Inspection on 08/12/05 for Northcourt Lodge

This inspection was carried out on 8th December 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

Northcourt Lodge 12/12/06

Northcourt Lodge 28/07/05

Northcourt Lodge 01/03/05

Northcourt Lodge 14/09/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Northcourt Lodge 65 Northcourt Avenue Reading Berkshire RG2 7HF Lead Inspector Robert Dawes Unannounced Inspection 8th December 2005 10:00 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 Northcourt Lodge DS0000011034.V264105.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. Northcourt Lodge DS0000011034.V264105.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Northcourt Lodge Address 65 Northcourt Avenue Reading Berkshire RG2 7HF 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) 0118 987 5062 0118 975 5007 Mr Harbhajan Surdhar Dr Ramnath Narayan Ms Rozina Hashwani Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Northcourt Lodge DS0000011034.V264105.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. That rooms 9. 11, 15 and 22 are not to be occupied by service users with physical disabilities. 28th July 2005 Date of last inspection Brief Description of the Service: Northcourt Lodge is a care home for 22 older people, 18 of whom can be admitted with nursing needs. The home does not provide intermediate care or dementia care. The home is situated in a suburb of Reading and privately owned by Mr Harbhajan Surdhar and Dr Ramnath Narayan. Service users are currently accommodated in one double and twenty single bedrooms. Some considerable refurbishment has been undertaken in the home to develop the home inclusive of further bedrooms with ensuite facilities. Northcourt Lodge DS0000011034.V264105.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place during the day on Thursday 8th December 2005. The Inspector spoke with a group of service users, two individual service users, the manager and looked at records. Twelve standards were assessed of which eleven were met and one almost met. One requirement and one recommendation were made during this inspection. What the service does well: What has improved since the last inspection? What they could do better: All medicines received to be accurately recorded. Access to the laundry room to be improved. Security around the outside of the home to be improved. The garden to be made more presentable for the service users. Northcourt Lodge DS0000011034.V264105.R01.S.doc Version 5.0 Page 6 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. Northcourt Lodge DS0000011034.V264105.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Northcourt Lodge DS0000011034.V264105.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Number 3. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. EVIDENCE: Files seen had pre admission assessments. Northcourt Lodge DS0000011034.V264105.R01.S.doc Version 5.0 Page 9 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): Numbers 7, 8 and 9. The service user’s health, personal and social care needs are set out in an individual care plan. Service users’ health care needs are fully met. The home has arrangements for safe storage and administration of medication. Suitable policies and procedures for handling medication in the home are in place. EVIDENCE: All service user files had individual care plans which set out in detail the action which needs to be taken by care staff to ensure that all aspects of the health, personal and social care needs of the service user are met. Service users looked clean and personally well cared for. Service users said they are well looked after and any health problems are well addressed. Care plans showed service users health issues are monitored, specialist intervention is accessed and regular health checks take place. Feedback from satisfaction questionnaires was complimentary about the service users personal and health care. Storage arrangements are adequate, and safe storage is provided for all types Northcourt Lodge DS0000011034.V264105.R01.S.doc Version 5.0 Page 10 of medication. It is recommended that the temperature range is monitored in the medication refrigerator, by recording maximum and minimum temperatures. Clear administration records are available showing that medication is given as prescribed by the GP. Records are kept of returned medication no longer needed, but there are no clear records of quantities of medicines received into the home. It is a requirement to keep an accurate record of quantities and dates of all medicines received. The home has clear policies and procedures for handling medication. Northcourt Lodge DS0000011034.V264105.R01.S.doc Version 5.0 Page 11 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): Number 13. Service users are able to have visitors at any reasonable time. EVIDENCE: Relatives and friends are welcome to visit at any reasonable time. Service users are encouraged to be involved with local community groups such as local churches and day centres. Northcourt Lodge DS0000011034.V264105.R01.S.doc Version 5.0 Page 12 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): Numbers 16 and 18. Service users and their relatives are confident that their complaints will be listened to, taken seriously and acted upon. Service users are protected from abuse. EVIDENCE: The home has a complaints procedure. Leaflets on how to make a complaint are given to service users and their relatives. Complaint book showed robust response to complaint about laundry going missing. Service users described the manager as being very approachable and deals with any problems quickly. The home has a vulnerable adults procedure (including whistle blowing). Accidents to service users are recorded. Northcourt Lodge DS0000011034.V264105.R01.S.doc Version 5.0 Page 13 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): This section was not assessed. EVIDENCE: Northcourt Lodge DS0000011034.V264105.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): Numbers 27, 29 and 30. Service users’ needs are met by the number and skill mix of staff. The home operates a thorough recruitment procedure. Staff are trained and competent to do their jobs. EVIDENCE: Excluding the manager, four care staff are on duty during the mornings, three care staff are on duty in the afternoons/evenings and two at night. From January 2006, when service users who require nursing will be admitted, a registered nurse will be on duty twenty four hours a day. In addition to the care staff, a cook, cleaner and maintenance man are also employed The registered person operates a thorough recruitment procedure. All new staff receive induction training which includes training courses that cover the basic skill requirements. Staff then enrol on NVQ training courses. Staff also attend courses to improve their English and on topics such as dementia to gain a better understanding of older peoples needs and conditions. Northcourt Lodge DS0000011034.V264105.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): Numbers 33 and 35. The home is run in the best interests of service users. Service users’ financial interests are safeguarded. EVIDENCE: The home has a quality management policy. Satisfaction questionnaires were sent out to service users, relatives and staff. In September 2005 a meeting was held for relatives to discuss the feedback from the questionnaires. A detailed annual development plan has been produced. Service users look after their own money or appoint a relative or an agent. The manager is not responsible for any service users’ finances or personal money. An inventory of service users’ personal possessions brought into the home is kept on the files. Northcourt Lodge DS0000011034.V264105.R01.S.doc Version 5.0 Page 16 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X X Northcourt Lodge DS0000011034.V264105.R01.S.doc Version 5.0 Page 17 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. 1 Standard OP9 Regulation 13 Requirement A record must be kept of medicines received into the home in order to provide a clear audit trail for medication. Timescale for action 01/02/06 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 OP9 Good Practice Recommendations A record of the temperature range in the medication refrigerator should be kept, by recording the maximum and minimum temperatures as well. Northcourt Lodge DS0000011034.V264105.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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 Northcourt Lodge DS0000011034.V264105.R01.S.doc Version 5.0 Page 19 - 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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