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Inspection on 12/12/05 for White Lodge Rest Home

Also see our care home review for White Lodge Rest Home for more information

This inspection was carried out on 12th 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home is providing a nice environment, many service user bedrooms have been personalised and some rooms have been redecorated. The atmosphere of the home is friendly and service users state the homes staff are excellent. Throughout the day service users were heard to be laughing and singing with staff and obvious good relationships are in place between staff and service users. The home is holding occasional service user meetings and the service users state that they are able to express their views freely. Service users confirmed that the provider and homes staff attempt to address their issues. Two relatives confirmed that if they raised anything with the staff it was always acted upon. Service users confirmed that they enjoy their lifestyles and some service users who are able to go out alone do so and to venues of their choice. Service users state that they enjoy the range of activities that the home provides and when staff are able, to be assisted with access to the local community.

What has improved since the last inspection?

The home has built an extra bathroom, which benefits service users and has refurbished the staff toilet.

CARE HOMES FOR OLDER PEOPLE White Lodge Rest Home 79-83 Alma Road Portswood Southampton Hampshire SO14 6UQ Lead Inspector Lorraine Parton Unannounced Inspection 12th December 2005 09:00 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 Rest Home DS0000011852.V259695.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 Rest Home DS0000011852.V259695.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service White Lodge Rest Home Address 79-83 Alma Road Portswood Southampton Hampshire SO14 6UQ 023 8055 4478 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) Mr Michael J Foot Mr Michael J Foot Care Home 27 Category(ies) of Dementia (27), Dementia - over 65 years of age registration, with number (27), Mental disorder, excluding learning of places disability or dementia (27), Mental Disorder, excluding learning disability or dementia - over 65 years of age (27), Old age, not falling within any other category (27) White Lodge Rest Home DS0000011852.V259695.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 5 service users aged 60-65 years may be accommodated. Date of last inspection 31st August 2005 Brief Description of the Service: Whitelodge is a large care home situated in Southampton and is close to local facilities. The home is registered for twenty-seven service users within the categories of old age, dementia and mental health. The home is owned and managed by Mr Foot. The home provides accommodation in a range of double and single rooms and some rooms are on the ground floor. The home has two lounges and dining rooms a kitchen and suitably located bathrooms and toilets. To the front of the house is a small garden and to the rear is a nicely maintained garden and patio, which is accessible to service users. White Lodge Rest Home DS0000011852.V259695.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The second inspection of the inspection year took place over 2 hours and the purpose was to ensure compliance with previous legal requirements brought to the homes attention at the first inspection in August 2005 and to complete the inspection process for the year. The inspector audited 4 standards and reassessed 5 standards, of which the inspector had raised 1 requirement at the last inspection. All key standards have now been assessed throughout the year. The inspection involved a walk around the home and an audit of some of the homes documentation. The inspector was assisted by the homes staff. Much of the inspection was spent talking to the service users who clearly displayed their involvement in the home. Service users spoken to advised the inspector that they enjoy living at the home and that the homes staff are ‘lovely’, ‘kind and caring’ and ‘fun’. Several service users commented on how homely the home is and that they feel happy because the staff respect them and their views. What the service does well: What has improved since the last inspection? White Lodge Rest Home DS0000011852.V259695.R01.S.doc Version 5.0 Page 6 The home has built an extra bathroom, which benefits service users and has refurbished the staff toilet. 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 Rest Home DS0000011852.V259695.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 Rest Home DS0000011852.V259695.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): None EVIDENCE: None of the standards were assessed on this occasion. Previous inspections found these standards to be met. White Lodge Rest Home DS0000011852.V259695.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 All service users have an adequate care plan. EVIDENCE: Previous inspections found this standard to be fully met. One service users care plan was audited by the inspector, which was found to include all relevant information relating to care needs. The home had undertaken an assessment and this had been incorporated in the service users plan. The home had undertaken risk assessments and had involved all relevant health care professionals. White Lodge Rest Home DS0000011852.V259695.R01.S.doc Version 5.0 Page 10 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): 12, 13 Service users confirmed that they enjoy living in the home and that the home meets their needs, provides suitable activities and supports their choices in their lifestyles. EVIDENCE: The inspector spent the majority of the inspection talking with service users and participating in the homes activities. At the time of the inspection the home had a visiting musician, who service users stated they enjoyed. Service users advised the inspector of the large range of activities the home provides. Individual choices in hobbies and leisure are supported by the home, which was witnessed by the inspector. Several service users were seen participating in the home as they wished and these service users advised the inspector that the home supports their choices. Several service users advised the inspector that the home asks them what they want and then tries to provide it. Service users advised the inspector of the range of activities that were planned for the Christmas period, which included parties and visiting musicians. The home had organised several events for the Christmas period including visiting musicians for Boxing Day. The home stated that this is usually a quiet day and that they wanted to ensure service users enjoy the season. White Lodge Rest Home DS0000011852.V259695.R01.S.doc Version 5.0 Page 11 Several service users stated that they were going out supported by the homes staff and some service users advised the inspector that they are spending time with their families. The inspector was advised that the home supports access to service users families and outside venues of their choice where possible. The inspector had the opportunity to speak to two visitors in the home and both spoke very highly of the care their relatives receive and the attitudes of the homes staff. Visitors also stated that they are invited to join in the activities of the home, which they felt is exceptional. White Lodge Rest Home DS0000011852.V259695.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): None EVIDENCE: None of the standards were assessed on this occasion. Previous inspections found these standards to be met. White Lodge Rest Home DS0000011852.V259695.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): None EVIDENCE: None of the standards were assessed on this occasion. Previous inspections found these standards to be met. The home has built a new bathroom for service users and refurbished the staff toilet since the last inspection. Both have been done to a good standard and the extra bathroom will be of benefit to service users. White Lodge Rest Home DS0000011852.V259695.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): None EVIDENCE: None of the standards were assessed on this occasion. Previous inspections found these standards to be met. White Lodge Rest Home DS0000011852.V259695.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, 32, 33, 35, 36, 38 Service users live in a well managed home that is run for their benefit. Service users are consulted about the running of the home, however, this needs formalising. Adequate financial records safeguard service users money. Some staff are supervised and appraised within their jobs, however, these need developing to ensure all staff receive supervision. Mainly service users and staff are protected by policies and procedures, however, these need further development. EVIDENCE: Service users and visitors to the home all spoke positively about the home and the care they received. Service users confirmed that the providers are White Lodge Rest Home DS0000011852.V259695.R01.S.doc Version 5.0 Page 16 available in the home almost every day and that the homes staff seek their views about the service it provides. The home occasionally holds service user meetings and on a daily basis service users are spoken with to see if there are any issues. The meetings held had been documented. Service users confirmed that staff act on their wishes and this was evidenced through menus, activities and how care is provided in the home. The home has started to look at ways to formalise how they consult with service users and visitors to the home. Service users spoken to confirmed that their views are listened to and that the home acts on their concerns. Following discussions with the homes staff it appears the home does not seek the views of all stakeholders of the business. The home is required to formalise their monitoring of the quality of the service it provides. The home does not manage any of the service users money and only holds one service user’s money in the homes safe. The home keeps adequate records. The home had started to implement staff supervisions, which was found to be in the early stages. Only some of the staff had received supervision. A further requirement has been made. The home has undertaken some risk assessments and implemented controls for the identified risks, including radiators, hot water, chemicals and moving and handling. Some areas of risk had not been documented and controls implemented, for example the risk of falls from a height (first floor windows), and young staff. The risk assessments have not been recently reviewed and had not been signed. The home has an adequate infection control policy and has implemented procedures as currently the sluice facility is in the laundry room, whilst the sluice room is being refitted. On audit of the homes certificates all were found to be up to date, however, the home does not undertake Portable Appliance Testing. The home is to review its risk assessments and implement risk assessments for any further identifiable risks. The home is required to consult with Environmental Health regarding risk assessments and for guidance on Portable Appliance Testing. White Lodge Rest Home DS0000011852.V259695.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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 2 X 2 White Lodge Rest Home DS0000011852.V259695.R01.S.doc Version 5.0 Page 18 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 OP30 Regulation 18(2) Requirement Implement staff supervision meetings. These must be carried out at least three monthly for all staff. This remains outstanding from the last inspection. Consult with the homes Environmental Health department regarding Portable Appliance Testing and risk assessments. Risk assessments must include for example falls from height and young workers Timescale for action 28/02/06 2 OP38 13 28/02/06 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 monitoring system. This should include service user choices and involvement in the home. White Lodge Rest Home DS0000011852.V259695.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Rest Home DS0000011852.V259695.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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