Inspection on 17/03/09 for Terrington Lodge

This inspection was carried out on 17th March 2009.

CSCI found this care home to be providing an Good service.

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

Terrington Lodge 20/02/07

Terrington Lodge 14/07/05

Terrington Lodge 19/05/05

Terrington Lodge 14/12/04

Terrington Lodge 08/06/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Terrington Lodge Lynn Road Terrington St Clements Norfolk PE34 4JX     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Alan Buttery     Date: 1 7 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 23 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home Name of care home: Address: Terrington Lodge Lynn Road Terrington St Clements Norfolk PE34 4JX 01553829605 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Jaswant Singh Beeharry,Mrs Isabel Beeharry Name of registered manager (if applicable) Miss Lisa Farr Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Terrington Lodge is a residential care home providing care and accommodation for 25 older people, some of whom have dementia. Mr Jaswant Singh Beeharry and Mrs Isabel Beeharry own the home. The home is located in the village of Terrington St Clements, close to shops, pubs and local amenities. The home is approximately 10 miles from the town of King?s Lynn. The detached building is of traditional design, with a large wing added. There are 19 single bedrooms, and 3 shared occupancy bedrooms. .There is a large lawned garden at the rear of the home, and car parking to the front of the building. Miss Farr confirmed that the current fee rates for the home are between#348 & #450. Care Homes for Older People Page 4 of 23 care home 25 Over 65 3 22 0 0 Brief description of the care home She said that all residents or their representatives were advised verbally about the fees and additional costs prior to admission to the home. This is also confirmed in documentation they are given on arrival. Care Homes for Older People Page 5 of 23 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: As part of our inspection, we looked at the Annual Quality Assurance assessment provided by the service, and we visited the home. We also looked at concerns and complaints that we had received, and at the safeguarding issues that had been reported us in the past year. We spoke with the owner and manager of the service, looked around the home, spoke with some of the residents, and looked at individual resident and staff files. Care Homes for Older People Page 6 of 23 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 7 of 23 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 23 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information is gathered about any prospective resident prior to them moving into the home so that the person thinking of moving into the home can be confident that their needs will be met in a manner suited to them Evidence: Prior to anyone moving into the home, the manager or one of the senior staff carries out a detailed assessment of the needs of the prospective resident. On occasions, the assessment visit is carried out by one of the proprietors of the home. Information obtained from the care managers or hospital discharge teams is used in gathering all of the assessment information, and this enables the service to ensure that they are able to meet the identified needs of the person, and in a way that suits the individual concerned. Care Homes for Older People Page 9 of 23 Evidence: Wherever possible, the prospective resident would visit the home, and if this cannot be arranged, the service would try and arrange for family members to visit. Once the assessment information is in place, initial care plans are prepared in readiness for the person to move into the home. During our visit, we looked at the individual files for three of the people living in the home, including two people who had moved to the home in the past year. Each of the files we examined contained evidence of the pre admission assessments that had been done. The service does not offer intermediate care. Care Homes for Older People Page 10 of 23 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individual plans are in place to show how identified needs should be met, and how the individual resident prefers their care and support to be given, although more information should be included on how the person was involved in the preparation of the care plans. Evidence: As indicated above, individual care plans are written for people moving into the home, which provide details of the support to be given, and the manner in which individuals want their support provided. These plans are developed over the first few weeks of the persons stay in the home. On their arrival to the home, new residents complete a questionnaire which gives details of their likes and dislikes, routines, religious views and interests and hobbies, and a brief social history is gathered. Three individual care plans were seen during our visit, and were comprehensive in Care Homes for Older People Page 11 of 23 Evidence: terms of the content, and referenced to the mental capacity act. We were advised by the manager that the care plans are reviewed every 2 months, which is a longer timescale than specified within the minimum standards, and this should be changed, although the manager also advised that the plans are reviewed more often where there is evidence of the persons needs changing. The individual plans that we examined were comprehensive, and had all been re written since the last inspection. The plans contained some good information, but were impersonal, and failed to show how the individuals had contributed. One of the care plans we looked at failed to show how an identified case of MRSA was to be dealt with. Another showed that the plan had only been reviewed 3 times since July 2008. This was discussed with the manager and proprietor during our visit, and they acknowledged that the plans must accurately reflect the needs of the individuals living in the home and would be updated as a matter of urgency. Care Homes for Older People Page 12 of 23 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A variety of activities are available for people living in the home. Evidence: The service employs a full time activity co-ordinator, and organises a variety of activities and events for people living in the home, which include board and target games, skittles, Bingo, crafts and card making and music. A variety of entertainment is also provided including music and entertainers. The service is in the centre of the village, and residents use the local shops and Pub, and visit nearby attractions such as an African Violet Centre and garden centres. Residents are also able to attend the local church. During the year the home has various events which include the families of people living in the home such as Christmas parties, Halloween and easter events, a Summer fete and strawberry tea. Some of the people living in the home choose not to take part in the activities, and Care Homes for Older People Page 13 of 23 Evidence: staff offer them some one to one activities in their room, including aromatherapy and nail care and a hairdresser visits the home weekly. A range of freshly sourced produce is used in the home to provide a varied menu, and although the home use a set menu, alternatives are always available. Tea time meals are varied, with a selection of sandwiches, cakes etc available fresh every day. The service is opposite the local health centre and has a good relationship with the doctors and practice staff, and support from other health professionals as required. Care Homes for Older People Page 14 of 23 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home know who to speak to if they have concerns, and that any concerns, complaints or allegations will be dealt with. Evidence: During our visit we looked at the complaints policy that the service have, and the log of complaints received since the last inspection. The policy clearly shows how peoples concerns would be addressed, and the timescales used, and the log of complaints indicated that the policy was being followed. An up to date copy of the policy was on the homes notice board in the hallway, and we were told by the manager that everyone moving into the home is given a copy of the procedure. All staff working in the home receive safeguarding training, and the staff records we examined during our visit all showed safeguarding training had been provided in the past twelve months. During our visit, we discussed two safeguarding issues that had arisen in the past year. both had been reported quickly to the commission, and in both cases, Care Homes for Older People Page 15 of 23 Evidence: investigations showed that the home had acted appropriately. Care Homes for Older People Page 16 of 23 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service ensures that the home is kept clean and safe for the people living there. Evidence: During our visit, we looked around the home at the facilities available, and were able to look at the rooms of some of the people living in the home. The home was clean and free from any offensive odours on the day that we carried out our inspection. Outside the home are well maintained garden, and residents enjoy sitting outside in the better weather, and helping plant baskets and tubs. Care Homes for Older People Page 17 of 23 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A well trained staff team is in place, and detailed recruitment procedure followed to ensure that people living in the home receive appropriate care and support. Evidence: The service is currently fully staffed, with 29 employees working in the home. On a normal day, staffing is flexible with more staff available during the busier morning and evening periods. Staff that we spoke to during our visit were aware of the needs of the residents, and how those needs should be supported. During our visit, we looked at the staffing records held by the home, and in particular the records for three of the care staff. We also looked at the training records in the home The individual records showed that the service is following its recruitment procedures, and that the required checks are made on all staff, and documentation seen on the files we examined included application forms, two written references, training details, and identity proof, as well as valid criminal record bureau results. Care Homes for Older People Page 18 of 23 Care Homes for Older People Page 19 of 23 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed, and run in the best interests of the people living in the home. Evidence: During our visit we looked at a variety of health and safety records in the home, and discussed the training staff receive with the manager. The registered manager of the home has worked there for many years and is very experienced, and provides a consistent level of support to the residents and staff in the home. Evidence was seen of staff records that staff are appropriately supervised. Procedures are in place to ensure that maintainance is carried out as and when needed, and the home is kept in a good decorative state. Care Homes for Older People Page 20 of 23 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 21 of 23 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 22 of 23 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 23 of 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!