Care Home: Florence Lodge

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What the care home does well We found that the home makes sure they only admit people for residential care through thorough assessment of prospective residents` needs prior to being offered a placement at the home. Once a person has been admitted, further assessments are carried out, from which a care plan is developed with the resident concerned. We saw that the care plans were up to date and fully informed staff of how to care for each resident.The health and social care needs of the residents we tracked through the inspection were being met. Medication was being administered safely by trained members of staff and that there were suitable storage facilities for non-controlled medications within the home. The premises were clean, in good decorative order and furniture and fittings in good repair. There were no hazards identified during our inspection. We found that the home complied with all Regulations and standards for the recruitment of new members of staff. Generally we found the home to be well-managed and run in the interests of the residents. Accidents were being recorded and trends analysed. The Commission has been notified as required of events, incidents and accidents that have occurred in the home. What the care home could do better: As agreed, the home should liaise with their pharmacist concerning the storage facilities for controlled drugs and take any action to meet new Regulations. Random inspection report Care homes for older people Name: Address: Florence Lodge 23-25 Florence Road Boscombe Bournemouth Dorset BH5 1HJ two star good service 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: Martin Bayne Date: 1 1 0 6 2 0 1 0 Information about the care home Name of care home: Address: Florence Lodge 23-25 Florence Road Boscombe Bournemouth Dorset BH5 1HJ 01202397094 Telephone number: Fax number: Email address: Provider web address: johnhardy12@btconnect.com Name of registered provider(s): Name of registered manager (if applicable) Mr John Anthony Hardy Type of registration: Number of places registered: Conditions of registration: Category(ies) : Florence Lodge Healthcare Ltd care home 25 Number of places (if applicable): Under 65 Over 65 25 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is 25 The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code OP) Date of last inspection Brief description of the care home Florence Lodge is a care home providing personal care and accommodation for up to twenty-five older people. The registered provider is Florence Lodge Healthcare Ltd and the registered manager is Mr John Hardy. Care Homes for Older People Page 2 of 9 Brief description of the care home Florence Lodge is situated in a quiet residential area of Boscombe, within a few minutes level walking distance of the bustling Boscombe shopping centre. The main shopping centre of Bournemouth is less than two miles away and Bournemouth Travel Interchange (trains and coaches) is situated about a mile from the home. Local amenities include a wide range of shops, cafes and restaurants and a weekly street market, as well as places of worship, doctors surgeries, a library, parks and gardens etc. There is a car parking area to the front of the home and further car parking is available for visitors on surrounding roads. It is approximately five minutes level walk to the bus station, where buses provide a service to all areas of Bournemouth, Christchurch, Poole and beyond. The home is situated approximately half a mile from the seafront at Boscombe. Florence Lodge is a large, detached property formed by linking two adjoining properties at ground floor level. The property was originally used as a hotel and then converted for use as a care home. Resident accommodation is arranged over two floors. The upper floors are not linked, however there is the provision of a stairlift at both ends of the building to assist residents accessing the first floors of the home. There are twenty-two bedrooms, including three double rooms, but all are currently let as single bedrooms. Twenty rooms have en suite facilities, including baths or showers in twelve of these. The home has two communal lounges and two dining rooms. Care Homes for Older People Page 3 of 9 What we found: At this random inspection we reviewed the records and had a discussion with the last two people admitted to the home. As part of this review we also looked at how their medication was administered and managed. We reviewed the recruitment records for the last two members of staff to be appointed to work at the home. We also carried out a tour of the premises and reviewed accidents and notices sent to the Commission. We were assisted throughout the inspection by the Registered Manager, Mr Hardy. We spoke with both of the residents we tracked through the inspection. The two residents we tracked through the inspection were both in hospital at the time a referral was made through care management arrangements for a placement at Florence Lodge. Both had been visited by Mr Hardy in hospital to have their needs assessed before the decision was made to offer a placement at the home. We saw that a copy of the care management assessment was also obtained and used to gain information about needs of prospective residents. These procedures ensure that the home only admits those people whose needs can be met at the home. We saw that the pre-admission assessments had been recorded on a template that covered all of the topics within the National Minimum Standards and had been signed and dated. We saw that within each residents bedroom, a copy of the Statement of Purpose was provided so that residents are informed of the services provided in the home. We found that on admission to Florence Lodge, further in-depth risk and other assessments were completed. These included the Malnutrition Universal Screening Tool (MUST), a falls risk assessment, general risk assessment, skin care assessment and medication assessment. The care files were well-ordered and the care plans reflected the needs of residents concerned, concisely informing staff on how to support each person. We saw that the care plans were being reviewed each month or when care needs changed. We also saw that a photograph of the resident concerned was placed at the front of their care plan so that they could be readily identified. At the last key inspection it was recommended that evidence be provided of involvement of residents in the development of their care plan. We saw that both residents had signed to say that they had been involved in developing their care plan. We spoke with both residents who were positive about their experience of living at Florence Lodge. They also said that their needs were met by a friendly supportive staff team. They told us that their call bells were answered promptly, their rooms kept clean and that they were provided with a good standard of food. We looked at how medication was managed within the home by looking at the medication administration records, storage facilities and procedures for medication administration. The medication administration records for the two residents we tracked through the inspection were completed with no gaps within the recording. We saw that staff who administer medication had received training in safe administration and there was a list of sample signatures of staff trained to administer medication at the front of the administration records. There was also evidence of good practice of any known allergy from which a resident suffers being recorded at the front of their medication administration records; and that where hand entries were made to administration records, a second member of staff had checked and signed that the entries had been Care Homes for Older People Page 4 of 9 made correctly. We found that the home had suitable storage facilities for non-controlled medications held in the home, however the cabinet for storing controlled medication did not appear to comply with new Regulations. During the inspection Mr Hardy contacted the pharmacist to discuss this. It was agreed that should the cabinet not conform to current legislation, action would be taken as soon as possible to have the cabinet bolted to the wall in line with the new Regulations. At the time of our inspection two residents were prescribed controlled drugs. We saw that the controlled drugs were being administered and recorded correctly. We carried out an audit for one persons controlled drugs and found that the balance of medication tallied with medication held. As part of this inspection we carried out a tour of the premises, which were clean and free from adverse odours with furniture and fittings in good repair. At the time of the inspection the downstairs corridors were being redecorated and one of the bathrooms was being refurbished to provide a shower/wet room. We were told that within the next fortnight, the laundry room was also to be re-furbished and will be equipped with new commercial washing machines, hand washing facilities and the wall and floors sealed so that they can be cleaned easily. We saw that residents were able to bring their own possessions and furniture to personalise their rooms. All radiators in the home have been covered to eliminate the risk of residents receiving burns from hot surfaces. Thermostatic mixer valves have been fitted to hot water outlets to also protect residents from scalding water. Windows above ground level have had window restrictors fitted to eliminate potential falls from windows. Free standing wardrobes have been risk assessed as to their potential for being pulled over and those that posed a risk, bracketed to the wall. The home has well maintained gardens for the enjoyment of residents. We looked at the recruitment records for the last two members of staff recruited to the staff team. We found that all of the recruitment checks had been carried out and the required records in place; such as, the taking up of appropriate references, criminal record bureau check and a check against the register of adults deemed unsuitable to work with vulnerable adults, a health declaration, full employment history with gaps explained and the reason why staff left positions of care. The home had therefore complied with the requirement made at the last key inspection. At the last key inspection it was recommended that a minimum of 50 of staff should be trained to NVQ level 2 or above. It was reported that this ratio has been achieved with 90 of staff now holding this qualification. We looked at the homes accident book and found accidents had been recorded correctly and that notifications had been sent to the Commission as required. We also saw that there was a regular review of all accidents that occur in the home, seeking to find trends that could reduce the risk of accidents in the home. What the care home does well: We found that the home makes sure they only admit people for residential care through thorough assessment of prospective residents needs prior to being offered a placement at the home. Once a person has been admitted, further assessments are carried out, from which a care plan is developed with the resident concerned. We saw that the care plans were up to date and fully informed staff of how to care for each resident. Care Homes for Older People Page 5 of 9 The health and social care needs of the residents we tracked through the inspection were being met. Medication was being administered safely by trained members of staff and that there were suitable storage facilities for non-controlled medications within the home. The premises were clean, in good decorative order and furniture and fittings in good repair. There were no hazards identified during our inspection. We found that the home complied with all Regulations and standards for the recruitment of new members of staff. Generally we found the home to be well-managed and run in the interests of the residents. Accidents were being recorded and trends analysed. The Commission has been notified as required of events, incidents and accidents that have occurred in the home. 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 £ 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 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 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. 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