Inspection on 30/01/07 for Osborne Lodge

This inspection was carried out on 30th January 2007.

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

Osborne Lodge 30/12/08

Osborne Lodge 06/09/05

Osborne Lodge 14/04/05

Osborne Lodge 13/09/04

Osborne Lodge 12/05/04

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 Osborne Lodge 30 Osborne Road New Milton Hampshire BH25 6AD Lead Inspector Keith Hopkins Unannounced Inspection 30th January 2007 11:45 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 Osborne Lodge DS0000011619.V325217.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. Osborne Lodge DS0000011619.V325217.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Osborne Lodge Address 30 Osborne Road New Milton Hampshire BH25 6AD 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) 01425 618248 Vauxian Hotels Ltd Mrs Maureen Gladman Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Osborne Lodge DS0000011619.V325217.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th September 2005 Brief Description of the Service: Osborne Lodge is registered under Vauxian Hotels Limited, and situated close to local amenities in New Milton. The home sits in well-landscaped gardens and provides accommodation on two floors for 24 older persons in 22 single bedrooms and 1 double bedroom. All bedrooms have an en-suite toilet and bath/shower facilities. Residents are fairly independent but have varying needs with aspects of daily living. Osborne Lodge DS0000011619.V325217.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Five and a half hours were spent visiting the home, during which time the opportunity was taken to look around the home, view records and policies and to talk to two of the company directors and the manager. The inspector also spoke privately with two members of the care staff. Most of the service users were observed making use of communal areas and their bedrooms and a number were spoken with briefly during the tour of the building. Three service users were spoken with at greater length in private. The inspector was unable to speak with any visitors on this occasion. Fees range from £550 to £650 per week. 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. The summary of this inspection report can be made available in other formats on request. Osborne Lodge DS0000011619.V325217.R01.S.doc Version 5.2 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 Osborne Lodge DS0000011619.V325217.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has assessed the needs of its current service users well. These needs are clearly recorded and known to staff. EVIDENCE: Three service users’ files, one relating to a more recently admitted person, were inspected and needs assessments seen within these files contained a very good level of detail. There was, for example, information regarding sight, hearing, mobility and a mental health assessment together with a detailed medical history and any history of falls. There was also a family history with staff confirming their involvement in obtaining the details of these during a recent updating and review of care plans . Service users confirmed that they had been made aware of the level of the fees. The manager explained that it was usually herself who undertook the initial assessment prior to any decision regarding admission, and that more detailed care plans were developed from the initial assessment over the first three months. The inspector saw evidence Osborne Lodge DS0000011619.V325217.R01.S.doc Version 5.2 Page 8 that assessments were reviewed after admission, and service users were involved in the review process. Service users also said that they had been made aware of the home’s keyworker system. Staff spoken with were clearly aware of the needs assessments and explained how they met these needs on an individual basis. The home does not admit service users for intermediate care. Osborne Lodge DS0000011619.V325217.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a good care planning regime, which addresses identified personal, social and health care needs and involves service users. EVIDENCE: Three care plans were examined and contained information for staff to ensure that all aspects of health, personal and social care needs could be met. Plans are reviewed on a regular basis, with service users and care staff fully involved in this process. Service users said that staff knew how to help them. One person, for example, said that the staff ‘treated me wonderfully’ and went on to explain that when she wanted to go out for a walk her carer went with her. Another service user said ‘they look after us well’ and also that the ‘manager is very approachable’. Plans contained information regarding more specific needs such as chiropody and dentistry and of any need to access the community psychiatric nursing Osborne Lodge DS0000011619.V325217.R01.S.doc Version 5.2 Page 10 service. Plans also contained a physical health assessment together with various risk assessments and a section that asked ‘how can things improve?’ The home has a policy and procedure for dealing with medication, which enables service users to exercise choice over whether they wish to deal with their own medication. One service user, for example, confirmed that she too her own evening tablet. There is also a policy regarding homely remedies. The drugs trolley, including the controlled drugs cabinet, was secure at the time of the inspection. Records relating to three service users were examined and were, in the main, in order and up to date although the inspector pointed out to the manager one omission where a service user had taken a tablet which was not recorded. Staff responsible for dealing with medication have been trained. Staff were observed to be providing assistance to service users in a calm and dignified manner, and knocked on doors, awaiting a response, before entering. Service users’ wishes regarding the way in which they are addressed by staff are recorded in their care plan and respected by staff. Osborne Lodge DS0000011619.V325217.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users enjoy varied lifestyles and undertake activities of their choice. Visitors to the home are encouraged. Service users enjoy their meals in congenial surroundings. EVIDENCE: Care plans clearly detail what each service user’s interests are and service users themselves confirmed, variously, that they enjoyed activities such as playing bingo and scrabble. The home aims to provide a wide variety of activities, which included exercise classes twice a week, crafts and a singer once a month. There is an Activities Organiser who, in addition to promoting group activities, also provides one-to-one support for some service users. The manager explained that some service users had, in the past, attended the local church but that no-one was currently doing this. There was a Church service in the home on a regular monthly basis, with most service users choosing to attend this. Osborne Lodge DS0000011619.V325217.R01.S.doc Version 5.2 Page 12 The inspector was unable to speak with any visitors to the home on this occasion but was informed by a service user that visitors could be welcomed at any time. This was reinforced by a sign, which was prominently displayed in the entrance hall. Service users are able to move freely around the building and were seen to be making use of all communal areas as well as their bedrooms. Menus at the home were varied and the inspector noted an attractively presented meal being served at lunchtime. It was clear from the conversations taking place that mealtimes were very much a social occasion with staff encouraging this. All service users confirmed that the food was good and one said that she had had that day ‘my favourite…..cottage pie’. Osborne Lodge DS0000011619.V325217.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a suitable complaints procedure, which service users are aware of and feel able to use. Service users are protected through an adult protection policy and procedure known to and understood by staff. EVIDENCE: The home has a complaints policy and procedure, a copy of which was included in the information available to potential service users. Two of the service users spoken with privately said that they had no complaints and were aware of what to do if they had. One added that ‘nothing could be better’ and that ‘the girls are very good’. Service users all appeared to have a good degree of confidence that any issues raised would be dealt. The inspector examined the complaints log and noted that a complaint made in June 2006 had been dealt with in a timely manner. Staff when interviewed said that they would report to a more senior person any complaints made to them by service users. The home also has a policy and procedure relating to adult protection, with information produced by Hampshire Social Services being available for staff to consult. Staff have been trained in this and when interviewed confirmed their understanding of what to do in the case of suspected abuse. Both members of staff interviewed said that they would report anything they needed to. Osborne Lodge DS0000011619.V325217.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable environment, which is suitably furnished and well maintained. EVIDENCE: The tour of the building showed this to be clean and tidy throughout and there were no undue odours. Communal areas were well furnished and adequate bathroom and toilet facilities with aids were available. Communal areas include two separate lounges and a dining room. The inspector visited three service users in their rooms, which were all adequate in size, and had clearly been personalised, to considerable degrees. A further number of bedrooms were inspected and, likewise, had been personalised. One service user said that her ’room was nice’, and another commented ‘if you want somewhere to stay I’d recommend it’. Osborne Lodge DS0000011619.V325217.R01.S.doc Version 5.2 Page 15 Service users were observed to be freely making use of communal areas, such as the lounge and other communal areas and accessed their bedrooms as they wished. The home’s laundry was inspected and was fit for purpose with industrial machines capable of meeting disinfection standards. Members of staff spoken with were clearly aware of good practice and there were procedures in place to deal with soiled items. Staffs were aware of these procedures and confirmed that gloves and aprons were available. The building is well maintained and the inspector noted that upgrading of some areas was taking place on the day of the visit. Necessary aids, such as hoists and handrails were also available around the building, and the inspector was informed of the system for noting and attending to minor faults. Osborne Lodge DS0000011619.V325217.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are supported by a well-trained staff team who are deployed in sufficient numbers to meet their needs. Staff records could be slightly better maintained. EVIDENCE: Four staff files were examined. Two contained evidence of written references having been obtained following the completion of an appropriate application form and there was evidence of a Criminal Records Bureau (CRB) check having been undertaken. The other two files, whilst also each containing an application form and CRB check, did not contain any references, and there was limited evidence of staff supervision. Files contained evidence of a sound and comprehensive induction process and further details of short courses undertaken. Courses included Infection Control, First Aid, Adult Protection, Manual Handling and Dementia. Staff spoken with said they felt well supported by the home’s manager. It is understood that of the sixteen care staff employed, twelve have obtained a National Vocational Qualification at Level 2 or equivalent, and a further two staff members are currently doing this. During the inspection the inspector observed staff interacting with service users in a friendly yet professional manner. The staff rota indicated there to Osborne Lodge DS0000011619.V325217.R01.S.doc Version 5.2 Page 17 normally be four members of the care staff on duty in the mornings and the afternoons, supported by two persons who undertake specific personal tasks with service users such as assistance with bathing. Ancillary staff and the manager are also available. There are two waking members of staff on duty at night. Staff spoken with said that there were generally enough of them on duty to meet service user’s needs. Osborne Lodge DS0000011619.V325217.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed by a qualified and competent manager, supported by comprehensive policies known to staff. EVIDENCE: The home’s manager has worked in the home for a number of years and has completed a National Vocational Qualification at Level 4 in Management. The manager is well supported by the owners and able to fulfil her responsibilities. Quality questionnaires are used for GPs and Nurses, Visitors and Service Users and comments made on these included ‘highly recommended home’ and ‘wonderful atmosphere’. Six service users had most recently completed a form on 6th September 2006 expressing satisfaction with the service offered. Osborne Lodge DS0000011619.V325217.R01.S.doc Version 5.2 Page 19 The home does not deal with any service users’ monies, it being confirmed by the manager that service users either deal with their own financial matters or are assisted to do so by relatives. The home has a policy for the control of substances hazardous to health known to staff. Chemicals and other items were securely stored in locked cupboards and staff were aware of health and safety issues. The home has a health and safety policy known to staff. The replacement of current door closures on residents’ bedroom doors to those linked to the alarm system would improve residents’ safety, independence, choice and wellbeing. A sample of policies, procedures and records required by regulation were inspected and were in order and up to date. This included the home’s fire records and accident book. Osborne Lodge DS0000011619.V325217.R01.S.doc Version 5.2 Page 20 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 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Osborne Lodge DS0000011619.V325217.R01.S.doc Version 5.2 Page 21 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 OP38 Good Practice Recommendations The replacement of current door closures on residents bedroom doors to those linked to the alarm system would improve residents’ safety, independence, choice and wellbeing. Osborne Lodge DS0000011619.V325217.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Osborne Lodge DS0000011619.V325217.R01.S.doc Version 5.2 Page 23 - 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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