Latest Inspection
This is the latest available inspection report for this service, carried out on 15th June 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 Latham Lodge Nursing and Residential Care Home.
Annual service review
Name of Service: Latham Lodge Nursing and Residential Care Home 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?
Yes 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: Kathryn Emmons Date of this annual service review: 1 5 0 6 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 137 - 139 Stakes Road Purbrook Hampshire PO7 5PD 02392254175 02392262281 latham@caringhomes.org latham@caringhomes.org Latham Lodge Ltd Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Mrs Kay Teresa Wainwright Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 40 The maximum number of service users who can be accommodated is: 40 The registered person may provide the following category of service only: 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 Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: The manager who was previously not registered was approved as the registered manager in March 2009. Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Latham Lodge is registered as a care home where nursing care can be provided for up to forty people in the categories of old age, terminal illness or physical disability. The
Annual Service Review Page 2 of 6 home can also admit up to eight people above the age of 55 in the category of terminal illness and physical disability. Latham Lodge Limited owns the home. A manager who is not currently registered is managing the home. The home has twenty-six single rooms (of which twelve have en-suite bathrooms) and seven shared rooms (one of which is en-suite). The home is located in a residential area. The building is on two floors with a shaft lift to access the first floor. The home has a large car park at the front of the building and a garden accessible to the residents at the rear. The provider makes information available about the service, including the commissions report to prospective residents on request. Copies of this information are available at the home and may be sent out by post on request. The home states in the pre-visit information questionnaire completed by the manager that the fees range from #375 to #600 for residential care and from #442 to #789 for nursing care per week. 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 or annual service review. 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. 6 Surveys were returned to us by people using the service and 1 survey from a health professional and one survey from a member of staff working in 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. This includes any safeguarding adult work including referrals and joint working. The previous key inspection and any other visits we have made to the service. Information provided by the registered manager and responsible individual. 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 most of the information we asked for. We looked at the information in the AQAA and considered other information we had received . Our judgment is that the outcomes may have changed for people who use the service as there have been two safeguarding adult referrals in the past 8 months. One concerns two service users and the other one from May 2009 concerns four service users. The AQAA informs us that the manager has recruited new staff and provides ongoing training. In the past three months 97 shifts have been covered by agency staff . The recruitment of new staff will provide a consistency within the staff team which will provide continuity of care for the service users. Polices and procedures are reviewed and a new care planning system has been produced and implemented. This provides more detailed information for staff to deliver care in line with service users assessed needs. The catering arrangements have been reviewed and a menu of finger food has been introduced so that service users can be more independent in taking their diet. Nutrition assessments are in place and these have been further developed to ensure information is recorded in more detail so staff can assess if service users are receiving a nutritional intake which is satisfactory. A quality assurance system is in place which includes monthly audits,visits from the responsible individual ,and questionnaires. People living in the home are asked by the service what they feel about being in the home and if they are happy. Annual Service Review Page 4 of 6 The last key inspection we carried out in June 2008 and assessed the outcomes for people living at the service as good. We carried out a random inspection on 19th December 2008 following concerns raised as part of a safeguarding adult referral. We made requirements in respect of the services admission process and care plan information We have been informed by the manager that these issues have been addressed and positive feedback had been received by the service from a heath care professional in respect of the care plan system. Comment cards we received back contained mixed comments such as always friendly and welcoming of visitors, informs relatives if clients condition deteriorates ,staff always kind and patient and try hard to please. The carers are very good with the clients and are very understanding and patient ,they do their work very well. a good service provided by Latham lodge . High standard of care. seem to appear frequently short of staff and sometimes unable to meet needs. lifting equipment is in the lounge which makes it look untidy and there is not a lot of room to sit when visiting. it would be helpful if someone was always available at meal times to be a feeder if you cannot help yourself staffing levels arent as high as they could be as we have a high ratio of high dependency residents. more attention needs to be paid to hair ,nails ,teeth, take people to toilet promptly not make them wait half an hour. From the 6 comment cards we received back 5 indicated that those service users felt they usually received the care and support they needed and four felt that staff were usually available when they needed them .One comment card felt that staff were always available and that they always received the support they needed. Another service user felt they sometimes found staff to be available. The service has a complaints procedure in place and has received six complaints in the past 12 months and responded to five of these within the 28 day timescale. A log is maintained of all complaints made and what action the service takes to investigate and respond to these. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have been involved in safeguarding adult work to look at the issues raised and to take action to prevent these issues becoming a concern again. What are we going to do as a result of this annual service review? We have concerns about the number of safeguarding adult referrals and how this may indicate a change in the quality of outcomes for people who use the service. We will carry out a management review meeting to decide if we need to bring forward the next key inspection. We will do a key inspection no later than 30th June 2010 if we do not bring forward the next scheduled key inspection. 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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