Inspection on 06/09/05 for Robert Bean 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 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 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

Robert Bean Lodge 08/05/08

Robert Bean Lodge 30/05/07

Robert Bean Lodge 30/08/06

Robert Bean Lodge 22/02/06

Robert Bean Lodge 06/09/04

Robert Bean Lodge 28/07/04

Robert Bean Lodge 04/03/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Robert Bean Lodge Pattens Lane Rochester Kent ME1 2QT Lead Inspector Andrea Leverett Announced 06 September 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. Robert Bean Lodge H56-H06 S36756 Robert Bean Lodge V239428 060905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Robert Bean Lodge Address Pattens Lane Rochester Kent ME1 2QT 01634 831122 01634 531113 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) Medway Council Mrs Vivianne May Simmons Care Home 44 Category(ies) of OP Old Age - 40 registration, with number LD Learning disability - 4 of places Robert Bean Lodge H56-H06 S36756 Robert Bean Lodge V239428 060905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The 4 beds registered for Learning Disability are for Respite use only Date of last inspection 6 September 2004 Brief Description of the Service: Robert Bean Lodge is a purpose built home which includes a community day centre. All of the accommodation is on the ground floor in single rooms. The accommodation is divided into four units, each containing ten bedrooms and separate day space. Medway council runs the establishment, which is registered for forty older people. The home is on a bus route and has off road parking available. The home employs care staff, working a roster, which gives 24-hour cover. The home also employs other staff for catering and domestic duties. In addition the home is Temporarily accommodating a Learning Disability respite care service. This is registered for 4 persons and is self-contained with its own staff team. Robert Bean Lodge H56-H06 S36756 Robert Bean Lodge V239428 060905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, the first in the year running from April 1st 2005 to March 31st 2006. The visit lasted from 10.00am until 15.00pm. The visit was spent talking directly with residents privately and collectively ; 6 care staff, 3 relatives, a community nurse and the registered manager. Some judgements about quality of life and choices were taken from direct conversation with residents and their relatives and observation followed by discussion with support staff and evidencing records held at the home. A tour of the premises was undertaken. Residents and relatives spoken to during the inspection and comment cards received gave positive feedback about the staff and services the Home provides. Many residents and staff commented that things have improved since the current manager took up post, but it was also clear that some staffing issues still remain. What the service does well: Residents benefit from living in a well maintained and spacious Home, which is clean and free from offensive odours throughout. On the whole residents benefit from staff who have the skills and training to meet their needs and who are appropriately supervised and supported by an effective management team. The Home has a day centre onsite and offers respite care as part of its linked service provision. The inspector received very positive feedback regarding the food provided in the Home. Robert Bean Lodge H56-H06 S36756 Robert Bean Lodge V239428 060905 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: The safety of residents could be improved by ensuring that all radiators have low temperature surfaces or are appropriately covered to prevent burning. The management of residents’ finances could be improved by ensuring that their money is held in an individual named account and not pooled. The quality of the environment in some residents rooms could be improved by having carpets fitted and replacing institutionalized hospital beds with ones that are domestic in character. The quality of the environment and safety and independence of residents could be improved if the Home actioned the recommendations made in the Kent Association for the Blinds assessment of the premises and facilities. The quality of life and health and safety of residents could be improved by providing opportunity for residents to undertake regular physical exercise. The quality of life and health and safety of some residents could be improved by ensuring that the Home receives feedback from residents Fall Assessments undertaken by the NHS Falls Clinic and that any recommendations are included in residents care plans. The health of residents could be improved by ensuring that opportunities for regular eye and dental check ups are provided and that the importance of maintaining good mouth and eye care is promoted by the Home. Robert Bean Lodge H56-H06 S36756 Robert Bean Lodge V239428 060905 Stage 4.doc Version 1.40 Page 7 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. Robert Bean Lodge H56-H06 S36756 Robert Bean Lodge V239428 060905 Stage 4.doc Version 1.40 Page 8 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 Robert Bean Lodge H56-H06 S36756 Robert Bean Lodge V239428 060905 Stage 4.doc Version 1.40 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3,5 Prospective residents benefit from being able to visit the Home and know that the Home will meet their needs before they agree to stay. EVIDENCE: The inspector spoke at length with one resident that had recently moved into the Home. She confirmed that she had received a visit from staff and had been able to see the Home before agreeing to move there. Records also showed that a full Care manager Assessment was in place. The manager confirmed that all prospective residents are visited and a full assessment is undertaken before a place in the Home is offered. Robert Bean Lodge H56-H06 S36756 Robert Bean Lodge V239428 060905 Stage 4.doc Version 1.40 Page 10 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) 7,8,10 One the whole residents benefit from having their needs assessed and met but some improvements are needed to ensure that the assessment and care planning system is entirely effective. Residents benefit from being supported by a sensitive and caring staff team. EVIDENCE: A sample of care plans and assessments seen showed that reasonably comprehensive plans were in place. However it was noted that although residents are regularly referred to the NHS Falls Clinic as appropriate, the Home does not receive feedback from these assessments and are therefore not able to incorporate any recommendations into residents care plans. A requirement has been made that the Home seek a copy of the full assessment for the benefit of residents. Discussions with residents and the manager indicated that access to dental and eye care was dealt with on request or by families. The Home did not seem to properly monitor or promote access to these services, consequently many residents spoken with had not used these services since moving into the Robert Bean Lodge H56-H06 S36756 Robert Bean Lodge V239428 060905 Stage 4.doc Version 1.40 Page 11 Home. A requirement has been made that the home ensure that opportunities for regular eye and dental check ups are provided and that the Home evidence that the importance of maintaining good mouth and eye care is promoted by the Home. The manager confirmed that the Home does not currently offer opportunities for residents to receive regular physical exercise and a requirement has been made regarding this. Feedback from health professionals indicated that feedback and communication systems between themselves and the Home could be improved and a recommendation has been made that the Home look at ways of doing this. Feedback from residents and their relatives was unequivocally positive regarding the care and consideration showed by staff. All residents spoken with and feedback on comment cards demonstrated that residents were happy with staff and felt safe in the Home. One resident said “ Staff are very good, no one gets angry with you”. Robert Bean Lodge H56-H06 S36756 Robert Bean Lodge V239428 060905 Stage 4.doc Version 1.40 Page 12 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) None of these standards were inspected on this occasion. EVIDENCE: Robert Bean Lodge H56-H06 S36756 Robert Bean Lodge V239428 060905 Stage 4.doc Version 1.40 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) 16,18 Residents know that their concerns and complaints will be listened to and acted upon. Residents benefit from being supported by staff who are appropriately trained to identify and protect them from abuse. EVIDENCE: Residents and relatives spoken to and information taken from feedback cards confirmed that they felt able to raise concerns and complaints and were aware of the homes complaints procedure. The homes pre inspection questionnaire states that the Home has had one complaint in the last 12 months that was partially substantiated and was dealt with within 28 days. The Home has An Adult Protection Policy and procedure which includes whistle Blowing and staff spoken to confirmed that they had received Adult Protection training and demonstrated knowledge and understanding in this area. Robert Bean Lodge H56-H06 S36756 Robert Bean Lodge V239428 060905 Stage 4.doc Version 1.40 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) 19,20,21,23,24,,26 Residents benefit from living in a clean, bright and spacious Home but improvements are needed to the environment in order to promote the safety and independence of residence and to create a more homely look to the place. EVIDENCE: A tour of the premises was undertaken, this was clean bright and free from offensive odours throughout and the garden areas were safe, attractive and accessible. Each unit has its own lounge and dining area and in addition the Home has a visitors room. There were adequate washing and bathing facilities and the bathrooms were in the process of being upgraded. Some of the residents’ beds were institutional hospital beds and several rooms did not have carpets. Some residents and their relatives said that they would like a carpet and a bed that was more domestic in character. A requirement has been made that the Home assess residents needs and wishes in this regard and take action to provide carpets and upgrade beds as appropriate. Robert Bean Lodge H56-H06 S36756 Robert Bean Lodge V239428 060905 Stage 4.doc Version 1.40 Page 15 The manager also informed the inspector that the budget is now in place to ensure that radiators are upgraded or covered to prevent touching. An assessment of the premises and facilities has been undertaken by the Kent Association for the Blind, although none of the recommendations have yet been acted upon. A requirement has been made that the Home produce an action plan detailing how it will address the recommendations raised in the report. Robert Bean Lodge H56-H06 S36756 Robert Bean Lodge V239428 060905 Stage 4.doc Version 1.40 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 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) 29,30 On the whole the homes training and recruitment procedures ensures the safety and wellbeing of service users is promoted, but some minor improvements are needed to ensure this is entirely effective. EVIDENCE: A sample of staff files were inspected including the most recently employed member of staff. Records and discussion with staff evidenced that appropriate recruitment procedures are followed. Staff also confirmed that a range of mandatory training was provided by the Home and the homes pre inspection questionnaire stated that 95 of staff have completed NVQ level 2 or above. It was noted that the Home does not offer residents the opportunity to undertake physical exercise and the manager informed the inspector that the homes activities coordinator is not trained to do this. A requirement has been made regarding providing physical exercise and a recommendation has been made that the homes activities coordinator is trained to undertake this task and other activities that she may be required to facilitate. Robert Bean Lodge H56-H06 S36756 Robert Bean Lodge V239428 060905 Stage 4.doc Version 1.40 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 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) 31,35,38 Residents benefit from a Home that is managed in their best interests with an appropriately supervised staff team but some improvements are needed to improve the health and safety of residents. Financial systems to safeguard residents interests need to be improved. EVIDENCE: The Manager has NVQ 4 and Diploma in Management Qualification and has several years experience of managing services. The inspector is satisfied that there are clear lines of accountability within the Home and external management. Discussion with residents and families indicated that any concerns and issues raised would be addressed appropriately. Robert Bean Lodge H56-H06 S36756 Robert Bean Lodge V239428 060905 Stage 4.doc Version 1.40 Page 18 Discussion with staff evidenced that formal staff supervision was being undertaken every 2 months. Records viewed, a tour of the premises and information taken from the homes pre inspection questionnaire evidenced that the homes facilities and equipment were appropriately maintained. Robert Bean Lodge H56-H06 S36756 Robert Bean Lodge V239428 060905 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 2 3 3 2 2 2 x 3 STAFFING Standard No Score 27 x 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x x x 2 x x 2 Robert Bean Lodge H56-H06 S36756 Robert Bean Lodge V239428 060905 Stage 4.doc Version 1.40 Page 20 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 25 Regulation 13(4a) Requirement The registered person must ensure that radiators have low temperature surfaces or are appropriately covered to prevent burning. The Registered Person shall not pay money belonging to a service user into an account unless the account is in the name of the service user or any of the service users to which the money belongs. The registered person must ensure that the home seeks a full copy of residents assessments uindertaken by the NHS Falls Clinic and that any recommendations are incorporated into residents care plans. The registered person must ensure that opportunities for regular eye and dental check ups are provided for residents and that the Home evidence that the importance of maintaining good mouth and eye care is promoted by the Home. The registered person must ensure that the offers opportunities for residents to Timescale for action 20th October 2005 20th October 2005 2. 35 20(1a) 3. 8 14(1b) 25th October 2005 4. 8 13(1b) 25th October 2005 5. 8 16(2n) 25th October 2005 Page 21 Robert Bean Lodge H56-H06 S36756 Robert Bean Lodge V239428 060905 Stage 4.doc Version 1.40 receive regular physical exercise. 6. 24 The registered person must ensure that residents needs and wishes are assessed regarding the providing of carpets and upgrading beds as appropriate. The registered person is required to ensure that the produce an action plan detailing how it plans to meet the recommendations made in the Kent Association for the Blinds assessment of the premisis and facilities. 25th October 2005 25th October 2005 7. 22 23(2a) 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 35 Good Practice Recommendations The following is recommended:Southampton City Council have managed to find a good solution to the issue around reg 20, and the need to avoid pooling service user monies. The system theyre adopting is called Clients Monies Service (CMS) from Nat West. It involves one account, with separate sub-accounts within it. The sub-accounts carry their own number and are interest bearing, therefore ensuring interest is calculated on the amount in each account etc. Monies can be managed in relation to each sub-account by the authoritys finance department through a modem link to the bank. It is recommended that the look at ways of improving communication and feedback systems from health professionals. It is recommended that the homes activities co ordinator is trained to undertake exersice groups and other activities that she may be required to facilitate. 2. 3. 8 12 Robert Bean Lodge H56-H06 S36756 Robert Bean Lodge V239428 060905 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone Kent. ME16 9NT 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 Robert Bean Lodge H56-H06 S36756 Robert Bean Lodge V239428 060905 Stage 4.doc Version 1.40 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!