Inspection on 12/01/06 for Plumstead Lodge

This inspection was carried out on 12th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Plumstead Lodge 18/12/06

Plumstead Lodge 09/08/05

Plumstead Lodge 23/02/05

Plumstead Lodge 14/09/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Plumstead Lodge 82-84 Plumstead Common Road Plumstead London SE18 3RD Lead Inspector Ms Pauline Lambe Unannounced Inspection 12th January 2006 09:50 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 Plumstead Lodge DS0000006856.V275303.R01.S.doc Version 5.1 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. Plumstead Lodge DS0000006856.V275303.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Plumstead Lodge Address 82-84 Plumstead Common Road Plumstead London SE18 3RD 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) 020 8854 8255 020 8854 5068 Kent Community Housing Trust Miss Anna-Maria Renner Care Home 53 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (1), Old age, not falling within any of places other category (52) Plumstead Lodge DS0000006856.V275303.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 service user in category MD can be accommodated at the Home for the period that the named service user is resident at the Home. 9th August 2005 Date of last inspection Brief Description of the Service: Plumstead Lodge is a registered care home providing care and accommodation for 53 older people. The registered provider is Kent Community Housing Trust. The home is a large two storey building located on the busy Plumstead Common Road. It is close to local shops and bus routes. Resident accommodation includes fifty three single bedrooms, adequate communal, bathing and toilet facilities. The home has two passenger lifts enabling residents to access all areas of the home. Every effort is made to maintain a homely atmosphere in the home. Three sides of the building have well maintained garden areas accessible to residents. The home has no parking space, however parking is easily available in the side roads close to the home. Plumstead Lodge DS0000006856.V275303.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 6 hours. The Commission last inspected the service on 9th August 2005. The manager was in charge of the home. Forty-five residents were in the home, three residents were in hospital and there were five vacancies. During the inspection time was spent talking to residents, management and members of staff. It included a tour of the premises, inspection of care records, safety systems and records kept as required by regulation. Following the inspection a number of relatives were contacted by phone to get their views of the service. What the service does well: What has improved since the last inspection? What they could do better: Individual care plans must be prepared for residents to show how identified care needs and social needs are to be met. Care plans must be kept under review. More effort must be made to involve residents in planning the activities in the home to ensure it meets their needs and interests. Parts of the environment, particularly the corridors, looked tired and required redecoration. Plumstead Lodge DS0000006856.V275303.R01.S.doc Version 5.1 Page 6 The heating system must be overhauled and repaired as identified to ensure the home is maintained at a comfortable temperature. More attention was needed to ensuring bedroom carpets were kept clean. The commission must be informed of the start date to decorate the corridors. The registered provider should prepare a maintenance programme for the home to ensure it is adequately maintained on an annual basis. The fire alarm must be tested weekly to ensure the safety of residents and others is not compromised. 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. Plumstead Lodge DS0000006856.V275303.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Plumstead Lodge DS0000006856.V275303.R01.S.doc Version 5.1 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 the following standard(s): 2. Standard 6 was not applicable to the service. Copies of contracts for service were seen on resident files viewed. EVIDENCE: Service users were provided with a contract for service, which showed who was responsible for paying fees. These were not updated annually. Fee changes were confirmed in writing to residents and placement officers. The remaining standards were assessed as met at the last inspection. Plumstead Lodge DS0000006856.V275303.R01.S.doc Version 5.1 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): 7, 8 and 11. Some care plans were prepared for some but not all residents to show how needs would be met. Residents had access to medical services as needed. From observation and comments made by residents staff treated them with dignity and respect. EVIDENCE: Four care plans were inspected. All included assessments but only one had care plans prepared to show how assessed needs would be met. For example a resident with pressure sores did not have a care plan to show how the risk would be managed, there were no care plans to show how personal hygiene needs, confusion, risk of falls and other needs would be met. Although no concerns were raised about the quality of care provided and residents said they were satisfied with how their needs were met, there was no records to support how assessed needs were being met. A record of important dates for example when a resident had a bath were not completed and daily evaluation records did not reflect the care provided. The issue in relation to care planning has been referred to the Commission’s provider relationship manager for him to discuss with the registered provider. Compliance with care planning will be reviewed at the next inspection. Relatives contacted made comments such as Plumstead Lodge DS0000006856.V275303.R01.S.doc Version 5.1 Page 10 ‘the home is adequate’, ‘resident’s general needs are met’ and ‘feels the home does a good job’. Care plans in place and assessment were kept under review however on resident admitted in August 05 for respite care was still in the home. Their care needs had not been reviewed since the time of admission and no care plans had been prepared. Relatives contacted said they were invited to care reviews. Residents were supported to access medical and NHS services as needed and said they could see a GP when they needed. Relatives contacted said staff communicated with them but some felt communication between shifts could be better as at times staff cannot answer queries relatives had. Residents who spoke to the inspector said they were treated with respect. Residents made comments like ‘staff are very kind’ and ‘they look after us well’. The home had policies and procedures in relation to care of the dying. Residents could spend their last days in the home provided their care needs could be met. Requirements 1 and 2. Plumstead Lodge DS0000006856.V275303.R01.S.doc Version 5.1 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): 12 and 15. Residents indicated they were satisfied with the service provided. Several residents said they enjoyed their meals and were given a varied diet. EVIDENCE: The home had an activity programme, which was flexibly followed dependant on resident preference. Two activity organisers were employed for six hours five days a week. Some residents told the inspector they did not have enough activities provided and that they ‘found the days long’ and ‘got bored’. No social car plans were seen for residents and there was no evidence that they were included in planning the activity programme. Residents said they could choose whether to participate in activities organised or not. During the inspection a number of residents were involved in a ‘movement to music’ and ‘soft ball’ exercise session. In the care plans seen there was little evidence to show that the residents had participated in activities. Relatives’ contacted generally felt activities could be improved. The manager said that the maintenance technician was training to drive the mini bus. Once this was completed she hoped the home could arrange to take residents out by sharing the use of a mini bus with a sister home. A number of residents said they did go out occasionally with their family. Plumstead Lodge DS0000006856.V275303.R01.S.doc Version 5.1 Page 12 Several residents said they were satisfied with the meals provided. Lunch was observed and was served calmly in the dining room. Staff were attentive to residents needs, offered assistance where needed and a choice of meal was provided. A number of residents indicated they enjoyed their meal and confirmed they got the meal of their choice. The cook said that the planned menu was followed but if changes were needed residents were informed. The kitchen looked clean, tidy and well organised. Requirement 3 and recommendation 1. Plumstead Lodge DS0000006856.V275303.R01.S.doc Version 5.1 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): None. EVIDENCE: Key standards were met at the last inspection. Since the last inspection a number of compliments and thank you letters had been made to the manager and staff about the care provided to residents. Plumstead Lodge DS0000006856.V275303.R01.S.doc Version 5.1 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): 19, 21, 22, 23 and 26. The home was clean and tidy. The décor in some parts of the home, particularly the corridors, looked tired and was in need of upgrading. Residents seen said they were satisfied with their bedrooms. EVIDENCE: The home was clean and tidy. The decor, particularly in corridors looked tired and in need of upgrading. The manager said that funding had been agreed to redecorate the corridors and exterior of the bedroom doors. The manager did not have a start date for the work. Since the last inspection the main lounge had been redecorated and provided a pleasant room for residents to relax in. Some armchairs had been replaced and others were due to be replaced. The home had adequate bathing and toilet facilities to meet the residents’ needs. These areas were clean and tidy and had hand-washing facilities provided. Plumstead Lodge DS0000006856.V275303.R01.S.doc Version 5.1 Page 15 Equipment provided included a portable hoist, assisted baths, grab rails, two passenger lifts and wheelchairs. Records seen showed equipment was maintained regularly. Residents seen said they were satisfied with their bedrooms. Four bedrooms were assessed against the standard and found to be satisfactory. A number of other bedrooms viewed were clean, tidy and nicely personalised. Some issues in relation to hygiene were identified. These included bedroom 7 had a malodour, the carpets in bedrooms 5 and 7 were stained and the curtains in bedroom 6 were badly draped. These maintenance issues were brought to the manager’s attention. Relatives contacted said the home was kept clean and tidy and free of offensive odours. The home did not have a maintenance programme for the renewal of fabric and decoration. The manager said there were currently problems with the heating system and a number of bedrooms had fan heaters fitted. One relative said their resident’s bedroom was always cold but added that the resident had not commented on this. The registered person must ensure the home is kept at a comfortable temperature for residents. Requirements 4 and 5 and recommendation 2. Plumstead Lodge DS0000006856.V275303.R01.S.doc Version 5.1 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): 28 and 29. Rotas seen confirmed that the home continued to maintain adequate staffing levels. Safe recruitment procedures were practiced. EVIDENCE: Management, residents, relatives and staff did not have any concerns about the staffing levels. The manager said that the staffing hours provided were adequate to meet the needs of the current residents. Rotas seen showed adequate staffing levels were maintained. The home was fully staffed and one new care assistant had been employed since the last inspection. The one employee file viewed complied with regulation. Staff who spoke to the inspector were positive about the support and training they received. They also said they received regularly supervision and found this beneficial both for their role and personal development. Plumstead Lodge DS0000006856.V275303.R01.S.doc Version 5.1 Page 17 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): 35, 36 and 38. The manager and staff presented as committed to maintaining and improving standards in the home. Staff confirmed they received supervision. Safe procedures were in place to manage resident’s personal finances. Records seen showed attention was given to providing a safe environment. EVIDENCE: Policies and procedures were in place to manage resident’s personal finances. Individual records were kept for residents and receipts kept for money spent and received. The home had a separate bank account to assist in handling resident’s money. The records for three residents were checked and found to accurate and up to date. A system was in place to provide all staff with regular supervision. Staff confirmed they had supervision and said they found this beneficial. Plumstead Lodge DS0000006856.V275303.R01.S.doc Version 5.1 Page 18 Safety records seen were well maintained and showed routine servicing and maintenance was carried out. However the fire alarm was not tested weekly and this issue was also identified at the last inspection. The manager agreed to ensure this was addressed as a matter of urgency. A selection of safety records seen were up to date. Requirement 6. Plumstead Lodge DS0000006856.V275303.R01.S.doc Version 5.1 Page 19 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 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X 3 3 2 X X 2 STAFFING Standard No Score 27 X 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 3 X 3 Plumstead Lodge DS0000006856.V275303.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 15 Requirement The Registered Person must ensure each resident has a written care plan showing how assessed needs will be met in respect of health and welfare. All care needs identified through assessment must be supported by a care plan showing how the need will be met. (Timesclae of 30/09/05 was not met). The Registered Person must ensure the resident’s care plan is kept under review and where possible involve the resident and or their representative. The Registered Person must consult residents about the activity programme and prepare care plans to show how social needs are to be met. The Registered Person must ensure the premises are maintained in a good state of repair. The Commission must be informed of the start and completion dates for the redecoration of the corridors. The heating system must be DS0000006856.V275303.R01.S.doc Timescale for action 28/02/06 2 OP7 15 28/02/06 3 OP12 16 28/02/06 4 OP19 23 28/02/06 Plumstead Lodge Version 5.1 Page 21 5 OP23 OP26 23 6 OP38 23 serviced and repaired and the home kept at a comfortable temperature. The Registered Person must ensure the premises are kept clean and tidy. This includes keeping bedroom carpets clean and keeping bedrooms free of offensive odours. The Registered Person must take precautions against the risk of fire. The fire alarm system must be tested weekly and records kept. (Timesclae of 16/09/05 had not been met). 28/02/06 30/01/06 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 OP12 Good Practice Recommendations The Registered Person should ensure records are kept to show resident’ involvement in activities provided. The homes record of important dates should be properly completed if it is to be of any use. The Registered Person should prepare an annual maintenance programme to ensure the home is maintained to a good standard in relation to refurbishment and decoration. 2 OP23 Plumstead Lodge DS0000006856.V275303.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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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