Inspection on 05/05/10 for Willow Lodge

This inspection was carried out on 5th May 2010.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Willow Lodge 18/02/10

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 04/09/2010.

Random inspection report Care homes for older people Name: Address: Willow Lodge 11-15 Stein Road Emsworth Hampshire PO10 8LB zero star poor service 17/11/2009 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: 0 5 0 5 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 8 0 2 2 0 1 0 Care Homes for Older People Page 2 of 9 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 9 What we found: The inspection consisted of a site visit of 3 hours and 15 minutes. Discussions took place with the manager and the 2 owners of the home. Two staff were interviewed. Staff were observed working with residents. Records, documents and policies and procedures were looked at. Choice of Home The process of assessing someones needs before they are admitted to the home was looked at for 1 person. This showed that the home carried out a comprehensive assessment of needs, which included consideration of assessments provided by the social services care manager. The homes pre admission assessment included mobility needs, and the persons capacity to make decisions. Health and Personal Care A residents care plan was looked at. This included assessment of mobility and instructions for staff to follow in providing the required support. The care plan included assessments and guidance on support for the following needs: general health, mobility, memory, daily routines and preferences, nutrition, medication, interests/activities, spiritual/religious/cultural, end of life care, washing, dressing, continence, hair care, bath/shower, optical/hearing, foot care and oral hygiene. There was a separate care plan for night time. Risk assessments were recorded for the following areas: the likelihood of falls, self harm, harm to others, abuse, nutrition, aggression, fire safety, wandering, ability to self medicate and risk of pressure sore. A corresponding care plan with times of observation needed by staff was recorded. The manager stated that the home has introduced a revised risk assessment format. Care records also include a nutrition screening tool and a Barthel assessment. Daily running records are maintained of daily events and were seen to be of a good standard with dates and signatures of staff recorded for each entry. Since the last inspection the home has installed a controlled drug cupboard. It was noted that the location of this could be improved as it requires staff to use a step ladder. Daily Life and Social Activities Since the last inspection the home has appointed a staff member specifically for providing activities for the residents. At the time of the visit, the activities co ordinator was observed interacting with residents by giving hand massages and conducting a quiz, which residents engaged in. Complaints and Protection Since the last inspection social services have been involved in 2 investigations under the safeguarding procedures. One of these is concluded and action has been taken regarding Care Homes for Older People Page 4 of 9 the other incident. Records show that the home has worked with social services in providing information. The home has a copy of the local authority multi agency procedures for the safeguarding of vulnerable adults. Environment Four bedrooms were seen during the visit. Each was found to be clean with the exception of the carpet in 1 room. The home owners plan to redecorate this room when it is vacant. As required by the previous report damaged furniture has been replaced. Secure lockable storage is provided in bedrooms. A requirement made in the previous report regarding storage and safety in bedrooms had not been fully complied with. A storage cupboard in an en suite bedroom, which was not secure and contained paint pots and broken tiles had been made partly safe by the removal of a handle. The door had been made secure by the use of a screw, which was protruding and posed a risk of injury to staff or residents. A mattress was propped up on its side in the same bathroom posing a hazard. In another bedroom there was a similar cupboard containing Christmas decorations. Whilst these risks are not substantive, and the home has written to confirm that the matters have been addressed, the situation reflects a lack of understanding of minimising environmental risks in the home. Staffing The staff rota was checked for 5 specific weeks. This was to check whether the home has had sufficient numbers of staff to meet residents needs and to check the hours being worked by staff as a complaint was made to the Commission that 1 staff member had worked 24 hours non stop including a waking night. The home confirmed that 1 staff member did work these hours, but that this was an isolated incident due to staff shortages. The rotas showed that the home had sufficient numbers of staff on duty with between 4 and 5 care staff on duty from 8am to 2pm each day and 3 to 4 care staff from 2pm to 8pm. Additional staff include the manager and the catering staff. The rota showed that some staff were working up to 66 and 60 hours on a regular basis. The Commission consider that this is too many hours and may affect staff performance and the care of residents. Staff working long hours said that they did not feel it was a problem, that they dont get tired, that they choose to work these hours and are able to take frequent breaks throughout the day. Staff said that they feel supported in their work and are encouraged to say if they feel the working hours are too long. The manager stated that 2 new staff are to shortly start work at the home, which will reduce the need for staff to work long hours. Staff confirmed that they are provided with frequent training, including access to National Vocational Qualifications in care, pressure area care, dementia care, medication procedures and moving and handling. Staff also said that they have one to one supervision. Management and Administration The home liaises with the appropriate health and safety agencies such as the local Care Homes for Older People Page 5 of 9 Environmental Health department. A recent Environmental Health Officers inspection made recommendations for improving health and safety, which the homes owners said are either completed or are being completed. It was also advised that the homes risk assessments are reviewed and updated. Training records show that 8 care staff have completed first aid training. 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 6 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ 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 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. Care Homes for Older People Page 7 of 9 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 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 27 18 Arrangements must be made 11/06/2010 so that staff do not work excessive hours. So that the home deploys competent staff. 2 38 13 All parts of the home must 25/06/2010 be free from hazards to residents and staff. The home must carry out an assessment of environmental risks and take action to minimise those risks. So that residents and staff are safe. 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 8 of 9 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. 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