Inspection on 20/08/05 for Sundial Lodge

This inspection was carried out on 20th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Sundial Lodge 10/03/09

Sundial Lodge 15/11/06

Sundial Lodge 16/02/06

Sundial Lodge 09/02/05

Sundial Lodge 22/09/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Sundial Lodge Park Hill Road Torquay Devon TQ1 2EA Lead Inspector Judy Hill Announced 20/09/05 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. Sundial Lodge D54-D07 S18438 Sundial Lodge V237969 200905 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Sundial Lodge Address Park Hill Road Torquay Devon TQ1 2EA 01803 292889 01803 291483 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) Sundial Lodge Ltd Sonia Brotherton Care Home 48 Category(ies) of OP - 48 registration, with number of places Sundial Lodge D54-D07 S18438 Sundial Lodge V237969 200905 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th February 2005 Brief Description of the Service: Sundial Lodge is registered to provide accommodation and care for a maximum of 48 people who are over 65 years of age. The home, which is fine grade II listed mansion, is detached and set in an acre of well maintained gardens. The residents accommodation is made up of 42 single and 3 double apartments, each with a private lounge, sleeping area, kitchenette and bathroom. A large communal lounge provides the residents with a good environment to engage in organised activities and/or for socialising in. The current fees range from £289 to £425 a week. The business is registered as a limited company and the responsible individual, Mr Stephen Vans-Colina, is involved in the day to day running of the home. The manager, Mrs Sonja Botherton, is well qualified and experienced. There are dedicated cleaning, maintenance and catering staff in addition to the care staff. The philosophy of the service is to encourage the residents to maintain their independence and an example of this is the catering arrangements. The residents are offered a three course meal at lunch time and have a choice of starters, main course and sweet. Facilities are provided to enable the residents to prepare their own breakfast and evening meal if they wish to do so. Sundial Lodge D54-D07 S18438 Sundial Lodge V237969 200905 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and was carried out by one inspector from 10am to 3.50pm on Tuesday 20th September 2005. The information contained in this report was gained in conversation with the responsible individual, the registered manager, one senior care assistant, two care assistants and six residents. Additional information was gained from a partial tour of the premises and from documentary information including the Statement of Purpose, Service Users’ Guides, pre-inspection questionnaire, needs and risk assessments, care plans, menu plans, staff rota, staff training records, medication administration records, policies and procedures and completed comment cards from three residents and five visitors/relatives. What the service does well: The Statement of Purpose and Service Users’ Guides are well written, informative and accessible. Comprehensive needs and risk assessments are carried out and the residents care plans are clear, easy to follow and identify how the resident’s health, personal and social care needs can be met. The residents are given the opportunity to handle their own medication, subject to a satisfactory risk assessment, if they choose to do so. Medication that is administered by the staff is stored and handled safety. Residents are given the opportunity to participate in various in house activities and regular group outing are arranged. Visitors are made welcome and dinner and/or overnight accommodation can be provided at a nominal charge. A three course meal is provided for all of the residents at lunchtime and they are offered a choice of starters, main course and sweet. Alternatives to the set meals will be provided on request. Subject to a satisfactory risk assessment, facilities are provided to enable the residents to make their own breakfast, hot drinks and snacks if they choose to do so. The home is conveniently located for access to the town centre and beaches. The gardens are well maintained and accessible to the residents. The resident’s benefit from having their own private apartments each of which has a lounge, sleeping area, bath/shower room and kitchenette. There is a large communal lounge, which is used for social activities and as a meeting place for residents to relax in. The home is attractive, well maintained and comfortably furnished. The home is very well managed and staff training has been given a high priority. A lot of emphasis is placed on encouraging the residents to maintain their independence and enjoy active lives within a safe home environment. Sundial Lodge D54-D07 S18438 Sundial Lodge V237969 200905 Stage 4.doc Version 1.20 Page 6 The residents views on the quality of care provided is being sought though the use of satisfaction questionnaires and residents meetings as well as on an informal basis. 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. Sundial Lodge D54-D07 S18438 Sundial Lodge V237969 200905 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Sundial Lodge D54-D07 S18438 Sundial Lodge V237969 200905 Stage 4.doc Version 1.20 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 standard(s) 1, 2 & 3 Prospective residents are given the information they need to judge if Sundial Lodge is the right home for them. EVIDENCE: The Statement of Purpose was seen to be comprehensive and well presented. Copies are kept in the office and in the communal lounge for current and prospective residents and their representatives to read. The Service Users’ Guides are also seen to be comprehensive and well presented. Copies containing individual contracts are given to each of the residents. The manager carries out an initial assessment of prospective residents to ensure that the service, which specialises in providing care for residents who have some degree of independence, will be suitable for them. Sundial Lodge D54-D07 S18438 Sundial Lodge V237969 200905 Stage 4.doc Version 1.20 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 The resident’s benefit from conscientious and well documented assessment and care planning practices that ensure that their needs are identified and met. EVIDENCE: Two of the residents care files were inspected and found to contain comprehensive needs and risk assessments and clearly written care plans. The residents case files are used by the staff on a daily basis to ensure that their individual needs are met appropriately. Evidence of the individual residents involvement in their assessments, care planning and reviews was demonstrated by the inclusion of signatures on documents. The resident’s health care needs are recorded on their assessments and care plans. Evidence that the care staff monitor the physical and mental health of the residents was seen on daily report sheets. Following a satisfactory risk assessment, the residents are asked if they would like to administer their own medication. Records are kept of all medicines that the residents self-administer and regular checks are made to ensure that they are taking their medication as prescribed. The residents have locks on their apartment doors and safes in their rooms to ensure that they can store their medication safely. The medication that is administered by the staff was seen Sundial Lodge D54-D07 S18438 Sundial Lodge V237969 200905 Stage 4.doc Version 1.20 Page 10 to be kept securely in a locked cupboard in one of the two staff rooms. Suitable storage arrangements are provided for controlled drugs and medicines requiring refrigeration. A spot check was carried out on medication administration record sheets and cassettes and no errors were identified. The staff who administer the resident’s medication have received training to do so and information is kept available to the staff about the medicines used, including what the medication is used for and any likely side effects. Few homely remedies are used but the manager has liaised with the resident’s doctors to ensure that these are not incompatible with their prescribed medication. Sundial Lodge D54-D07 S18438 Sundial Lodge V237969 200905 Stage 4.doc Version 1.20 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) 12, 13, 14 & 15 The resident’s benefit from being given the opportunity to participate in organised activities within their home and to go on regular outings. A good choice of meals is offered to the residents and their independence is encouraged through the provision of facilities for them to prepare their own hot drinks and light meals if they choose to do so. EVIDENCE: The resident’s social and occupational interests are recorded as part of their assessment. Regular social activities are organised, including in house entertainment and outings. Although there is a small shop within the home that sells ‘essentials’, shopping trips are arranged three times a week. Some of the residents talked about other social outings that had been provided including trips to Dartmouth and Dartmoor, and the cream teas that they had enjoy on these days out. The home has a mini bus to take the residents out and about and no extra charge is made for this facility. The residents are encouraged to invite their friends and families into their home and arrangements can be made for them to stay for dinner or use a guest suite for an overnight stay at a very reasonable charge. The residents are actively encouraged to maintain their independence for as long as possible and most of them are able to look after their own financial affairs. Each of the apartments has a safe to enable the residents to store Sundial Lodge D54-D07 S18438 Sundial Lodge V237969 200905 Stage 4.doc Version 1.20 Page 12 their money and other valuables safely. Any personal spending money that is held by the home is recorded and receipts for any items purchased or paid for on the residents behalf are kept. The home does not have a communal dining room as each of the residents has a dining area in their apartment. Residents who are able to prepare their own breakfasts have the facilities to do so in their rooms and the food they need to do so is provided at no additional charge. There are set menu plans for dinner, which demonstrate that the residents are offered a choice of three different starters, two main courses and three sweets. In addition to alternatives are available. Some of the residents spoken with said that the quality of the meals used to be excellent but that after a former chef left had they deteriorated. They said that the meals had recently got better again. It was confirmed by the responsible individual that there had been problems with the quality of some the meals provided but that this matter was being dealt with. The food was sampled and found to be very well prepared. Sundial Lodge D54-D07 S18438 Sundial Lodge V237969 200905 Stage 4.doc Version 1.20 Page 13 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) 18 Good safeguards are in place to ensure that the residents are protected from abuse. EVIDENCE: The home has policies and procedures to safeguard the residents from abuse. Some of the staff had attended a training course on the protection of vulnerable adults and the remaining staff had been booked to attend the course as part of their compulsory training programme. The home has a copy of the Alerter’s Guide and ‘No Secrets’ video. The homes practises regarding the handling of resident’s money ensure that no financial abuse takes place. Sundial Lodge D54-D07 S18438 Sundial Lodge V237969 200905 Stage 4.doc Version 1.20 Page 14 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, 23, 24, 25 & 26 The residents benefit from living in a very attractive, well maintained and well presented home. The residents private accommodation is exceptional, the bedroom forms part of an apartment with a private lounge, bath/shower room and kitchenette. EVIDENCE: The home is situated in the Meadsfoot area of Torquay and is within walking distance of the town and beaches. Dedicated staff are employed to ensure that the house and gardens are well maintained. Records show that the home conforms to the standards required by the fire safety service. CCTV cameras are used to monitor the grounds. The resident’s private accommodation is made up of forty-two single and three double apartments, each of which has a lounge, sleeping area, en-suite bath and/or shower room and kitchenette. All of the apartments are lockable and each apartment has a safe to enable the residents to store their valuables securely. There is no communal dining room as the residents have dining facilities in their apartments. Communal space is provided in the form of a Sundial Lodge D54-D07 S18438 Sundial Lodge V237969 200905 Stage 4.doc Version 1.20 Page 15 large lounge, which is used for social events and activities and for relaxing in the company of other residents. There is one communal bathroom, which has a bath that is suitable for use by people with physical disabilities. All parts of the home that were seen were clean, well decorated and comfortably furnished. Gas fired central heating is provided and gas or electric fires are provided in most of the residents lounges. The resident’s lounges also have television and telephone points. There is a telephone kiosk in one of the hallways but most of the residents have chosen to pay to have private telephone lines installed. The laundry facilities were seen to be adequate for the needs of the residents. The staff said that the resident’s laundry is always washed and dried individually to avoid mix-ups. Valves have been fitted to hot water outlets to prevent accidental scalding. Sundial Lodge D54-D07 S18438 Sundial Lodge V237969 200905 Stage 4.doc Version 1.20 Page 16 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, 28, 29 & 30 The residents can be confident that their care needs will be met by well trained staff. EVIDENCE: The staff rotas show that in addition to the manager there are four senior care assistants, eleven care assistants, five domestics and three kitchen staff. The manager said that there were also additional staff members to attend to the general maintenance of the building, decorating, gardening and driving. Records of staff training demonstrate that a system is in place to identify the staffs training needs and to record their achievements. Induction and foundation training programmes are in place, that comply with TOPPs specifications. The manager is a qualified NVQ Assessor and one of the senior carers is working towards gaining this qualification. Three of the care staff have gained their NVQ at Level 2 and one is working towards gaining this qualification. Three have gained their NVQ Level 3 and one is working towards gaining this qualification. Three members of staff were spoken with in private and all three said that they enjoyed working at the home and that both the manager and responsible individual were supportive and approachable. Several of the residents who were spoken with made very positive comments about the kindness of the responsible individual, the manager and the staff. It was suggested that the night staffing levels are a little low. Currently there are two care assistants on waking duty from 8pm to 8am and it is recommended that the responsible Sundial Lodge D54-D07 S18438 Sundial Lodge V237969 200905 Stage 4.doc Version 1.20 Page 17 individual and the manager review the staffing arrangements to assess if additional staff are needed during the evening or overnight. Sundial Lodge D54-D07 S18438 Sundial Lodge V237969 200905 Stage 4.doc Version 1.20 Page 18 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) 31, 32, 33, 35 & 38 The residents can be confident that their home is well managed and safely maintained. EVIDENCE: The registered manager has a nursing qualification (RGN) and has completed her Registered Manager’s Award and is a qualified NVQ Assessor. She had 17 years experience as the manager/matron of a nursing home before being appointed manager of Sundial Lodge in December 2002. The responsible individual is also involved in the day-to-day running of the home and additional support is provided to them both by a receptionist/administrator. The home has a very distinctive management ethos, which is included in the Statement of Purpose and Service Users’ Guides, and is to enable the residents to retain their independence and continue to lead active lives, within a very stylish, safe and comfortable home environment. Sundial Lodge D54-D07 S18438 Sundial Lodge V237969 200905 Stage 4.doc Version 1.20 Page 19 A quality assurance system has been introduced and completed questionnaires were seen to contain feedback from the residents about the quality of care provided. In addition to this annual residents meetings are held to enable the residents to discuss ways in which the service could be improved. A group of residents who were spoken with said that they discussed in-house entertainment at a recent meeting and the manager said that menu plans had also been discussed and that changes had been made as a direct result of this. Most of the residents are able to manage their own financial affairs or are helped by their families to do so. Each apartment is provided with a safe to enable the residents to store their money and other valuables safely. The responsible individual is appointee for one resident, and a signed record was seen to show that the resident is given his personal allowance weekly. The manager holds small amounts of money for some residents and records and receipts are kept of any money received or spent on the resident’s behalf. Records were seen which demonstrate that the gas and electrical appliances are services and tested regularly. All of the required policies and procedures are in place and kept accessible to the staff. Arrangements are in place to ensure that the staff receive appropriate training in health and safety related topics. Sundial Lodge D54-D07 S18438 Sundial Lodge V237969 200905 Stage 4.doc Version 1.20 Page 20 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 3 3 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 4 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION 4 3 4 x 4 4 3 3 STAFFING Standard No Score 27 2 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 4 4 3 x 3 x x 3 Sundial Lodge D54-D07 S18438 Sundial Lodge V237969 200905 Stage 4.doc Version 1.20 Page 21 N0 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 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 27 Good Practice Recommendations The late evening and night time staffing levels should be reviewed to ensure that they are at a level that is adequate for the needs of the residents. Sundial Lodge D54-D07 S18438 Sundial Lodge V237969 200905 Stage 4.doc Version 1.20 Page 22 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton Devon, TQ13 7UP 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 Sundial Lodge D54-D07 S18438 Sundial Lodge V237969 200905 Stage 4.doc Version 1.20 Page 23 - 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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