Inspection on 20/09/05 for Suffolk Lodge

This inspection was carried out on 20th September 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

Suffolk Lodge 30/01/09

Suffolk Lodge 23/01/07

Suffolk Lodge 10/02/06

Suffolk Lodge 30/11/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Suffolk Lodge 18 Rectory Road Wokingham Berkshire RG40 1DH Lead Inspector Stewart Mynott Unannounced 20 September 2005 10:30am th 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. Suffolk Lodge H52-H01 S31244 Suffolk Lodge V236017 150905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Suffolk Lodge Address 18 Rectory Road Wokingham Berkshire RG40 1DH 0118 979 3202 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) Wokingham District Council Community Services Department Christine Ann Mitchell Care Home 40 Category(ies) of Old age, not falling within any registration, with number other category OP 33 of places Dementia DE 7 Suffolk Lodge H52-H01 S31244 Suffolk Lodge V236017 150905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 30th November 2004 Brief Description of the Service: Suffolk Lodge provides accomodation and care for up to 40 service users over the age of 65, who have care needs associated with old age. The home has a dementia care unit (Ash unit), providing accomodation for 7 service users. Suffolk Lodge is a purpose built property located close to Wokingham town centre, with accommodation on the ground and first floor. The home is split into units. Each unit has a kitchen/lounge/dining area and single bedrooms, there is also a toilet and bathroom in each unit. There is in addition a large communal lounge located on the ground floor. There is a lift to access the first floor. Suffolk Lodge H52-H01 S31244 Suffolk Lodge V236017 150905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection during the day, which lasted for 7 hours. A tour of home was undertaken although most of the inspection concentrated upon three units. More than 75 of this inspection was spent in discussion with service users and staff. Observation of daily life and care practises, including lunchtime, focussed on two units. Care records were examined and a short discussion with the registered manager took place to further evidence findings made during this inspection. 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. Suffolk Lodge H52-H01 S31244 Suffolk Lodge V236017 150905 Stage 4.doc Version 1.40 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 Suffolk Lodge H52-H01 S31244 Suffolk Lodge V236017 150905 Stage 4.doc Version 1.40 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 and 5 Service users needs are thoroughly assessed and an opportunity to visit the home prior to admission is arranged. EVIDENCE: Two service users that had recently moved into the home were spoken to and each confirmed that they had the opportunity to visit the home before moving in and a member of the senior team had completed an assessment. A further service users admission on Ash unit was also tracked. The care records for these service users were examined and contained a detailed care manager’s assessment and further assessment completed by a senior staff member on file. Initial care plans seen used the assessment as an initial basis. Suffolk Lodge provides accomodation and care for up to 40 service users over the age of 65, who have care needs associated with old age. The home has a dementia care unit providing accomodation for 7 service users Suffolk Lodge is a purpose built property located close to Wokingham town centre, with accommodation on the ground and first floor. The home is split into units. Each unit has a kitchen/lounge/dining area and single bedrooms, there is also a toilet and bathroom in each unit. There is in addition a large Suffolk Lodge H52-H01 S31244 Suffolk Lodge V236017 150905 Stage 4.doc Version 1.40 Page 8 communal lounge located on the ground floor. There is a lift to access the first floor. Suffolk Lodge H52-H01 S31244 Suffolk Lodge V236017 150905 Stage 4.doc Version 1.40 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 standard(s) 7, 8, 9 and 10 Each service user has a care plan detailing personal support needed to meet their needs. In Ash unit further detail is required to state how care needs associated with dementia are being met. Service users confirm that their healthcare needs are fully met. Service user users are treated with respect and dignity by a caring staff team. EVIDENCE: Service users each have a file containing detailed information relating the person’s needs. Each service user has a care plan. There is a senior member of staff allocated to each unit, which takes responsibility for regular monitoring of service users care needs within the unit. Care plans were regularly reviewed in all cases. Service users care plans on three units were examined. Care plans provided details about assessed needs and clearly stated intervention required by staff to meet those needs. It was noted that Ash unit, which caters for people with a dementia, that there was no reference to the service users support required for needs surrounding memory or other identified psychological needs. Five service users discussed their health and personal care needs and confirmed they were happy that these needs were being fully met. All service users confirmed that they are able to see their doctor and three service users Suffolk Lodge H52-H01 S31244 Suffolk Lodge V236017 150905 Stage 4.doc Version 1.40 Page 10 discussed access to a district nurse as well as local NHS facilities. Service users confirmed that they are seen in private for medical appointments within the home. Care records examined detailed these appointments are recorded in different coloured inks on daily records. The assistant unit manager described the medication system in relation to ordering, administration and disposal of medicines, which is organised and satisfactory. There is a medication trolley and cupboard in each unit. Medication administration records observed are completed appropriately by trained staff. The records in relation to controlled medicines were kept in a satisfactory manner. Throughout the inspection staff were observed to treat service users with kindness and respect in a professional manner. Service users spoken to described the staff positively and confirmed they are addressed by their preferred name. Service users also confirmed that all personal care is done so in private and in a dignified manner. Three service users discussed additional support given by key workers. One service user also confirmed that they receive their post unopened and another had a telephone in their bedroom for personal use. Two staff working in Ash unit were also seen to be particularly respectful to service users and observation of one service user who was disoriented and required reassurance further demonstrated staff acting in a professional manner. Both staff spoken to demonstrated a good understanding of dementia care and awareness of the care needs of each service user as recorded in care records. Staff also confirmed that they had received training to assist them with understanding dementia, which was confirmed in staff training records examined later. Suffolk Lodge H52-H01 S31244 Suffolk Lodge V236017 150905 Stage 4.doc Version 1.40 Page 11 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) Standards 12 to 15 were not assessed during this inspection. EVIDENCE: Suffolk Lodge H52-H01 S31244 Suffolk Lodge V236017 150905 Stage 4.doc Version 1.40 Page 12 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 Service users confirmed they clearly understand how to complain and are confident their views are acted upon. EVIDENCE: There is a clear and straightforward complaints policy in the statement of purpose for service users and a further detailed policy on complaints with the homes policies. Several service users spoken to confirm that they felt their views are listened to and acted upon and that they feel confident to discuss any issues with staff should the need ever arise. Service users were clear about the complaints process within the home. Four care staff spoken to were clear on how to handle complaints from service users or their representative’s. The complaints book was examined and revealed that there were no complaints recorded since the last inspection. The registered manager confirmed that there were no formal complaints received during this time period. Suffolk Lodge H52-H01 S31244 Suffolk Lodge V236017 150905 Stage 4.doc Version 1.40 Page 13 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, 20, 21, 24 and 26 Service users live in clean, comfortable and homely units within the home. There was an unpleasant odour in Ash unit’s corridor that requires further attention. EVIDENCE: A tour of the home was given by the team support officer, which covered all units in the home. A further detailed tour took place in three units namely Ash, Beech and Oak as well as the communal areas. Each unit was seen to be clean, well decorated and maintained. Service users spoken to advised they were very happy with their environment and the cleaning arrangements within the home. Each unit catered for service users in small groups each with a lounge, dining area and kitchenette, which added to a warm and homely feel within the home. Service users bedrooms were noted to be very clean and comfortable with personalised items. In Ash unit bedroom doors were individualised to aid service users recognition and orientation. Suffolk Lodge H52-H01 S31244 Suffolk Lodge V236017 150905 Stage 4.doc Version 1.40 Page 14 Bathrooms and toilets seen were clean and comfortable although some of the finishing’s appeared slightly worn. The laundry and housekeeping arrangements were examined within the home. The laundry was very well organised, clean and clear of washing with suitable washing machines and dryers in operation. The laundry assistant described the laundry system and was clear on good cross infection prevention and safe working practises. Housekeeping arrangements in the home were seen to be effective. A strong odour in Ash corridor was noted and the staff and manager had discussed their attempts to eliminate this odour, which requires further cleaning or the provision of new flooring in this area. Suffolk Lodge H52-H01 S31244 Suffolk Lodge V236017 150905 Stage 4.doc Version 1.40 Page 15 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) Standards 27 to 30 were not assessed during this inspection. EVIDENCE: Suffolk Lodge H52-H01 S31244 Suffolk Lodge V236017 150905 Stage 4.doc Version 1.40 Page 16 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) Standards 31 to 38 were not assessed during this inspection. EVIDENCE: Suffolk Lodge H52-H01 S31244 Suffolk Lodge V236017 150905 Stage 4.doc Version 1.40 Page 17 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 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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 3 3 x x 3 x 2 STAFFING Standard No Score 27 x 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 x x x x x x x x x Suffolk Lodge H52-H01 S31244 Suffolk Lodge V236017 150905 Stage 4.doc Version 1.40 Page 18 No 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 OP6 Regulation 15 Requirement The registered manager ensures that care plans on Ash unit contain information which state how care needs associated with dementia are met. The registered manager ensures that the odour in the corridor on Ash unit is controlled either by replacing the flooring or by further development to the cleaning system. Timescale for action 30/11/05 2. OP26 16(k) 31/12/05 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 Good Practice Recommendations Suffolk Lodge H52-H01 S31244 Suffolk Lodge V236017 150905 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 2nd Floor, 1015 Arlington Business Park Theale Berkshire RG7 4SA 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 Suffolk Lodge H52-H01 S31244 Suffolk Lodge V236017 150905 Stage 4.doc Version 1.40 Page 20 - 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. 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