Inspection on 18/02/10 for Willow Lodge

This inspection was carried out on 18th February 2010.

CQC found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Willow Lodge 05/05/10

Willow Lodge 17/11/09

Willow Lodge 11/12/08

Willow Lodge 21/12/07

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

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 25/04/2010.

Random inspection report Care homes for older people Name: Address: Willow Lodge 11-15 Stein Road Emsworth Hampshire PO10 8LB one star adequate service 11/12/2008 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Ian Craig Date: 1 8 0 2 2 0 1 0 Information about the care home Name of care home: Address: Willow Lodge 11-15 Stein Road Emsworth Hampshire PO10 8LB 01243375382 01329836287 andrew.geach@willow-lodge.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Karey Abbott Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Andrew Robert Geach,Mr Stephen Richard Geach care home 26 Number of places (if applicable): Under 65 Over 65 0 26 dementia old age, not falling within any other category Conditions of registration: 26 0 The maximum number of service users to be accommodated is 26. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) Old age, not falling within any other category (OP). Date of last inspection 1 1 1 2 2 0 0 8 Care Homes for Older People Page 2 of 11 Brief description of the care home Willow Lodge is registered to support and accommodate up to 26 older people any one of whom could have a diagnosis of dementia. The home is in the residential area of Southbourne, close to Emsworth. There are 14 single bedrooms and six double rooms, over three floors. The majority of the rooms have en-suite facilities, although most of en-suite baths are not currently in use. There is one communal bathroom with an adapted bath on the second floor as well as a shower room. The ground floor has a walk-in shower room. The home has a large open plan dining room / lounge which opens out onto a large patio area and secure rear garden. Care Homes for Older People Page 3 of 11 What we found: This inspection was arranged as a follow up to the issues raised at the key inspection of 17 November 2009. The report for that inspection is not vailable as it is subject to review by the CQC Quality Ratings Review Service following representations by the provider. Health and Personal Care Care records were looked at for 3 residents one of whom recently moved into the home. The home has its own pro forma for assessing the needs of those referred for possible admission. This was seen for 1 person and included the input of the persons relative. Where people are referred from social services a copy of the social services care managers assessment is obtained. Further assessments are completed following admission and include: personal history, communication, relationships/social contacts, routines and preferences, nutritional preferences, medication needs, physical needs including assessment regarding the risk of falls, memory, interests/activities, spiritual/religious/cultural practices and end of life arrangements. Care needs are assessed and care plans recorded as follows: washing, dressing, continence, hair care, bath/shower, shaving, optical/audio care, foot care and oral hygiene. There is also a care plan for needs at night. Care plans are devised for mental health needs such as confusion. Assessments and plans are devised for specific care needs such as mobility, moving and handling risk assessments, procedures for moving and handling, skin care assessments including procedures for skin care, how to deal with pressure areas and pressure injuries. Pressure sore prevention assessments and treatment plans are recorded. Staff have received training in how to deal with pressure areas. Specialist equipment is available and used for pressure sore prevention and for moving and handling. Each person has a nutritional assessment and residents weight is monitored and recorded. A resident described how he/she had seen a dietician. 3 residents said that they are looked after well and that their care needs are met. Staff are said to be responsive when residents ask for help although 1 person said that he/she had observed that those less able to request help were sometimes not helped to the toilet when they asked. Staff were observed to interact with residents with warmth and kindness. Screens were used for privacy when residents were helped to move using a hoist. Staff say that they use the care plans and update the information in them. 2 staff said that they thought the care plans could be more reflective of individual preferences. Medication procedures were looked at for the storage of controlled medication. A controlled medication cupboard has been ordered from the pharmacist but has not been delivered. This was a requirement at the previous inspection. Written confirmation was Care Homes for Older People Page 4 of 11 received after the inspection that the controlled drug cupboard has been installed. As required by the previous inspection, recorded guidance is included with medication records to show the individual circumstances of when occasional medication is required. It was noted that medication records were not securely stored when not being used and were left in communal areas used by visiting members of the public and residents. Daily Life and Social Activities Residents were observed having the midday meal. These are provided by a specialist catering company who supply the meals which are heated from frozen. The midday meal content was displayed in the lounge-dining area but was different from that provided. This was raised with the deputy manager. There was a choice from: steak and kidney pie, sliced lamb, lamb casserole, corned beef hash or vegetable bean casserole. This was served with mashed potato, cauliflower and cabbage. Residents said that they like the meals and that there is a choice. 2 people said you can have what you want for the early evening meal and that snacks are available. Complaints and Protection Residents said that they felt safe at the home. 1 person said how he/she was able to raise a problem at one of the residents meetings saying that he/she was satisfied with the response given by the home. He/she referred to the record of the meeting displayed on the notice board. Each of the 3 staff spoken to said that they felt comfortable raising any concerns with the homes manager. Staff have received training in safeguarding vulnerable adults. This was confirmed from training records and from staff. Environment A number of bedrooms and communal areas were seen. Bedrooms were tidy and there was an absence of any unpleasant odours. Personal items belonging to residents were seen in rooms including furniture brought to the home. The following health and safety matters relating to the environment were noted. A cupboard in one bedroom en suite bathroom was not secure and contained a box of broken bathroom tiles and pots of paint. A stand aid in another room was dirty and wood veneer was loose on a wardrobe door exposing nail tacks. A letter was issued at the time of the visit for these matters to be addressed immediately, which the home owners expressed a commitment to do. Written confirmation was also received that these matters have been addressed. Areas of the home are showing signs of wear and tear. Carpet was stained in 1 bedroom and walls were damaged from opening doors and the movement of staff and residents. The home has a programme to redecorate and refurbish 1 bedroom a month. A recently refurbished room was seen. The lounge has also been redecorated. Care Homes for Older People Page 5 of 11 A resident said how much he/she likes his/her room. The top floor bathroom did not have a suitable privacy lock. This was addressed at the time of the visit by the homes maintenance staff. There was also no privacy screen or blind on the frosted glass bathroom door panel. It was noted that the commodes in some of the bedrooms need to be cleaned more thoroughly to remove ingrained dirt. Staffing At the time of the visit there were 5 care staff on duty, which included the deputy manager. This was confirmed from observation, discussion with the deputy manager and from the staff rota. Staff said that there are sufficient staff on duty to meet residents needs. Comment was made that agency staff are used to cover any absences, but that there is not an over reliance on using agency staff. 2 additional care staff have been appointed since the last inspection. A kitchen staff member, maintenance person and housekeeper were also on duty. This was confirmed from observation. Staff reported that there is regular communication about residents individual needs during the handover meetings when new staff shifts start. Training records and discussions with staff show that a training programme is available. The training programme for 2010 includes the following: safeguarding vulnerable adults, fire safety, pressure area care, infection control, first aid, food hygiene, moving and handling, health and safety, dementia awareness and equality and diversity. Supervision and training records were looked at for 3 staff who were also spoken to during the visit. Records show that a programme of planned 1:1 supervision has been implemented. Supervision records show that areas identified in need of improvement at inspections are raised with staff so that performance can be improved. Staff confirmed that they receive an induction and that supervision takes place. The homes management were reminded to ensure that senior staff and the manager receive regular 1:1 supervision. 3 residents commented that staff are friendly, kind and competent. Recruitment procedures were looked at for 4 staff. This included 1 person whose recruitment details were found to be incomplete at the last visit. This was still found to be the case at this inspection as there was no employment history available for the person. There was an additional third reference from the 2 from colleagues as at the last inspection. It was not possible to tell if this reference was from a previous employer or not as the employment history was not available. The service forwarded a copy of the persons employment history immediately following the inspection. This confirmed that a reference was obtained from the most recent employer. The service needs to ensure that these details are available for inspection at all times as specified in the regulations. For the 3 remaining staff, there were copies of the required checks such as criminal record bureau (CRB) and independent safeguarding authority (ISA) checks being obtained before the person started work. 2 written references had been obtained one of which was Care Homes for Older People Page 6 of 11 from the previous employer. There was a record of any telephone references taken. Since the last inspection a new manager has been registered with the Commission. The latest certificate of registration with details of the new registered manager was displayed in the hall. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 7 of 11 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 8 of 11 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action 1 19 16 Bedrooms must be free from 19/02/2010 risk to residents. Storage areas containing maintenance equipment must be secured from vulnerable residents. Damaged furniture posing a risk of injury to residents must be made safe. So that residents do not injure themselves. 2 38 16 Equipment must be clean 19/02/2010 and free from possible risk of infection. So that residents live in a clean environment where the risk of infection is minimised. Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 9 17 Medication records must be securely stored when not in use. So that residents personal information is kept confidential. 22/03/2010 2 10 12 The frosted window pane in the bathroom door must have a privacy curtain or 22/03/2010 Care Homes for Older People Page 9 of 11 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action blind. So that residents are afforded privacy when using the bathroom. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 10 of 11 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 11 of 11 - 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!