Inspection on 19/12/05 for White Lodge

This inspection was carried out on 19th December 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 19/02/08

White Lodge 22/03/07

White Lodge 02/08/05

White Lodge 11/03/05

White Lodge 11/05/04

White Lodge 05/02/04

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 White Lodge 44-46 Madeira Road Cliftonville Margate Kent CT9 2QQ Lead Inspector Elizabeth Hendry Unannounced Inspection 19th December 2005 09:40 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 White Lodge DS0000023623.V260594.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. White Lodge DS0000023623.V260594.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service White Lodge Address White Lodge 44-46 Madeira Road Cliftonville Margate Kent CT9 2QQ 01843 225956 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) michaeljtopping@aol.com Mr Michael Joseph Topping Mrs Christine Salms Topping Care Home 23 Category(ies) of Learning disability (1), Old age, not falling registration, with number within any other category (22) of places White Lodge DS0000023623.V260594.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residential care for people with a learning disability is restricted to 1 person whose d.o.b is 13/08/37 2nd August 2005 Date of last inspection Brief Description of the Service: White Lodge is large fronted property situated in the residential area of Cliftonville, close to local shops and amenities. The home is registered to provide residential care and support for up to 23 older persons who require varying degrees of assistance. To the rear of the property there is a large garden with seating area. There is adequate street parking to front of premises. White Lodge DS0000023623.V260594.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes second annual inspection, which took place over the course of a morning on an unannounced basis. A tour of the ground floor of the home was undertaken, records and policies viewed, service users and management spoken with. What the service does well: What has improved since the last inspection? What they could do better: A service user guide must be complied to ensure prospective service users are provided with detailed information prior to admission into the home. The management of the home must ensure that recruitment procedures are fully adhered to, and all required information regarding staff members is held on file. White Lodge DS0000023623.V260594.R01.S.doc Version 5.0 Page 6 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 DS0000023623.V260594.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 White Lodge DS0000023623.V260594.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): 1 The homes does not have a service user guide, therefore prospective service users are not provided with sufficient information needed to make an informed choice about moving into the home. EVIDENCE: The responsible individual confirmed that the home’s service user guide has yet to be completed. A discussion took place between the inspector and responsible individual clarifying what should be included within this document. The responsible individual is currently undertaking their registered managers award and is compiling this document as part of their evidence. White Lodge DS0000023623.V260594.R01.S.doc Version 5.0 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 and 9 The care planning system is clear and consistent, providing staff with the information they need to meet the needs of the Service Users. Procedures within the home for the management of service users medication are good. EVIDENCE: Service user care plans were viewed and found to contain clear and concise information for staff to follow to ensure individual needs can be fully met. Staff observed, were seen to have a sound knowledge of the needs and personal limitations of each service user. Since the last inspection, each care plan now holds evidence of service user involvement in the form of signatures. Medication administration records viewed were found to tally with drugs stored. A discussion took place regarding the recording of controlled drugs when received into the home. GP consent for the administration of homely remedies was present for each service user. White Lodge DS0000023623.V260594.R01.S.doc Version 5.0 Page 10 Insulin is administered by appropriately trained staff. The registered manager confirmed that staff attend a study day with the primary healthcare trust and then are observed on a minimum of three occasions by district nurses to determine capability. Annual updates are then undertaken. White Lodge DS0000023623.V260594.R01.S.doc Version 5.0 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): These standards were not inspected on this occasion. EVIDENCE: White Lodge DS0000023623.V260594.R01.S.doc Version 5.0 Page 12 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 and 18 The homes complaints policy and procedure is good, ensuring Service users receive quality care at all times. Arrangements for protecting service users from possible abuse are good. EVIDENCE: The home has an open door policy, which encourages staff and service users to raise concerns with confidence that appropriate measures will be taken. A copy of the homes complaints policy and procedure was viewed and was found to contain detailed information in an easily read format. The homes complaints book identified that no complaints have been made to the home since the last inspection Since the announced inspection, all members of staff have attended training in adult protection. The registered manager spoke of discussing adult protection and abuse awareness at a team meeting in addition to accessing external training. Minutes of the staff meeting confirmed this. White Lodge DS0000023623.V260594.R01.S.doc Version 5.0 Page 13 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): These standards were not inspected on this occasion. EVIDENCE: White Lodge DS0000023623.V260594.R01.S.doc Version 5.0 Page 14 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): 29 Recruitment policies have not been consistently followed resulting in Service users receiving care from staff who have not been appropriately vetted. EVIDENCE: The responsible individual confirmed that progress has been made in identifying the shortfalls in the required documentation that must be held within staff files. However the requirement issued at the last inspection has not been met. All members of staff have been given copies of the General Social Care Code of Conduct. White Lodge DS0000023623.V260594.R01.S.doc Version 5.0 Page 15 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 and 38 The home is well managed. The systems for service user consultation are good, with a variety of evidence that indicates service users views are sought and acted upon. The health, safety and welfare of service users and staff are generally well promoted and protected. EVIDENCE: The Registered Manger and Responsible Individual have a high level of input into the home on a daily basis. The Registered Manager has considerable experience working with older people both within residential and hospital settings. The Registered Manager maintains her registered nurse status by undertaking a variety of training course on a regular basis. The home has no formal quality assurance policy, however the registered manager spoke of endeavouring to speak with each service user on a daily basis. White Lodge DS0000023623.V260594.R01.S.doc Version 5.0 Page 16 The manager has a clear understanding as to the goings on within the home; service users spoke of the manager providing an open door to discuss personal issues and worries. All staff undertake health and safety training as part of the induction process and attend regular updates in manual handling. The homes accident book was viewed and found to comply with the Data Protection Act 1998. The Registered Manager confirmed that there is at least one member of staff on each shift that holds a current first aid certificate. White Lodge DS0000023623.V260594.R01.S.doc Version 5.0 Page 17 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 2 X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X X X X 3 White Lodge DS0000023623.V260594.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? Yes 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 OP1 Regulation 5 Requirement The registered person shall produce a written guide to the care home. (Compile a service user guide) The registered person shall not employ a person to work at the care home unless; a) the person is fit to do so, b) subject to paragraph 1 to 7 of schedule 2. (Ensure all paperwork and CRB checks are held within each staff file.) Timescale for action 01/03/06 2. OP29 19 01/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP33 Good Practice Recommendations Formalise the homes quality assurance procedure White Lodge DS0000023623.V260594.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 DS0000023623.V260594.R01.S.doc Version 5.0 Page 20 - 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. 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