This inspection was carried out on 11th August 2009.
CQC has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CQC 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.
Random inspection report
Care homes for older people
Name: Address: St Jamess Lodge 74 Molesworth Road Stoke Plymouth Devon PL1 5PF new service which has yet to be given a quality rating The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Clare Medlock Date: 1 1 0 8 2 0 0 9 Information about the care home
Name of care home: Address: St Jamess Lodge 74 Molesworth Road Stoke Plymouth Devon PL1 5PF 01752563003 01752605705 s.jl@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Fiona Miller Type of registration: Number of places registered: Conditions of registration: Category(ies) : St Jamess Lodge Healthcare Ltd care home 38 Number of places (if applicable): Under 65 Over 65 0 38 0 dementia old age, not falling within any other category physical disability Conditions of registration: 10 0 38 The maximum number of service users who can be accommodated is 38. The registered person may provide the following category of service only: Care home with nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category (Code OP) Physical disability aged over 40 or over on admission (Code PD)Dementia (Code DE) - maximum of 10 places Date of last inspection
Care Homes for Older People Page 2 of 8 Brief description of the care home St James Lodge is a Care Home with Nursing that is registered to accommodate up to 38 people who require Nursing or Terminal Care. St James Lodge is a large Georgian property that has access from the main road and offers limited parking space within the front entrance. The property has been extended several years ago to provide further bedrooms on the ground floor. The home is arranged over two floors, the first floor being accessed by stairs or a five-person passenger lift. There are several separate communal areas on the ground floor and a well-maintained garden and patio area to the rear and side of the property. St James Lodge is one of two homes owned by Mr Sutherland in the Plymouth area. It is situated in the Stoke area of Plymouth and is close to local amenities. It is also on a bus route that goes direct into Plymouth City Centre. Care Homes for Older People Page 3 of 8 What we found:
We performed this unannounced inspection as part of the complaints, concerns and allegations process at the Care Quality Commission. We looked at the personal care of people with specific interest into the care of wounds and diabetes. We spent three hours at the home on Tuesday 11th August 2009. We looked at one specific plan of care. We looked at complaint investigation notes, care plans, medication records and other relevant records. We visited the kitchen and looked at dietary provision for people with diabetes. We spoke with the Provider, manager, administrator and the chef. Although no regulations were breached on this occasion, we did note issues about: Lack of clarity of the recording and the perceptions of how long people wait for call bells to be answered, Unanswered questions about a dressing not being changed on one occasion and the effectivness of complaint letter writing. We noted that since the initial complaint, staff at the home have introduced a more robust method to record and monitor the treatment of wounds. What the care home does well: What they could do better:
Although no regulations were breached at this time a discussion was held regarding how the service can learn from the issues raised. A discussion was also held regarding the usefulness of performing spot checks and audits on how quickly staff respond to call bells and how this relates to peoples perception of how long they wait.
Care Homes for Older People Page 4 of 8 The Provider gave assurances that he would look at ways to improve the complaint document process. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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!
