Inspection on 30/11/05 for Warren Farm Lodge

This inspection was carried out on 30th November 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Warren Farm Lodge 25/10/06

Warren Farm Lodge 24/05/05

Warren Farm Lodge 11/01/05

Warren Farm Lodge 03/08/04

Warren Farm Lodge 20/01/04

Warren Farm Lodge 12/08/02

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Maple Lodge

Polesworth Group 32 Station Road

Heathlands

Aston Court Nursing Home

Polesworth Group 70 Long Street

Breme

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

CARE HOMES FOR OLDER PEOPLE Warren Farm Lodge 123 Warren Farm Road Kingstanding Birmingham West Midlands B44 0PU Lead Inspector Ann Farrell Announced Inspection 30th November 2005 08:10 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 Warren Farm Lodge DS0000016920.V263263.R01.S.doc Version 5.0 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. Warren Farm Lodge DS0000016920.V263263.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Warren Farm Lodge Address 123 Warren Farm Road Kingstanding Birmingham West Midlands B44 0PU 0121 472 8449 0121 415 2720 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) Anchor Trust Ms Janet Bennett Care Home 30 Category(ies) of Learning disability over 65 years of age (30), registration, with number Old age, not falling within any other category of places (30) Warren Farm Lodge DS0000016920.V263263.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24/5/05 Brief Description of the Service: Warren Farm Lodge is a purpose built two-storey home, which is situated close to community resources and public transport in the Kingstanding area of Birmingham. The home currently provides accommodation to thirty residents for reason of old age and learning disability. Accommodation is provided in single bed-sits each with kitchen and en-suite facilities consisting of toilet and wash hand basin. There are communal bathing/shower and toilet facilities strategically placed in the home. A passenger lift gives access to the first floor. Communal areas consist of one lounge, conservatory and dining room that are situated on the ground floor and are decorated and furnished to a good standard. The main kitchen is adjacent to the dining room and is well equipped. Parking is available to the front of the property. Pleasant enclosed gardens are situated to the rear with access through the conservatory. The home and gardens are well maintained and provide a warm homely atmosphere. Warren Farm Lodge DS0000016920.V263263.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection was conducted over one day commencing at 8.10am on 30th November 2005. This was the second statutory inspection for 2005/2006 and this report should be read in conjunction with the report for the inspection of May 2005. The registered manager and deputy were present for the duration of the inspection. During the inspection process the inspector undertook a partial tour of the home, sampled residents files and other documentation. The home was clean warm and well maintained providing a homely, welcoming environment. The managers, two members of staff, approximately ten residents and one visitor were spoken to. What the service does well: The home is friendly, relaxed and provides a homely atmosphere. The manager’s office is situated in the main reception area, enabling visitor’s easy access to discuss any issues or concerns. Staff were friendly and welcoming and a visitor stated, “It’s lovely here the staff and food are lovely”. The ethos of the home is that it is the resident’s home and they come first. There was noted to be good relationships between staff and residents. The district nurse stated the home worked well with them, provided good standards of care and carried out all interventions and instructions appropriately. Routines are flexible and there is no restriction on visiting. The home provides a varied menu with a choice of meals and ample portions, which was appreciated by residents. One resident stated, “ they have three marvellous cooks here”. An activities co-ordinator is in post and a holiday is arranged each year for residents who wish to go. The medication is of a good standard and all records were orderly. There is a good laundry system and all residents belongs are laundered separately. One resident stated, “ The laundry is marvellous; it comes back smelling lovely” Warren Farm Lodge DS0000016920.V263263.R01.S.doc Version 5.0 Page 6 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. Warren Farm Lodge DS0000016920.V263263.R01.S.doc Version 5.0 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 Warren Farm Lodge DS0000016920.V263263.R01.S.doc Version 5.0 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): 3, 4, 5, 6 Information is available for prospective residents and their relatives to enable them to make an informed decision about moving in to the home. Suitable systems are in place for assessing and admitting residents to the home. EVIDENCE: The home admits residents for long term care and respite care. The manager stated the statement of purpose and service user guide had been updated to reflect this. The home liaises with social workers who provide written assessments or care plans for residents who wish to enter the home. The home also invite prospective residents to the home enabling them to view the facilities, meet staff and other residents and partake in a meal. On discussion with one resident who had recently moved into the home she stated that it is a stressful time, but the staff had been very helpful and made her welcome. Staff undertake an assessment of all prospective residents to determine if they are able to meet their needs and this is confirmed in writing. Following admission to the home an individual lifestyle agreement (ILA) is drawn up, Warren Farm Lodge DS0000016920.V263263.R01.S.doc Version 5.0 Page 9 which outlines how staff meets residents needs. There is a trial period of one month when a review is held with residents, staff and family. On inspection of the records relating to residents who had recently moved into the home they were found to be of a good standard and included a handling assessment and risk assessment. Although the home is not registered to care for people with dementia there are some residents who have a degree of confusion and the manager discussed the possibility of changing their registration to include caring for residents with mild dementia. It was stated that staff training in this area has been arranged for the New Year. She has been advised that if she wishes to continue with this proposal she will need to apply for to the Commission for a variation to the homes registration. Warren Farm Lodge DS0000016920.V263263.R01.S.doc Version 5.0 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 the following standard(s): 7, 8, 9, 10 There are good systems in place to meet resident’s health care needs and the medication system is of a good standard, so protecting residents. Staff have been developing the care plans to ensure consistency in meeting care needs. EVIDENCE: The home draws up an individual lifestyle agreement (ILA) for each resident following admission to the home outlining the action required by staff to meet residents needs. On inspection of a sample of records they were found to be orderly and of a good standard for residents who had recently been admitted to the home. On inspection of the record for a resident who’s condition had deteriorated and now required a considerable amount of intervention it was found that the care plan required more detailed information to demonstrate the care that staff were providing. Staff had liaised with the district nurse and was implementing all aspects of care required to meet the resident’s needs. Specialised equipment had been obtained, changes in position plus food and fluid intake were being recorded by staff. On discussion with the district nurse she stated the staff were very good, they carried out all instructions, looked after residents well and maintained the records well. Warren Farm Lodge DS0000016920.V263263.R01.S.doc Version 5.0 Page 11 Staff monitor resident’s nutritional status through regular weighing and nutritional screening. They liaise with health professionals from the multidisciplinary team such as district nurses, social workers, CPN’s, continence adviser and records of visits were being maintained separately for easy retrieval of information. Senior staff are responsible for the administration of medication and there were good systems in place. All audits were accurate. Some new senior staff have recently been appointed and will need to undertake the accredited medication training. On discussion with resident’s they stated they were happy living in the home and the staff treated them well “Staff can’t do enough for you”. They confirmed that they had a choice of how to spend their time and had keys to their flats. There is a public telephone available in the corridor, which does not afford privacy. It was stated that the senior carers office could be used if privacy was required or residents may have one installed in their own flat. There was noted to be good relationships between staff and residents, staff respected their privacy and residents were well presented. Warren Farm Lodge DS0000016920.V263263.R01.S.doc Version 5.0 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 the following standard(s): 13, 14, 15 Catering and meals are well managed with a choice and variety of meals available. Residents are able to make choices about daily living activities and there is a relaxed, flexible and homely atmosphere. EVIDENCE: Residents are free to come and go as they wish; they are able to exercise choice in relation to daily routines, such as getting up, going to bed, where to take meals and going out. They can manage their own finances and support is given where appropriate. Visiting is flexible and visitors are made welcome. One stated, “They are wonderful here”. Residents meetings are held regularly and staff have recently commenced meetings with relatives. There is one dining room adjacent to the kitchen, which is furnished and decorated to a good standard. Tables were appropriately laid with cutlery and condiments, providing very pleasant surroundings for residents to take their meals. The inspector had lunch with residents and found the meal to be of a good standard. Lunch consisted of a three-course meal and potatoes and vegetables were served in serving dishes enabling residents to help themselves Warren Farm Lodge DS0000016920.V263263.R01.S.doc Version 5.0 Page 13 and staff were available to give assistance as required. Meals were unhurried and fresh fruit was freely available in the dining room. Residents are offered three full meals a day with a choice at all meals. They are consulted about the menu on a daily basis and where they do not want either choice on the menu an alternative is available. The catering staff are currently introducing different foods for residents to try. Feedback from residents indicated that the meals were of a good standard. One resident stated, “They have three good cooks here”. Drinks are available between meals plus residents have kitchen facilities in their own flats and the home provides appropriate supplies for making drinks, if requested. Warren Farm Lodge DS0000016920.V263263.R01.S.doc Version 5.0 Page 14 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): These standards were not assessed at this inspection. EVIDENCE: Warren Farm Lodge DS0000016920.V263263.R01.S.doc Version 5.0 Page 15 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): The standard of décor and furnishings in the home is good providing residents with a pleasant, warm and homely environment to live in. EVIDENCE: The home is a modern two-storey building, which is clean, odour free and well maintained. There is limited parking to the front with a very pleasant garden to the rear of the building. There is one dining room on the ground floor that in decorated and furnished to a good standard. There is a choice of one lounge or conservatory to sit, which looks out onto the garden. A new carpet and curtains have been provided in the lounge recently. All flats have an en-suite facility that includes toilet and hand basin. In addition, there are four communal bathrooms, which have assisted bathing facilities and have been pleasantly decorated. There are also seven toilets strategically placed through the home. Warren Farm Lodge DS0000016920.V263263.R01.S.doc Version 5.0 Page 16 All flats are provided with locks and letterboxes to doors; they are carpeted and generally residents provide all their own furnishings, which provides a home from home environment. A small sample of rooms were inspected and were found to be decorated to a good standard, comfortable and personalised. Flats are individually and naturally ventilated and windows are provided with restrainers. Radiators are of the low surface temperature type and water from hot water outlets is regulated. Laundry facilities were appropriately sited with a washing machine with sluice cycle and segregated sluice facilities. On discussion with one resident she stated the laundry service was marvellous “ your laundry is done separately and it comes back smelling lovely”. Warren Farm Lodge DS0000016920.V263263.R01.S.doc Version 5.0 Page 17 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, 29, 30 Staff morale was good, they were enthusiastic and there was noted to be good relationships between staff and residents. Staff recruitment procedures are robust so protecting residents. EVIDENCE: The manager and deputy work full time from Monday to Friday. Rota’s indicated there are one senior carer and three carers on duty during the morning; a senior carer and two carers on duty during the evening with two carers overnight, which appears adequate for the current number of residents. During inspection it was noted that some residents had increased needs since the last inspection. The manager will need to keep this under review, especially as she is considering an application to vary the conditions of registration to enable the home to admit residents with dementia. This may lead to an increase in dependency, which would require an increase in staffing levels. In addition, there are catering, domestic, laundry, administration staff and handy man who support the care staff. A small number of staff files were inspected and found to be of a good standard, demonstrating robust recruitment procedures. Records indicated that staff were undertaking induction training to appropriate standards. Warren Farm Lodge DS0000016920.V263263.R01.S.doc Version 5.0 Page 18 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, 33, 35, 36, 38 The manager, who is supported by the senior team, provides an open positive approach. The home is managed in the interests of the residents and their health, safety and welfare is protected. EVIDENCE: The registered manager has been in post for a number of years and has considerable experience of caring for the client group. On discussion with residents they stated they were happy in the home and they felt they could approach the managers. Records indicated that formal staff supervision is occurring regularly. The home handles money on behalf of residents and the systems in place were found to be satisfactory with receipts for all purchases. There is a quality assurance system in place where they are inspected each year by a company external to Anchor. In addition, this year a customer Warren Farm Lodge DS0000016920.V263263.R01.S.doc Version 5.0 Page 19 satisfaction survey was undertaken where comments were sought from residents and relatives. The home scored above the mean in 27 out of the 37 attributes and received very positive feedback in many areas. Following the report of the customer satisfaction survey the managers held a residents/relatives meeting to discuss the findings and implemented a range of staff training in response to it. Records were inspected in respect of outstanding maintenance issues and they had been addressed. The report from the insurance company regarding the lift identified some areas that require attention and it was stated that these had been referred to the architect. Warren Farm Lodge DS0000016920.V263263.R01.S.doc Version 5.0 Page 20 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 X X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X X STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 X 3 Warren Farm Lodge DS0000016920.V263263.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? Yes Warren Farm Lodge DS0000016920.V263263.R01.S.doc Version 5.0 Page 22 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 OP7 Regulation 15 Requirement The registered person must ensure that where there are changes in residents’ conditions the care plans are updated to reflect the current care needs and the action required to meet them. The registered person must ensure the newly appointed senior staff undertake accredited medication training. The registered person must follow up the issues in respect of the passenger lift ensuring that action is taken to address them. Timescale for action 30/01/06 2. OP9 13(2) 30/03/06 3. OP38 13(4) 30/01/06 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 Warren Farm Lodge DS0000016920.V263263.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Warren Farm Lodge DS0000016920.V263263.R01.S.doc Version 5.0 Page 24 - 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!