Random inspection report
Care homes for older people
Name: Address: The Lodge Watton Road Ashill Thetford Norfolk IP25 7AQ one star adequate service 02/12/2008 The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Jane Craig Date: 1 8 0 8 2 0 0 9 Information about the care home
Name of care home: Address: The Lodge Watton Road Ashill Thetford Norfolk IP25 7AQ 01760440433 01760440043 kaz1509@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Irene Margaret Squire,Mr Kenneth John Squire care home 20 Number of places (if applicable): Under 65 Over 65 20 dementia Conditions of registration: Date of last inspection Brief description of the care home 0 0 2 1 2 2 0 0 8 The Lodge is a residential home registered for 20 elderly people with Dementia. The home was originally a large detached family home, and it retains many of its original features. There is a large lawn at the front of the home which provides a good sitting area for residents, with smaller gardens at the side and rear. There is a car park at the front of the home. If nursing care is required it is provided by members of the District Nursing team. Any medical or specialist services are obtained via the GP. The home is situated on the outskirts of the village of Ashill, on the Swaffham to Watton Road (B1077). The fees charged at this home range from £393.00 - £450.00 per week. Care Homes for Older People Page 2 of 7 What we found:
We carried out this random inspection after a safeguarding investigation into concerns about staffing levels and lack of appropriate care for a person with diabetes. During this investigation, carried out by Norfolk adult social services, it had been found that there were often only two care staff on duty at weekend, which was insufficient to meet the needs of the people using the service. There was also an outstanding requirement to improve staffing levels that had not been met at the last key inspection. This random inspection was carried out over 2 hours by one inspector. We spoke with staff and residents and looked at records. At the time of the visit there were 18 residents in the home. We looked at four, weekly staffing rosters. We found that there were always three staff on duty at all times during the waking day and two staff at night. In addition, there was a cook and a cleaner, which meant that staff could concentrate on care issues instead of housekeeping. The manager was not included in the numbers and generally worked Monday to Friday. The rotas showed that cover was arranged for sickness and holidays. The manager and staff confirmed that three staff were enough to meet the current needs of the residents. Staff told us that having the extra member of staff at weekend had made a difference and meant they could spend time talking to residents. The manager also told us that she would be able to increase the staffing levels in the future should this be needed. The residents we spoke to were unable to tell us whether they thought there were enough staff, although one said he did not have to wait very long if he needed anything. We looked at two care plans for residents who had specific, ongoing health care needs. A person who had diabetes had a care plan in place. The district nurses had advised that the residents blood sugar levels should be maintained slightly high in order to prevent other complications, but this was not explicit in the care plan. The care plan did not specify what was considered to be an acceptable range for this resident and all the staff varied slightly as to what they thought was too high or too low. Despite this, the staff were very clear about how to recognise if the resident was having a hypo or hyper glycaemic attack and knew what to do to provide emergency aid. All senior staff had certificates following recent training from the district nurse. The training was to administer insulin and had also included some theory and practice in associated topics. What the care home does well: What they could do better:
Care plans to support residents with ongoing health care needs should be more specific to
Care Homes for Older People Page 3 of 7 ensure that care is consistent. 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 2. Care Homes for Older People Page 4 of 7 Are there any outstanding requirements from the last inspection? Yes R No £ 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 25 23 The home must have adequate communal bathrooms in use that are domestic and homely. So that peoples health and welfare needs are met. 26/01/2009 2 25 23 All parts of the home must be adequately lit. So that people can orientate freely and safely around the home. 05/01/2009 3 30 18(1c) Staff must complete NVQ training to ensure they are appropriately qualified and competent carers. 03/09/2008 Care Homes for Older People Page 5 of 7 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, 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 1 7 Care plans to support residents with ongoing healthcare needs should give specific instructions to ensure that staff provide care in a consistent way. Care Homes for Older People Page 6 of 7 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 7 of 7 - 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!
