Inspection on 20/06/05 for Trent Lodge

This inspection was carried out on 20th June 2005.

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

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

Other inspections for this house

Trent Lodge 16/08/07

Trent Lodge 09/11/06

Trent Lodge 20/02/06

Trent Lodge 08/11/04

Trent Lodge 28/06/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE TRENT LODGE 6-8 Essex Road Enfield Middlesex EN2 6TZ Lead Inspector Tony Brennan Announced 20 June 2005 @ 09.45am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. TRENT LODGE G59 S10693 Trent Lodge V221416 20.06.05 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Trent Lodge Address 6-8 Essex Road, Enfield, Middlesex EN2 6TZ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 8367 2159 020 8364 5328 Mr Jashvant B Kotecha & Dr Sirjit S Seyan Mrs Janet Tracey PC Care Home only 16 Category(ies) of OP Old Age registration, with number of places TRENT LODGE G59 S10693 Trent Lodge V221416 20.06.05 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 8 November 2004 Brief Description of the Service: Trent Lodge is part of an organisation that has a number of homes. Trent Lodge is a care home registered for sixteen service users who are over the age of 65. The home is well established and is near the centre of Enfield Town. The home has twelve single rooms and two double rooms. None of the rooms have en suite facilities. The home has a stair lift. The home is situated near one of the entrances to Enfield Town Park. It is easily accessed by car and public transport and within walking distance of the town centre. The home benefits from a large garden at the rear of the house. The garden is well maintained and a pleasant place for service users to sit. The home provides care for service users of either sex who are older and in need of personal care only. TRENT LODGE G59 S10693 Trent Lodge V221416 20.06.05 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was undertaken as part of the annual inspection process. The inspector also sought to confirm that the six areas for improvement found at the last inspection were addressed. The inspection took place over one day. The registered manager assisted the inspector. The inspector received comment cards from service users, relatives and professionals. The inspector spoke with six service users, one relative and four staff. The inspector observed practice. The inspector toured the building and examined a range of records relating to the care and management of the home. What the service does well: What has improved since the last inspection? What they could do better: Two areas for improvement were identified at this inspection. Those who live at the home told the inspector that they had not discussed or seen the information outlining the support they need. This information needs to be discussed and explained to people living at the home and their representatives. 50 of those caring for the people at the home must achieve a National Vocational Qualification in care. Please contact the provider for advice of actions taken in response to this TRENT LODGE G59 S10693 Trent Lodge V221416 20.06.05 Stage 4.doc Version 1.20 Page 6 inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. TRENT LODGE G59 S10693 Trent Lodge V221416 20.06.05 Stage 4.doc Version 1.20 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection TRENT LODGE G59 S10693 Trent Lodge V221416 20.06.05 Stage 4.doc Version 1.20 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 3 4 Service users and prospective service users are provided with comprehensive information about the service. Service users needs are assessed prior to admission to the home. Service users assessed needs are being met. EVIDENCE: The inspector spoke with a service user and a relative who confirmed that they had received information about the service. The statement of purpose and service users guide contained all the required information and clearly explained the service provided at Trent Lodge. The registered person explained that he is applying for the dementia category to be added to the homes registration. The registered person explained he had done this with his homes in Essex. The inspector spoke with a service user who had recently come to the home who commented that the home had assessed her needs before her admission. Service users files were examined and found to contain initial assessments from the home and social work assessments. These outlined the needs of service users. Professionals and relatives commented that the home meets the needs of service users. Comment cards received from professionals also confirmed that staff understood the needs of service users. The inspector found that service users needs were assessed and planned for. Staff spoken to understood the needs of service users and had received relevant training. TRENT LODGE G59 S10693 Trent Lodge V221416 20.06.05 Stage 4.doc Version 1.20 Page 9 TRENT LODGE G59 S10693 Trent Lodge V221416 20.06.05 Stage 4.doc Version 1.20 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 8 9 Care plans provided information on how the needs of service users should be met, but service users had not been consulted regarding the contents of their plans. The medical needs of service users are being met. Service users are protected by safe procedures for handling medication. EVIDENCE: Service users said that staff understood their needs. The inspector found that care plans were in place These provided information on the needs of service users and the action to meet these. The care plans had been updated since the last inspection so that they included sufficient information to ensure that the needs of service users are met. Care plans had been reviewed monthly. Service users spoken to told the inspector they had not seen the care plans and been consulted about the contents. The inspector found that there was no record of any consultation or agreement to the information in the care plans. Service users said that they got the medical attention they needed. One service user said that they had seen an optician and a dentist recently. Another service user explained that the home had assisted him to obtain a wheelchair. The inspector found that there were risk assessments of service users manual handling needs. There was a record of medical support provided for service users. The inspector found that the records of medicines received, TRENT LODGE G59 S10693 Trent Lodge V221416 20.06.05 Stage 4.doc Version 1.20 Page 11 administered and returned to the pharmacist were all complete. The inspector was able to confirm that training in the administration of medication had been planned. The GP had reviewed those service users who had been prescribed Risperidone. TRENT LODGE G59 S10693 Trent Lodge V221416 20.06.05 Stage 4.doc Version 1.20 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 15 Service users are provided with varied and balanced meals in order to promote their health. EVIDENCE: Service users commented that the food was good and choices were provided. The menu showed that varied and balanced meals were offered. Service users said they were consulted about the choices being offered. The inspector saw that meals were well presented and they were provided in a relaxed environment. Staff were observed assisting service users to eat in a sensitive and appropriate manner. TRENT LODGE G59 S10693 Trent Lodge V221416 20.06.05 Stage 4.doc Version 1.20 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 standard(s) 16 17 Service users are confident that their complaints will be listened to, taken seriously and acted upon. Service users are protected from abuse by the systems in place. EVIDENCE: Service users said that they felt confident in making their concerns known to staff. The complaints policy explained how to make a complaint and how it would be dealt with. The complaints record showed actions taken to resolve complaints. Service users said that they felt safe and could approach staff if they had any concerns regarding how they are treated. There were comprehensive policies on handling abuse and protection. Staff spoken to were clear about the signs of abuse and how suspected abuse should be handled. Records showed that staff had received training on adult protection and further training is planned. TRENT LODGE G59 S10693 Trent Lodge V221416 20.06.05 Stage 4.doc Version 1.20 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 standard(s) 24 26 Service users bedrooms are comfortable and they have their personal possessions. Service users live in a clean and hygienic home. EVIDENCE: Service users bedrooms are appropriately decorated, furnished and carpeted. The bedrooms seen were personalised. The inspector found that the home was clean and hygienic. Staff spoken to understood how to prevent cross infection and equipment was provided for this purpose. TRENT LODGE G59 S10693 Trent Lodge V221416 20.06.05 Stage 4.doc Version 1.20 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 28 29 30 Sufficient staff are available at all times to meet service users needs. Staff have the skills and knowledge to meet the needs of service users, but 50 of staff need to achieve NVQ at level 2 in care. Service users are protected by the home’s recruitment practices. EVIDENCE: Service users, relatives and professionals all commented on the skill, sensitivity and understanding of staff. The rota was seen and showed that a consistent staffing level was being maintained. Service users said that staff are relaxed and take their time when meeting their needs. Five staff files were checked. These were found to contain all the required information relating to the recruitment of staff. Training records showed that 50 of staff still need to achieve NVQ at level 2 in care. Training records showed that since the last inspection care planning training had been carried out. The registered manager was able to confirm that training on first aid would be starting soon. An appropriate induction programme was in place and recently appointed staff spoken to confirmed that this was being used in their induction. All other statutory training had been provided. TRENT LODGE G59 S10693 Trent Lodge V221416 20.06.05 Stage 4.doc Version 1.20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 36 37 38 Staff are appropriately supervised. Records are maintained as is required. Service users and staff health and safety is promoted at all times. EVIDENCE: The inspector saw minutes of staff meetings that showed that a clear view of how the home should operate was being communicated to staff. Staff spoken to said that they had regular supervision. The inspector found that records of supervision showed that it was taking place six times a year. All records seen were up to date and accurate. The inspector found that staff had training on health and safety topics. The hoists had been checked and first aid boxes had all the necessary items. The necessary records of food temperatures and of the fridge and freezers had been maintained. Gas and electrical certificates were seen and in date. The home had all the necessary policies and procedures in place to ensure the safety of service users and staff. There was a record of accidents in place and a regular audit was carried out to establish if there was any pattern or important factor that might be causing TRENT LODGE G59 S10693 Trent Lodge V221416 20.06.05 Stage 4.doc Version 1.20 Page 17 accidents. Since the last inspection at risk assessment of all working practices had been carried out. There were records to confirm that the fire safety equipment had received its annual check. The records of drills and weekly testing of the alarm and other fire equipment were in place and showed that testing and drills took place regularly. Training records and discussions with staff confirmed that there was regular fire training. TRENT LODGE G59 S10693 Trent Lodge V221416 20.06.05 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION x x x x x 3 x 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x 3 3 3 TRENT LODGE G59 S10693 Trent Lodge V221416 20.06.05 Stage 4.doc Version 1.20 Page 19 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 7 Regulation 15(1) Requirement The registered person must ensure that service users are consulted about the contents of their care plans and this must be recorded. The responsible person should ensure that 50 of staff achieve NVQ at level 2 in care by 2005. Timescale for action 1/9/05 2. 3. 28) 18(1) 1/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations TRENT LODGE G59 S10693 Trent Lodge V221416 20.06.05 Stage 4.doc Version 1.20 Page 20 Commission for Social Care Inspection Solar House 1st Floor, 282 Chase Road Southgate London N14 6HA 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 TRENT LODGE G59 S10693 Trent Lodge V221416 20.06.05 Stage 4.doc Version 1.20 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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