Inspection on 10/11/05 for Sutton Lodge Care Home

This inspection was carried out on 10th November 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

Sutton Lodge Care Home 25/03/09

Sutton Lodge Care Home 12/06/06

Sutton Lodge Care Home 04/01/06

Sutton Lodge Care Home 01/11/04

Sutton Lodge Care Home 05/07/04

Sutton Lodge Care Home 24/07/02

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Sutton Lodge Care Home Priestsic Road Sutton In Ashfield Nottinghamshire NG17 2AH Lead Inspector Steve Keeling Unannounced Inspection 10th November 2005 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 Sutton Lodge Care Home DS0000024664.V262860.R01.S.doc Version 5.0 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 Lodge Care Home DS0000024664.V262860.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Sutton Lodge Care Home Address Priestsic Road Sutton In Ashfield Nottinghamshire NG17 2AH 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) 01623 442073 Ashmere Care Homes Emily Smith Care Home 43 Category(ies) of Dementia (11), Old age, not falling within any registration, with number other category (43), Physical disability (4) of places Sutton Lodge Care Home DS0000024664.V262860.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users shall be within categories of OP(43), DE(11) or PD(4) within a total registration of 43 10/11/05 Date of last inspection Brief Description of the Service: Sutton Lodge is situated on a complex with two sister homes on Priestic Rd Sutton in Ashfield. It is registered to provide personal care for 43 service users. The home has 11 beds registered for dementia care and 4 for physically disabled service users. It is situated on a busy road, opposite a supermarket and close to local shops and public transport. There are very attractive gardens and patio areas to the side and rear of the home. Handrails are sited throughout the home. Hoists are provided and a stand -aid. Pictures/symbols are provided on rooms in the dementia unit to assist service users. A lift provides access to the first floor and call alarms are in place. Assisted bathing and toilets are provided. Sutton Lodge Care Home DS0000024664.V262860.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over a 4 hour period and involved one inspector. The main method of inspection was case note tracking, this is a method of selecting service users within the home and discussing with them their expectations and experiences of living within the home environment. The case tracking method also analyses the records of the service users to ascertain if the service users identified needs are being addressed appropriately within the care home setting and that their safety and well being is being maintained. On this occasion two residents notes were case tracked. Also as part of the case tracking process, staff members within the home are informally interviewed to further evidence the quality of care afforded to the service users. At the time of the inspection a total of 26 residents were accommodated at the home. It was evident that the management and staff within the home are very committed to providing a high standard of care for the service users. The manager and staff within the unit were very helpful and cooperative thus ensuring that the inspection process progressed in a professional and efficient manner. What the service does well: Management and staff within the home are committed to providing an environment that is conducive to achieving optimum independence and comfort for the service users. It was evident that Sutton Lodge Care Home offers a pleasant, clean and homely environment for service users. It was established that meals within the home have improved recently and are now varied, appetising and wholesome. Service users are encouraged to exercise personal choice and it was established that the service users dignity and privacy are maintained within the home. Sutton Lodge Care Home DS0000024664.V262860.R01.S.doc Version 5.0 Page 6 It was evidenced that staff employed at Sutton Lodge Care Home have attended training courses to promote the safety and well being of the service users and staff alike. It is evident that service users are very satisfied with the health care provision afforded to them at the home. All service users spoken with stated that staff within the home always respected their privacy and dignity. Although an activities coordinator is not employed at Sutton Lodge it was established that the manager encompasses this function within her responsibilities and it was evidenced that varied and stimulating activities are made available for the service users. Transport is also available to the service users to access activities beyond the homes immediate environment. What has improved since the last inspection? What they could do better: Minor shortfalls were identified in relation to documentation at the home. Not all service users full names were evident on care plans. Some care plans lacked specific detail to instruct carers at the home. The “one off” medication receipt book did not have receipt signatures to ascertain which staff member received the medication. Sutton Lodge Care Home DS0000024664.V262860.R01.S.doc Version 5.0 Page 7 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. Sutton Lodge Care Home DS0000024664.V262860.R01.S.doc Version 5.0 Page 8 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 Lodge Care Home DS0000024664.V262860.R01.S.doc Version 5.0 Page 9 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): 6. Sutton Lodge does not provide intermediate care services. EVIDENCE: Sutton Lodge Care Home DS0000024664.V262860.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7. 8. 9. 10. The case tracking procedure revealed that the residents “holistic” needs are identified through an individual care planning process. Although some plans do not give sufficient details to ensure the service users condition would be addressed effectively at the home Wherever possible service users or their representatives are involved in the care planning process. Service users are protected by the homes policies and procedures in relation to the administration and disposal of medication but minor shortfalls were identified in relation to the receipt of medications. All service users stated that they are treated with respect and dignity and that very attentive staff members always maintain their privacy. EVIDENCE: Sutton Lodge Care Home DS0000024664.V262860.R01.S.doc Version 5.0 Page 11 It was evident that the manager at the home maintains clear, concise and very well organised care plans, which addresses service users needs holistically. The majority of identified needs were addressed effectively in the care planning process although a care plan appertaining to the management of complications associated with diabetes did not give sufficient details to ensure the service users condition could be managed effectively at the home. To address this shortfall requirement was formulated at the time of the inspection. It was evidenced that care plans are re-evaluated on a monthly basis so as to address any changes in the service users needs. All care plans were signed and dated by the assessor but the case tracking process highlighted the need to ensure that the service users full name is evident on all care plans, as such a requirement was formulated at the time of the inspection to address the shortfall. It was a requirement from a previous inspection that as far as practically possible all service users or relatives are involved in the care planning process. This procedure is now taking place, which was evidenced by service users or their representative’s signatures within the relevant documentation. In ensuring that all grades of staff are fully informed of the needs of the service users the manager makes sure that all service users are allocated a “key worker” whose responsibility is, under the supervision of the manager, to ensure that all aspects of the service users care is reviewed on a monthly basis and that the changing needs are addressed appropriately. Care staff interviewed stated that they are fully informed of the needs of the residents at daily hand over times and had access to the residents care plans to glean information as required. Care staff stated that they felt confident that should they have any concerns in relation to service users care they would feel comfortable in approaching the manager of the unit to discuss any matters further. Sutton Lodge Care Home DS0000024664.V262860.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12. 13. 14. 15. Service users have the opportunity and choice to participate in varied and stimulating social activities. Service users are encouraged to maintain contact with family, friend’s and representatives of the local community. Service users are encouraged to exercise choice and control over their lives. Service users are provided with a wholesome, appealing and balanced diet. EVIDENCE: Currently, under the direction of the manager the home provides activities such as bingo, cards, dominoes, quizzes, guest singers and performers. A mini bus is available for day trips to Derbyshire, the coast, local parks and areas of interest. The manager at the home has initiated monthly film nights, at which time an attempt is made to recreate a “cinematic feel” to the event, at such times the service users can specify the type of food they would like to be served to further enhance their enjoyment of the event. Service users also have the opportunity to shop at Sutton in Ashfield town centre with the support of cares or relatives thus promoting the choice to participate in social interactions beyond the immediate home environment Sutton Lodge Care Home DS0000024664.V262860.R01.S.doc Version 5.0 Page 13 Religious needs are addressed effectively within the home as a monthly visit from the clergy is encouraged, which the service users can attend if they choose. At the time of the inspection several relatives were visiting service users. A relative spoken with, whose mother had been in the home for the past twelve years, confirmed that the home operates an open policy in relation to visiting times. When quizzed about the quality of service afforded to service users at Sutton Lodge, it was established that they had every confidence in the manager and staff at the home in providing an appropriate environment for his relative. Service users spoken with were very well presented, dressed in appropriate clothing for the season, and were wearing their own shoes or slippers. Service users spoken with stated that the laundry service is efficient, and it was evident that service users cloths are returned clean and well ironed. At the time of the inspection the lunchtime meal was being served. It was evident that the food provided at the home is wholesome, nutritionally appropriate and varied. Service users always have a choice of meals and that daily menus are displayed for service users perusal. The home adopts a “restaurant” style approach to meals times. The overall appearance of the dining room is pleasing, all dining tables were clean and dressed appropriately with table cloths, condiments and flowers. Sutton Lodge Care Home DS0000024664.V262860.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16.18 Service users and their relatives and friends are confident that their complaints are listened to, taken seriously and acted upon. Service users are protected from abuse. EVIDENCE: Sutton Lodge has no outstanding complaints at the time of the inspection. The manager at the unit maintains clear and concise record of any complaints received appertaining to any elements of health care provision within the home. Through discussions with the manager and staff members it was established that their knowledge of the complaints procedures utilised within the home is extensive. The complaints procedure was also on display in the reception area of the home. Following a discussion with a service users relative it was evident that he felt confident and comfortable to express any concerns or complaints to the care staff or management within the home and felt certain that any concerns or complaints would be listened to, taken seriously and acted upon. In ensuring the safety of the vulnerable adult it was evident that all members of staff have received a comprehensive induction programme together with a full and varied ongoing “in house” educational programme facilitated by the manager at Sutton Lodge Sutton Lodge Care Home DS0000024664.V262860.R01.S.doc Version 5.0 Page 15 Staff personnel files evidenced training courses attended that specifically relate to the protection of the vulnerable adult from abuse. The courses pertinent to the protection of the vulnerable adult include abuse awareness training, dementia care, fire training, moving and handling, first aid, continence care, infection control, food hygiene and elements of dementia and challenging behaviour. The manager of the unit could also evidence that bi-monthly supervision takes place for all members of staff to ensure all health promoting practices within the unit are appropriate. All documentation appertaining to aspects of training were well organised and clearly stated when training had been performed and when training would be repeated. Sutton Lodge Care Home DS0000024664.V262860.R01.S.doc Version 5.0 Page 16 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 Sutton Lodge offers a homely, comfortable and safe environment for service users. Sutton Lodge is maintained effectively and is clean, pleasant and hygienic EVIDENCE: Sutton Lodge benefits from an ongoing routine maintenance programme and a dedicated handyman deals with any shortfalls within the home environment effectively. Water outlet temperatures are monitored on a monthly basis and emergency lighting and fire alarm checks are performed on a weekly basis. The risk of Legionella contamination is minimised by ensuring that chlorination of the water supply is performed by outside contractors. Portable Appliance Testing (PAT) is performed by a qualified electrician to ensure that all electrical equipment is safe within the home. Sutton Lodge Care Home DS0000024664.V262860.R01.S.doc Version 5.0 Page 17 All mobility equipment within the unit is covered by service contracts to ensure service user safety. To further promote the service users safety, window restrictors are in place to prevent intruders gaining access to the unit, radiators in the service users rooms are covered to prevent the risk of burns. The grounds are tidy, well maintained and easily accessible to service users thus providing a very pleasant, safe, area for the service users to utilise as they wish. The communal areas such as the lounges and dining areas are very pleasant and smelt fresh and it was obvious that a high standard of cleanliness is maintained within the home. Service users bedrooms are maintained to the same high standard of cleanliness, the bedrooms inspected were also very comfortable and homely, personal possessions are evident such as family photographs, televisions and stereos and items of furniture. The inspection process gave the opportunity to examine the kitchen areas. It was evident that the kitchen is also maintained hygienically, all opened food products stored in the fridge were dated and labelled appropriately to minimise the risk of bacterial contamination. Sutton Lodge Care Home DS0000024664.V262860.R01.S.doc Version 5.0 Page 18 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): 29. The recruitment policy at Sutton Lodge is conducive to the protection of service users. EVIDENCE: The further promote the safety for service users the homes recruitment policies and practices are effective and appropriate. Pre employment screens are performed for all new members of staff, which satisfies the legal requirements identified in the Care Standards Act 2000. Documentary evidence in relation to re-employment checks was satisfactory. It was evidenced in the two staff files examined that Criminal Record Bureau (CRB) or Protection of Venerable Adults (POVA) (part 1) are performed before any individual is employed within the home, also two satisfactory references could be evidenced within the staff files examined. Sutton Lodge Care Home DS0000024664.V262860.R01.S.doc Version 5.0 Page 19 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. 35. It was evident that the manager at Sutton Lodge is professional, fit to be in charge, of good character and is able to discharge her responsibilities fully. The home is run in the best interests of the service users. Service users financial interests are safeguarded by the policies at Sutton Lodge. EVIDENCE: The manager of Sutton Lodge maintains excellent documentation appertaining to the needs of the service users. All documentation is stored securely to protect service users confidentiality. Sutton Lodge Care Home DS0000024664.V262860.R01.S.doc Version 5.0 Page 20 The manager performs supervision sessions for staff members on a bimonthly basis to ensure all staff members provide quality care for the service users at Sutton Lodge. Sutton Lodge constitutes one unit within a larger three-unit business. It was established that the manager at Sutton Lodge liaises effectively with the managers of two other units. To aid the communication process, weekly meetings are performed by the three managers thus ensuring quality care provision is afforded to the service users. In the absence of a manager the day to day running of the unit is performed by senior carers, it was established that the manager is also on call should any concerns arise in her absence. It was evident that service users, relatives and staff spoken with expressed their utmost respect towards the manager of Sutton Lodge and they felt confident in her abilities to manage the home in a clear supportive and professional manner. At the time of the inspection it was evidenced that the service users monies are effectively managed. A clear record of monitory transactions could be evidenced. The case tracked service users, monies are securely stored, in individual plastic folders in a security numbered safe. Receipts are evident for all transactions performed, thus protecting the service users from financial abuse and a clear financial audit trail was evident. Sutton Lodge Care Home DS0000024664.V262860.R01.S.doc Version 5.0 Page 21 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 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 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X x Sutton Lodge Care Home DS0000024664.V262860.R01.S.doc Version 5.0 Page 22 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. 1 Standard 7 Regulation 15 (1) Requirement The responsible person shall ensure that after consultation with the service or their representative of his, prepare a written plan as to how the service users needs in respect of his health and welfare are to be met. The responsible person shall ensure that arrangements for the recording, handling, safe keeping, safe administration, and disposal of medicines received into the care home. Timescale for action 07/12/05 2 9 13 (2) 07/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Sutton Lodge Care Home DS0000024664.V262860.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Sutton Lodge Care Home DS0000024664.V262860.R01.S.doc Version 5.0 Page 24 - 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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