This inspection was carried out on 17th October 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.
CARE HOMES FOR OLDER PEOPLE
Stratfield Lodge Residential Home 63 Wellington Road Bournemouth Dorset BH8 8JL Lead Inspector
Martin Bayne Unannounced Inspection 09:30 17 October 2005
th 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 Stratfield Lodge Residential Home DS0000061000.V251973.R01.S.doc Version 5.0 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. Stratfield Lodge Residential Home DS0000061000.V251973.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Stratfield Lodge Residential Home Address 63 Wellington Road Bournemouth Dorset BH8 8JL 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) 01202 553596 ernestpickering@aol.com Stratfield Lodge Ltd Mr Ernest Lister Pickering Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Stratfield Lodge Residential Home DS0000061000.V251973.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 20th April 2005 Brief Description of the Service: Stratfield Lodge is registered to provide personal care and accommodation for 14 people in the category of frailty of old age. The home is situated close to shops and amenities of Charminster and Bournemouth town centre. The home provides single bedrooms, which are situated on the ground and first floor. The first floor of the home is accessed by means of stairs or a passenger lift. Residents of the home share communal areas of a dining room and a lounge that leads to well maintained gardens. To the front of the home there is an area for parking. Stratfield Lodge Residential Home DS0000061000.V251973.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place between 9:30am and 1:30pm. The first hour of the inspection was spent talking with residents about their experiences of living at the home. Time was then spent with the registered manager and the home’s administrator checking paperwork and records relating to the running of the home. The residents spoken with gave a very positive account of life at the home and the high standards of care that they received. The records inspected were generally found to be up to date and accurate. The one recommendation made at the last inspection had been complied with. What the service does well: What has improved since the last inspection?
The home’s administrator informed that some of the recording systems had been improved with task recording sheets that make it easier to monitor health needs of residents. The range of activities in the afternoon has been changed to suit the current resident population needs. The windows have all been checked to ensure that there is no possibility of a resident falling from a window. Additional staffing of an awake as opposed to sleep-in staffing is now provided. Stratfield Lodge Residential Home DS0000061000.V251973.R01.S.doc Version 5.0 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. Stratfield Lodge Residential Home DS0000061000.V251973.R01.S.doc Version 5.0 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 Stratfield Lodge Residential Home DS0000061000.V251973.R01.S.doc Version 5.0 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 the following standard(s): 3 Residents and relatives are provided with necessary information to assist in the process of choosing a home. EVIDENCE: All of the residents spoken with said that their families had assisted in choosing the home. The majority of the residents spoken with said that they had visited the home prior to their admission. A copy of the Statement of Purpose was prominently on display in the reception next to the visitor’s book. Stratfield Lodge Residential Home DS0000061000.V251973.R01.S.doc Version 5.0 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 the following standard(s): 78 Health and care needs of residents are met through comprehensive assessments and care plans. Care plans are to be reviewed to make them more “user friendly” to the staff. EVIDENCE: Residents reported that their care needs were met by the staff. A sample of two care plans were inspected. These were found to be very detailed, providing a combined assessment with care tasks required of the staff. It was agreed that to make the care plans more user friendly for the staff the plans could be condensed to summarise the assistance required of the staff. In relation to one resident it was agreed that more information could be recorded of their history of seeking attention and how the staff should respond to these situations. There is a system for recording falls of residents and monitoring their mobility, so that proactive steps can be taken to reduce risk of falls. Residents reported that their health needs are attended to and his was supported through the information in the care plans.
Stratfield Lodge Residential Home DS0000061000.V251973.R01.S.doc Version 5.0 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 the following standard(s): 12 15 Residents needs concerning preferences and expectations of lifestyle are met and residents benefit from a wholesome appealing and balanced diet. EVIDENCE: Residents reported that their visitors were made welcome at the home and that they could visit at any time. Residents informed that there were activities arranged in the home and that outings were arranged to shows and other events. A Holy Communion service is held in the home each month and two other residents attend other denominational services in the community. Two residents attend day services each week. Residents said that they could get up and go to bed when they chose and that they could make choices that affect their lives. All of the residents spoken with said that the food provided at the home was of a good standard and that their likes and dislikes were known and catered to. The records of food provided were seen and reflected a balanced and wholesome diet. Residents reported that they could eat in their rooms or in the dining room. Stratfield Lodge Residential Home DS0000061000.V251973.R01.S.doc Version 5.0 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 the following standard(s): 16 The home’s complaints procedure is well publicised. EVIDENCE: The complaints procedure is displayed on the notice board and is also detailed in the terms and conditions of residence and Statement of Purpose. The home maintains a complaints log and none have been recorded since the time of the last inspection. Stratfield Lodge Residential Home DS0000061000.V251973.R01.S.doc Version 5.0 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 the following standard(s): 19 Resident’s benefit from a clean and well-maintained environment. EVIDENCE: On the day of inspection the home was found to be clean and in good decorative order throughout. Residents reported that high standards of cleanliness were always maintained in the home. The gardens were also well maintained. Since the last inspection the windows above ground level have all been assessed and made safe to ensure that residents cant fall from them. Stratfield Lodge Residential Home DS0000061000.V251973.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 29 Staffing levels have been increased to meet the needs of the residents. The home carries out required and appropriate recruitment checks on new staff. EVIDENCE: It was reported that since the time of the last inspection through assessment of changing needs of residents an awake member of staff is now on duty during the night time period instead of sleep-in staff. During the daytime period there are two care staff on duty between the hours of 8am and 10pm. A rota was seen that reflected the staffing detailed above. Residents spoken with said that the levels of staffing met their needs. A sample of two staff records were inspected and it was found that the necessary checks and recruitment procedures had been undertaken. It was agreed that the staff application form would be amended to reflect the changes to the Regulations of July 2004. The recommendation of the last inspection that references are accepted only on headed paper had been adopted. Stratfield Lodge Residential Home DS0000061000.V251973.R01.S.doc Version 5.0 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 The home is run with the interests of the residents in mind. EVIDENCE: Stratfield Lodge Residential Home DS0000061000.V251973.R01.S.doc Version 5.0 Page 15 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 x X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X X X X X STAFFING Standard No Score 27 3 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X X Stratfield Lodge Residential Home DS0000061000.V251973.R01.S.doc Version 5.0 Page 16 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 Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. Refer to Standard Good Practice Recommendations Stratfield Lodge Residential Home DS0000061000.V251973.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Stratfield Lodge Residential Home DS0000061000.V251973.R01.S.doc Version 5.0 Page 18 - 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!
