Inspection on 22/01/07 for Sutton Court Lodge

This inspection was carried out on 22nd January 2007.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Sutton Court Lodge 31/01/08

Sutton Court Lodge 30/01/06

Sutton Court Lodge 28/09/05

Sutton Court Lodge 17/02/05

Sutton Court Lodge 06/09/04

Sutton Court Lodge 17/03/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOMES FOR OLDER PEOPLE Sutton Court Lodge 2 Chesterfield Road Brimington Chesterfield Derbyshire S43 1AD Lead Inspector Marie Bonynge Key Unannounced Inspection 22nd January 2007 12:00 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 Sutton Court Lodge DS0000020101.V325602.R01.S.doc Version 5.2 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. Sutton Court Lodge DS0000020101.V325602.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sutton Court Lodge Address 2 Chesterfield Road Brimington Chesterfield Derbyshire S43 1AD (01246) 275703 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) Enable Care & Home Support Limited Vacant Care Home 9 Category(ies) of Learning disability over 65 years of age (9) registration, with number of places Sutton Court Lodge DS0000020101.V325602.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the home be registered for one named service user under 65. Date of last inspection 30th January 2006 Brief Description of the Service: Sutton Court Lodge is registered to provide 9 places for residents over 65 with learning disabilities. The home is presently able to accommodate one named service user under 65. The home is a detached house in Brimington, which provides 5 single and two shared bedrooms. The home is on two floors and has a stair lift to support residents that have difficulty with the stairs. The home is maintained to a clean, comfortable and homely standard. The home is in the centre of Brimington Village close to shops and transport facilities. There are two bathrooms and three toilets, with appropriate grab rails in place to assist residents. There is a communal lounge and separate dining room area for residents to use. There is a loop system fitted in the lounge area for residents with a hearing aid. The fees for this home are £669.00 Sutton Court Lodge DS0000020101.V325602.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection took place over one day in January 2007 and the duration of the visit was approximately 5 hours. 7 residents were accommodated who had been assessed as having low dependency needs. Inspection methods used included a tour of the communal areas of the building, residents’ bedrooms, the medication storage area and the kitchen. Discussions took place with a group of residents in the lounge area and individual discussions with two residents. Discussions also took place with the acting manager, the service manager and 2 members of staff. Case tracking was used for 3 residents and their care plans and associated records were examined. Staff training records, staff files, staffing rotas and medication records were also examined. 7 completed CSCI resident surveys were received and comments from residents are included in this report. Information was also received by way of a completed pre-inspection questionnaire from the provider. Many of the residents in this home were able to contribute directly to the inspection process and some of their comments are included in the main body of the report. The main focus of this inspection was on previous requirements and recommendations from the last inspection and on the key inspection standards. What the service does well: Residents spoke highly of the care provided by Sutton Court Lodge and commented that staff cared for them well. One resident said that ‘I like the staff’ and ‘I have everything I need’. The atmosphere is friendly, warm and welcoming with residents clearly being happy to be at home. Activities are provided to suit individual preferences and the residents are supported to take an active part in the local community. There is a committed staff team that works well together and understands the needs of individual residents. Training is provided that underpins the work staff carry out including the safe handling of medicines. Sutton Court Lodge provides well maintained and comfortable accommodation that residents say is ‘homely’. Residents are pleased with the standard of accommodation and can personalise their bedrooms with effects from home. The food is of a good standard with residents’ likes and dislikes being catered for, a pleasant dining area is provided. Sutton Court Lodge DS0000020101.V325602.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Sutton Court Lodge DS0000020101.V325602.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sutton Court Lodge DS0000020101.V325602.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3, standard 6 is not applicable. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Information is provided to residents about the home to enable them to make an informed choice about to where to live. Prospective residents to the home cannot always be assured that their needs will be fully assessed prior to their admission. EVIDENCE: The statement of purpose and service user guide had been revised to include the information required from the last inspection. The service user guide was in picture format and described the services that the home provides. In completed CSCI resident surveys all 7 residents said that they had received enough information about Sutton Court Lodge before they moved in so that they could decide if it was the right place for them to live. Details of the registered provider have recently changed and a new statement of purpose Sutton Court Lodge DS0000020101.V325602.R01.S.doc Version 5.2 Page 9 and service user guide was in the process of being distributed to reflect the new details. Three resident files were examined, two of the residents had lived in the home for many years and one resident had been admitted in the last 12 months. There was no recent assessment information for this resident, although there was information from the residents’ previous address; this was some years out of date. A requirement has been made in respect of this. Sutton Court Lodge DS0000020101.V325602.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The homes’ care planning system could not always ensure that residents assessed needs were fully met. Care planning and risk assessment procedures did not underpin the care provided and did not fully promote the safety and welfare of residents. Residents were cared for respectfully and residents felt that their privacy was upheld. EVIDENCE: Discussions with residents and responses from resident surveys indicated that they felt involved in the development of their care plans and felt that care staff met their needs well. Residents felt involved in the way that staff cared for them and that they received the care they needed. Residents commented that staff were ‘lovely’ and ‘I like living here’. Interactions observed between staff and residents were warm and friendly and demonstrated that good Sutton Court Lodge DS0000020101.V325602.R01.S.doc Version 5.2 Page 11 relationships had been developed and maintained. Care staff know the needs of residents well and have their interests at heart. The care plans used by the home had previously been identified as requiring development to ensure that all of the residents personal, health and social care needs could be met. The three residents care plans that were examined indicated that little progress has been made regarding the development of these since the last inspection report. Again there was a significant amount of information within the files to give a good account of the person’s social history, their likes and dislikes and preferred daily routines. However the care plan did not set out the details of how each individuals needs were to be met. For example the long term care plan for one resident identified only one need and also related to the care plan for their previous address. Daily records were generally comprehensive although there were gaps in the recording of these. Many of the risk assessments were not dated and had not been reviewed for some months and were not always appropriate for the current needs of residents. The staff group has remained fairly stable and many of the residents have lived in the home for some years, as a consequence the care staff knew residents well. Direct observations of care practices supported the view that residents needs were being met and that relationships between staff and residents were good. The standard of the care planning documentation did not support the standard of care given. Risk assessments for the prevention of falls, skin integrity, nutrition and moving and handling have not been comprehensively developed and in some cases had not been reviewed for a significant period of time. This had the potential to place residents at risk particularly where a residents needs had changed. The system for the administration of medicines was generally in good order with the three requirements and two recommendations made at the previous inspection having been met. A new medication storage trolley and medicines fridge has been purchased. All of the staff that administers medication has completed a safety of medicines training course. Sutton Court Lodge DS0000020101.V325602.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Varied activities and recreational pursuits are provided that meet with the expectations and preferences of residents. The meals are good and provide a nutritious and appealing diet that residents say they like. EVIDENCE: Activities were organised around the individual preferences of residents with some group activities being organised for those people who wished to participate. One resident told the Inspector how much they enjoyed knitting and were supported in this activity by staff. Many residents attended day services and were supported to socialise outside of the home. A group of residents said that they liked to sit out in the garden in the fine weather. Other activities that are arranged include bingo, a beetle drive, and chair based exercises. Visitors are welcomed in the home and residents are supported to visit family and friends outside of the home. Meals were of a good standard with menus Sutton Court Lodge DS0000020101.V325602.R01.S.doc Version 5.2 Page 13 being devised around the preferences and choices of residents. All of the residents spoken to said that they liked the meals and enjoyed the company of other residents at meal times. Sutton Court Lodge DS0000020101.V325602.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies and procedures were in place that assisted in ensuring that the welfare of residents was safeguarded. Residents feel that their concerns are taken seriously and are acted upon. EVIDENCE: Policies and procedures were in place for the recording of and responding to complaints. No complaints have been received by the CSCI since the last inspection. The home has recorded 1 complaint that was responded to with a satisfactory outcome. Residents were confident that their concerns would be listened to and they knew who to speak to in the event that they were not happy about something. The complaints procedure was in pictorial form for residents and staff were involved in explaining this to residents. Training records indicated that staff had attended safeguarding adults training, however regular updates are needed. A recommendation has been made in respect of this. Sutton Court Lodge DS0000020101.V325602.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a home that is generally well decorated, comfortable and well maintained that meets with individual preferences. EVIDENCE: Residents said that they were pleased with the standard of their individual accommodation and were able to bring in many of their personal possessions. Two residents showed the Inspector their bedrooms and were clearly proud and pleased of they had arranged their personal belongings. The home is maintained to a good standard and well decorated. It is comfortably furnished and areas are regularly decorated and updated. Work was in progress to refurbish one of the bathrooms so that it was more in keeping with the assessed needs of residents. The home was clean and all areas were free from offensive odours. Sutton Court Lodge DS0000020101.V325602.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes recruitment practices generally assisted in the safeguarding of residents. The home has a commitment to training that supports staff in the work they do. EVIDENCE: Staffing rotas were provided as part of the pre-inspection information. These indicated that the home was staffed in accordance with the assessed needs of residents and with recommended guidance. The home was well staffed on this visit and residents commented that there was enough staff to meet with their needs. The staff group at Sutton Court Lodge are committed to providing a good standard of care for residents and are striving to meet with the recommendation that 50 of care staff should achieve NVQ level 2. The Inspector supports the continuation of this programme. Recruitment procedures are in place and CRB checks have been completed for members of staff. The staff group is generally stable and there have been few changes. The training programme supports staff in the work that they do. Sutton Court Lodge DS0000020101.V325602.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run in the interests of residents with a strong and approachable management team. These assist in ensuring the health, safety and welfare of residents and staff. EVIDENCE: A new manager has been appointed since the last inspection who has a number of years of working in the care of people with learning disabilities and was the registered manager of another home. However she has not yet undergone the fit person process with the CSCI and has not completed an application form. A requirement has been made in respect of this. Sutton Court Lodge DS0000020101.V325602.R01.S.doc Version 5.2 Page 18 Each resident has an individual bank account and staff support individuals to withdraw cash. Records are kept of all transactions and there is a system in place for the audit of residents’ monies. A system of quality assurance was in place with residents’ questionnaires being completed. Monthly provider visits were complied with the service manager visiting the home unannounced. The service manager was present during this visit and residents were clearly familiar with this process. A number of radiators have been fitted with radiator guards in accordance with a requirement made at previous inspections. Communal areas have not been fitted with these and risk assessments are necessary for those outstanding. A requirement has been made in respect of this. Pre inspection information demonstrated that regular maintenance of appliances takes place. Sutton Court Lodge DS0000020101.V325602.R01.S.doc Version 5.2 Page 19 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 3 X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 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 Standard No Score 16 3 17 X 18 3 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 2 X 3 X 3 X X 2 Sutton Court Lodge DS0000020101.V325602.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? YES 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 OP3 Regulation 14 1 a) b) c) d) 13 4 b) 15 1 2 b) Requirement An up to date needs assessment must be completed for all new residents prior to them being accommodated in the home. Up to date and comprehensive risk assessments must be completed for residents. Each resident must have a clear service user plan (care plan). The plan must set out in detail the action which needs to be taken by support staff to ensure that all aspects of the health, personal and social care needs of the residents are met. Original timescale 28/02/06 Each residents service user plan must be reviewed on a monthly basis or as changes occur. Original timescale 28/02/06 An application must be made for the manager to register with the CSCI. Risk assessments must be completed for the remainder of the radiators that are not guarded. Timescale for action 01/04/07 2. 3. OP7 OP7 01/04/07 01/05/07 4. OP7 15 1 2 b) 01/03/07 5. 6. OP31 OP38 8 1 a) 13 4 b) 01/04/07 01/04/07 Sutton Court Lodge DS0000020101.V325602.R01.S.doc Version 5.2 Page 21 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. 2. Refer to Standard OP18 OP28 Good Practice Recommendations Staff should attend regular updates in safeguarding adults training. There should be 50 care staff that have undertaken or have started the NVQ 2 Care qualification. Sutton Court Lodge DS0000020101.V325602.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Sutton Court Lodge DS0000020101.V325602.R01.S.doc Version 5.2 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!