Inspection on 16/08/05 for St George`s Lodge

This inspection was carried out on 16th August 2005.

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

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

Other inspections for this house

St George`s Lodge 13/06/07

St George`s Lodge 16/01/06

St George`s Lodge 21/01/05

Similar services:

Springfield House

The Shelley

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 St Georges Lodge 46 Chesswood Road Worthing West Sussex BN11 2AG Lead Inspector Jennifer Wright Unannounced 16 August 2005, 10:30 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. St Georges Lodge H60-H11 S62147 St Georges Lodge V244447 160805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service St Georges Lodge Address 46 Chesswood Road, Worthing, est Sussex, BN11 2AG 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) 01903 820637 Bushby Care Limited Mrs Susen Margatet Bushby Care Home (CRH) only (OP 26 Category(ies) of Old age, not falling within any other category registration, with number (OP), (26) of places St Georges Lodge H60-H11 S62147 St Georges Lodge V244447 160805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21 January 2005 Brief Description of the Service: St George’s Lodge is a care home, registered to accommodate up to twenty-six residents in the category of old age. It is a detached property, located in East Worthing approximately one mile from the town centre and relatively close to the sea and parks. The accommodation of twenty-six single bedrooms, the majority of which are en-suite, is arranged on two floors. There is a passenger lift to the bedrooms on the first floor, and a large garden/parking area to the front and the sides of the building. The service is privately owned by Bushby Care Ltd., and the registered manager is Mrs.Susan Bushby. St Georges Lodge H60-H11 S62147 St Georges Lodge V244447 160805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the first of a minimum of two statutory visits that an inspector must make to each care home during the course of a year. A second inspection, which will be announced, will be undertaken later in the year. During this inspection the Inspector toured the building, visiting resident’s bedrooms, and the dining and sitting areas. The inspector spoke to the majority of residents, and a visiting professional, about what the care was like at St Georges Lodge. The Manager was not present on the day of inspection, and the person in charge was the Assistant Deputy Manager, who very ably assisted the Inspector throughout the inspection. In addition to the Assistant Deputy Manager, the inspector spoke to the Deputy Manager and five members of staff, about how they find working at St Georges Lodge. The Inspector examined records about care being provided to residents; as well as records of any accidents, concerns or complaints, to make sure that the residents at St Georges Lodge were being taken care of. Mr. Bushby, one of the owners of St Georges Lodge, was present on the day of inspection and showed the Inspector round the home and the grounds. At this inspection St Georges Lodge was audited against the National Minimum Standards for Older Persons. All the elements in each of the standards assessed were met, and one was exceeded. The Inspector would like to thank everyone who cooperated with her on the day of this inspection. What the service does well: St Georges Lodge offers the residents who live there, good food and good care. All of the people who were spoken to responded very favourably with regard to the care on offer at St Georges Lodge. The Inspector received many comments from residents such as “it is very good here” and “the staff are very good, when you want help, they give it to you”. A visiting professional St Georges Lodge H60-H11 S62147 St Georges Lodge V244447 160805 Stage 4.doc Version 1.40 Page 6 confirmed that they had no problems at all with the care being provided at the home. The building is in good decorative order, and is well maintained, with the relevant records in place to ensure the safety of the people living there. Many of the staff members have worked at the home for many years, and the Inspector was informed that St Georges Lodge does not use agency staff, which means that the residents always know the staff member on duty. Residents told the Inspector that there were lots of activities to do at the home, with outside entertainers coming in weekly. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. St Georges Lodge H60-H11 S62147 St Georges Lodge V244447 160805 Stage 4.doc Version 1.40 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. St Georges Lodge H60-H11 S62147 St Georges Lodge V244447 160805 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 St Georges Lodge H60-H11 S62147 St Georges Lodge V244447 160805 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) 1, 3, 5 and 6 Prior to moving into St Georges Lodge people are given sufficient information about what the home offers, to enable them to make a choice as to whether or not they want to live there. In addition before moving into the home, people are assessed, by a member of staff, in their own home or hospital whenever possible, to make sure they are suitable, and invited for a trial period. People know exactly what they can expect from St Georges Lodge and what is expected from them. EVIDENCE: A resident, who had only recently moved into St Georges Lodge, spoken to on the day of inspection, confirmed that they had been given information about the home, prior to admission, and that they had been invited for a visit before they came to stay. They also said that they had been made to feel most welcome and felt that they had settled in really well. Some residents could not remember if they had received information about the home before they came to live there, but told the Inspector how pleased they were with the care provided at the home. Residents told the Inspector that they would go to the Manager if they had any queries, and felt that they would be listened to, and St Georges Lodge H60-H11 S62147 St Georges Lodge V244447 160805 Stage 4.doc Version 1.40 Page 10 that they had no complaints whatsoever about the way they were being looked after. St Georges Lodge H60-H11 S62147 St Georges Lodge V244447 160805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 and 11 Where possible, residents are involved with the drawing up of their care plans. All residents are informed of all services available under the National Health Service, and specialist equipment is provided where necessary. Correct medication procedures were seen to be in place, to protect the people living at St Georges Lodge from harm, and from the comments made by many residents and a visiting professional, it appears that the staff respect the privacy and dignity of the people living at the home. EVIDENCE: Where residents are not able to be involved with the drawing up of their care plans, the Inspector was informed that the residents relative or advocate is involved. This was confirmed by many of the residents who the Inspector spoke to on the day of inspection, one of who said, “I couldn’t wish for more”. Records of drug administration are maintained, and the correct procedures, relating to medication, are being adhered to. The person in charge confirmed St Georges Lodge H60-H11 S62147 St Georges Lodge V244447 160805 Stage 4.doc Version 1.40 Page 12 to the Inspector that staff members administering medication had all received the appropriate training. The Inspector looked at care records of some of the residents, including the most recent admissions and found them to be satisfactory. The Inspector was informed that family or friends are offered a spare bedroom, if available, or a comfortable chair in the resident’s room, at the end of the resident’s life. From comments made to the Inspector, it would appear that staff members treat residents who are dying, and their family and friends, with respect, care and sensitivity. St Georges Lodge H60-H11 S62147 St Georges Lodge V244447 160805 Stage 4.doc Version 1.40 Page 13 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) 12,13,14 and 15 People living at St Georges Lodge are able to make the day-to-day decisions about how they want to live their life. Residents are encouraged to maintain contact with all their old friends and family, wherever possible, and one of the residents regularly goes out to visit people. St Georges Lodge offers a choice of menu, with people able to eat either with other residents in the dining room, or in their own room should they prefer. EVIDENCE: St Georges Lodge H60-H11 S62147 St Georges Lodge V244447 160805 Stage 4.doc Version 1.40 Page 14 There were a variety of activities on offer at St Georges Lodge and the residents spoken to tell the Inspector that they felt that there was enough to do, should they wish it. One resident said she “loved listening to the lady with the accordion each week, when she comes in”. The Inspector shared a meal with the residents on the day of inspection, and there was a lively atmosphere throughout the dining room. The Inspector observed staff members assisting residents with their meal, in a sensitive and caring manner. Residents told the Inspector that the food was very good and that there was “always something nice on the menu”. One resident said to the Inspector that she would prefer poached eggs to scramble, and the person in charge said she would look into it immediately. She told the Inspector that if at any time residents do not fancy what is on offer, then they would always be able to have an alternative. St Georges Lodge H60-H11 S62147 St Georges Lodge V244447 160805 Stage 4.doc Version 1.40 Page 15 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 Regular training sessions for staff, a complaints book, plus policies and procedures regarding abuse, ensure that, as far as is possible, the people who live at St Georges Lodge are protected from bad practice. All staff members have undertaken a satisfactory Criminal Record Bureau check. EVIDENCE: Complaints are recorded in the complaint’s book, although none were recorded at the time of the inspection. Residents told the Inspector that should they have any concerns at all, they would have no hesitation in going to any staff member, and know that they would be listened to. The person in charge told the Inspector that the home operates an “open door policy”, and residents, relatives and visitors are aware that they can always go to the Manager whenever they want to. Residents confirmed this to the Inspector. St Georges Lodge H60-H11 S62147 St Georges Lodge V244447 160805 Stage 4.doc Version 1.40 Page 16 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) 19,22,23,24 and 26 On the day of this unannounced inspection St Georges Lodge appeared clean and well maintained, and the location of the home is suitable for the residents who live there. St Georges Lodge was seen to provide aids, ramps and assisted bathing facilities. There is a lift at St Georges Lodge for those residents whose bedrooms are upstairs. EVIDENCE: During the course of the inspection all of the rooms were visited to ensure that the environment was safe and comfortable for people who live there, and it was noted that many residents had brought personal possessions into the home, including small items of furniture, ornaments and photographs. On the day of inspection, St Georges Lodge was seen to be clean, and free from offensive odours. The Inspector was assured that policies and procedures were available for staff regarding control of infection, and the safe disposal of clinical waste. St Georges Lodge H60-H11 S62147 St Georges Lodge V244447 160805 Stage 4.doc Version 1.40 Page 17 Residents told the inspection how much they liked their bedrooms, and one said that their room was “lovely and cosy”, whilst another said, “my room here is much better than the one I used to have”. There is a well-maintained garden, which residents were sitting in on the day of inspection. Mr. Bushby informed the Inspector that a resident helps out in the garden on a regular basis, and this was confirmed by the resident who told the Inspector that he really enjoyed being able to contribute. Other residents spoke highly of his efforts. It was seen that the radiators were covered, ensuring that no resident is at risk. Virtually the entire home has been redecorated since Mr. and Mrs. Bushby took over last year, and Mr. Bushby told the Inspector that when each room becomes vacant, it is completely redecorated, re-carpeted and refurbished, if it is felt necessary. Residents told the Inspector that whenever they rang the bell for assistance, a member of staff always came. During the course of the inspection several doors were seen to be wedged open, the home was made aware of the safety implications surrounding this. St Georges Lodge H60-H11 S62147 St Georges Lodge V244447 160805 Stage 4.doc Version 1.40 Page 18 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) 27, 29 and 30 St Georges Lodge is adequately staffed with employees who appear competent to care for older people. National Vocational Qualifications are ongoing, and further development training is expected. All training is to be recorded on staff member’s files, and all recruitment records completed correctly. EVIDENCE: Staffing records were examined and it was seen that all necessary procedures had been followed, with regard to recruitment of staff, including ensuring that all staff members have received Criminal Records Bureau enhanced checks, so that they are safe to work with vulnerable people. The Manager is to ensure that all the necessary paperwork is obtained prior to staff members commencing work at the home. Records were seen to be kept in a locked cabinet. Records showed that all staff members had received appropriate training, and the person in charge told the Inspector that these records were being updated. The Inspector was told that many of the staff have worked at the home for some time, and one staff member spoken to on the day of inspection told the Inspector that “ there is a happy atmosphere at the home ” and another staff member said “it feels good here, and I get all the training I need ”. A third staff member commented on how “well organised” everything was at St Georges Lodge. Residents told the Inspector that there always appear to be enough people on duty to assist them when they need it, and that the staff members “were lovely”. A visiting professional told the Inspector “it is very good here, I have had no problems” St Georges Lodge H60-H11 S62147 St Georges Lodge V244447 160805 Stage 4.doc Version 1.40 Page 19 St Georges Lodge H60-H11 S62147 St Georges Lodge V244447 160805 Stage 4.doc Version 1.40 Page 20 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, 33, 35 and 38 Mrs. Bushby, the registered Manager, is a qualified nurse, and is experienced in working with older people. Records needed for the safe running of a care home are kept up to date. Policies and procedures are available for staff members to refer to, to ensure the safety of the people who live and work at St Georges Lodge. Staff members receive regular supervision, which is recorded. EVIDENCE: All the residents confirmed to the Inspector, that the Manager is extremely approachable and supportive. All the staff members that the Inspector spoke to echoed this. One resident told the Inspector that the Manager was “a very nice woman” and another said they thought it “a very well run establishment.” Records of accidents, injuries and incidents are recorded and reported appropriately. Training records indicated that staff members have received St Georges Lodge H60-H11 S62147 St Georges Lodge V244447 160805 Stage 4.doc Version 1.40 Page 21 induction training together with fire safety, manual handling and infection control. St Georges Lodge H60-H11 S62147 St Georges Lodge V244447 160805 Stage 4.doc Version 1.40 Page 22 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 3 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x 3 3 3 x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 x 3 x x 3 St Georges Lodge H60-H11 S62147 St Georges Lodge V244447 160805 Stage 4.doc Version 1.40 Page 23 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 St Georges Lodge H60-H11 S62147 St Georges Lodge V244447 160805 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection 2nd Floor, Ridgeworth House, Liverpool Gardens Worthing West Sussex BN11 1RY 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 St Georges Lodge H60-H11 S62147 St Georges Lodge V244447 160805 Stage 4.doc Version 1.40 Page 25 - 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!