Inspection on 01/08/05 for White Lodge

This inspection was carried out on 1st August 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

White Lodge 19/06/06

White Lodge 01/02/06

White Lodge 09/12/04

White Lodge 18/05/04

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 White Lodge South Strand Angmering on Sea Littlehampton, West Sussex BN16 1PN Lead Inspector Diane Peel Announced Monday, 1 August 2005, 09.30am, V233474 st 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. White Lodge H60-H11 S14835 White Lodge V233474 010805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service White Lodge Address South Strand, Angmering on Sea, Littlehampton, West Sussex, BN16 1PN 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) 01903 784415 South Coast Nursing Homes Limited Mrs Lesley Margaret Trudgett CRH 30 Category(ies) of OP-30 registration, with number of places White Lodge H60-H11 S14835 White Lodge V233474 010805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 30 persons in the registration category OP over 65 years Date of last inspection 09/12/04 Brief Description of the Service: White Lodge is a care home able to offer personal care and support for up to 30 residents who are over 65 years of age. The property is a two storey extended detached house, set in its own grounds approximately 200 yards from the sea and village centre. Accomadation is provided in twenty-seven single rooms and two double rooms. All rooms are currently being used for single occupancy. Bedrooms have en-suite facilities and the rooms on the upper floor can be accessed by a passenger lift. Communal areas consist of a lounge, conservatory and dining room on the ground floor with an additional lounge on the upper floor. White Lodge H60-H11 S14835 White Lodge V233474 010805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 6 hours on the 1st August 2005. The inspector arrived at 9.30am and was welcomed by the manager of White Lodge. A full tour of the home took place and the majority of the 26 residents living at the home were met. Nine residents were spoken with in depth to find out if they felt that their needs were being met. The inspector joined residents for lunch to sample the meal and meet with other residents who had not been spoken with in the privacy of their rooms. The care records of four residents were inspected during the visit along with other records, which showed how care needs are to be met. The records of three staff were also inspected and three staff were spoken with informally. Sixteen service user comment cards were returned prior to the visit to White Lodge. Fifteen comment cards indicated that residents were satisfied with the facilities at the home and the standard of care provided, whilst one returned card suggested that there were some areas, which although sometimes satisfactory, could be improved. The inspector met with one relative visiting the home during the inspection and gained positive feedback about the standards of the home. What the service does well: White Lodge provides a well-maintained homely environment for residents to live in. Care plans are clear and provide staff with the information, which they need to meet the needs of the residents. There is a core staff team, which provides residents with consistency and an opportunity for residents to build up relationships. The staff team treat residents as individuals and offer choice to encourage them to maintain levels of independence. White Lodge H60-H11 S14835 White Lodge V233474 010805 Stage 4.doc Version 1.30 Page 6 Meals are varied, nicely presented, offer choice and are served in pleasant surroundings. The manager provides leadership and encourages an open, positive and inclusive atmosphere. 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. White Lodge H60-H11 S14835 White Lodge V233474 010805 Stage 4.doc Version 1.30 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 White Lodge H60-H11 S14835 White Lodge V233474 010805 Stage 4.doc Version 1.30 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) 1,2,3,4,5 and 6 A Service User Guide provides information about the home and the service, which it offers to enable prospective residents to make an informed choice about moving into the home. Residents are assessed prior to moving into the home to make sure that the home can provide a care plan which residents or their families know will meet their needs. Prospective residents, their relatives and friends have an opportunity to visit the home to look at the facilities available and assess its suitability before moving in. White Lodge H60-H11 S14835 White Lodge V233474 010805 Stage 4.doc Version 1.30 Page 9 EVIDENCE: A Statement of Purpose and Service User guide has been produced to ensure that prospective residents and their representatives are provided with accurate information about the service, which the home offers. Care records viewed showed that residents have their needs assessed prior to moving into the home and daily records are kept, which for at least one residents records observed, recorded the details of the assessment visit. A sample contact was viewed during the inspection but it did not include the room number to be occupied. As the inspection process sampled care records the inspector is not assured that all residents have contracts. Residents spoken with explained how they had come to live at White Lodge. For many residents relatives had visited on their behalf. One resident commented that they had originally been visiting another relative living at the home, they had liked the atmosphere and the high standards which the environment offers and so had decided to move into the home themselves when they could no longer cope at home. Another resident explained that they had visited the home after their husband had died and had chosen the room because of the view and its size. They had wanted somewhere that could accommodate some pieces of furniture and this home had enabled the resident to bring the furniture, which was observed to be in the room on the day of the visit. Intermediate care is not provided by the home although the home does offer periods of respite care. White Lodge H60-H11 S14835 White Lodge V233474 010805 Stage 4.doc Version 1.30 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,and 10 Systems for care planning give clear information to assist with all aspects of health, personal and social care needs. Resident’s heath care needs are monitored to make sure that any signs of residents becoming unwell are recognised. Medication at the home is well managed and ensures that residents are protected by the homes procedures for dealing with medication. Residents are treated with respect and their rights to privacy are recognised. EVIDENCE: The care plans give clear information to staff to enable them to meet the needs of the residents in all aspects of heath, personal and social care. Those care plans viewed had been regularly reviewed and showed that changes to residents needs are recorded and the plan of care revised. Progress notes are in use to monitor the heath and well being of residents and assessments are in place ensure the safe moving and handling of individual residents. White Lodge H60-H11 S14835 White Lodge V233474 010805 Stage 4.doc Version 1.30 Page 11 Residents spoken with confirmed that they have access to the health care professionals. A Doctor was observed to be visiting the home on the day of the visit. Residents commented that a Doctor from this surgery visits once a fortnight as routine practice. Other residents confirmed that they could keep their own Doctor if they had lived locally before moving into White Lodge. Two residents spoken with confirmed they were receiving medical care from District Nurses who visit the home. During the visit a resident was found on the floor in the bedroom. This incident was observed to be dealt with calmly and professionally. Medication procedures are in place to protect residents from the mishandling of medicines. Records viewed were well kept and up to date. Residents commented that if they want to stay in the privacy of their bedroom they could. During the visit staff were observed to knock on doors before entering bedrooms and were heard to speak to residents in a respectful manner. Accidents reports viewed were observed to be detailed and clear. White Lodge H60-H11 S14835 White Lodge V233474 010805 Stage 4.doc Version 1.30 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) 12,13,14 and 15 The home provides a lifestyle that respects privacy, dignity and choice, so that residents are able to retain some control over their lives. Residents are encouraged to maintain contact with their family and friends so that they so that they can satisfy their social and emotional needs. Meals are well managed and offer choice so that residents have a variable diet and have meals, which they can look forward to. EVIDENCE: When the inspector arrived at White Lodge at 9.20 am some residents were sitting in the lounge and conservatory. Others were in their rooms taking time to get up and get washed and dressed after breakfast. During the visit residents spoke about their routines at the home which appeared to be very flexible. One resident spoke about going out for walks when the weather is suitable and the need to remain mobile. Another resident showed the inspector her collection of scrapbooks, which she puts together and sends to a local Hospice. The same resident also talked about the watercolour paintings, which she does, a selection of which are framed and on display on the wall in her bedroom. White Lodge H60-H11 S14835 White Lodge V233474 010805 Stage 4.doc Version 1.30 Page 13 Residents spoke about the regular craft sessions at the home and musical entertainers that visit. There are occasional fashion parties and bingo sessions. The home also has its own mini shop, which residents can use to purchase toiletries, and snacks if they do not want or are unable to go to the local shops. A relative visiting the home told the inspector that the home is “marvellous”. Their relative being visited commented that they usually liked the food. Residents spoken with in the privacy of their rooms and during the meal at lunchtime all had positive comments to make about the standard of food. One resident said, “this chef has made some big improvements”. The menus provided prior to the inspection showed plenty of variety and choice and residents commented that they could always ask for something different if there wasn’t anything on the menu, which they wanted. White Lodge H60-H11 S14835 White Lodge V233474 010805 Stage 4.doc Version 1.30 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 standard(s) 16 and 18 The clear complaints procedure enables those using the service to have the confidence that their compliant will be responded to within a maximum of 28 days. The home has policies and procedures for responding to adult protection matters but not all staff have received training to ensure that they were fully aware of their responsibility to recognise and report abuse. EVIDENCE: The complaints procedure is available in the Service User Guide and on display in the hall. It is clear and specifies how complaints should be made, with an assurance that any complaint will be responded to within 28 days. Complaints records show that there have been two complaints made directly to the home, which has been dealt with in accordance with the homes complaints procedure. There have been no complaints made to the Commission for Social Care and Inspection (CSCI) since the last visit to the home. White Lodge has its own policies and procedures to safeguard residents from abuse in addition to the West Sussex Multi-Agency Policy for protecting vulnerable adults from abuse. Adult protection training was provided by the company in 2004 and is scheduled to take place again in October 2005. A recommendation has been made that the registered persons ensure that all staff attend adult protection training. White Lodge H60-H11 S14835 White Lodge V233474 010805 Stage 4.doc Version 1.30 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 standard(s) 19,20,21,22,23,24,25 and 26 White Lodge is well maintained and provides a safe environment for residents to move around in. It is clean and residents have a comfortable, homely environment to live in. Comfortable bedrooms are provided which residents have personalised to make homely. EVIDENCE: The home was observed to be clean and well maintained. Residents commented that the home was always well looked after. Communal areas are furnished to high standards, providing a homely atmosphere. All residents spoken with had positive comments to make about their rooms and it seemed that they had all chosen their rooms for a different reason. One resident liked her room because it was on the ground floor and looked out onto a private rear garden. Another resident liked her room because it a “lovely view of the front garden and a glimpse of the sea”. One resident commented that he had originally had a room on the ground floor but had had his eye on White Lodge H60-H11 S14835 White Lodge V233474 010805 Stage 4.doc Version 1.30 Page 16 this room upstairs. When the room had become vacant he had asked the manager if he could move to the room, which he had during the visit. Residents have personalised their rooms and made them homely and comfortable. All radiators at the home are now covered to protect residents from burns and window restrictors are fitted to windows above ground floor level except for the upstairs lounge. A recommendation has been made that risk assessments are carried out on these windows and restrictors fitted. White Lodge H60-H11 S14835 White Lodge V233474 010805 Stage 4.doc Version 1.30 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 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) 27,29 and 30 The staffing numbers are set at level, which allows residents assessed needs to be met. Recruitment procedures safeguard and protect residents at the home. The comprehensive training programme provided by the company ensure that staff are provided with the majority of skills to do the job. EVIDENCE: There is a core staff team at the home, who offer consistency to the residents living at White Lodge. The staff files of three members of staff were fully inspected during the visit and other records were viewed to make sure that CRB and POVA clearance is sought for all staff. Records viewed at this visit were in good order and had evidence of identification. Rotas provided prior to the visit showed that staff are employed with the appropriate skill mix to meet the needs of residents over the 24-hour period. Residents spoken with made many positive comments about the staff team. One resident said, “the staff are very kind and I feel well looked after.” Another resident commented, “the girls are highly organised”. White Lodge H60-H11 S14835 White Lodge V233474 010805 Stage 4.doc Version 1.30 Page 18 There is a staff-training programme organised by the company. Records showed that staff attended training regularly. Not all staff have attended adult protection training. A recommendation has been made that the company ensures that all staff attend adult protection training. White Lodge H60-H11 S14835 White Lodge V233474 010805 Stage 4.doc Version 1.30 Page 19 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) 31,32,33,35,37,38 The home is well managed providing leadership and guidance for staff. Environmental risk assessments are in place, which protect residents from the majority of environmental risks to their heath and safety. Staff are able to undertake safe working practices, to ensure the safety and welfare of residents. EVIDENCE: Residents feel that the home is well managed. Staff benefit from a wellorganised manager who has the best interests of residents at the forefront of the homes aims and objectives. The manager has more than two years experience as a manager and has completed an NVQ Level 4 in Care Management. White Lodge H60-H11 S14835 White Lodge V233474 010805 Stage 4.doc Version 1.30 Page 20 The company have not yet introduced a formal Quality Assurance system to monitor its level of service provision to residents. All records seen during this inspection were informative and up to date. The home was observed to be a reasonably safe place for residents to live but a recommendation has been made with regard to the restricting the opening of the windows of the upper floor lounge. White Lodge H60-H11 S14835 White Lodge V233474 010805 Stage 4.doc Version 1.30 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 4 3 3 3 4 2 3 STAFFING Standard No Score 27 3 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 3 3 1 3 3 x 3 2 White Lodge H60-H11 S14835 White Lodge V233474 010805 Stage 4.doc Version 1.30 Page 22 Yes 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 33 Regulation 24.1 Requirement A formal quality assurance system must be established. (previous timescale of 9th Marcch 2005 not met) Timescale for action 1st Oct 2005 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. 2. 3. 4. Refer to Standard 2 18,30 25,38 Good Practice Recommendations The contract should state the room number to be occupied. All staff take part in Adult Protection training and staff records record attendence. The windows in the upper floor lounge should be risk assessed and appropriate restrictors fitted. White Lodge H60-H11 S14835 White Lodge V233474 010805 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 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 White Lodge H60-H11 S14835 White Lodge V233474 010805 Stage 4.doc Version 1.30 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. 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