Latest Inspection
This is the latest available inspection report for this service, carried out on 6th January 2010. 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 Carlton Lodge Nursing and Residential Centre.
Annual service review
Name of Service: Carlton Lodge Nursing and Residential Centre The quality rating for this care home is: The rating was made on: two star good service 1 1 1 2 2 0 0 8 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: Julie Sumner Date of this annual service review: 0 6 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 21 Victoria Parade Broadstairs Kent CT10 1QL 01843862577 01843603793 roscar@bupa.com www.bupacarehomes.co.uk BUPA Care Homes (ANS) Ltd Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Conditions of registration: Category(ies) : old age, not falling within any other category physical disability Conditions of registration: The maximum number of service users to be accommodated is 41 The registered person may provide the following category of service : Care home with Nursing (N) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (OP),(Physical disability (PD) 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 Carlton Lodge is a detached 4 storey premises, which was built in 1899 and is over 100 years old. The home is registered to provide nursing care and support for up to 41
Annual Service Review Page 2 of 6 Number of places (if applicable): Under 65 Over 65 0 41 41 0 1 1 1 2 2 0 0 8 older people over 65 years and 5 individuals with physical disabilities. From previous information received there are 18 single bedrooms and 6 doubles. Ten bedrooms have en-suite facilities of toilet and washbasin, two of which also have en-suite baths. The day space consists of two interconnecting lounges on the ground floor, a dining room and a large activity room in the basement. A shaft lift provides access to all levels. Each bedroom has a television point and a call alarm. Some bedrooms also have telephones. The Home is located near the town centre, on the seafront, overlooking a bandstand and the Victoria Gardens. It is within close proximity to the local shops and all public amenities. There is a small garden to the rear and small car park. Fees are clearly written in the agreed contract for each person. Additional charges are made for hairdressing, chiropody, newspapers and outside activities such as visits to the theatre. Intermediate care is not provided. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection. This included The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing a good service and that they know what further improvements they need to make. The last inspection report was positive about the home and the improvements that they had made. There were no requirements or recommendations made. The manager at the time knew what needed to be developed and had plans to manage them. Since the last key unannounced inspection the home has a new manager. The new manager completed the AQAA. The manager said in the AQAA that the new BUPA care documentation (QUEST) has been implemented and is audited on a monthly basis and forms part of our Early Warning Audit Tool (EWAT) The Registered Nurses have received extra training in the QUEST documentation. They have designed a new service user guide for the people living in the home and for anybody planning to move in. The manager said they plan to look into establishing availability of physiotherapy and liaise with other health care professionals prior to people being discharged from the Annual Service Review Page 4 of 6 home. BUPA have introduced a new comprehensive monthly medication audit to make sure medication is given safely and to quickly pick up any errors. The manager said they have purchased more pressure relieving mattresses and cushions. The manager said they are promoting person centred care. They have joined the National Association for Providers of Activities for Older People (NAPA) and the activities coordinator has attended BUPAs Activities Best conference so that they can develop better and more meaningful occupation for the people living in the home. The manager is developing the training calendar and plans to attend Mental Capacity Act Training to develop her awareness. They have raised safeguarding adults awareness with all the staff. BUPA has implemented the managing customer expectation, which includes concerns, compliments and suggestions. The downstairs bathroom has been decorated and a new carpet has been ordered for the main hallway. They have a full compliment of housekeeping staff. They have an on-going redecoration programme that is carried out throughout the year. The fire risk assessment has been updated and all the servicing needed for equipment and the building has been carried out. The manager said they have increased the staff so they do not rely so heavily on agency staff. They have also employed a bank registered nurse who will work when required to cover shifts. Three more staff have completed their national vocational qualification (NVQ) to level 2. The manager said she is going to continue to develop her skills following Bupas Personal Development Programme, improve the training matrix, increase the flexible bank of staff, increase the number of registered nurses in the home, appoint a moving and handling trainer and continue to make improvements and implement actions from the homes quality review process. The manager also plans to register with us. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. 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 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 5 of 6 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline:
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