Inspection on 15/11/05 for Philia Lodge Rest Home

This inspection was carried out on 15th November 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

Philia Lodge Rest Home 22/09/06

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Philia Lodge Rest Home 113-115 Eastfield Road Peterborough PE1 4AU Lead Inspector Matthew Bentley Announced Inspection 15th November 2005 10:30 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 Philia Lodge Rest Home DS0000064347.V250682.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. Philia Lodge Rest Home DS0000064347.V250682.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Philia Lodge Rest Home Address 113-115 Eastfield Road Peterborough PE1 4AU 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) 01733 567758 01733 561353 Care Provision Healthcare Ltd John Frank Onejuba Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Philia Lodge Rest Home DS0000064347.V250682.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12 May 2005 Brief Description of the Service: Philia Lodge provides care, support and accommodation for up to thirteen older people. The home is close to the centre of Peterborough; accommodation is provided in two houses which have been linked together and adapted to provide suitable accommodation for older people. The home has eleven single bedrooms and one double bedroom; four of the rooms are on the ground floor, the remainder are on the first floor, which is accessed by stairs or a spacious shaft lift. Communal areas consist of two lounges, a dining room, and a seating area in the large hallway. Residents also have access to a well-maintained garden to the rear, which is enclosed, and secure. Philia Lodge Rest Home DS0000064347.V250682.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took 5.5 hours and took place on 15th November 2005 between 10.30 and 16.30. The inspection was carried out by one inspector who spoke to the majority of residents and the staff. The inspection also included reading documents, speaking to the manager and provider, and a tour of the building and gardens. 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. Philia Lodge Rest Home DS0000064347.V250682.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 Philia Lodge Rest Home DS0000064347.V250682.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): Once minor amendments are made potential and existing residents will have access to information so that they can be clear about the services they can expect, and the terms and conditions by which they, and the home, must abide. The home takes suitable steps to ensure that potential service users’ needs are fully assessed prior to their moving into the home, and an appropriate length of time is offered as a trial period, so that all parties can be sure of the suitability of the home. EVIDENCE: The home has a statement of purpose and service user guide which contains the majority of the information needed to help people who may be interested in moving in to decide whether it is likely to be suitable for them. A small number of minor amendments are needed for the documents to fully meet the requirements of the Regulations, and the manager said that these would be corrected soon after the inspection. A requirement has been made about this. Each person has a written statement of terms and conditions which forms a contract between themselves and the home, again, a small number of minor Philia Lodge Rest Home DS0000064347.V250682.R01.S.doc Version 5.0 Page 8 amendments are needed, including which room is to be occupied. A requirement has been made about this. People who are interested in the home (and their families if appropriate) are encouraged to visit before making a decision about whether they think it may be suitable. New residents are given a six-week trial period to see whether the home is meeting their needs and whether they want to stay permanently. The staff team is relatively stable and they are experienced and competent, and have a good level of knowledge about the general needs of older people and the people living at the home specifically. Aids and adaptations such as grab rails and raised toilet seats are available to help staff to meet residents’ needs, and discussions with staff and residents indicate that the home is capable of meeting the needs of older people. The home does not provide intermediate care, therefore standard 6 is not applicable. Philia Lodge Rest Home DS0000064347.V250682.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): The system of care planning outlines what help each person needs and how that assistance should be given, so that staff can be clear about what they need to do, and the plans are reviewed regularly to ensure that they remain accurate and up to date. Arrangements are in place to ensure each resident receives input from relevant professionals to ensure each person’s health needs are met. Personal care is given sensitively so that individuals’ dignity and privacy are maintained. EVIDENCE: Advice has been sought from the healthcare service with regard to adaptations to the home, the prevention of falls, and other matters, and the manager said that working relationships with the GPs, District Nurses, and other people working in the health service professionals are good. Arrangements have been made for individuals to receive regular dental and eyesight checks, and private chiropody services are available to people who need them. A specific member of staff is responsible for ordering and monitoring medication; the person concerned has arranged for the systems for giving out medication to be changed to a monitored dosage system; this should help to Philia Lodge Rest Home DS0000064347.V250682.R01.S.doc Version 5.0 Page 10 ensure that medication is given out safely. The system is to be implemented the week after the inspection; its success will be looked at during the next inspection. Maintaining service users’ privacy and dignity is an important part of the home’s aims, and the subject is included in staff meetings, and as part of the induction and supervision processes. Residents spoken to said that they felt their privacy and dignity are respected, and staff use the names that they prefer though one resident said that he was unable to lock his bedroom door as the lock was broken, which he said they felt undermined his privacy. A requirement has been made about this, and the manager said that the lock would be replaced. Care staff were seen talking with service users whilst helping them walk from one place to another, at lunchtime, and with a variety of other tasks; the way they spoke was respectful, polite and professional. Philia Lodge Rest Home DS0000064347.V250682.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): Appropriate support is provided to facilitate contact with family and friends, and service users have access to activities that are appropriate to their needs and abilities so that their spiritual and social needs are met. Residents are encouraged to make choices about their lives and all are encouraged to maintain their independence. Dietary needs are well catered for, with a balanced and varied selection of food available to meet residents’ individual tastes and choices. EVIDENCE: Daily routines in the home are flexible to suit individual wishes, and residents said that they can choose when to get up and go to bed, and what they do during the day. Activities centre on maintaining spirituality through regular Bible Study, in-house theocratic discussions and meetings, and attendance at the Kingdom Hall of Jehovah’s Witnesses. Other activities are also offered including keep fit, and trips out to the local park, shops, garden centres, and the market. The provider is in the process of buying a minibus for the home, to make it easier to take residents who use a wheelchair out on trips. A mobile library comes to the home every month and companies selling clothing and other goods often arrange to visit the home to display items to sell. A telephone audio system is fitted to enable those who are unable to attend the meetings at the Kingdom Hall to hear, and take part in, what is happening, and Philia Lodge Rest Home DS0000064347.V250682.R01.S.doc Version 5.0 Page 12 the provider is hoping that a video link may also be fitted to provide television images of the meetings. Residents said that they were happy with the activities provided, especially the emphasis on spirituality through the Jehovah’s Witnesses. The home encourages people to have visitors at reasonable times and residents confirmed that they are able to see their visitors in private if they choose. Community links are encouraged, in the main through the network of Jehovah’s Witnesses though as noted above the provider hopes that the provision of a minibus will help the home to enable links with the wider community. The home has a rolling menu, a choice of meal is offered, and a member of staff asks each person what they want from the menu. Meals are served in the dining room; lunch on the day of inspection was beef stew with fresh vegetables followed by fresh fruit salad for dessert. The food was well presented and looked and smelt appetising, and an alternative was provided for vegetarians. The meal was served in the dining room and was eaten in an unhurried manner; the atmosphere was very much one of a pleasant social occasion. All of the residents said that they were happy with the quality, quantity, and variety of the food provided, and this was backed up by comments on the returned comment cards, some of which indicated that there has been an improvement in the quality of the food in recent months. Philia Lodge Rest Home DS0000064347.V250682.R01.S.doc Version 5.0 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 the following standard(s): Once minor amendments have been made, the home’s systems for dealing with complaints will be satisfactory. The arrangements for ensuring the protection of service users from neglect or harm are satisfactory and should ensure that service users are protected from abuse or mistreatment. EVIDENCE: The home has a procedure to tell people how to make a complaint about the service; these are included in the service user guide and the statement of purpose. The procedures include timescales for responses, however, minor amendments are needed to ensure that all of the information required is included; a requirement has been made about this. Residents spoken to said that they would feel able to talk to the manager if they had a complaint or suggestion and they believed that any comments or complaints would be taken seriously. The home has an adult protection policy to guide staff in dealing with allegations of abuse or mistreatment, and there is also a whistle blowing policy aimed at encouraging staff to voice any concerns. The manager has completed the training to allow him to train his staff in the City Council’s procedures to protect vulnerable adults. Records relating to the money kept on behalf of two residents were seen and were in order and the home has a clear system for managing residents’ money so that it can easily be seen what money has been spent, and on what. Philia Lodge Rest Home DS0000064347.V250682.R01.S.doc Version 5.0 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 the following standard(s): The home is suitable for the needs of those living there, and sufficient equipment is provided so that service users’ independence is maximised. The home is clean and hygienic and there are no unpleasant odours. EVIDENCE: The home is close to the main shopping area of city of Peterborough. Accommodation is on two floors; access to the upper floor is gained using a shaft lift, which the majority of residents are able to operate without help, which means that most can move around the building unaided. The building is fitted with aids and adaptations to meet the needs of older people and is very well maintained and has a homely, calm, and pleasant atmosphere. The gardens are accessible to people with poor mobility and are well kept. Since the last inspection the garden area have been extended and carpeting on the landings and stairs, and in many of the bedrooms has been replaced. An extensive programme of redecoration has also begun, which is being coordinated by one member of staff, who has an interest in interior design. Philia Lodge Rest Home DS0000064347.V250682.R01.S.doc Version 5.0 Page 15 Residents have access to a range of communal space including two day-rooms and a dining area. The home has four toilets and two bathrooms (one with an electric shower). All bedrooms had their own washbasin; en-suite toilet facilities are available in 7 of the single rooms, and in the double room. Bedrooms are generally well-maintained, tidy and clean, though the carpeting in one room is showing signs of wear and should be replaced and the floor in one room creaks badly which the occupant said is rather annoying. Additionally the lock on the door to the same room is not working and the door doesn’t close on it’s self-closer; requirements have been made about these matters. Furniture in the bedrooms and in the communal areas is comfortable and appropriate to the needs of the residents, and residents can bring with them personal items and items of furniture provided they meet safety standards. The home is light and airy, and appropriate measures have been taken to ensure residents’ safety from, for instance, hot water and other hazards. All rooms are centrally heated, and residents are able to control the heating in their bedrooms with help if needed. The home has appropriate laundry facilities which are located away from areas where food is prepared, stored, cooked or eaten, and the home was clean and free from unpleasant smells. Philia Lodge Rest Home DS0000064347.V250682.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Sufficient staff are on duty to ensure that service users’ needs are properly met. Staff are clear about their roles and are competent, and properly trained and experienced, so that they can safely meet residents’ needs. The home’s recruitment procedures means that appropriate checks are made on potential staff to ensure that unsuitable people are not employed. EVIDENCE: Two staff are on duty at all times, along with a member of the management team, a cook and cleaning staff. A waking member of staff is on duty overnight and an on call system is in place in case management support is needed. The manager said that he felt one member of night staff is sufficient at the moment, but agreed that he would keep this under close review and more would be used if it became necessary. The staff group is largely stable and a large proportion have worked at the home for many years. Staff are well presented in a uniform and are courteous, welcoming and helpful. Residents said they liked the fact that the staff are Jehovah’s Witnesses, and so understand the implications of, and can share in, what is an important part of their lives. The manager has arranged for staff to do the National Vocational Qualification (NVQ) course and 4 have already completed it, however, he agreed that the target of 50 of staff having NVQ level 2 would not be achieved in 2005. Staff files contain the majority of the information required to meet this standard, including references, proof of identity and Criminal Records Bureau Philia Lodge Rest Home DS0000064347.V250682.R01.S.doc Version 5.0 Page 17 (CRB) checks, however, not all of the information required is present. The manager agreed that over the coming months, he would ensure that all the documents and other items will be obtained, and a requirement has also been made to this effect. All new members of staff receive induction training, and the home has a training programme, which includes essential core training such as moving and handling, fire safety and first aid, which is needed to ensure service users’ safety and that of the staff. Staff spoken to said that they received ongoing training to allow them to carry our their duties effectively and safely. Philia Lodge Rest Home DS0000064347.V250682.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The home is being managed properly and there is leadership, guidance, and direction for staff to ensure residents receive consistent quality care. Effective quality assurance systems are in place to ensure that service users’ views on the service are obtained and acted upon. Service users’ monies are being handled properly and their financial interests are being protected. A satisfactory system of induction and supervision of staff is in place to ensure that care provided is of a high standard, and staff are clear about their roles and responsibilities. Measures are generally in place to ensure that the health, safety and welfare of the people using the service were being protected, however, one fire door is faulty which may compromise the safety of the occupant in the event of a fire. Philia Lodge Rest Home DS0000064347.V250682.R01.S.doc Version 5.0 Page 19 EVIDENCE: Since the last inspection John Frank Onejuba has been appointed as manager of the home; Mr Onejuba has been successful in his application to be registered with the Commission. Mr Onejuba has spent many years working in the care sector in a variety of roles, though this is his first experience of working with older people and he is aware that there may be gaps in his knowledge, which he is making strenuous efforts to fill. Mr Onejuba is undertaking the Registered Managers’ Award and says that he is making good progress in gaining the award. A survey of service users’ and visiting professionals’ views about the home has been carried out; the results and demonstrate a universally high degree of satisfaction in all aspects of the home. Records relating to money belonging to two of the service users were seen and found to be well-organised and accurate. Staff receive formal supervision approximately every 6 weeks; this is carried out by the assistant manager, who in turn is supervised directly by the manager. Informal supervision also takes place through the assistant manager working alongside care staff. Health and safety training is included in the induction of new staff and training is provided to update staff as necessary. Records relating to fire safety were seen and were satisfactory, however, the fire door to one room is not closing properly on its self-closing device which would compromise the safety of the occupant in the event of a fire; a requirement has been made about this. As there have been many changes to the management of the home since the last inspection, a range of policies and procedures were looked at; all were satisfactory and are available to guide staff if they need to be used. Philia Lodge Rest Home DS0000064347.V250682.R01.S.doc Version 5.0 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 2 2 3 3 3 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 2 17 X 18 3 2 3 3 3 3 2 3 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 2 Philia Lodge Rest Home DS0000064347.V250682.R01.S.doc Version 5.0 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. 1 Standard OP1&OP2 Regulation 4,5 & Schedule 1 5(1)(b)(c) 22 23(2)(b) 23((2)(b) Requirement The home’s statement of purpose and service user guide must be updated to accurately include all of the information required. The home’s contact must be updated to identify the room to be occupied. The home’s complaints procedures must be updated to show accurate information. The area of floor referred to must be repaired of replaced. The lock on the bedroom door referred to must be repaired or replaced with one that can be operated by the occupant. The carpeting in the bedroom must be replaced. Staff files must contain all of the information required. The fire door referred to must be repaired or adjusted so that it closes properly in the event of a fire. Timescale for action 31/12/05 2 3 4 5 OP2 OP16 OP19 OP24 31/12/05 31/12/05 31/12/05 31/01/06 6 7 8 OP24 OP29 OP38 16(2)(c) 19 & Schedule 4.6 23(4)(c) 31/12/05 31/12/05 15/12/05 Philia Lodge Rest Home DS0000064347.V250682.R01.S.doc Version 5.0 Page 22 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Philia Lodge Rest Home DS0000064347.V250682.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE 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. 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