Inspection on 29/09/08 for The Victoria Lodge

This inspection was carried out on 29th September 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Victoria Lodge 04/02/08

The Victoria Lodge 12/09/07

The Victoria Lodge 27/02/07

The Victoria Lodge 30/01/06

The Victoria Lodge 13/09/05

The Victoria Lodge 07/10/04

The Victoria Lodge 06/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Victoria Lodge 48-50 Shakespeare Road Worthing West Sussex BN11 4AS     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: Edward McLeod     Date: 2 9 0 9 2 0 0 8 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. the things that people have said are important to them: They reflect 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 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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 28 Information about the care home Name of care home: Address: The Victoria Lodge 48-50 Shakespeare Road Worthing West Sussex BN11 4AS 01903201006 Telephone number: Fax number: Email address: Provider web address: vcare@freenet.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Elaine Marie Walker Type of registration: Number of places registered: Victoria Care Elite Ltd care home 23 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home The Victoria Lodge is registered to provide accommodation and personal care for twenty-three residents in the category OP. It is owned by Victoria Care Elite Ltd. The home is situated near the centre of town, close to shops and the railway station. The bedrooms are situated on three floors with access provided by a passenger lift. Due to the layout of the home wheelchair users cannot be accommodated. Mr P Burtenshaw is the responsible individual for the company and Mrs Elaine Walker manages the service. 0 Over 65 23 Care Homes for Older People Page 4 of 28 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: This key unannounced inspection visit was arranged to assess the homes compliance with key standards of the national minimum standards for care homes for older people and with the requirements made at our previous inspection visit. Our planning for this visit included obtaining CSCI survey form responses from six people living in the home and four of the care staff. We also obtained from the manager, Mrs Walker, the homes annual quality assessment audit (the AQAA). Information from these sources has been used in the preparation of this report. In planning for this visit we also reviewed the outcomes of our previous inspection visit and information received on the service since then. Care Homes for Older People Page 5 of 28 The inspection was carried out by one inspector who was on the premises between the hours of 9.40 a.m. and 3.10 p.m. on the 29th September 2008. At this visit we spoke with five people living in the home, two members of staff and the manager Mrs Walker. We sampled three sets of care plans and admission records, and three sets of staff recruitment, supervision and training records. We also observed interactions between staff and people receiving a service, and a lunch sitting. We sampled other records including complaints and health and safety records. Mrs Walker advised us that the care home fees range from 450 pounds per week to 650 pounds per week. 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 Care Homes for Older People Page 7 of 28 240 7535. Care Homes for Older People Page 8 of 28 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 9 of 28 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. 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 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. Not all people in the home know about their rights and responsibilities because some people have not received 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. Care Homes for Older People Page 10 of 28 Evidence: During this visit we sampled the statement of purpose for the home and found that it has been updated. For example, it now includes information on provision for people under the age of sixty-five and a limitation on areas of the home where people who are dependent on a wheelchair for mobility can safely be accommodated. The previous requirement was found to have been met. Two of the people living in the home who completed our CSCI survey form told us that they had been there for a trial stay before deciding to move into the home. At our previous visit a requirement was made that people must be provided with a contract of the terms and conditions of their stay that includes the room to be occupied and the fees to be paid. Four of the six people living in the home who completed our CSCI survey form told us that they had not received a contract/terms and conditions of service for their stay. We discussed this with Mrs Walker, the registered manager for the home, who told us that only people who are self-funding receive a contract/terms and conditions of service. She advised us that people who are funded by the local authority or health authority do not receive a terms and conditions of service, although this is the document that will advise people of their rights and responsibilities. During our visit we found that the service users guide for the home does not include a copy of the terms and conditions of residence to advise people of their rights and responsibilities and who is liable if there is a breach of contract. At this visit we found that where the home provides a contract/ terms and conditions for people who are self-funding this has been updated to include the room to be occupied and the fees to be paid. Paragraph 2.2 of the Care homes for older people national minimum standards recommend that the statement of terms and conditions include fees payable and by whom (service user, local or health authority, relative or another), which should ensure that people receiving the service or their advocate are advised of this information which they would wish to know. This requirement was found not to have been met. We looked at pre-admission assessments carried out for three people who have been admitted to the home since our previous visit. Care Homes for Older People Page 11 of 28 Evidence: We found that an assessment of needs had been carried out before the person came to live in the home which then assisted in arranging the care they were in need of. Care Homes for Older People Page 12 of 28 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. Peoples 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. Peoples right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. Evidence: The six people living in the home who responded to our CSCI survey form told us that they were receiving the care and support they needed, and that staff listened and acted on what they said. During our visit we sampled the plan of care for three people living in the home. We found that health care and social needs were being set out in the care plan and that Care Homes for Older People Page 13 of 28 Evidence: there were regular reviews of their care needs taking place, including reviews of their medication. The four staff who responded to our CSCI survey form told us they receive up to date information on the persons needs, and that communication in the home is usually good. The six people living in the home who responded to our CSCI survey form told us that they were receiving the medical support which they needed. The three sets of care records we sampled indicated that people were accessing health services they were in need of, including chiropody, opticians, general practitioner and hospital services. During our visit we sampled three sets of medication records, looked at the arrangements for storing medicines and the system in place for the administration of medicines. The manager advised us that a local pharmacist provides advice and also staff training in medication issues. Staff training records we sampled indicated that staff are receiving training in the safe administration of medicines. We found that suitable arrangements are in place for the storing, administration and recording of medicines in the home. People who we talked to during our visit said staff were kind and considerate and that they are treated with respect when care is being provided. Care Homes for Older People Page 14 of 28 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. 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 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. Evidence: There is an activities programme which includes trips using a mini bus, quizzes and games. Two people we talked to said they had particularly enjoyed an outing to a garden centre for a coffee. Social events in the home include a summer garden party and a Christmas party, and Care Homes for Older People Page 15 of 28 Evidence: musical entertainers. Walks in the local park are arranged and two people we had talked to said they had been out for walks that morning. The manager told us that when asked about activities they wished to be provide, some people had asked for more opportunities just to sit and talk to staff and so staff have been making more time to do this, and that visitors from churches had recently begun visiting people in the home. Staff we talked to during our visit provided examples of how they ensure privacy and dignity for people when they are receiving personal care. Staff we spoke to told us that people are asked how they wish their care to be provided - for example when they would usually wish to get up, what time they would usually like a cup of tea and breakfast, and how they would wish to be supported with bathing. During our visit we found that food is home cooked on the premises, and that specialist diets including diabetic and soft food diets, are catered for. The manager has told us that peoples preferences and choices contribute to the menus, and for the lunch we observed one person was receiving an alternative to the main choice. The homes annual CSCI self-audit questionnaire (the AQAA) tells us that meals can be taken in the dining room or the person’s own bedroom and meals can be held back for a more convenient time. People living in the home who responded to our CSCI survey told us that they like the meals in the home. One person wrote that there was an excellent menu and food (is) so well prepared and presented. Five people we talked during our visit said that they enjoyed the food in the home. The lunch sitting we observed had a calm and relaxed atmosphere, with people being able to take as much time as they wished. Food was well presented and looked appetising and nutritious. Care Homes for Older People Page 16 of 28 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. If people have concerns about their care, they or people close to them know how to complain. Any concern is looked at and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. Evidence: The AQAA tells us that staff receive training in how to deal with complaints and on the Mental Capacity Act. The six people living in the home who responded to our CSCI survey form told us they knew how to complain and who to speak to if they were unhappy or had concerns. The four staff who responded to our CSCI survey form told us they knew what to do with concerns. There were no complaints recorded when we visited. The recent monthly visit reports completed by the provider which we sampled during our visit also indicated that no complaints had been received. Care Homes for Older People Page 17 of 28 Evidence: Training records we looked at indicated that staff are receiving training in safeguarding vulnerable people. The home has a copy of the updated local procedures in safeguarding vulnerable people, and Mrs Walker told us that she and the deputy manager had attended a briefing on the changes to the local procedures. Mrs Walker told us during our visit that she had advised staff during a staff meeting of these changes. Care Homes for Older People Page 18 of 28 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. 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. Their room feels like their own, it is comfortable and they feel safe when they use it. Evidence: Arrangements are in place for the routine maintenance of the building and for a programme of redecoration. We visited all the communal areas of the home and seven bedrooms, and found that the premises are being maintained in good order. At our previous visit it was recommended that the advice of the fire officer be sought in relation to the storage facility for linen. At this visit we found that a new linen store area had been provided and the manager told us that the advice of the fire officer was taken on the new arrangements. Care Homes for Older People Page 19 of 28 Evidence: We found that improvements made to the premises included the decoration of some bedrooms and bathrooms, provision of more indoor and outdoor hand rails, and some new flooring and carpets. Main hallways and stairwells have been redecorated in lighter colours. Other improvements have included a new call bell system for people living in the home to use, and a door guard system to protect people in the event of fire. Bedroom windows have also been made more safe. We found that the overall standard of decoration and furnishing was good. Bedrooms we visited had been personalised and where people had a need to be assisted to and from bed sufficient space was being provided to allow staff to do this safely. All parts of the home we visited we found to be clean and odour free. The people living in the home who responded to our CSCI survey form told us that the home is kept fresh and clean. One person said it was very clean and uncluttered. Care Homes for Older People Page 20 of 28 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. 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 managers. Evidence: People living in the home told us in their CSCI survey forms that staff were usually available to provide assistance when needed. For the duration of our visit we found that there were enough staff to attend to the personal care needs of people living in the home. On the day of the visit there were seven vacancies in the home. There was some evidence on the day of our visit that should resident numbers increase again there would need to be a need for the provider to review staffing numbers. For example, the manager was being called upon to undertake some care tasks, and staff lacked time to encourage social interaction and activities in the home during the Care Homes for Older People Page 21 of 28 Evidence: morning when people living in the home would have benefited from this. There is a good take-up of qualification training by staff in the home. Eight care staff have achieved the national vocational qualification (NVQ) in care at least to level 2, and two staff are presently undertaking NVQ training. It was a requirement at our previous visit that the recruitment policy in the home should be reviewed and updated if needed. The staff who responded to our CSCI survey told us that where applicable they had received CRB checks before they started work. We sampled the homes policy and procedure for recruitment and found that it had been updated to further clarify the need for checks before employment is commenced. This requirement was found to have been met. We looked at recruitment records for three people working in the home and found that required checks and references were being obtained to ensure that people employed are safe to work with the people in the home. At our previous visit a requirement was made that staff be provided with updating training in topics such as health and safety, moving and handling, adult abuse and fire safety. Staff told us during our visit and in their survey forms that they were receiving training that was relevant and up to date, and which helped them meet the needs of the people they provide care for. One member of staff said in their survey form that we always have excellent training and all the staff get plenty of opportunity to attend them. Staff told us in their CSCI survey forms that the induction training they received when they first started the job provided them with things they needed to know. Staff training certificates which we sampled told us that the updating training referred to at our previous visit is now being provided, and this requirement was assessed as met. Care Homes for Older People Page 22 of 28 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. 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. Evidence: The manager of the home has continued to update her training. Interviews with people living in the home and staff indicated that the manager is providing good leadership. Care Homes for Older People Page 23 of 28 Evidence: The home is seen by people living there and staff as friendly and supportive. A person living in the home told us in their CSCI survey form that anyone is approachable here, and a member of staff said in their CSCI survey form that this home is warm, friendly, fun. Annual questionnaires are given to people living in the home to gather their views on how the service is performing. We sampled the notes of a residents meeting which took place in March 2008 where a number of suggestions for activities and entertainments that people would like to see happen were noted. Some of the suggestions have now been taken up. The AQAA tells us that changes made at the request of people living in the home include changes in the activities programme, more regular garden maintenance and a programme of redecoration. A requirement was made at the previous visit that the provider should prepare a written report of the unannounced visits to the home each month. We sampled the four reports written between April and July 2008 and found that these were addressing some of the need for improvement in the home and looking at records such as complaints records to assist them come to a view about the how the home is running. This requirement was assessed as met. A requirement was made that staff receive appropriate supervision at our previous visit. We looked at supervision records for four care staff working in the home and found that one to one supervision is being provided every two to three months and that it is helping to address the training needs of staff. This requirement was assessed as met. The AQAA tells us that staff do not act as advocates or give financial advice to people living in the home. The provider recommends that solicitors are appointed if family members are unable to assist with the management of a persons finances. Mrs Walker advises us in the AQAA of the equipment checks and services which have taken place in the home, such as stair lifts and hoists, fire detection and fighting equipment, and gas appliances. Care Homes for Older People Page 24 of 28 Evidence: During our visit we sampled records such as the homes environmental risk assessment and fire risk assessment. Training records we sampled indicated that staff are undertaking training in health and safety topics such as safe food handling, infection control, first aid, and fire safety. Care Homes for Older People Page 25 of 28 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 26 of 28 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 1 2 5 Each service user must be 01/12/2008 provided with a statement of terms and conditions at the point of moving into the home (or contract if purchasing their care privately) People not self-funding have not been provided with a terms and conditions. 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 27 of 28 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 © (2008) 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 28 of 28 - 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!