Latest Inspection
This is the latest available inspection report for this service, carried out on 28th October 2009. CQC found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
For extracts, read the latest CQC inspection for Elm Lodge Nursing & Residential Home.
What the care home does well The tool being used where the night staff team monitor each others side of the home throughout the night is good. This means that by using peer audits any deficit or concern about someones practise will be identified immediately. Management had acted upon previous concerns, they have carried out random spot checks during the night and are going to continue with these. They also make staff specify in a book the actual time that they will be taking their break during the night. Thismeans if the manager undertakes an unannounced visit, staff if they are not working when she arrives will not be able to say they are on a break. The manager would then be able to follow any appropriate disciplinary action with the staff concerned. What the care home could do better: The practise of waking people up at the early hour of 05.30 if it is not their choice to do so, is unacceptable. This must change, people have a right to wake naturally or be woken at a time of their choosing. Random inspection report
Care homes for older people
Name: Address: Elm Lodge Nursing & Residential Home 18 Stoke Road Linslade Leighton Buzzard Bedfordshire LU7 2SW two star good service 24/02/2009 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: Katrina Derbyshire Date: 2 8 1 0 2 0 0 9 Information about the care home
Name of care home: Address: Elm Lodge Nursing & Residential Home 18 Stoke Road Linslade Leighton Buzzard Bedfordshire LU7 2SW 01525371117 01525854537 elmlodge@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Elm Lodge Nursing and Residential Home care home 51 Number of places (if applicable): Under 65 Over 65 26 51 51 dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 0 That the home is permitted to accommodate two service users under the age of 65 in the categories of PD and DE only. The home is permitted to accommodate one named service user (ref variation V25634), in the category of PD from 30 September 2005 up to their discharge from the home. Date of last inspection Brief description of the care home Elm Lodge is an extended Victorian House situated in Linslade on the outskirts of Leighton Buzzard. There are good road links to Milton Keynes, Bedford, Aylesbury and
Care Homes for Older People Page 2 of 8 2 4 0 2 2 0 0 9 Brief description of the care home Luton and the centre of Linslade is within walking distance. There is parking available at the home and it is set in attractive grounds. The home can provide residential or nursing care depending on the assessed needs of residents. There are 49 single rooms and 1 room that can be used for shared occupancy providing a total of 51 places. There are 12 rooms with en-suites and various communal facilities including 6 separate lounges, dining areas, bathrooms and toilets located throughout the home. As the home has been converted and extended, the accommodation ranges across different floors and there is lift access to all areas. The fees for this home vary from £495.00 per week for residential placements, to £615.00 per week. Care Homes for Older People Page 3 of 8 What we found:
This unannounced random inspection was undertaken on the morning of 28th October 2009 by one Regulatory Inspector. The Care Quality Commission had been contacted in October 2009, concerns were raised that people living at the home were being woken from 05.30 in the morning and then being assisted to wash and dress and had to get up. In addition there were concerns that some staff had been sleeping when on night duty. Similar concerns had been raised twice about the home in 2009. On the first occasion we looked at these as part of the key inspection, on the second occasion we asked the management of the home to investigate. The focus of this visit was to look at the current practise surrounding people getting up in the mornings, staff on duty and what management checks were in place to monitor night working at the home, we did not follow up on any previous requirements that were made at the last key inspection. Therefore any requirements showing at the end of this report are not outstanding because they have not been met by the home, but because we have yet to assess their compliance. We entered the building at 06.30, at that the time we observed 6 people up and sitting in the large lounge in the residential side. On walking around to the nursing side 4 people were up and dressed in their rooms. The manager was within one of the bedrooms at that time and was assisting a person to get up. At 06.50 we spoke with two staff on duty who confirmed that there were now a further 3 people up on the residential side. So at 06.50 there were 11 people up, washed and dressed. They explained that there were people living in the home, due to their dementia would repeatedly get up out of bed before 05.30. The staff would assist them, but this was only because the person themselves would get up. The staff however confirmed that they would always start to get other people up at 05.30. Through discussion with the manager and viewing documents it was evidenced that management had and continue to carryout checks regarding night time working. A new system had been introduced on 12/10/09 where staff from both the residential and nursing side undertake checks on each others area throughout the night. Sheets were seen of how staff record that these have been carried out. In addition the manager and owners have met with staff. Also the manager has undertaken spot checks during the night, the most recent one she arrived at the home at 02.30 in the morning. Further checks are planned. What the care home does well:
The tool being used where the night staff team monitor each others side of the home throughout the night is good. This means that by using peer audits any deficit or concern about someones practise will be identified immediately. Management had acted upon previous concerns, they have carried out random spot checks during the night and are going to continue with these. They also make staff specify in a book the actual time that they will be taking their break during the night. This
Care Homes for Older People Page 4 of 8 means if the manager undertakes an unannounced visit, staff if they are not working when she arrives will not be able to say they are on a break. The manager would then be able to follow any appropriate disciplinary action with the staff concerned. 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 5 of 8 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 35 17 The registered person shall 13/03/2009 maintain in the care home all records specified in schedule 4 (9)(a) People who live in this home must be protected by financial records. Care Homes for Older People Page 6 of 8 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 10 12 People living at the home 04/11/2009 must be assisted to get up at a time of their choosing, not to fit in with the homes routine. This is so people are treated fairly and are able to live their life as they wish to. 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 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 7 of 8 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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!
