Inspection on 17/10/07 for Stanway Green Lodge

This inspection was carried out on 17th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Stanway Green Lodge 28/11/06

Stanway Green Lodge 31/01/06

Stanway Green Lodge 22/09/05

Stanway Green Lodge 21/06/05

Stanway Green Lodge 19/10/04

Stanway Green Lodge 15/04/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Stanway Green Lodge Heath Road Stanway Green Colchester Essex CO3 0RA Lead Inspector Brian Bailey Key Unannounced Inspection 17th October 2007 09:30 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 Stanway Green Lodge DS0000053190.V353265.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. Stanway Green Lodge DS0000053190.V353265.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stanway Green Lodge Address Heath Road Stanway Green Colchester Essex CO3 0RA 01206 330780 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) Mrs Laura Kanitkar Vacant post Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Stanway Green Lodge DS0000053190.V353265.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, aged 65 years and over, who require care by reason of old age only (not to exceed 27 persons) 28th November 2006 Date of last inspection Brief Description of the Service: Stanway Green Lodge is a large detached property situated in a quiet semi rural area about three miles from Colchester. Laura Kanitkar owns the home and is currently managing the home in the absence of a registered manager. The home is registered to accommodate 27 older people who need residential care. This does not include care for any specific category of service, such as dementia. Accommodation consists of fourteen bedrooms on the ground floor, eight of which have en-suite WC facilities and ten on the first floor, three of which are shared rooms. There are two lounges and a large dining room. There are various bathing and WC facilities throughout the home and a passenger lift that provides access to the first floor. There are ample car parking facilities at the front of the house in wellestablished grounds. Access to the house and gardens is good. Patio areas are available at the rear of the house for people to use. As at 17th October 2007, the owner advised that the fees for accommodation ranged from £360 to £450 per week. Items that are extra to the fees include private chiropody, hairdressing, toiletries and newspapers and are listed in the home’s service user guide, which is available from the home. CSCI inspection reports are also available from the home and on our website www.csci.org.uk. Stanway Green Lodge DS0000053190.V353265.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection that took place on the 17th October 2007, lasting eight hours. The inspection process included: • • • • • • • Discussions with the owner/manager A tour of the home Inspection of a sample of records and policies Meals Discussions with staff members and visitors Conversations with people living at the home Feedback questionnaires from people at the home and relatives This report also takes into account all the information CSCI has received about Stanway Green Lodge since the last inspection including information provided by the service, such as the home’s annual quality assurance assessment, which was returned to us in August 2007. The overall care and well being of the people living at the home was the main focus of the inspection. The home is registered for 27 older people and on the day of the inspection visit there were 25 in residence. 26 Standards were assessed, and the outcomes for the people living at the home against these standards were good with the exception of issues to do with the decoration and furnishings. The home has continued to progress over the past year and is considered to a good level of care and support. What the service does well: People at the home continue to be enabled to make choices about where they spend their time; several choosing to stay in their private rooms where they take their meals. People spoken with again said they liked the food and the choices available and were happy being able to stay in their rooms if they wished. The office records and procedures are readily available and up to date. The overall atmosphere within the home is warm and welcoming. Stanway Green Lodge DS0000053190.V353265.R01.S.doc Version 5.2 Page 6 Many of the bedrooms have been personalised by residents and their families and appear homely and comfortable. Any complaints/compliments received are well recorded with good explanations about the action taken and the outcomes. 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. 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. Stanway Green Lodge DS0000053190.V353265.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Stanway Green Lodge DS0000053190.V353265.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People considering moving into Stanway Green Lodge can be confident that admission processes ensure that the home can meet their needs. They will be provided with good information about the home and a copy of the home’s terms and conditions. EVIDENCE: Stanway Green Lodge provides a comprehensive package of information for people considering moving into the home. The care files of three people that had been admitted to the home during 2007 were looked at. These contained detailed assessments of need. The owner/manager assesses prospective individuals before they come to live in the home, and a record of a pre-admission assessment showed that appropriate issues were considered. Where a local authority places an Stanway Green Lodge DS0000053190.V353265.R01.S.doc Version 5.2 Page 9 individual, an additional assessment is provided by the responsible social worker. The three files also contained copies of the home’s statement of the terms and conditions, which had been signed and dated by the individuals and the owner/manager. These met the required National Minimum Standards and included those items that are extra to the fees, such as private chiropody, hairdressing, toiletries and newspapers. Stanway Green Lodge DS0000053190.V353265.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. EVIDENCE: The Care plans relating to three of the people living at Stanway Green Lodge were examined at this visit to assess how the service understands the way in which it should meet their needs. The care plans contained a variety of assessments that identified the level of support the individuals require in their daily lives. Plans are regularly reviewed and updated to show changes. It was noted that some records were not signed or dated. The health care of people living at the home is monitored through the documents contained in care plans; these include health professional visits and their outcomes, monitoring sheets for weight and dietary intake. All people providing feedback confirmed they receive the support they need. Stanway Green Lodge DS0000053190.V353265.R01.S.doc Version 5.2 Page 11 Aids and equipment are provided to encourage and promote independence for people living at the home and the risk management framework supports individuals to maximise their independence. The service arranges training on healthcare topics that are relevant to the people they support such as blind awareness. The owner/manager was able to report that the home receives good support and enjoys excellent relationships with varied healthcare professionals that are involved with the home. Medication is administered from a trolley that is stored securely when not in use. The daily administration of medication is well recorded with no gaps evident on the MAR sheets. All controlled drugs are kept in a separate lockable cupboard. A register is kept that records the balance, which is witnessed by two staff. People living at the home made many positive comments about the staffs’ attitude towards them. They felt that their dignity and privacy were respected. Good practice was observed during this site visit for example, staff were seen to knock on doors before entering a room and ensured that doors were closed when attending to peoples’ personal care needs and sensitive assistance was provided at mealtimes. Two visitors reported that they were happy with the care provided and always felt confident that staff would continue to care for their relative after they left the home. Information was available to show that the home obtaining whenever possible, people wishes in respect of how they wished to be cared for and comforted during periods of ill health and terminal care. Stanway Green Lodge DS0000053190.V353265.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home supports people to engage in daily routines, activities and lifestyles of their choice, respecting individual wishes in relation to their daily lives. Individuals’ health is maintained through the provision of a satisfactory diet, and the enjoyment of meals is promoted through the variety and choice of food. EVIDENCE: Since the last inspection visit to this home the activities coordinator has left but is still employed in a training role. The home does however continue to employ an activities coordinator and from observation and discussion the person is motivated and seeking to offer a range of activities that match peoples wishes and expectations. A record is being maintained that shows the type of activities that have been offered to each person, which demonstrates that people of all abilities are being involved. A monthly programme of events was on the notice board. Some people had been involved in making Christmas cards. Entertainment is arranged at periodic intervals including shows, clothing parties, Christmas shopping, visit to the jam factory, library, garden Stanway Green Lodge DS0000053190.V353265.R01.S.doc Version 5.2 Page 13 centres and supermarkets. A good range of photographs were on display that showed people enjoying themselves at various functions. Menus were available to show the choice available. Good food stocks were available. Records showed the selections made by people. Lunch was observed at 12.45pm. The dining tables were well laid out and staff provided assistance to people requiring help to eat their food. The meal was well presented and people were not hurried to finish their meal. The atmosphere at lunchtime was very relaxed and chatty. People spoken with were generally positive about the meals provided, and felt that choices were avilable. It was evident from conversations with people that they are encouraged and enabled to make choices about where they spend their time during the day. Some people said they much preferred to stay in their bedrooms and watch their televisions and be surrounded with their own possessions. Other people sat in the lounges, dining room and in the entrance hall. Visitors spoken with said they are made to feel welcome and are able to visit at al times of the day. Stanway Green Lodge DS0000053190.V353265.R01.S.doc Version 5.2 Page 14 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 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Stanway Green Lodge are able to express their concerns with the confidence that they will be listened to and taken seriously. EVIDENCE: The home has a complaints procedure that contains appropriate information to ensure the people living at Stanway Green Lodge or other interested parties know what to do if they need to make a complaint, including timescales for a response. All the people that returned surveys to us were aware of the procedure and knew how to make a complaint. Those spoken to were confident to speak up if they had any concerns, and felt that any concerns would be listened to and acted on. The home had a compliments/complaints file that contained an excellent record of issues that had been raised by people during the past year. This was a realistic and positive approach to dealing with complaints. The home has a policy and procedure for dealing with the Protection of Vulnerable Adults (POVA). Staff have been provided with the necessary training. Information received from the home states that POVA is introduced during staff induction and followed up with further training. A Whistle Blowing Policy is in place and displayed on the notice board. There is a flow chart of action to be taken if abuse suspected also on the board. Stanway Green Lodge DS0000053190.V353265.R01.S.doc Version 5.2 Page 15 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, 25 & 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The people living at Stanway Green Lodge benefit from a safe, well-maintained environment but cannot expect that all areas of the home will have been decorated recently and some carpets replaced. EVIDENCE: Stanway Green Lodge is a large detached property that has been adapted to meet the needs of older people. The building is well maintained and decorated and furnished to a reasonable standard although there continues to be a few areas that are in need of some improvement and redecoration. The owner is well aware of the need to make some improvements and is planning a programme of some short term and longer-term changes. Plans include the purchase of new furniture. All beds to be hoist accessable. Replace bedroom furniture on a rolling programme. Future plans include improving facilities such as the staff room, hairdresser and an activity area. Stanway Green Lodge DS0000053190.V353265.R01.S.doc Version 5.2 Page 16 A partial tour of the building was carried out that included the kitchen, laundry, lounges and dining room, bathrooms and several bedrooms. All were clean and tidy and odour control was effective. A number of the bedrooms seen were well furnished and decorated although some were need of brightening up. Many of the bedrooms had been personalised with people’s own possessions. One person spoken with said that they were very satisfied with their room and were pleased to be able to keep it in the way they like, and for it not to be constantly tidied. The grounds were well maintained considering the time of year. Access at the front door and from a lounge to the garden is good. There is a small step leading from the dining room to the garden, which has a sign that warns that it’s a potential hazard. Carpets in the lounges are in need of replacement as they are badly stained. Car parking facilities and access to the home using public transport is good. Stanway Green Lodge DS0000053190.V353265.R01.S.doc Version 5.2 Page 17 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, & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care staff in the home are experienced and trained to provide effective personal and healthcare support to the people living there. EVIDENCE: Staff recruitment was sampled using the staff files of three people that had been appointed during the past few months. These contained the required information such as application form, two written references, photograph, Criminal Record Bureau (CRB) disclosure checks, induction training, supervision records and a job description. These files were kept in a locked cabinet to ensure confidentiality is maintained. Information provided by the owner states that 20 care staff are employed, 11 had a National Vocational Qualification (NVQ) at level 2, which means the home had achieved the recommended target of 50 of care staff having obtained the qualification. Records did show that recently appointed staff had received appropriate induction training. A staff member is an NVQ assessor. The roster showed that the staffing levels remain unchanged and are in-line with the guidelines recommended by the Department of Health. The home employs separate cleaning and catering staff. A health care professional considered staff were often too busy to attend to people immediately and one Stanway Green Lodge DS0000053190.V353265.R01.S.doc Version 5.2 Page 18 member of staff felt that an additional staff member at certain times of the day would be beneficial. Staff spoken with considered the atmosphere at the home was now more relaxed. They felt they could approach the owner and or the senior on duty if they required advice or support. It was evident from discussions with staff and from the feedback from people and their relatives, that staff are held in high regard. They felt that staff were patient and kind. Observation of staff interacting with people around the lunch time was very positive and fun. Stanway Green Lodge DS0000053190.V353265.R01.S.doc Version 5.2 Page 19 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): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect. EVIDENCE: The registered manager resigned and left the home in August 2007. The home’s owner, Laura Kanitkar, has the necessary experience and recently completed the Registered Managers Award (RMA) and National Vocational Qualification level 4 in care and is currently managing the home until a manager is appointed. Since the last inspection, the home has launched a quality assurance system of monitoring ‘customer’ satisfaction. Surveys were sent out in April 2007 to Stanway Green Lodge DS0000053190.V353265.R01.S.doc Version 5.2 Page 20 relatives and to people that live at the home. A total of nine relatives and eleven people at the home responded, which is a good response. Responses indicated a high level of satisfaction of the care and services provided at the home. CSCI also issued surveys to people at the home, relatives and health care professionals in September 2007 and twenty were returned, which is again an excellent response. Comments included, “Provides a good service and meets the needs of my relative”, “All the staff I have encountered deal patiently and attentively to the needs of the residents”, “I am very comfortable in my room and prefer to spend most of my time in here- have my own television and my newspaper”, “Very friendly staff”. Health care professionals were also complimentary about the care provided, although one person felt that there are occasions when staff are very busy and they find it difficult to respond quickly to calls for support. Individuals’ finances held for safekeeping were not checked on this occasion, although this standard has been considered as met in the past. Health and safety policies and this occasion, but it was noted appeared well-maintained and prior to the inspection showed date. procedures were not specifically inspected on that these were available for staff. The home safe, and information submitted to the CSCI that routine servicing and checks were up-to- Stanway Green Lodge DS0000053190.V353265.R01.S.doc Version 5.2 Page 21 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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 2 X X X X 3 3 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 X 3 X 3 X X 3 Stanway Green Lodge DS0000053190.V353265.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP19 Regulation 23,24 Requirement The carpets in the lounges must be cleaned or replaced. Timescale for action 01/06/08 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 OP7 Good Practice Recommendations The manager should ensure that the type of care records used on each file are consistent and are signed and dated. Stanway Green Lodge DS0000053190.V353265.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Colchester Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Stanway Green Lodge DS0000053190.V353265.R01.S.doc Version 5.2 Page 24 - 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. 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