Inspection on 22/03/07 for White Lodge

This inspection was carried out on 22nd March 2007.

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 19/12/05

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 Tina Thomas Key Unannounced Inspection 22nd March 2007 09:30 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.V326726.R01.S.doc Version 5.2 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.V326726.R01.S.doc Version 5.2 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.V326726.R01.S.doc Version 5.2 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 29th August 2006 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. The home has a passenger lift. To the rear of the property there is a large garden with seating area. There is adequate street parking to front of premises. Fees are from £312-£365 White Lodge DS0000023623.V326726.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection. The inspection process took place over a period of time, information was gathered, and it concluded with a site visit conducted over a 4 hr period. Judgements were made by taking into account evidence from a range of documentation, a tour of the home, views of service users, staff and the Provider. What the service does well: What has improved since the last inspection? What they could do better: The home must ensure that criminal record checks or at least a POVA first check are in place prior to staff commencing employment at the home. Please contact the provider for advice of actions taken in response to this White Lodge DS0000023623.V326726.R01.S.doc Version 5.2 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. White Lodge DS0000023623.V326726.R01.S.doc Version 5.2 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.V326726.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 and 6 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Prospective service users have sufficient information about the home so as to be able to make an informed choice. Prospective service users needs are fully assessed before they move into the home so as to ensure that they can be met. The home does not offer intermediate care. EVIDENCE: White Lodge DS0000023623.V326726.R01.S.doc Version 5.2 Page 9 The home has a well-documented statement of purpose and service user guide, which clearly reflects what the home has to offer and describes day-today life at the home. The provider/manager Mrs Topping conducts all the pre-admission assessments. Mrs Topping is a Level 1 Registered General Nurse (RGN). The assessments are holistic in nature. They are well documented. This ensures that the home can meet all of the needs of the people that come to live at the home. The home does not offer intermediate care as described in Std 6 National Minimum Standards (Homes for older people). White Lodge DS0000023623.V326726.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The planning of care is very good. Service users health care needs are met. Practices regarding medication are safe. The home adopts practices that ensure that the privacy and dignity of service users is protected. EVIDENCE: White Lodge DS0000023623.V326726.R01.S.doc Version 5.2 Page 11 The home develops a plan of care for each person living at the home. Records are organised and easy to follow. Each person’s needs are assessed and a plan developed stating how staff are to support these needs, and how each person likes to have their care needs delivered. Service users that are able have signed agreement of their plans. The plans are regularly reviewed. Entries in care plans showed that service users had access to G.P’s and other specialist services. The home had equipment for the comfort of service users for example: air beds and pressure relieving cushions. Procedures regarding the ordering, administration, storage, and safe disposal of medication was audited and found to be sound. Staff receive ‘in house’ training regarding medication from Mrs Topping and an additional formal study day. Staff who administer medication have their competency regularly reviewed by Mrs Topping who is a trained assessor. Service users spoken with said that the care staff observed their privacy. Care staff knocked on doors before entering private rooms. Some service used the locks on their bedroom doors and carried their own key. White Lodge DS0000023623.V326726.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12-15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a programme of activities, which considers the preferences of service users. Service users are encouraged to maintain contact with family, friends and the community. Service users are encouraged to exercise choice and control over their lives Meals are wholesome and plentiful. EVIDENCE: Service users expressed that they were happy at the home and how for some life at the home met their expectations. One service user said ‘I’d recommend White Lodge DS0000023623.V326726.R01.S.doc Version 5.2 Page 13 it to anyone.’ Service users retire to their room when they choose, and get up and go to bed when they choose to. Staff agreed that the home had a developing programme of activities. Service users enjoy each other’s company. Activities regularly include: theatre visits, story reading, current affairs, film afternoons, bingo, and a visiting organist. Service users agreed that their relatives were made welcome during visits. They agreed that their visitors were welcome at all times without appointment. Service users are encouraged to exercise choice and control over their own lives. Service users are encouraged to bring items from their own homes to personalise their own rooms. Service users and staff agreed that meals are wholesome and plentiful. Service users felt comfortable in asking for what they wanted. Hot and cold drinks together with snacks are offered to service users regularly. White Lodge DS0000023623.V326726.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has a suitable complaints procedure. The home has suitable procedures, and training in place to ensure that service users are protected from abuse. EVIDENCE: A complaints procedure was available to all service users and this was included in the service user guide. Service users spoken with all felt safe, listened to, and able to speak to the Provider or manager if they were not happy about anything to do with their care. The home has a complaints policy and a complaints book, but they have no ongoing complaints. They also have a compliments log, which had thank you letters from relatives. White Lodge DS0000023623.V326726.R01.S.doc Version 5.2 Page 15 The home has a whistle-blowing policy. Staff expressed that they would be confident to speak out if they were unhappy with others care practices, and expressed poor practice would not be tolerated at the home. Staff have adult protection awareness in their NVQ Level 2 training, plus additional training, so as to ensure the ongoing safety of service users. The policy and procedures of the home ensure service users finances are protected. White Lodge DS0000023623.V326726.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean, well maintained and homely. Radiators must be guarded to ensure service user safety. EVIDENCE: The home is clean and odourless throughout. The home is suitable for its purpose. The home has a selection of communal rooms, including a smoking room. The home has a garden area that is enjoyed by service users for various activities and has raised flowerbeds. The home has an on-going programme of routine maintenance. White Lodge DS0000023623.V326726.R01.S.doc Version 5.2 Page 17 The home is furnished in a homely and domestic manner. Service users own bedrooms are personalised with their own items. Staff have had fire training, the home has regular fire alarm practice. The home has sought advise from the local fire service regarding their fire risk assessment. This promotes service user safety in the event of a fire. Radiators at the home are not guarded. The provider has evidence that covers for all radiators have been ordered, in line with his development plan and the delivery is imminent. The home has a maintenance man who will be responsible for putting these in place. The home has a suitable laundry. White Lodge DS0000023623.V326726.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are sufficient care staff to meet service users holistic needs. The homes practice regarding the recruitment of staff must be improved in one area to ensure service users safety. Staff receive suitable induction and foundation training. EVIDENCE: The home has a stable staff group. Staff and service users agreed that there are adequate numbers of staff on duty at all times. The provider gave examples of when extra staff had been provided to meet the individual needs of service users when they had needed some additional support. At least 50 of care staff have been trained to NVQ Level 2 or above in care. The home has an induction which staff undertake when they first work at the home, which is in- line with Skills for Care. White Lodge DS0000023623.V326726.R01.S.doc Version 5.2 Page 19 Staff files were seen and contained all the information required for regulation. However, the provider agreed that although he has applied for one staff members CRB, they had commenced employment prior to the return of their CRB check and without a POVA first check. He explained however, that this staff member does not work unsupervised. All other staff had suitable CRB’s. White Lodge DS0000023623.V326726.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is generally run in the best interests of the service users. EVIDENCE: The Home is owned by Mr and Mrs Topping. They are on the premises most days. Mr Topping is completing the Registered Managers Award. Mrs Topping is a Level 1 RGN. They both demonstrate an in-depth knowledge of the homes service users and their needs. White Lodge DS0000023623.V326726.R01.S.doc Version 5.2 Page 21 The providers have started a process of quality assurance. Surveys have been sent out to service users and their relatives. The home has recently had a service user meeting so that service users can express their views and effect the way in which the home is conducted. The providers were pleased that service users had been prolific in their input. Policies and procedures within the home have all been reviewed. Questionnaires received by the Commission from service users and their relatives indicated that they were very happy at the home. The home is developing a business and development plan so as to continue planning for the future and evaluating the systems they have put into place this year. Service users financial interests are safeguarded. Written records are maintained of all transactions. The home has secure facilities for the save keeping of money and valuables. Generally, the health, safety and welfare of service users and staff are promoted and protected. Where there are shortfalls i.e. unguarded radiators, the provider has taken steps to ensure that this will be corrected within a reasonable timescale. Staff receive suitable mandatory training to ensure service user safety. Gas, electrical, hoist, fire and other servicing were up to date so as to ensure health and safety within the home. White Lodge DS0000023623.V326726.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x 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 Standard No Score 16 3 17 x 18 3 3 x x x x x 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 White Lodge DS0000023623.V326726.R01.S.doc Version 5.2 Page 23 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 OP29 Regulation 19 Requirement 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 01/03/06 NOT MET Timescale for action 01/05/07 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 White Lodge DS0000023623.V326726.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V326726.R01.S.doc Version 5.2 Page 25 - 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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