level, which allows residents assessed needs to be met. Procedures for the recruitment of staff are not robust and do not fully safeguard and protect residents at the home. Staff receive training to support them in carrying out their jobs and meeting the needs of residents. 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 and staff confirmed that there are two staff on duty at night. Residents felt there are usually enough staff on duty. Staff records show that 60 percent of care staff now have an NVQ level 2 or above which meets the 2005 target set. The staff files of four 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. Records showed that two staff did not have the results of checks on file. The CRB for one person had been sought by the person’s previous employer and this did not include a POVA check. There was no identification for this person available to the inspector. A CRB application had been made for the other person but there were no written references on file. The manger was reminded that there is a statutory requirement on care providers to check if workers, which they want to appoint, are included on the POVA list and that this can only be done by a new CRB application. This process should be concluded prior to staff starting work at the home to protect residents. Normanton Lodge H60-H11 S59020 Normanton Lodge V235026 090805 Stage 4.doc Version 1.40 Page 18 A staff-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 H60-H11 S59020 Normanton Lodge V235026 090805 Stage 4.doc Version 1.40 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 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) 31,32,37and 38 The home is well managed providing leadership and guidance for staff. Some practices do not promote and safeguard the health and safety of residents living at the home EVIDENCE: Residents feel that the home is well managed. One resident said, “the manager is very kind and very special”. The registered manager has more than two years experience as a manager and has worked at the home for many years. She has now completed an NVQ Level 4 in Care Management. There needs to be some improvement in recruitment practice at the home. Not all staff records sampled had sufficient evidence to show that residents are protected by the homes recruitment practices. Staff are not entering all accidents sustained by residents a in the homes accident book, although there is evidence that they may be being recorded in care records and other daily records kept by the care staff. Vulnerable residents are at risk from excessive hot water temperatures in some hot water outlets. Normanton Lodge H60-H11 S59020 Normanton Lodge V235026 090805 Stage 4.doc Version 1.40 Page 20 Normanton Lodge H60-H11 S59020 Normanton Lodge V235026 090805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 1 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 3 3 3 3 3 3 1 3 STAFFING Standard No Score 27 3 28 4 29 1 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 3 3 x x 1 1 Normanton Lodge H60-H11 S59020 Normanton Lodge V235026 090805 Stage 4.doc Version 1.40 Page 22 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. 2. Standard 8,37.38 25,38 Regulation 17.1(a) 13.4(a)(c) Requirement All accidents sustained by residents must be recorded in the homes accident book. The providers must take action to prevent residents being scalded by excessive hot water for identified outlets (the proiders must write to the CSCI and state what action has been taken by timescale for action date) Recruitement practices must comply with the requirements of Regulation 19 Staff records must comply with regualtion 17 and amended 2 Timescale for action 23/8/05 23/8/05 3. 4. 29,37 29 19 17 9/9/05 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 Normanton Lodge H60-H11 S59020 Normanton Lodge V235026 090805 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Address 1 Address 2 Address 3 Address 4 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 H60-H11 S59020 Normanton Lodge V235026 090805 Stage 4.doc Version 1.40 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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