Inspection on 18/04/05 for Stroud Green Lodge

This inspection was carried out on 18th April 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

Stroud Green Lodge 04/11/08

Stroud Green Lodge 21/07/06

Stroud Green Lodge 19/01/06

Stroud Green Lodge 01/12/04

Stroud Green Lodge 05/07/04

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

CARE HOMES FOR OLDER PEOPLE Name Stroud Green Lodge 49 Stroud Green Lodge Addiscombe Way, Croydon, Surrey CR0 7BE Lead Inspector Michael Williams Unannounced 18th April 2005 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. Name Version 1.10 Page 3 SERVICE INFORMATION Name of service Stroud Green lodge Address 49, Stroud Green Lodge Way, Addiscombe, Croydon, Surrey, CR0 7BE 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) 020 8654 1339 020 8654 9715 stevel_liddicott@croydon.gov.uk London Borough of Croydon Mrs Garmit Wright Care Home 27 Category(ies) of 27 Service users over the age of 65 who require registration, with number dementia care (DE(E)) of places Name Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: Existing service who do not have dementia may remain in residence so long as they choose to do so and their needs can be met. Date of last inspection 1/12/04 Brief Description of the Service: Stroud Green Lodge is a registered care home and is owned by the London Borough of Croydon [LBC]. It provides personal, but not nursing, care for up to 27 service users. The home’s registration is in transition; in future the home intends providing care for people over 65 years of age who have dementia. A condition of registration is that the few existing service users who do not have dementia may remain in the home if they wish to do so, providing the home can continue to meet their needs. The home is situated to the East of Croydon and is close to public transport. Accommodation comprises 25 single and 1 shared bedroom. None has ensuite facilities but each has a wash-hand-basin. There are communal areas, lounges and/or dining rooms, on each of the three floors but the ground floor is where most service users spend their day. The managing organisation, the LBC, is considering proposals that would mean the closure of this home in approximately 5 years time as a part of the plan to build new facilities on other sites. Relatives say they are disappointed with this decision because they are very satisfied with the current provisions of this home. The Person in Charge during this inspection advised the inspector that there have been no substantive changes to the home since the previous inspection December 2004, therefore many of the standards remain met in the same manner as before. Name Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The service provided by this Local Authority care home is very much appreciated by the relatives of the very dependent client group. The home is well managed and despite its large size provides a comfortable and homely environment within the constraints of what is now quite an old building. Those service users still able to give a clear account of their life in the home state that they are very happy with the service. What the service does well: 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Name Version 1.10 Page 6 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 Name Version 1.10 Page 7 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) 3 A service user who has just moved in confirmed that his needs had been assessed prior to moving in and that the staff are able and do meet them. EVIDENCE: The inspector met the new arrival and noted that the service user was met by one of the senior staff who made sure his first hours in the home were welcoming and well organised. The service user’s friend confirmed that his needs had been assessed. Name Version 1.10 Page 8 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 Individual care plans are in place and service users health care and social needs are reviewed periodically in conjunction with service users and their representatives and care managers. EVIDENCE: Several relatives informed the inspector that the home ensures doctors and nurses are called in as the need arises and the senior staff confirmed that arrangements are made for health care for those service users with health problems such as diabetic problems, chiropody and dental problems, and assistance is given for those who need hospital care – four service users were in hospital temporarily in April. As for social care, the home has increased the opportunities for service users to enjoy social, recreational and rehabilitative activities such as table-top games, bingo, karaoke, gentle exercise, excursions and entertainers. These numerous activities are listed in weekly activity programmes. Arrangements for administering medication are checked by the local pharmacist and the CSCI monitors medication procedures and found the arrangements satisfactory. No breaches service users’ rights to privacy and dignity were identified during the inspection; facilities to ensure this are in place - including policies and procedures, door locks, curtains, quiet rooms and so forth. Name Version 1.10 Page 9 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, 15 Many service users are now quite unable to reflect upon the quality of care provided in Stroud Green Lodge but relatives confirmed that service users care needs are being meet. Although the menu is varied it does not truly reflect the culture and religious needs of many of the service users. EVIDENCE: During the course of the inspection two suggestions were made by service users, through their families, that is; to increase the range of meals that reflect the cultural backgrounds of service users and for staff to encourage more exercise and physical activity to maintain service users’ mobility for as long as possible. The staff would claim that a variety of such ‘ethnic’ meals are available, as the menu shows, but they agreed to take note of that suggestion. The manager has already addressed the matter of activity and stimulation and has increased the range of opportunities but notes that service users often elect to relax in their chair – enjoying a quiet and peaceful retirement and enjoying the entertainment in a rather passive manner. Visitors on site confirmed that they are made very welcome. The choice of meals on the day of inspection included lamb pie or vegetable burger or turkey burger with several vegetables including mashed and boiled potatoes, cauliflower, carrots etc. The dining rooms are small scale rooms and the service quiet and relaxed, staff were caring attentive and gave choice as they served the meals. For service users making choices is somewhat restricted by their diminishing abilities to make safe choices but where this is possible staff help them to do so. Name Version 1.10 Page 10 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, 18 Policies and procedures are in place for the protection of service users and arrangements for complaining about, or commending, the service are in place. No complaints recorded since last inspection and no issues requiring referral to the ‘protection of vulnerable adults’ procedures were identified. EVIDENCE: The home now has the local ‘protection of vulnerable adults’ procedures in place. Staff were aware of these procedures and visitors were also aware of how their complaints would be dealt with. No complaints were made during the course of this inspection and none recorded in the home’s own record of complaints. Name Version 1.10 Page 11 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, 26 The home generally provides the service users with a comfortable environment that is warm, clean and in a reasonable state of repair. Maintenance work being undertaken must be completed promptly and the site cleared to ensure the safety of service users. EVIDENCE: The home was in a reasonable state of decoration, some peeling of wall-paper strips and minor damage to paintwork but in general it a nice home, large and a little old-fashioned but nevertheless service users and relatives appear to be happy with the premises. No hazards were identified during the inspection and the accident record shows few accidents have occurred in the previous three months indication this is a safe environment for service users. Rubbish needs to be removed from the rear garden. Name Version 1.10 Page 12 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 Staffing levels and skill mix were able to meeting the needs of service users. EVIDENCE: There were five carers and a senior carer acting as the ‘person in charge’. In addition there were ancillary staff, a cook and assistant, laundress and cleaners. Staff confirmed that they receive training commensurate with their duties including health and safety matters, protection of service users, moving and handling, and so forth. Name Version 1.10 Page 13 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) 35, 38 The management of the home ensures the physical and financial safety of the service. EVIDENCE: The staff team seemed very professional and caring and are clearly well trained and supported. Service user money records are in place and were in good order. No hazards were identified during the inspection and the low number of accidents recorded since January 2005 suggest this is a safe home for service users. A maintenance engineer on site confirmed that the passenger lift servicing is undertaken at the prescribed intervals (but the engineer advised the inspector that the roof space needs to be cleared of rubbish). Fire safety equipment is being serviced as required. Name Version 1.10 Page 14 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 x x x x x 2 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x 3 x x 3 Name Version 1.10 Page 15 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 25 Regulation 23(2)(c) Requirement Boilers: It is acknowledged that the boilers are being replaced but the home must ensure the work is completed without delay and rubbish cleared from the site. Rubbish: rubbish must be removed promptly from the garden and roof space. Timescale for action 31/7/05 2. 19 23(2)(d) 31/7/05 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 15 Good Practice Recommendations Meals: whilst no deficiencies were identfied during the inspection a suggestion by a service user, through her relative, is passed on as recommendation for Caribean food to be offered to those service users who would prefer such meals. Activity: A suggestion was made and passed on as a recommendation that more physical activity is made avaible for service users in addition to the wide range of more passive entertainment on offer. 2. 12 Name Version 1.10 Page 16 Commission for Social Care Inspection CSCI 8th Floor Grosvenor House 125 High Street, Croydon CR0 9XP 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. 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