Inspection on 21/12/05 for Nutley Lodge

This inspection was carried out on 21st 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

Nutley Lodge 12/07/07

Nutley Lodge 10/10/06

Nutley Lodge 24/05/05

Nutley Lodge 08/03/05

Nutley Lodge 18/05/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Nutley Lodge 43 Sherford Road Elburton Plymouth Devon PL9 8DA Lead Inspector Jane Gurnell Unannounced Inspection 21st December 2005 1:40 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 Nutley Lodge DS0000003484.V253007.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. Nutley Lodge DS0000003484.V253007.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Nutley Lodge Address 43 Sherford Road Elburton Plymouth Devon PL9 8DA 01752 402024 01752 484082 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) Mr Jeremy Woodcock Mrs Lynwen Miles Woodcock Mrs Allison Thompson Care Home 25 Category(ies) of Dementia - over 65 years of age (25), Old age, registration, with number not falling within any other category (25), of places Physical disability over 65 years of age (25) Nutley Lodge DS0000003484.V253007.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age range 55yrs Date of last inspection 24/05/05 Brief Description of the Service: Nutley Lodge is a detached, extended property, situated in the village of Elburton. It is set in its own grounds with easy access for service users. The Home is registered to provide accommodation and personal care for up to 25 service users over the age of 55 for reason of old age, physical disability and dementia. The home is registered for the categories OP (Older Person), PDE (Physical Disability Elderly) and DEE (Dementia Elderly).The home is owned by Mr Jeremy and Mrs Lynwen Woodcock and the registered manager is Mrs Allison Thompson. The home has 23 single bedrooms and 1 double bedroom, 14 of the single bedrooms and the double bedroom have en-suite toilet facilities. On the ground floor there are two lounge rooms and a large dining room with a further seating area in the entrance lobby. A shaft lift and a stair lift provide access to the first floor. There is a call bell system throughout the home. Service users are enabled to access any health or social care services they require and various social activities are arranged by the home. The garden is attractive, spacious and has physical disability access. Nutley Lodge DS0000003484.V253007.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place in the afternoon on 21st December 2005. As the key standards had been assessed at the previous inspection in May 2005, the focus of this inspection was to consult with residents and review the care planning processes. The inspector spoke to 12 residents as well as 6 visitors, toured the building and examined care records and other documents relating to fire safety issues. 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. Nutley Lodge DS0000003484.V253007.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 Nutley Lodge DS0000003484.V253007.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): 3, 4, 5 Thorough and comprehensive systems for admission allow residents and their relatives to be confident that their needs can be met. EVIDENCE: A newly admitted resident and her family confirmed how the Registered Manager had undertaken a thorough assessment of her needs as well as fully explained the services provided at the home. They said that felt very confident at their pre-admission visit that the home would be appropriate and have since been very happy with the care provided. The relatives said that they can visit freely and have been made very welcome by the care staff. Care staff confirmed that training relating to the care needs of older people with dementia is being organised for the spring and would be undertaken by the majority of the staff once their medication training has been completed. Nutley Lodge DS0000003484.V253007.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, 9, 10 Residents’ health, personal and social care needs are being met and residents are treated respectfully. Practices relating to medication administration protect the residents from risk. EVIDENCE: Residents said they could not be treated better and described living in the home as “lovely”. The six visitors spoken to by the inspector said they were very happy with the care their relatives received and described the home as “one happy family”. One resident described how her health had improved since admission and that she had started to gain weight as the food was “excellent”. Those care plans sampled detailed residents’ care needs and had been regularly reviewed and updated to ensure they reflected current care needs. Records of accidents are recorded and care staff confirmed that these are reviewed to determine whether a residents’ health or safety are at risk. Ten care staff are undertaking training relating to the safe handling of medication. Nutley Lodge DS0000003484.V253007.R01.S.doc Version 5.0 Page 9 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): 13, 15 Residents can be confident that their relationships with family and friends are respected. Meals are nutritious and varied. EVIDENCE: The six visitors spoken to by the inspector said that they have been made very welcome and can visit the home at any reasonable time. They said they were being kept informed of the welfare of their relatives. Residents said that the meals were “excellent” and they were offered a choice everyday. Nutley Lodge DS0000003484.V253007.R01.S.doc Version 5.0 Page 10 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 Complaints and suggestions from residents, relatives or other visitors to the home, are treated seriously. Service users are listened to and issues resolved promptly. EVIDENCE: Residents and visitors said that the Registered Manager and the care staff were very approachable and those residents that were able confirmed that they were confident any issues of concern would be listened to and dealt with. The home has received no complaints since the last inspection. Although staff were able to describe the actions they would take should an issue of abuse be suspected, they had received no formal training. Nutley Lodge DS0000003484.V253007.R01.S.doc Version 5.0 Page 11 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, 24, 25, 26 The residents live in a pleasant, well-maintained home that is comfortable and warm and which provides sufficient facilities to meet their needs. EVIDENCE: All communal rooms and bedrooms were pleasantly decorated and furnished and residents said that it is always very clean. The main hallway, stairs and landing carpets have been replaced since the last inspection. Radiators were guarded and, where a risk had been identified, hot water temperature controlled to protect residents from scalds. The home was found to be very clean and tidy and the visitors said that they have found it to be clean and free from offensive odours whenever they visit. Nutley Lodge DS0000003484.V253007.R01.S.doc Version 5.0 Page 12 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 Residents are cared for by caring staff in sufficient numbers to meet the needs of those currently living in the home. EVIDENCE: Residents described the staff as very kind and caring and confirmed they responded promptly to requests for assistance indicating that there are sufficient staff to meet the needs of those currently living in the home. Many of the care staff had been employed at the home for many years and staff turnover was low thus providing a settled environment for the residents. Care staff are supported by catering, laundry and domestic staff. Nutley Lodge DS0000003484.V253007.R01.S.doc Version 5.0 Page 13 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): 36, 37, 38 Residents live in a well managed home. The owners, manager and staff strive to provide a stimulating, safe environment that respects and protects residents’ rights. EVIDENCE: Residents said that they feel safe and secure in their home and that the owners and Registered Manager are very approachable and available most days. Staff confirmed that they receive regular supervision with the Registered Manager, both individually and in small groups to discuss their training and development needs and to ensure consistency with the care of the residents. The fire log book detailed equipment testing to ensure that it is functioning correctly and staff training to ensure care staff are aware of their responsibilities. Nutley Lodge DS0000003484.V253007.R01.S.doc Version 5.0 Page 14 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 2 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X X X X 3 3 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X 3 3 3 Nutley Lodge DS0000003484.V253007.R01.S.doc Version 5.0 Page 15 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 2 3 Refer to Standard OP4 OP18 OP33 Good Practice Recommendations Care staff should receive training in the care of older people with dementia. Care staff should receive training in the protection of vulnerable adults. The quality assurance process should be expanded to ensure comments are gained relating to the services provided and an annual development plan drawn up to ensure standards are maintained and improved upon. Nutley Lodge DS0000003484.V253007.R01.S.doc Version 5.0 Page 16 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Nutley Lodge DS0000003484.V253007.R01.S.doc Version 5.0 Page 17 - 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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