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Inspection on 21/09/05 for South Africa Lodge Nursing Home

Also see our care home review for South Africa Lodge Nursing Home for more information

This inspection was carried out on 21st September 2005.

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

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The manager and staff have become good at assessing the needs of the residents, writing a plan of care to meet the needs and carrying out any action needed. They communicate well with the residents and meet the emotional needs of residents without being patronising or making individuals dependent on them. The home has achieved a lot under the manager and staff have commented as well as relatives of the feeling of being settled and of accomplishing things now

What has improved since the last inspection?

Another room has been added since the last inspection offering en suite facilities this makes the total number o rooms at t the home now 55. 12 special beds that go up an down have been bought since the visit in April improving life for both residents and staff. One of the downstairs lounges that previously did not have direct access to the garden now has, and relatives commented how nice it was having the fresh air and access outside.

What the care home could do better:

There continues to be improvement in all areas the home. The opportunity is for maintenance of standards so far achieved.

CARE HOMES FOR OLDER PEOPLE South Africa Lodge Nursing Home Stakes Hill Road Waterlooville Hants PO7 7LA Lead Inspector Val Sevier Unannounced 21/09/05 9.30am 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. South Africa Lodge Nursing Home H54 S11473 South Africa Lodge Nursing Home V246954 210905.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service South Africa Lodge Nursing Home Address Stakes Hill Road, Waterlooville, Hants, PO7 7LA 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) 023 92255556 South Africa Lodge Limited Mrs Maria Stavert CRH 55 Category(ies) of DE, DE(E), LD, MD, MD(E) registration, with number of places South Africa Lodge Nursing Home H54 S11473 South Africa Lodge Nursing Home V246954 210905.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. No service users under the age of 50 will be admitted. 2. No more than twelve (12) service users may be accommodated between the age of 50 years and 65 years. Date of last inspection 18/04/05 Brief Description of the Service: The service is a provided is a nursing home for older people with mental health difficulties. There are 55 individual rooms 54 of which are en suite. The service is offered on two floors that are divided into group living facilities. The home is within large grounds and service users have access to a garden which is currently being landscaped to meet residents needs. The environment of the home is clean, well decorated and the furniture and fittings are appropriate. South Africa Lodge Nursing Home H54 S11473 South Africa Lodge Nursing Home V246954 210905.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over 3.5 hours. The inspector looked at the standards not seen at the last inspection so the previous report should also be seen. The manager was available to assist throughout the visit. The inspector was able to speak with staff, some residents and relatives. The inspector has also received 16 comment cards all of which have positive comments about the home and the service it offers. What the service does well: What has improved since the last inspection? Another room has been added since the last inspection offering en suite facilities this makes the total number o rooms at t the home now 55. 12 special beds that go up an down have been bought since the visit in April improving life for both residents and staff. One of the downstairs lounges that previously did not have direct access to the garden now has, and relatives commented how nice it was having the fresh air and access outside. South Africa Lodge Nursing Home H54 S11473 South Africa Lodge Nursing Home V246954 210905.doc Version 1.40 Page 6 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. South Africa Lodge Nursing Home H54 S11473 South Africa Lodge Nursing Home V246954 210905.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection South Africa Lodge Nursing Home H54 S11473 South Africa Lodge Nursing Home V246954 210905.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 and 2 The statement of purpose and service users guide are very good providing prospective residents and existing residents with detailed information about the home enabling an informed decision to be made. EVIDENCE: The information contained in the service users guide and statement of purpose gives readable and full information on the home, how it offers it services and support to residents and relatives. It contains the last report and a copy of a contract so that prospective persons can see what the home offers and their part of the contractual agreement. The document gives a lot of information so that readers are able to use it to decide if the home is for them or not. South Africa Lodge Nursing Home H54 S11473 South Africa Lodge Nursing Home V246954 210905.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11 The arrangements for understanding an individual’s needs in their final weeks give a very clear guidance for staff in caring for those who are dying. EVIDENCE: The manager and another nurse have recently attended a course in care of the dying at the local hospice. This has inspired them to look at the care at the home and as a result they have implemented new care plans and daily records for this based on the hospice model. It is very comprehensive including the personal, physical, spiritual and psychological needs associated with dying, it also addresses the needs of the family. The manager feels that this will enhance the care at the home at what is sometimes a very difficult time for all. South Africa Lodge Nursing Home H54 S11473 South Africa Lodge Nursing Home V246954 210905.doc Version 1.40 Page 10 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) EVIDENCE: These standards were not seen on this occasion please refer to previous report. South Africa Lodge Nursing Home H54 S11473 South Africa Lodge Nursing Home V246954 210905.doc Version 1.40 Page 11 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, 17 and 18 The manager has established a sense of openness at the home so that relatives and residents can voice their concerns. Staff also feel that they can voice concerns especially regarding the care of the residents. EVIDENCE: There have been no complaints made since the last inspection to either the home or to the CSCI. Relatives were aware of how to complain and said they felt comfortable in speaking with the manager or deputy about any issues. The manager advised that the electoral register has been completed and that residents are supported to make their votes at the local voting centre. There have been no allegations regarding adult protection at the home. The manager undertakes training the staff in this area, and staff spoken with were aware of the whistle blowing policy and the training. South Africa Lodge Nursing Home H54 S11473 South Africa Lodge Nursing Home V246954 210905.doc Version 1.40 Page 12 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) 20, 21, 22, 23, 24 and 25 The standard of the environment is good providing residents with an attractive and homely place to live. EVIDENCE: The inspector walked around the home and sampled some rooms. Twelve high – low beds have been bought since the last inspection, which meet the needs of the residents and support the staff in assisting them. This means if an individual is restless at night and may fall or wriggle out of bed they can still rest at night in bed but that the bed can be lowered to a few inches from the floor. In addition a foam mat is placed on the floor beside the bed. Risk assessments were seen for those individuals where this happened. The home is bright, homely and well maintained by the homes maintenance person, who paints rooms as needed. South Africa Lodge Nursing Home H54 S11473 South Africa Lodge Nursing Home V246954 210905.doc Version 1.40 Page 13 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) 28 and 30 The home provides and assists staff with a good training programme in order to meet residents needs. EVIDENCE: The home assists staff in applying for an NVQ qualification that is suitable for them and offers support in the home. The home also employs nurses from overseas as care staff whilst waiting to complete their adaptation. Training is planned throughout the year to cover both mandatory and issues related to needs of residents. For example assessment methods of mental health, downs syndrome and dementia and writing care plans. Two staff have qualified as dementia mappers, which means that they can assess the service internally, give feedback to staff about practice and alter things if needed. The deputy is to attend a Hampshire Social Services course for Adult protection in November, from which any additional information or ideas will be added to the homes training in this area. South Africa Lodge Nursing Home H54 S11473 South Africa Lodge Nursing Home V246954 210905.doc Version 1.40 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 34, 36, 37 and 38 The manager has a clear vision for the home, which she has effectively communicated with staff. There is clear leadership and staff support and training so that the needs of residents can be met. There was evidence that health and safety is attended to protecting the well being of all at the home. EVIDENCE: The manager of the home evidences her competency and willingness to learn in order to enhance the care given at the home. Mrs Stavert keeps herself updated and seeks new ways to provide the care at the home to give ‘a better service’. A deputy who has just completed the registered managers award, and who also carries out the manual handling training at the home supports the manager. The nursing team is one that the manager has recruited since being South Africa Lodge Nursing Home H54 S11473 South Africa Lodge Nursing Home V246954 210905.doc Version 1.40 Page 15 in post herself and those spoken with understand the needs of the home and support the manager in this. The evidence from speaking with staff and relatives would support that residents benefit from such a cohesive team, who are also enabled to peak out and offer their own ideas for the home. The inspector was unable to see all the persona accounts kept at the home as the records were with the accountant however those seen till June appeared to be in order. The staff receive supervision from either from the manager, deputy or a nurse dependent on their role in the home, and this looks at development and performance. Where necessary the inspector has received regular notification of incidents at the home. The proprietor also carries out a regular monthly visit and sends a report to the commission about that visit. The fire records and training for manual handling, food hygiene and first aid were seen, and all were in date. South Africa Lodge Nursing Home H54 S11473 South Africa Lodge Nursing Home V246954 210905.doc Version 1.40 Page 16 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 4 3 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION x 3 3 3 3 3 3 x STAFFING Standard No Score 27 x 28 3 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 4 3 3 4 3 x 3 x 3 3 3 South Africa Lodge Nursing Home H54 S11473 South Africa Lodge Nursing Home V246954 210905.doc Version 1.40 Page 17 No 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations South Africa Lodge Nursing Home H54 S11473 South Africa Lodge Nursing Home V246954 210905.doc Version 1.40 Page 18 Commission for Social Care Inspection 4th Floor, Overline House Blechyden Terrace Southampton, Hants SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI South Africa Lodge Nursing Home H54 S11473 South Africa Lodge Nursing Home V246954 210905.doc Version 1.40 Page 19 - 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!