Inspection on 30/01/06 for The Victoria Lodge

This inspection was carried out on 30th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Victoria Lodge 29/09/08

The Victoria Lodge 04/02/08

The Victoria Lodge 12/09/07

The Victoria Lodge 27/02/07

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE The Victoria Lodge 48-50 Shakespeare Road Worthing West Sussex BN11 4AS Lead Inspector Mr P Barker Announced Inspection 30th January 2006 09:30a X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Victoria Lodge DS0000058057.V274046.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Victoria Lodge DS0000058057.V274046.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Victoria Lodge Address 48-50 Shakespeare Road Worthing West Sussex BN11 4AS Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01903 201006 Victoria Care Elite Limited Mrs Elaine Marie Walker Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places The Victoria Lodge DS0000058057.V274046.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th September 2005 Brief Description of the Service: The Victoria Lodge is registered to provide accommodation and care for twenty-three residents over the age of 65. It is owned by Victoria Care Elite Ltd and is one of a number of homes that the group have in the Worthing area. It is situated near to the centre of town, close to shops and the railway station. The residents are situated on three floors with access provided by a passenger lift. Due to the layout of the home wheelchair users cannot be accommodated. Elaine Walker manages the service. The Victoria Lodge DS0000058057.V274046.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place from 9-30am to 12-30pm. The Victoria Lodge has performed well over the past years and at the last inspection no requirements were made. During the course of this inspection the inspector spoke to residents and staff. The manager was present throughout the inspection. Records and Care Plans were looked at and a tour of the home was conducted. The inspector had received a large number of replies to a questionnaire that had been sent to residents and visitors to the home. Every questionnaire had a positive feedback with comments such as, “In my opinion there is a very high standard of overall and individual care for all residents”, and “Excellent food and facilities”, “Staff always make time to help and support residents,“ and “Victoria Lodge is a very happy and friendly home, I am always made welcome.” Residents also echoed these views when they spoke with the inspector. One resident summed up the feelings of many when saying, “This is my home and I really couldn’t be anywhere better!” All records inspected were found to be in order and up to date. New care plan books had been purchased and the manager and staff had spent considerable time putting together all of the information needed to look after the residents. They were reviewed regularly and gave an accurate picture. Staff training was ongoing and it was noted that the majority of staff were either National Vocational Qualification (NVQ) trained or were on training. The training records of all staff were well documented and up to date. The manager was supervising staff and detailed notes had been kept of these sessions. The building was warm, clean and welcoming. The inspector was told that the new carpet for the hall, stairs and landing had been ordered and would be fitted as soon as possible. The kitchen had recently undergone a total refurbishment but unfortunately whilst fitting the equipment the flooring had been torn and now needs to be replaced. A requirement has been made to this effect. Whilst walking around the home the inspector noted a resident’s door propped open with a wedge. This is contrary to Fire Regulations and a door closure needs to be fitted. A requirement was made. There was three care staff on duty with one domestic and a cook. At night there were two staff awake on duty. The rotas showed this to be the case. However, the inspector noted that from 2pm to 4pm and from 7pm to 8pm there were only two care staff on duty for up to twenty three residents. The Victoria Lodge DS0000058057.V274046.R01.S.doc Version 5.1 Page 6 A requirement was made for the home to review their staffing levels at these times, particularly as the home is on three levels and one resident needs the help of two staff to fully meet her needs. All health and Safety requirements had been met. A visitor to the home wrote, “I have nothing but praise for the staff at Victoria Lodge. It is like visiting mum at home. Everyone is so friendly.” What the service does well: What has improved since the last inspection? 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. The Victoria Lodge DS0000058057.V274046.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection The Victoria Lodge DS0000058057.V274046.R01.S.doc Version 5.1 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 the following standard(s): 1, 2, 3, 4, 5, 6 Residents and their families have the information they need to make an informed choice about where they live and are suitably assessed before placing. EVIDENCE: Each resident is given a contract when he/she enters the home. Most of the residents had family or friends who were able to act upon their behalf. The manager or proprietor assesses all residents before they join the home either in their own home or in hospital. These completed assessments are kept in the Care Plan. It is often that people come in for a short break but decide they want to stay as a permanent resident. The home does not take anyone in for intermediate care. The Victoria Lodge DS0000058057.V274046.R01.S.doc Version 5.1 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 the following standard(s): 7, 8, 9, 10, 11 The resident’s health, personal and social care needs are well met through training and supervision of the staff. EVIDENCE: Care Plans were well written and contained all the information necessary to look after the residents. They were updated regularly and reviewed at least once a month. The inspector looked at the Care plans of some of the residents he had spoken with and felt that the care given was accurately recorded. District nurses visit the home when requested and records are kept of all such visits. Medication was stored safely and records were well kept in regard to the administering and disposing of them. Residents looking after their own medication were given a locked drawer to keep them in. When looking around the home the inspector noticed staff knocking before entering rooms. Residents were called by their chosen name; others preferred to be addressed as Mrs. The Victoria Lodge DS0000058057.V274046.R01.S.doc Version 5.1 Page 10 The inspector spoke to residents in their rooms or the lounges and privacy was observed. There is a Policy for Death and Dying. The Victoria Lodge DS0000058057.V274046.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Residents say that they are happy with their lifestyle, are able to keep in contact with their family and friends and able to have control over their daily tasks. Good home cooked food is provided. EVIDENCE: This has always been a home for active people and although some of the residents are frail they all like the regular trips out in the minibus. However, in the cold weather very few wish to venture out. Two residents go out unaccompanied on a daily basis and several others are taken out by carers or family. They have Arts and Craft sessions and Music and Movement provided by an outside agency on a regular basis. All love the weekly Quiz afternoon to such an extent that the dining room has to be adapted to get everyone in for the sessions. Two residents have communion on a fortnightly basis administered by a local priest. There is a small but very pleasant garden at the back. Family and friends are welcome at any time but on this occasion the inspector did not see any visitors. One visitor wrote, “I am always made very welcome”. The Victoria Lodge DS0000058057.V274046.R01.S.doc Version 5.1 Page 12 Food is very well presented and on the day of the inspection the residents sat down to a lunch of Cottage Pie or Cod in Cheese Sauce with green beans, carrots and parsnips. One resident had decided that they wanted a lighter lunch and was offered Soup and a roll and butter. All residents are offered a drink before lunch and the inspector observed the residents in the lounge and dining room enjoying a glass of wine or soft drink. The inspector also observed the residents and staff celebrating the manager’s birthday with presents and the singing of Happy Birthday. The Victoria Lodge DS0000058057.V274046.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18 Any complaint is taken seriously and staff and residents know how to complain. Staff are well aware of the Adult Protection Procedures and a Whistle Blowing Policy is in evidence. EVIDENCE: All staff have attended the Adult Protection Training and the procedures are in the office. There have been no complaints made about the home to the CSCI. The Victoria Lodge DS0000058057.V274046.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 The home is well maintained, safe and clean with no nasty smells. EVIDENCE: The home is well kept and is clean and tidy. The inspector observed the cleaner doing her rounds and every room was left clean and tidy. All residents have individual rooms with en-suite wc. They are well furnished and decorated and one resident who is moving to a vacant room told the inspector that she had been consulted over the redecoration of her new room. The home has recently replaced two bath chairs. Bathrooms are warm and offer a pleasant environment. One room had the door propped open with a wooden wedge – see summary. Several rooms had been re-carpeted and decorated and two more rooms were awaiting refurbishment. The Victoria Lodge DS0000058057.V274046.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 There is usually sufficient staff employed to ensure that residents’ basic needs are met. The home has a sound recruitment policy and all checks are made. There has been considerable input into staff training. EVIDENCE: All staff have undergone Criminal Records Bureau (CRB) checks and copies of these were kept in the office. Prospective staff are invited to complete an application form and attend an interview. Staff files showed this to be the case. Staff training had been undertaken in all areas and the evidence showed that all staff were offered training relevant to their work. The Victoria Lodge DS0000058057.V274046.R01.S.doc Version 5.1 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36, 37, 38 The home is well managed by a competent and experienced manager. It is apparent that the needs of the residents are paramount and that things happen for their benefit. The home has no dealings with any personal finances preferring to leave that to families or other professionals. The home is considered a safe environment. EVIDENCE: The manager has recently completed the Registered Manager’s Award (RMA) and should be congratulated for having done so. She is respected by all the staff and residents and has worked hard to continue to offer the high levels of care expected from the home. The home was constantly updating their practices to ensure that residents received the best care that they could. The Victoria Lodge DS0000058057.V274046.R01.S.doc Version 5.1 Page 17 The home does not have any dealings with any money belonging to residents. The home meets all Health and Safety Requirements. The Victoria Lodge DS0000058057.V274046.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 3 3 3 3 3 The Victoria Lodge DS0000058057.V274046.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 3 Standard OP19 OP38 OP2727 Regulation 23(2) 23(4)(a) 18(1)(a) Requirement The kitchen flooring must be replaced. Fire doors must be fitted with closures if they are to be kept open. The home should review their staffing levels to ensure that adequate levels are maintained at all times. Timescale for action 30/04/06 28/02/06 28/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Victoria Lodge DS0000058057.V274046.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 The Victoria Lodge DS0000058057.V274046.R01.S.doc Version 5.1 Page 21 - 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. 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