Inspection on 24/05/05 for Nutley Lodge

This inspection was carried out on 24th May 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 21/12/05

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 PL9 8DA Lead Inspector Jane Gurnell Announced 24/05/05 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. Nutley Lodge D52-D04 S3484 Nutley Lodge V214569 240505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Nutley Lodge Address 43 Sherford Road, Elburton, Plymouth, Devon, PL9 8DA 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) 01752 402024 01752 484082 Mr Jeremy WoodcockMrs 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 D52-D04 S3484 Nutley Lodge V214569 240505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age range 55yrs Date of last inspection 8/03/05 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 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 D52-D04 S3484 Nutley Lodge V214569 240505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and took place on 24th May 2005 over a 5-hour period. The focus of the inspection was to consult with residents, review the care planning processes and the progress with the requirements and recommendations made at the last inspection. Mr Woodcock, the owner, and Mrs Thompson, the Registered Manager, were present and they and their staff team assisted the inspector throughout the inspection. The inspector spoke to 17 residents as well as 2 visitors, toured the building and examined care records and other documents. 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Nutley Lodge D52-D04 S3484 Nutley Lodge V214569 240505 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Nutley Lodge D52-D04 S3484 Nutley Lodge V214569 240505 Stage 4.doc Version 1.20 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 standard(s) 3, 5 Thorough and comprehensive systems for admission allow service users and their relatives to be confident that their needs can be met. EVIDENCE: Assessments were undertaken to identify residents’ needs prior to admission and these were available for 2 newly admitted residents: these residents confirmed that they and their families had been able to visit the home before making a decision to move in. Care management assessments and hospital discharge assessments were also available. Nutley Lodge D52-D04 S3484 Nutley Lodge V214569 240505 Stage 4.doc Version 1.20 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 standard(s) 7, 8, 9, 10 and 11 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. Two visitors said they were very happy with the care their relatives received: one described the care staff as an extended family. Care plans detailed residents’ care needs: these plans were reviewed regularly and included assessments relating to pressure area care and moving and handling. The District Nurse, Community Psychiatric Nurse and the Continence Advisor provided specialist advice. Residents with terminal illnesses could remain in the care home as long as their needs could continue to be met. Mrs Thompson said that she and her staff had been very well supported by the District Nursing Service whilst they were caring for two terminally ill residents. Medication administration records, including the controlled drug register, were well maintained and medication was stored safely. Nutley Lodge D52-D04 S3484 Nutley Lodge V214569 240505 Stage 4.doc Version 1.20 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 standard(s) 12, 13, 14 and 15 Social activities provide daily interest for the residents and meals are nutritious and varied. EVIDENCE: Due to memory loss many of the residents spoken to were unable to recall the activities provided, however a record had been maintained of residents’ involvement in a variety of activities facilitated by the staff, including table top games, music and walks. Themed events were organised periodically reflecting the time of the year. Relatives said that they were always made welcome and could visit at anytime. Residents described the food as very good and those without memory loss said that there was always an alternative to the main menu. A supper of cheese and biscuits or sandwiches was offered. Special diets were catered for, including diabetic diets and pureed food. Nutley Lodge D52-D04 S3484 Nutley Lodge V214569 240505 Stage 4.doc Version 1.20 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 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 said that the Registered Manager was very approachable and those 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 described the actions they would take should an issue of abuse be suspected, they had received no formal training. Nutley Lodge D52-D04 S3484 Nutley Lodge V214569 240505 Stage 4.doc Version 1.20 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 standard(s) 19, 20, 21, 22, 23, 24, 25 and 26 The service users 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. Mr Woodcock, the owner, maintains a schedule of redecoration and refurbishment to ensure the home remains in a good state of repair: the main hallway, stairs and landing carpets are due to be replaced next week. A risk assessment relating to the control of Legionnaires Disease was available and regular water temperature monitoring was taking place to ensure the control measures were effective. Radiators were guarded and, where a risk had been identified, hot water temperature controlled to protect residents from scalds. The hot water from bedroom sinks was assessed at the time of the monthly care plan reviews to ensure individual residents were not as risk. Nutley Lodge D52-D04 S3484 Nutley Lodge V214569 240505 Stage 4.doc Version 1.20 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 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 Residents are cared for by caring staff in sufficient numbers to meet the needs of those currently living in the home. Recruitment processes protect vulnerable residents. EVIDENCE: Residents described the staff as very kind and caring and confirmed they responded promptly to requests for assistance. 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. A training programme detailed the ongoing training undertaken by staff ensuring that they have the skills to care for older people: training in the safe administration of medication had been arranged for the following week and dementia care training for later in the year. All staff had recently undertaken first aid training in April and May. Fifty percent of staff were trained to NVQ level 2. Staff recruitment practices ensure the relevant checks were made prior to employment. Nutley Lodge D52-D04 S3484 Nutley Lodge V214569 240505 Stage 4.doc Version 1.20 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 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, 33, 34, 35, 36, 37, 38 Service users live in a well managed home. The owners, manager and staff strive to provide a stimulating, safe environment that respects and protects service users’ rights. EVIDENCE: Residents said that they feel safe and secure in their home. Mr Woodcock was available each day and Mrs Thompson meets with service users, relatives and staff on a daily basis. Residents, relatives and friends are invited to join the “Friends of Nutley Lodge” association and meetings are arranged monthly and minutes are recorded. A written survey has been sent to each service user to be completed by them or, if they are unable, their relatives, seeking their views about the home and the services it provides: these should be extended to include the ability to comment directly of the quality of the services provided to enable Mrs Thompson to ensure the high standards are maintained and actively improved upon. Nutley Lodge D52-D04 S3484 Nutley Lodge V214569 240505 Stage 4.doc Version 1.20 Page 14 Mrs Thompson supervises the staff team: as much of this supervision has been spontaneous and in response to the changing needs of the residents it has not always been recorded. Daily handover meetings between staff take place and Mrs Thompson uses this opportunity to provide teaching sessions relating to the care needs of the residents such as managing a resident’s anxiety and the care of residents with diabetes. Money was held for safe keeping for a number of residents and this was checked and records were found to be accurate. Mr Woodcock audits the records monthly to ensure accuracy. Written policies addressed health and safety matters. The fire log detailed equipment testing and staff training. Mrs Thompson and a senior member of staff are trained as fire safety trainers and moving and handling trainers ensuring that they can respond immediately to staff’s training needs. Nutley Lodge D52-D04 S3484 Nutley Lodge V214569 240505 Stage 4.doc Version 1.20 Page 15 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 2 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 3 3 2 3 3 2 3 3 Nutley Lodge D52-D04 S3484 Nutley Lodge V214569 240505 Stage 4.doc Version 1.20 Page 16 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 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 OP18 OP30 OP33 Good Practice Recommendations Care staff should training in the protection of vulnerable adults form abuse. Care staff should training in caring for people with dementia. The quality assurance process should be expandedto ensure comments are gained relating to the services provide and an annual development plan drawn up to ensure standards are maintained and improved upon. All staff supervision, including group supervision, should be recorded. 4. OP36 Nutley Lodge D52-D04 S3484 Nutley Lodge V214569 240505 Stage 4.doc Version 1.20 Page 17 Commission for Social Care Inspection 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 D52-D04 S3484 Nutley Lodge V214569 240505 Stage 4.doc Version 1.20 Page 18 - 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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