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Inspection on 28/06/05 for Sutton Lodge Nursing Home

Also see our care home review for Sutton Lodge Nursing Home for more information

This inspection was carried out on 28th June 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The inspector observed good relationships between service users and carers, between visitors and management. Assessment of service users health and care needs including risk assessments are fully documented and where required are signed and dated. Service users spoken to were please with the level of privacy given to them by care staff.

What has improved since the last inspection?

The home has commenced fitting automatic magnetic door closures, which are linked to the fire alarm system. Service users now have locks on their bedroom doors. The home is now using a new and very efficient transport company, which service users say it very good. There are new sofas in sitting room 1 and new curtains in the dining room. A revised statement of purpose containing all the requirements of Schedule 1 of the amended care homes Regulation is in place. The service users guide has also been revised. Risk assessments for locks to bedroom doors have been competed and signes as appropriate.

What the care home could do better:

The home continues to offer a good level of care to the service users. No requirement was issued on this inspection. Two recommendations were made to remind service users of their bath days and bath time and to make more of the garden such as using flower pots to bring some colour into the garden. These are the wishes voiced by some service users spoken to on the day of inspection.

CARE HOMES FOR OLDER PEOPLE Sutton Lodge Nursing Home 87 Oatlands Drive Weybridge Surrey KT13 9LN Lead Inspector Mavis Clahar Unannounced 28 June 2005 09:00am 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. Sutton Lodge Nursing Home H09 H58 S17647 Sutton Lodge Nursing Home V226270 280605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Sutton Lodge Nursing Home Address Sutton Lodge Nursing Home 87 Oatlands Drive, Weybridge, Surrey, KT13 9LN 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) 01932 222184 BUPA Care Homes Limited Bridge House, Outwood Lane, Horsforth, Leeds, LS18 4UP Ms Janice Anne Betchley Care Home (CRH) 28 Category(ies) of Physical disability (PD), 5 registration, with number of places Old age, not falling within any other category (OP), 28 Terminally ill (TI), 2 Terminally ill over 65 years of age (TI(E)), 2 Physical disability over 65 years of age (PD(E)), 5 Sutton Lodge Nursing Home H09 H58 S17647 Sutton Lodge Nursing Home V226270 280605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 Of the accommodated in the home, up to 5 may fall within the category (PD) Physical Disabilities (from the age of 40 years) or PD(E) Physical Disabilities over 65 years. 2 The age range for service users falling within the category OP (Older People) is 60 YEARS & OVER Date of last inspection 28 October 2004 Brief Description of the Service: Sutton Lodge is a privpate care home that provides nursing care, owned and managed by BUPA. Service provision is predominantly for older people from the age of sixty years, with five places for physically disabled adults from the age of forty years. This Edwardian house has been tasefully converted and extended over the years to provide a comfortable, welcoming home with modern equipment and facilities. There are car parking facilities to the front of the premises and an enclosed, mature furnished garden to the rear. The home is conveniently located near to shops and all community amenities in the small town of Weybridgie. Bedroom accommodation is arranged on the ground, first and second floors, accessible by a passenger lift. Most bedrooms have en-suite facilities and are predominantly single rooms. The home has comfortable spacious lounges and a separate dining room. A conservatory affords an adittional sitting area overlooking the garden. A full time nurse manager and deputy are employed. Sutton Lodge Nursing Home H09 H58 S17647 Sutton Lodge Nursing Home V226270 280605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection to be undertaken in the Commission for Social Care Inspection year 2005/2006. This unannounced inspection took place on 28th June and lasted for five and one half hours. Neither management, service users nor staff had prior knowledge of this inspection. The Inspector spent the first part of the visit in discussion with the person in charge checking the requirements of the last inspection, followed by a tour of the home, speaking with relatives and service users, observing service users and staff interaction. Lunchtime proceedings were observed to be dignified and orderly, the meals were attractively presented, with a choice. The inspector sampled the food, which was of a very good standard. Service users spoken to say they enjoyed their lunch and that the food is always good. The latter part of the inspection was spent reviewing service users records followed by feedback on the findings of the inspection. What the service does well: What has improved since the last inspection? The home has commenced fitting automatic magnetic door closures, which are linked to the fire alarm system. Service users now have locks on their bedroom doors. The home is now using a new and very efficient transport company, which service users say it very good. There are new sofas in sitting room 1 and new curtains in the dining room. A revised statement of purpose containing all the requirements of Schedule 1 of the amended care homes Regulation is in place. The service users guide has also been revised. Risk assessments for locks to bedroom doors have been competed and signes as appropriate. Sutton Lodge Nursing Home H09 H58 S17647 Sutton Lodge Nursing Home V226270 280605 Stage 4.doc Version 1.40 Page 6 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. Sutton Lodge Nursing Home H09 H58 S17647 Sutton Lodge Nursing Home V226270 280605 Stage 4.doc Version 1.40 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 Sutton Lodge Nursing Home H09 H58 S17647 Sutton Lodge Nursing Home V226270 280605 Stage 4.doc Version 1.40 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 4 The homes statement of purpose and service user guide are updated, providing service users and prospective service users with details of the services the home provides, enabling an informed decision prior to admission into the home. EVIDENCE: The statement of purpose has been updated to include the requirements contained in schedule 1 of the amended Care Homes Regulations. The service users guide has also been updated to reflect the contents of Regulation 5. Copies of both these documents have been forwarded to the commission and it was observed that service users were issued with copies for their personal use. Service users files revealed full assessment of health and social needs are carried out and reviewed at regular intervals. Relatives spoken to on the day of inspection said they were happy with the care their relatives received at this home, and that the staffs were all approachable and helpful. Sutton Lodge Nursing Home H09 H58 S17647 Sutton Lodge Nursing Home V226270 280605 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 The care plans demonstrates that Service users are involved in their care. EVIDENCE: Speaking with service users and review of their files and care plans revealed that service users health, personal and social care needs are being identified and met. Service users are risked assessed and where capable they self medicate. The inspector spoke with two service users who are self medicating, and they were able to fully discuss their medication needs and times of medication. They assured the inspector that their medication is securely locked in their cupboards in their bedrooms and that they have the keys. Sutton Lodge Nursing Home H09 H58 S17647 Sutton Lodge Nursing Home V226270 280605 Stage 4.doc Version 1.40 Page 10 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) 13 14 15 Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. Service users maintain contact with their relatives and the home operates open visiting. EVIDENCE: On the day of inspection the inspector spoke to a number of relatives who were visiting service users. They all expressed their satisfaction with the care their relatives were receiving and the general running of the home. There is a church of England service held at the home on alternative Tuesdays and the church service from the local church of England is taped on a Sunday and played back to service users on the following Sunday. Those service users who are able attend church services as they wish. Service users are involved in the planning of their care as reflected in the extensive care plans. Service users are risk assessed with solutions to minimise identified risks which are documented and signed and dated by both carer and service user or relative if necessary. Sutton Lodge Nursing Home H09 H58 S17647 Sutton Lodge Nursing Home V226270 280605 Stage 4.doc Version 1.40 Page 11 The homes menu reflect a wholesome diet for service users, and on the day of inspection the inspector observed that the food being served at lunch time was appealing, attractively presented and service users spoken to said the fodd was very good. There was a choice of hot meals, which was chosen by some service users. The inspector sampled the food and it was indeed tasty. The home employs a full time activities coordinator who works Monday to Friday. The inspector noticed that there was a full programme of activities for service users. One service user informed the inspector she particularly enjoys the flower arranging sessions. During the inspector’s tour of the home service users were engaged in playing a game of scrabble. Sutton Lodge Nursing Home H09 H58 S17647 Sutton Lodge Nursing Home V226270 280605 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 18 The home has a satisfactory complaints system with some evidence that service users feel that their views are listened to. Staffs have the knowledge and understanding of Adult Protection issues, which protects service users from abuse. EVIDENCE: The home has a complaint procedure, which note that service users can make a complaint in person or by phone or letter any time they wish to do so. Service users spoken to on the day of inspection supported this statement and named members of staff they would complain to if they had a reason to complain. The person in charge informed the inspector that to the best of her knowledge, no complaints have been received in the home since the last inspection. The person in charge informed the inspector that all staffs have attended courses on the recognition and reporting of abuse. The inspector was unable to verify this in staff files as the files are locked away and the manager was away on a course. However, staffs spoken to on the day informed the inspector they have attended the course on abuse and have regular updated information on abuse. Sutton Lodge Nursing Home H09 H58 S17647 Sutton Lodge Nursing Home V226270 280605 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 22 Recent investment has significantly improved the appearance of this home, creating a comfortable and safe environment for those living there and visiting. EVIDENCE: The home’s environment is clean and is maintained by adequate amount of domestic staff. Service users bedrooms reflect their personal choices and lifestyles. All bedrooms except one have en-suite facilities and there are a number of assisted baths on each floor. Toileting facilities are strategically placed around the home to enable easy access for service users. The lift. Hoists and wheelchairs are serviced regularly and records are kept of these services. The home has adequate indoors-communal facilities, which are enhanced, by the large conservatory. The spacious grounds of the home allow for relaxation on the various seats provided or safe paths for wondering around the gardens. Sutton Lodge Nursing Home H09 H58 S17647 Sutton Lodge Nursing Home V226270 280605 Stage 4.doc Version 1.40 Page 14 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 Evidence gathered during this inspection confirmed that the home meets each of the assessed standards. Staffs appeared enthusiastic and committed to supporting the service users. Training and development are given high priority. EVIDENCE: On the day of inspection the duty rota for the twenty-four hour period was shown to include a good staff mix suitable to meet the assessed needs of the service users. From discussions with service users, relatives the person in charge and care workers it was evident that service users are in safe hands at this home. The observed interaction between service users and staff appears to be warm and relaxed. Service users are encouraged and risk assessed to be as independent as far as possible and to manage their care as much as they can. According to the care workers training and development are given high priority with over 50 of staff completing their NVQ L2. The inspector was also informed that BUPA is now offering “Personal Best Training” for all employees across the board. Sutton Lodge Nursing Home H09 H58 S17647 Sutton Lodge Nursing Home V226270 280605 Stage 4.doc Version 1.40 Page 15 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) 33 37 38 The home regularly reviews aspects of its performance through a good programme of self-review and consultations, which includes seeking the views of service users. EVIDENCE: Individual records and home records reviewed on the day of inspection were secure, in good order and securely stored. A yearly care home resident satisfaction survey is carried out each year and 2005 survey has been completed in March 2005 and highlighted areas such as the food, which needs improving. This has been acted upon and on the day of inspection service users expressed their satisfaction with the meals. Service records, fire drill records fire testing records and records of water temperature were observed and appear satisfactory. The COSHH room is kept locked. Sutton Lodge Nursing Home H09 H58 S17647 Sutton Lodge Nursing Home V226270 280605 Stage 4.doc Version 1.40 Page 16 From evidenced gathered it is the opinion of the inspector that the home is being run in the best interests of the service users. Sutton Lodge Nursing Home H09 H58 S17647 Sutton Lodge Nursing Home V226270 280605 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 3 3 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 x x x x STAFFING Standard No Score 27 3 28 3 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 3 x x 3 x x x 3 3 Sutton Lodge Nursing Home H09 H58 S17647 Sutton Lodge Nursing Home V226270 280605 Stage 4.doc Version 1.40 Page 18 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 No requirements were issued on this inspection. 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. 2. Refer to Standard 20 14 Good Practice Recommendations Improve the look of the garden e.g by adding flower pots with flowers. To inform service users of the day and time of their baths on a more regular basis. Sutton Lodge Nursing Home H09 H58 S17647 Sutton Lodge Nursing Home V226270 280605 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Nursing Home H09 H58 S17647 Sutton Lodge Nursing Home V226270 280605 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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