Latest Inspection
This is the latest available inspection report for this service, carried out on 4th December 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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.
For extracts, read the latest CQC inspection for Britannia Lodge.
Annual service review
Name of Service: Britannia Lodge The quality rating for this care home is: The rating was made on: two star good service 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Carolyn Delaney Date of this annual service review: 2 6 1 0 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service
Address of service: 1 Ailsa Road Westcliff On Sea Essex SS0 8BJ 01702432927 01702432927 nurselynne@hotmail.com Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Wardour Group Ltd Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Number of places (if applicable): Under 65 Over 65 14 1 Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Britannia Lodge is an established residential care home with nursing for those with enduring mental health care needs. The cost of care at this home ranges from 350 - 520 pounds per week. The home is registered to accommodate those who are admitted under section 7 and section 25 of the Mental Health Act 1983. The home is a modified traditional residential property situated within a residential area. It is in close proximity to local bus and train routes and to local amenities including local and main shopping areas of both Southend and Westcliff. The home is registered for 15 residents. The residents? accommodation is situated on both floors and assisted access is provided by a passenger lift. There are single and Annual Service Review Page 2 of 8 double bedrooms. Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We carry out an Annual Service Review for services which have 2 star good, or 3 star excellent ratings and who provide good outcomes for people they serve. In carrying out this review we looked at all of the information that we have received about the home, or asked for since the last key inspection. We last inspected the home on 7th January 2008. We carried out an Annual Service Review for the home on 3rd December 2008. We reviewed the information in the homes Annual Quality Assurance Assessment (AQAA), which was returned to us on 19th October 2009. The AQAA is a selfassessment in which the manager is legally required to tell us how well outcomes are being met for people who live in the home. It also provided some numerical information about the service including numbers of staff who work there, the number of complaints received etc. We sent surveys to residents, staff and health care professionals to complete. At the time of completing the review we had received surveys from nine people who lived in the home. Comments received were included within the final report. We also reviewed any information we have received about how the service has managed any complaints or safeguarding (protecting people) issues. We looked at the information that the manager told us about things that have happened in the home such as illness or injury or any other event which would affect people who live there. These are called notifications and the manager must legally inform us of them. What has this told us about the service? The manager told us in the Annual Quality Assurance Assessment about the ways they involved the people living in the home in making decisions and affecting changes in how the home was managed. They told us that they held monthly residents meetings, which were minuted and then displayed on the residents notice board. They also have a suggestion and comments box for both residents and staff. The manager told us that they intended to involve the residents with the future updates of the homes policy and procedures and the homes statement of purpose. Residents were encouraged to plan their care with their key worker and named nurse Residents choice of colours and internal decor were taken into consideration during home improvements. The manager told us of the changes made as a result of listening to what residents told them. They told us that there were more recent activities and outings and that there was an improved meal menu and twenty four hour access to beverages and fresh fruit, which is left in a fruit bowl by the tea trolley for the residents to consume at their free will. The manager told us that information about the home in the statement of purpose and service users guide was written in plain English to help people decide if the home would be suitable for them. They said that an assessment of each persons needs was always carried out in their own home before the person was offered a place in the care Annual Service Review Page 4 of 8 home. The manager intends to meet with purchasers so as to determine any ways in which the service can be improved. They told us that there had been one admission to the home within the previous twelve months and that there had been no breakdowns in placements (where a person moved out of the home as their needs were not being met). Of the nine people who completed surveys, three told us that they had received enough information to help them decide if the home was the right place for them, before they moved in. Four people told us that they had received a contract, one person said they did not know and four people said that they had not. The manager told us about the ways they provide support to meet the assessed health and personal care needs of residents in the home. They said each resident had a comprehensive care plan, which was reviewed each month by themselves and the persons named nurse. They told us they had a simple matrix to ensure the reviews were met. They said that they liaise closely with CPA (Care Plan Approach) Care Coordinates and other community workers to ensure each care plan meets residents current and changing needs. They said that they encouraged residents to take ownership of their care plan, e.g. by giving them the opportunity to state that they do not agree with their assessed needs and the way it is proposed to meet them and what other ways may resolve the desired need. They told us that they planned to improve care plans by making them more accessible and easy to understand. Each resident had a comprehensive risk assessment, which was carried out in order to provide a safe framework for responsible risk taking. They also told us that there were procedures in place for assessing the nutritional needs of residents living in the home as part of the overall health management plan for each individual. Of the nine people who completed surveys, five people told us that they always received the care and support they needed, three people said that they usually did and one person said that they sometimes did. We looked at the notifications we received about any incidents affecting the health and wellbeing of people living in the home within the past twelve months. We were informed of one expected death and an incident where a resident became verbally and physically aggressive towards staff. We saw that appropriate action had been taken in both instances. The manager told us about the arrangements for supporting people living in the home to participate in activities and spending their time in a manner of their choosing. They told us that they encouraged residents to maintain and develop their social, communication and independent living skills through accessing relevant community resources that meet their needs and aspirations. They told us that whenever possible residents were encouraged to access mainstream community activities and services with appropriate levels of support. Residents were encouraged to access education and volunteering opportunities where possible, appropriate and available. Residents living in the home are registered to vote with the local authority and mainstream political partys will be encouraged to speak with residents in the home during election times. The manager said they encouraged residents to participate in leisure activities they choose, for example going to bowling or pool at local bars or clubs. Residents were encouraged and supported to maintain their links with family and friends. Of the nine people who completed surveys, six said that there were always activities arranged in the home, which they could participate in. Two people said that there usually were and the remainder said that they did not know or did not answer the question. Annual Service Review Page 5 of 8 The manager said that they provided well balanced and nutritious meals and allow self purchased meals and take aways to be consumed at the home. Of the nine people who completed surveys six people said that they always liked the meals at the home, two people said that they sometimes did and one person said that they never did. The manager told us about the arrangements for safeguarding people who live in the home from harm and for receiving and dealing with complaints. They told us that there was a clear and effective complaints procedure and concerns and complaints were acted upon quickly and that residents were encouraged to make their concerns and comments known to staff as they arose. They told us that they used the Local Authority Southend safeguarding procedures, which were kept under review to reflect good practice and current legislation. The manager told us that they had received no complaints about the home within the previous twelve months and we had received no complaints, concerns or allegations about the home. Six people who completed surveys told us that there was someone they could speak to informally if they were unhappy. Three people indicated that they did not think there was. Five people told us that they knew how to make a formal complaint and four people said that they did not. The manager told us in the Annual Quality Assurance Assessment how they provide appropriate accommodation for people living in the home. They told us that the home was decorated to a comfortable standard and the environment promoted a very positive atmosphere for residents, staff and visitors. Nine residents have single rooms and six are shared, one by a married couple. Residents are encouraged to participate in the decorating and choice of colours for their rooms and independently choose personal interior items such as pictures and bed coverings etc. The manager told us that they ensured that any aids and equipment needed for residents were provided. They told us the home had a part time daily domestic and the premises were kept clean and hygienic and free from any unpleasant or offensive odours. Four people who completed surveys told us that the home was always fresh and clean and the remaining five said that it usually was. The manager told us about the arrangements for recruiting, training and supporting staff to care for residents. They said that they employed a diverse team of both qualified and care staff with varying levels of experience. All staff had copies of their job descriptions and contracts. They manager said they encouraged and supported staff in attaining NVQs in Health and Social Care and other relevant vocational and professional qualifications. They said that there were robust recruitment policies and procedures, which ensured thorough checking and vetting of staff before they commenced work. The manager said that there was a good staff / resident working ratio and the manager regularly works across shifts and at weekends. Two people who completed surveys told us that staff were always available when they needed them, five people said that they usually were and two people said that they sometimes were. Six people told us that staff always listened to them and acted on what they said. Three people said that staff usually did. We were told in the Annual Quality Assurance Assessment about the way in which the home was managed so that it benefited the people who lived there. Since the last inspection a new manager had been appointed. We were told that the manager was competent and had relevant qualifications and experience to run the home in such a way to meet its aims and objectives. We asked people to tell us what the home did well and where improvements could be made. Four
Annual Service Review Page 6 of 8 people who completed surveys made comments. One person said They provide the care you need. Another person told us They do activities, go on outings,keep the home clean and try to keep everyone happy. Two people made suggestions as to how the service could be improved. One person said To do the garden and keep it up to date. Another person identified cleaning as an area for improvement. After reviewing all of the information available to us we judge that the service continues to provide good quality outcomes for people who live in the home. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 2nd December 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 7 of 8 Reader Information
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