Inspection on 06/09/05 for Osborne Lodge

This inspection was carried out on 6th September 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Osborne Lodge 30/12/08

Osborne Lodge 30/01/07

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 BH25 6AD Lead Inspector Roy Bega Unannounced 14/4/2005 10:00am 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. Osborne Lodge H54 S11619 Osborne Lodge V221324 140405.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Osborne Lodge Address 30 Osborne Road, New Milton, BH25 6AD 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) 01425 618248 Vauxian Hotels Ltd Mrs M Gladman CRH 24 Category(ies) of OP - 24 registration, with number of places Osborne Lodge H54 S11619 Osborne Lodge V221324 140405.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 13/9/2004 Brief Description of the Service: Osborne Lodge is registered under Vauxian Hotels Limited and is located in a residential district of New Milton close to local amenities.Osborne Lodge provides accommodation on two floors for 24 older persons in 22 single bedrooms and 1 double bedroom. All bedrooms have en-suite toilet and bath/shower facilities. Residents are fairly independent but have varying needs with aspects of daily living. The Registered Manager is Mrs M Gladman. The home has a trained and experienced staff team in sufficient numbers to meet the needs of current service users. Osborne Lodge H54 S11619 Osborne Lodge V221324 140405.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day, a total of four and a half hours between 10 a.m. and 4-30 p.m. Opportunity was taken to look around the home, view records and policies and talk with, residents, staff and relatives. Standards not inspected on this occasion will assessed during future visits. At the time of this inspection an application had been received from Mr D Hockings to become the Registered Individual due to a family bereavement. What the service does well: What has improved since the last inspection? Two bedrooms have been refurbished. Due to the owners family bereavement, planned refurbishment of the lounge dinning room and entrance hall has been delayed. Osborne Lodge H54 S11619 Osborne Lodge V221324 140405.doc Version 1.20 Page 6 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. Osborne Lodge H54 S11619 Osborne Lodge V221324 140405.doc Version 1.20 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 Osborne Lodge H54 S11619 Osborne Lodge V221324 140405.doc Version 1.20 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 and 5. Prospective residents have the information they need to make an informed choice with regards to moving into Osborne Lodge. EVIDENCE: An informative and well presented statement of purpose was seen. The residents handbook is clear and informative. Copies were seen in bedrooms. Residents spoken with stated staff were so kind and helpful before and after they had moved in. They and their family had opportunities to visit the home before making a decision. A sample of four detailed pre admission assessments were seen. Osborne Lodge H54 S11619 Osborne Lodge V221324 140405.doc Version 1.20 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 standard(s) 7, 8, 9 and 10. The health and personal care of residents is well managed within the home. EVIDENCE: A sample of four care plans which covered all aspects of residents assessed physical, emotional and spiritual needs, wishes and interests were seen. They include risk assessments, Weight checks; Visits by health professionals; Social activities participated; Community contacts; Ability in management of equipment i.e. light switches, radiator controls etc. and Night care needs. Daily record notes were up to date. There was evidence that care plans are reviewed monthly and signed by the staff member/s involved. Residents and/or relatives wishes to be/not to be included in reviews were recorded. Residents spoken with indicated they are aware of “things” being written down about them but had no desire to be involved in any meetings. Comments made by residents with regards to staff included – “Staff are very helpful and friendly”. “Nothing is too much trouble”. “They go out of their way to be helpful”. “Staff sit down and talk”. Osborne Lodge H54 S11619 Osborne Lodge V221324 140405.doc Version 1.20 Page 10 Observations, discussions and available training records indicated that staff have the skills and experience to deliver care effectively. Staff were observed to relay to residents aspects of care before carrying it out. Staff were also observed to be courteous, respectful, ensuring residents dignity and privacy at all times. Medication records seen were up to date. Medication was stored appropriately. Staff were observed to distribute medication in a respectful manner. Osborne Lodge H54 S11619 Osborne Lodge V221324 140405.doc Version 1.20 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 standard(s) 12 and 15 The home provides social, cultural, recreational and occupational activities suited to older persons. The home provides a wholesome appealing diet. EVIDENCE: The home employs external specialist personnel to provide social activities. During the morning of the visit several residents participated in chair aerobics/keep fit. A programme of organised activities was displayed on the information board which included, quizzes, music, visits by local clergy, singing, bingo, and reminiscence. Pictorial records of past communal events/celebrations are displayed. During the afternoons an activities organiser provides one to one activities for residents who choose. For example – Cross words, puzzles; knitting etc. Residents are encouraged to access the community. This was evident during the inspection. Osborne Lodge H54 S11619 Osborne Lodge V221324 140405.doc Version 1.20 Page 12 Routines were observed throughout the visit. There was not any restriction on movement and choice. This was re-enforced in discussions with residents. The kitchen was clean and well maintained. A record of service users likes and dislikes are maintained. Individual breakfast trays are laid up every morning. Residents room numbers, individual likes and time required are recorded on cards. Available menus indicated a varied and balanced diet is provided. The menu for the day is displayed on each table. Choice is also provided for tea time. Staff were observed during the afternoon asking residents what they preferred for that evening. Fresh fruit and cold drinks were available in the lounge and service users rooms. Meal times are flexible with residents able to have snacks whenever they wish. On the invitation of residents, the inspector dined with them for lunch. Residents readily expressed their satisfaction with regards to the quality, quantity, and choice of food provided. The meal was taken at residents pace. It was noted special dietary needs and choice other than the main menu were provided. Osborne Lodge H54 S11619 Osborne Lodge V221324 140405.doc Version 1.20 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, and 17. An appropriate complaints policy and procedure is in place and residents legal rights protected. EVIDENCE: The home’s complaints procedure is included in the residents handbook. Residents spoken with and their relatives are aware of how to report any concerns and are confident any complaint will be taken seriously. Records of complaints are recorded in residents individual files. Mrs Gladman was advised it would be good practice to also maintain a reference log. Residents spoken with stated they are registered to vote for the coming general election. Information and discussions also indicated that where appropriate, residents finances are managed either by relatives or solicitors. Osborne Lodge H54 S11619 Osborne Lodge V221324 140405.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20 and 22 Residents live and are able to move around freely in a safe and well maintained environment. EVIDENCE: The inspector looked round the home which is well maintained both internally and externally. It was noted however, that the requirement to fit suitable locks onto four bedroom doors has not been met. The inspector was assured that the work was due to be completed the week ending 21 April. The Commission for Social Care Inspectorate have been advised that it is planned to refurbish the lounge, dining room and entrance hall. The garden area is landscaped with level walking areas and appropriate seating. Residents were observed to walk freely around the home independently or with the assistance of various walking aids. Mrs Gladman advised the inspector that quotations are being sought to upgrade the passenger lift. Osborne Lodge H54 S11619 Osborne Lodge V221324 140405.doc Version 1.20 Page 15 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 and 29. Residents needs are met by the number and skill mix of staff. They are also protected by the home’s recruitment policy and practices. EVIDENCE: On the morning of this visit, the manager, four care staff, two domestics, a cook and kitchen assistant were on duty. Discussions with staff, residents and available rota indicated that this is normal practice. The rota also showed that between the hours of 2 p.m. and 8 p.m., 3 care staff are on duty with 2 awake between the hours of 8 p.m. and 7-30 a.m. Majority of staff have completed the National Vocational Qualification (NVQ) level 2 in care course. Two further staff are part way through the course. Positive interaction between staff and residents was evident. A sample of two staff records were seen. Appropriate information was recorded including Criminal Record Bureau (CRB) checks and two written references. Induction training programmes had also been completed. Staff spoken with confirmed that they had to complete an application form, CRB check, obtain two written references and attend a formal interview before being appointed. Post appointment they were “shadowed” by experienced staff and completed an induction programme before being assessed competent. Osborne Lodge H54 S11619 Osborne Lodge V221324 140405.doc Version 1.20 Page 16 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, and 37. Residents live in a home which is well run and managed with an ethos of being open and honest. EVIDENCE: Mrs Gladman has completed the following courses – • • • • • • • City and Guilds Level 2 in Care National Vocational Qualification level 4 ICU Management. Care skills level 2. D 32 Assessor. D 33 Assessor. Accredited trainer for manual handling. Team Leader Course, Part 4. Discussions and observations indicated there are clear lines of accountability within the home. Osborne Lodge H54 S11619 Osborne Lodge V221324 140405.doc Version 1.20 Page 17 Observations and discussions indicated that the management approach of the home creates an open, positive and inclusive atmosphere. Good relationships between all staff on duty was evident. Staff portrayed a strong loyalty towards their work and management which was supported by a good appetite for training. Staff confirmed the manager communicates a clear sense of direction and leadership. There is a commitment to equal opportunities. An example being training is available to all staff including those who work part time and at night. Residents confirmed they are consulted about day to day matters and major changes. Visitors spoken with had nothing but positive remarks with regards to the manner in which the home is run. A selection of thank you cards from relatives were available. Records seen during this inspection were well kept and up to date. Osborne Lodge H54 S11619 Osborne Lodge V221324 140405.doc Version 1.20 Page 18 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 3 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 4 15 3 COMPLAINTS AND PROTECTION 3 x x 3 x x x x STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 x 3 3 x x N/A x 3 x Osborne Lodge H54 S11619 Osborne Lodge V221324 140405.doc Version 1.20 Page 19 yes 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 22 (3e) Regulation OP19 Requirement New door locks purchased, are yet to be fitted on bedroom doors of the original building.They are to be installed by the stipulated timescale and the CSCI informed in writing when work has been completed. This requirement is outstanding from the previous inspection dated 13 September 2004. Timescale for action 14/05/05 2. 3. 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 Osborne Lodge H54 S11619 Osborne Lodge V221324 140405.doc Version 1.20 Page 20 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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 Osborne Lodge H54 S11619 Osborne Lodge V221324 140405.doc Version 1.20 Page 21 - 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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