Inspection on 11/10/07 for Sonya Lodge Residential Home

This inspection was carried out on 11th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

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 Sonya Lodge Residential Home 10 High Road Wilmington Nr Dartford Kent DA2 7EG Lead Inspector Sue McGrath Unannounced Inspection 11th October 2007 10:00 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 Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sonya Lodge Residential Home Address 10 High Road Wilmington Nr Dartford Kent DA2 7EG 01992 636 464 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) Nellsar Limited Post Vacant Care Home 37 Category(ies) of Dementia (0), Old age, not falling within any registration, with number other category (0) of places Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) 2. Dementia over 65 years of age (DE). The maximum number of service users to be accommodated is 37. Date of last inspection First inspection under Nellsar Ltd Brief Description of the Service: The home is situated in Wilmington near Dartford. It is a large detached property set in its own grounds. There is parking to the front, which staff and visitors can use. Service users have the use of two gardens to the rear with a patio area. The home provides residential care for up to 37 service users. The home is registered to provide care within this number for older people who are suffering from some form of dementia. The home is not registered for nursing care. Ongoing care is provided for those with a physical disability or sensory loss. Information and inspection reports are made available to service users and their representatives; copies are available in the home. The range of fees charged for these services as of this inspection date is between £410 and £575.00 per week, there are additional charges for hairdressing and chiropody. Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection that took place on 11th October 2007 and was conducted by Sue McGrath, Regulation Inspector for the Commission for Social Care Inspection. The key inspections for care home services are part of the new methodology for The Commission For Social Care Inspection, whereby the home provides information through a questionnaire process and further feedback is gained through surveys sent to service users and relatives and information provided from professionals associated with the home, wherever possible. The actual date of the site visit is unannounced. At the site visit, service users and staff were spoken to, records were viewed and a tour of the environment was undertaken. Some judgements have been made through observation only. This was the first inspection under the new ownership of Nellsar Ltd. Overall this was a very positive inspection with good outcomes for service users. The inspector on leaving the home was satisfied that residents were both safe and well cared for. What the service does well: The home provides a safe and comfortable home in which to live. Residents feel well cared for and safe. A high level of very positive feedback was received from relatives and several of their comments are included in the report. One family member also said, ‘I have recommended the home to several friends who have since taken ups some rooms there for relatives. I did look at several others but was struck by the welcome offered by the manager and all staff and was impressed with the interaction seen between staff and service users. I go in at all different time, two to three times a week and it is always the same- very good.’ The environment has improved and there are plans for further work to be completed. Staff display a high level of commitment and care and interact well with the residents. Staff training has a high priority and there is a commitment to Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 6 achieve a high level of National Vocational Qualifications amongst the care staff. The level of activities is high and residents and families can be confident that their social, cultural, religious and recreational interests are well met as far as possible. The home is kept clean and fresh and has good infection control procedures in place. Residents are offered good home cooked food with a preference for using fresh vegetables and fruit where possible. Residents and families views over the running of the home are taken into account and regular meetings are arranged. Medication is administered in a safe way and regular audits ensure the system used is well monitored to protect residents. What has improved since the last inspection? What they could do better: The hot water needs to be fully monitored as it is currently delivered very hot to some of the residents’ rooms. Immediate action was taken by the providers to install thermostatic valves once the issue was raised. The bathrooms in the original part of the home are in need of refurbishment and it is hoped by the management that this work will be completed by the end of 2007. Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 7 The home does not currently have a written medication policy. However, it is recognised that the home is developing one and the manager is in consultation with their local Pharmacist. Copies of the Royal Pharmaceutical Guidelines need to be obtained. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3,4and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their families are provided with the information they need to make an informed choice about moving into the home. Residents benefit from a comprehensive assessment of their needs prior to moving into the home to ensure their assessed needs can be met. Residents and families also benefit from the opportunity to visit the home prior to admission to assess the quality, facilities and suitability of the service. EVIDENCE: The manager is currently updating the home’s statement of purpose to reflect Schedule One of the Care Home Regulations 2001. The current statement of Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 10 purpose often reflects the previous owner. The home is now registered to care for 37 residents some of whom have some form of dementia. The manager confirmed that each resident has a written contract that is agreed and signed by either the resident, if capable, or his or her relatives or representative. The information contained in these contracts includes room number and weekly cost. Each resident has an in-depth assessment carried out by the manager prior to being accepted by the home. Along with information gathered from Care Managers, where relevant, and from family members, this information gives a good picture of the needs of each prospective resident. The manager is currently developing a section of the assessment to improve the information regarding the psychological needs of the residents. Relatives confirmed they are encouraged to visit the home and assess the quality, facilities and suitability of the home and that they were given copies of the home’s statement of purpose. One relatives said, ‘When I walked into the home it was like a feeling of comfort, like was like putting on an old overcoatit just felt right and there were no lingering smells’. Several other relatives confirmed a trial period was offered and that the decision to remain was made at the end of this time. Several said they had visited several other home’s prior to selecting Sonya Lodge. Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from having clear and in-depth care plans that identify their individual needs and give clear guidance to staff. Care plans are regularly updated to ensure changes are recorded and acted upon. Health needs are met and residents benefit from having full access to all professional health care services as required. Residents are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Each resident has an in depth care plan that reflects the needs of the individual. These are regularly reviewed and rewritten every five to six months. Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 12 There is good guidance to staff on individual needs and preferences. Risk assessments have been completed and work is ongoing to include clear guidance to staff when a problem has been identified. Risk assessments include manual handling, nutrition, continence, fluid and food intake and personal care. Other risk assessments are conducted as required. The manager confirmed work is ongoing to improve areas of the plans and needs to identify safe working practises where risks have been identified. Staff write daily notes, which are clear and concise. Routines are flexible to meet the needs of the residents and full choices are given over daily living where possible. Where it is difficult for the resident to make a positive choice staff support them in an effective way. Several families confirm they have been involved with the initial care planning and are kept informed of any changes. On the day of the inspection all of the residents looked well cared for and appeared content. The issue regarding cot sides highlighted in the last report has been managed well and risk assessments are available when required. The home has also purchased bumpers to use with the cot sides in future. Currently no resident requires cot sides. All residents are registered with a local G.P. and receive full medical support from health care professional as required. Any visit from a healthcare professional is recorded. Families confirm medical assistance is well maintained. Staff confirmed they are aware of tissue viability care and currently no residents have any pressure areas. Nutritional screening is undertaken and several residents were seen to be given appropriate specialist foods and drink supplements. The home had specialised chair scales to use for the regular recording of weights so that any changes can be monitored. The home has good support from the Community Psychiatric Nurse and the District Nurse team. Staff administer medication in a safe and appropriate way. The home uses a monitored drugs system, which is sourced from a local pharmacist. Staff appear well trained and the manager regularly monitors the system and records the outcomes. The organisation is currently producing a new policy for the administration of medication, which they expect to be approved within the next few weeks. When the document is ready it is expected that staff will receive further training on the details of the policy. Residents who were able to communicate effectively stated that staff looked after them very well and were respectful and very nice to them. Practices seen on the day were very positive and some excellent examples of care were Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 13 witnessed. Staff interacted well at all times and were attentive to need and respectful in manner. Families spoken with confirmed they were all extremely happy with the staff group and no one raised any concerns over the welfare of their loved ones. Some very positive comments were made by the families spoken with and these included; ‘I feel comfortable that Mum is in there and have no concerns.’ ‘The staff appear very keen to maintaining independence where possible and in promoting self-confidence’. ‘The staff are very friendly and know all the service users very well. We are very happy with the level of care offered and am confidant dad is well looked after at all times. He says he feels totally cared for. The care is very personalised and individual and supportive’. Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents enjoy a high level of activities and have their social, religious and recreational needs well met. Residents benefit from the flexible routines in the home and they are able to exercise choice, where possible, in relation to routines of daily living. Residents are able to maintain contact with family and friends as they wish and receive a wholesome appealing balanced diet in pleasing surroundings. EVIDENCE: The level of activities in the home is very good. There is a dedicated activities organiser who has developed a set programme of activities. There is a wide range of activities on offer and although there is a written programme, it is flexible and is often changed to suit the needs of the residents on the day. The residents have the opportunity to visit the local church and some regularly Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 15 attend the luncheon club and coffee mornings. Some local schools visit the home at seasonal times and a local theatre group regularly visits about three times a year. The Salvation Army also visits. Some activities occur over the week-end. In house activities include hand massages and nail painting, bingo, artwork, card making and other practical activities. For those that do not wish to participate in group activities, the coordinator will spend some 1:1 time. All activities are recorded on the individuals care plans. The home also holds weekly social events, including wine and cheese parties and strawberry teas. These are undertaken on alternate weeks and families are invited to visit during the events. Relatives confirmed that the level of activities and social events is good. ‘The levels of activities are good and that often changes enabling the residents to have a variety of things to do. The activity coordinator is very good and has a lovely way with the residents to encourage them to participate. We have also been to cream teas and cheese and wine parties at the home, also a summer musical’. Residents are encourages to maintain contact with relatives and friends and again families confirm they can visit at any time and are always made very welcomed. The menus are varied and appealing. Specialist diets are offered where necessary and are presented well. Meal times were seen to be relaxed with good support given by staff where needed. Residents were seen to be encouraged to remain independent where possible. Meals could be taken in individual rooms if required. Residents confirm the can have drinks when they want and fresh fruit and vegetables are used as often as possible. Choices are given at each meal. Records are well maintained. The manager confirmed the kitchen is to be refurbished in the very near future and is hopeful the work will be completed by the end of January 2008. The Environmental Health Officer inspected the kitchen in April 07 and no issues were raised. When a new resident is admitted the activities co-ordinator assists the other resident to prepare a welcoming card for them and after a short period encourages the new resident to make a card for their relatives, indicating if they feel settled. This has been very much appreciated by families. It is recognised by the home that moving into a residential home can be stressful for both new residents and their families and they work hard to minimise the stress. Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by a robust complaints system and service users and relatives feel their views are listened to and acted upon. The home has robust adult protection policies and procedures to ensure that residents are protected from abuse. EVIDENCE: The home has a comprehensive complaints procedure in place but this does not specify timescales for the process. The manager agreed to add this to the policy to ensure any complaints were dealt with promptly and effectively. The home has received one complaint since the last inspection and this was dealt with effectively and promptly. The result was that regular meeting are now undertaken with the housekeeping staff to ensure the issue cannot occur again. The content of the complaint did not put residents at any physical risk. Families confirmed they were aware of the procedures but all felt confident any issues would be resolved before a formal complaint would need to be made. The home has adopted the Kent and Medway’s protocols on Adult Abuse and staff spoken with confirmed they have an awareness of adult protection. Training is currently being drawn up and one senior member of staff is Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 17 undertaking training to become a trainer in this field and will be the lead in the home. This training is booked for January 08. The manager confirmed she has some understanding of the Mental Capacity Act 2005 and is currently looking to access some further training for staff. All staff are checked through the Criminal Records Bureau prior to appointment to ensure that residents who live in the home are protected from abuse. Staff and management do not have any involvement in the financial affairs of the residents but do handle small amounts of cash for them. The maximum amount is approximately twenty pounds. All records are well maintained and the accounts audited balanced well. This money is held securely in the home’s safe. Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a clean, safe, well-maintained environment and have safe access to comfortable indoor communal areas. Residents are encouraged to maximise their independence by having access to the range of specialist equipment supplied by the home. EVIDENCE: The building work that was mentioned in the last report has now been completed and residents now enjoy a much improved internal environment. The home now has 37 single bedrooms with many of them having en-suite facilities. New furniture is in all the bedrooms and all residents have access to a lockable drawer. Some new armchairs and commodes are on order. Each Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 19 room has been well personalised for each individual resident and those spoken with said they liked their rooms. The bathrooms in the original part of the home are currently in need of refurbishment and Nellsar have commissioned builders to start this work and it is expected to be completed before Christmas. The new bathroom is proving problematical due to its design and again Nellsar are intending to move the toilet and hand basin and to install a more suitable bath that has assisted access. Specialist equipment is available if required and this is well maintained. Some work has been completed in the gardens but more is planned and is expected to be ready for next summer. Plans include a sensory garden and a herb garden. Flower beds and herbs beds will be raised to enable residents to be involved with the planting and care of the plants if they wish. All of the radiators are guarded with individual thermostatic controls and upstairs windows are secure with restrictors fitted. All rooms have call points to enable residents to call for assistance when required. An environmental assessment has been completed by a qualified Occupational Therapist and the only issues raised were the bathrooms and the gardens. All other areas were satisfactory. Nellsar have started work on the identified areas. The home employs two domestic staff that work a total sixty-four hours over seven days. This includes the laundry work. On the day of the inspection the home was clean and hygienic and was fresh and clean. The laundry room was well designed, well organised and again clean and tidy. The home has a disinfector sluice machine to assist in infection control, which is separate from the laundry room. Residents and families all confirmed they were happy with the environment and they raised no issues. Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from staff who enjoy good morale and are trained and competent to do their job. EVIDENCE: Residents benefit from having a staff group that is competent and well trained. The home’s training matrix needed to be updated and this needs to be forwarded to the Commission when completed. The manager was confident that mandatory training has been completed or was booked. Individual training records are held in a training folder. New staff are in the process of undertaking a new induction programme that meets with the requirements of the Common Induction Standards framework. This was developed by Suffolk University and is being successfully implemented. Rotas viewed and comments by residents, families and staff confirm that sufficient staff are employed at all times. As the resident numbers increase it the intention of the manager to recruit more staff to meet the increasing Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 21 needs. Staff turnover and sickness levels are low and agency staff are rarely used. The home currently employs five carers in the mornings, four in the afternoons and has three waking night staff. The manager hours are extra and the deputy can work supernumerary to the rotas if required. Two housekeeping staff are employed over the seven days and maintenance hours are included, although this post is currently vacant. A chef is employed and dedicated activities coordinator hours are used. There are sound recruitment procedures in place that meet with the requirements of the Care Standards Act 2001. Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 32, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents benefit from having a manager who is supported well by senior staff in providing clear leadership throughout the home and by staff who demonstrate an awareness of their roles and responsibilities. Current arrangements are sufficient to protect the health, safety and welfare of residents and staff. EVIDENCE: Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 23 The manager is currently in the process of registering with the Commission to become the Registered Manager and is competent and committed. On the day of the inspection she was extremely helpful and honest and open. A lot of work has been undertaken in recent months and this is reflected in the outcomes for residents. All of the families spoken with were very complimentary of the management team and of the care staff. All said they were confident the team was offering the best care. Communication is good between relatives and management and regular residents meetings are arranged and relatives are invited to attend where possible. Records are kept of these meetings and outcomes are recorded. The ethos of the home is to promote independence, where possible, respect equality and diversity and to provide a safe and welcoming environment. The home holds yearly quality assessments and these are due to be undertaken in November of this year. A report is commissioned from the results are actioned where possible. The Operational Director undertakes Regulation 26 visits regularly and reports are written and stored in the home. A comments and suggestion box is available in the foyer for families to highlight any items they wish to and regular relatives meetings are held. The manager completes regular audits on areas of care including infection control, fall preventions, care plans and medication. As stated earlier in the report staff and management do not have any involvement in the financial affairs of the residents but do handle small amounts of cash on their behalf. The maximum amount is approximately twenty pounds. All records are well maintained and the accounts audited balanced well. This money is held securely in the home’s safe. Staff supervision is regularly undertaken and staff say they feel well supported and involved in the home. Four staff are trained to deliver supervision and it is Nellsar’s policy to have yearly appraisals for staff. Appraisals are new to Sonya Lodge. Health and safety is well monitored by the home and regular maintenance is carried out on all equipment. The home has a fire risk assessment in place and carries out the necessary fire checks on a regular basis. The new wing has a sprinkler fire system in place in all of the rooms. Emergency lighting is inspected regularly, as is all lifting equipment. The only concern raised was the temperature of the hot water in the bedrooms in the older part of the building. It was exceptionally hot and could potentially scald residents. As the home is registered for residents with some form of dementia this could put them at risk. A requirement is made to install Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 24 individual thermostatic control on all taps to ensure the risk of scalding is reduced. It was noted that the day after the inspection, plumbers were in the home assessing the situation. The requirement will remain until the work is completed. The home is also strongly recommended to include water temperature checks in their weekly health and safety monitoring with immediate effect. Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 25 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 3 3 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 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 N/A 18 3 3 3 2 3 3 3 3 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 4 X 3 3 X 3 Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 26 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 Home’s Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP38 Regulation 16 (2)(g) Requirement Timescale for action 30/11/07 2 OP9 13(2) The registered person shall ensures so far as is reasonably practicable the health, safety and welfare of service users and staff in that the temperatures of the hot water delivered to service users rooms is discharged at not more that 44 degrees Centigrade. The registered person shall make 30/11/07 suitable arrangements for the recording, safekeeping, safe administration and disposal of medicines received into the home by preparing a Medication Policy. It is recognised that the organisation are in the process of developing such a policy RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 27 No. 1 Refer to Standard OP38 Good Practice Recommendations It is recommended that water temperatures in all areas that residents have access to be recorded on a regular basis to ensure it is not delivered above 44 degrees centigrade. It is recommended that a training and development programme is maintained that evidences the current level of training completed by staff. It is recommended that timescales be added to the complaints procedure to ensure any complaints are dealt with in a timely fashion 2 3 OP30 OP16 Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Sonya Lodge Residential Home DS0000069900.V346826.R01.S.doc Version 5.2 Page 29 - 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. 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