Inspection on 19/01/06 for Stroud Green Lodge

This inspection was carried out on 19th January 2006.

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 18/04/05

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 Stroud Green Lodge 49 Stroud Green Way Addiscombe Croydon Surrey CR0 7BE Lead Inspector Michael Williams Unannounced Inspection 19th January 2006 10:00 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 Stroud Green Lodge DS0000043303.V279057.R01.S.doc Version 5.1 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. Stroud Green Lodge DS0000043303.V279057.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Stroud Green Lodge Address 49 Stroud Green Way Addiscombe Croydon Surrey CR0 7BE 020 8654 1339 020 8654 9715 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) London Borough of Croydon Mrs Garmit Wright Care Home 27 Category(ies) of Dementia - over 65 years of age (27) registration, with number of places Stroud Green Lodge DS0000043303.V279057.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. A variation has been granted to allow one specified service user under the age of 65 to be accommodated. The variation remains in force until such time as the needs of the service user can no longer be met or until such time as the placement ceases. Existing specified service users who are not in the DE(E) category may remain at Stroud Green Lodge whilst their needs can still be met and they choose to remain. 18th April 2006 2. Date of last inspection 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 homes 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. The managing organisation, the LBC, is considering proposals that would mean the closure of this home as a part of the plan to build new facilities on other sites. The Local Authority may revise its plans and close this home much earlier than expected and inevitably relatives, and many other who represent the service users, say they are very disappointed by the uncertainty, and possibility of early closure, because they are very satisfied with the current provisions of this home. The CSCI does not seek to influence decisions about the opening and closing of home but does expect standards to be maintained throughout the life of a home. Stroud Green Lodge DS0000043303.V279057.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The CSCI undertook an unannounced inspection midday on 19th January 2006. This was a time of uncertainty for the home as the Local Authority’s plans for its closure may be brought forward. The purpose of this visit was to monitor progress in meeting previous CSCI requirements and to check the safety and well being of service users. Many service users and several of the staff contributed to the inspection and their contribution is acknowledged. Whilst no relatives or other visitors were interviewed on this occasion their letters of appreciation and support of the home are displayed in the entrance hall and indicate how much they appreciate the care provided in this home. Where key standards were seen to have been met in the previous inspection this will be indicated in this report. 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 report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Stroud Green Lodge DS0000043303.V279057.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Stroud Green Lodge DS0000043303.V279057.R01.S.doc Version 5.1 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 the following standard(s): New service users are being admitted only on the basis of a full assessment undertaken by people trained to do so and this involves the service user or, in some cases, their representative. EVIDENCE: The key standard in this section of the report was assessed as met in the previous inspection. Stroud Green Lodge DS0000043303.V279057.R01.S.doc Version 5.1 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 the following standard(s): 11 The arrangements for care planning, the provision of health care and the procedures for dealing with medication are all satisfactory so as to ensure the social, and health care of service users can be met. Service users can also be assured that the home can met the needs of people from different cultures or with lifestyles. EVIDENCE: The key standards in this section of the report were assessed as met in the previous inspection. Whilst not evaluated in detail, issues of diversity were discussed during the meeting with the manager so as to ensure that the home can cater of the needs of residents from different cultures or lifestyles; she demonstrated good awareness of the complex issues of meeting such needs including matters that will affect social contacts, diet, last wishes at time of death and so forth. Stroud Green Lodge DS0000043303.V279057.R01.S.doc Version 5.1 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 the following standard(s): 12 15 The daily routines in this home are reasonably flexible, within the constraints of a large service. Service users are being supported and encouraged to maintain links with family, friends and to exercise choice and control over their lives in so far as they wish and are able to do so. Service users are receiving a wholesome, appealing and well balanced diet in a congenial setting in accordance with their recorded requirements and preferences. EVIDENCE: Recommendations were made about the range of activities so the CSCI checked whether or not the suggestions of relatives (to offer more opportunity for physical activity) have been acted upon. The manager advised the inspector that the residents are offered a range of in-house and external social activities including short excursions and activities involving gentle exercise. On the day of inspection the inspector noted that service were being encouraged to as physically active as possible within the constraints of the mobility problems. On the day of inspection many residents were engaged in table-top activities such as dominoes, scrabble, jigsaw puzzles, drawing and a quiz designed to aid memory. A recommendation was also made to ensure the home is recognising the diverse backgrounds of service users by offering meals from other cultures and on the day of inspection a mild curry dish was available – the cook points out that it is usually English residents who prefer ‘foreign’ meals rather than residents from minority ethnic groups. Stroud Green Lodge DS0000043303.V279057.R01.S.doc Version 5.1 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 the following standard(s): 16 Policies and procedures are in place for the protection of service users and arrangements for complaining about, or commending, the service are in place so as to assure service users that their concerns will be heard and complaints dealt with in a professional manner. EVIDENCE: No complaints recorded since last inspection and no issues requiring referral to the ‘protection of vulnerable adults’ procedures were identified. Inevitably, the uncertain future of this home is causing something of a furore amongst supporters of the home and residents. Whilst this is matter in the hands of the registered providers it is beyond the control of the manager to influence the future of the home. The CSCI will monitor this home to ensure national minimum standards are being maintained whilst in the transition stage of ‘new-4-old’. Stroud Green Lodge DS0000043303.V279057.R01.S.doc Version 5.1 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 the following standard(s): 19 26 The layout of the home and the manner in which it is being maintained means that this is a clean, safe, comfortable and suitable environment for the service users. EVIDENCE: The home was in a reasonable state of decoration, minor damage to paintwork was noted but in general it is 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. The boiler, mentioned in the previous report, is now fully installed and operational and the rubbish then left on site has been removed. It remains the case that the owners’ the local authority intend replacing their older care homes, which do not meet modern standards, with premises that will meet service users’ needs in greater comfort and improved personal accommodation. Stroud Green Lodge DS0000043303.V279057.R01.S.doc Version 5.1 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 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 28 29 30 The number of staff employed and their skill mix are appropriate to the assessed needs of the current service users in this home – so this will ensure that their needs are being met. The required procedures are in place to ensure recruitment of staff protects service users. The home has a staff induction, training, support and supervision regime in place so service users can be assured that staff are competent in their jobs. The recruitment, training and support of staff will ensure service users are ‘safe in their hands’. EVIDENCE: Staffing levels must be no less than required by previous regulatory bodies and this was the case on the day of inspection – for 25 service users there were five carers, two students, the manager and ancillary staff for catering and cleaning. The inspector was impressed by the very professional and caring attitude of staff at a time when they are very anxious about the future of the home and their own future. The process of staff recruitment was examined in some detail including the examination of staff folders to ensure the necessary checks have been undertaken before staff are allowed to work in the home. It was noted that a new member of staff is being introduced to the home and the checks are not yet complete – where staff are employed with only the POVA (Protection of Vulnerable Adults list) in place then induction and supervision must be in compliance with the amended regulations (S.I.2004/1770). This requires that an “appropriately qualified and experienced member of staff is appointed … to be on duty at the same time … as the new worker…” and a recommendation is made to this affect. In this instance the manager herself was acting as the supervisor but it is recommended that a suitable member of staff working in proximity to the new worker is given this role. Stroud Green Lodge DS0000043303.V279057.R01.S.doc Version 5.1 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 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): 31 33 38 The manager is registered with the CSCI as a person competent to run this home in accordance with its stated aims and objectives and in the best interests of the service users. The home is well managed, including finances, and is safe for service users. EVIDENCE: The arrangements for protecting residents’ finances were examined in the previous inspection and found satisfactory with service user money records in place and in good order. Other aspects of the management of the home were re-evaluated including health and safety to ensure the service users are being well cared for; their own opinion is that this is the case. The premises were toured and the inspector observed how staff engage residents. A tranquil atmosphere prevailed and service users were being cared for in a kindly manner with attention to their safety and well being. The premises were neat and tidy and in a reasonable state of repair. No hazards were identified on this occasion. Stroud Green Lodge DS0000043303.V279057.R01.S.doc Version 5.1 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. 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X X X X 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 X X X 3 Stroud Green Lodge DS0000043303.V279057.R01.S.doc Version 5.1 Page 15 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. 1 Refer to Standard OP29 Good Practice Recommendations Staff recruitment: It is recommended when new staff are employed with only the ‘POVA:1st’ (Protection of Vulnerable Adults list) check in place then induction and supervision must be in compliance with the amended Regulations S.I.2004/1770. Stroud Green Lodge DS0000043303.V279057.R01.S.doc Version 5.1 Page 16 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 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. Extracts may not be used or reproduced without the express permission of CSCI Stroud Green Lodge DS0000043303.V279057.R01.S.doc Version 5.1 Page 17 - 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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