Care Home: St Denis Lodge

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What the care home does well We saw that the manager takes time to ensure that they have enough information about people`s care needs before she agrees that the home can meet their needs. She told us that she visits people in hospital or in their own home. We saw how she had gathered information from relatives and from the person themselves, showing a person centred approach and good practice. We spoke to two people who had moved to the home, and they told us they could not remember if they had looked around but that a relative had visited. They both told us that staff were `marvelous` and were always there when they needed them. We saw from one person`s records that they had stayed on a respite basis before making a decision to move in permanently. The day we visited there was a positive atmosphere with people chatting to one another, and listening to a visitor playing the guitar. The home has a care planning system, and we looked at two people`s care files, to see how their individual needs are described. Records show that people living at the home are encouraged to participate in their care plan, which is good practice. Care plans had up to date assessments in place, including moving and handling and skin care needs. We saw how people`s medical needs were met and how the home consulted with health professionals appropriately. The home told us they felt well supported by their health colleagues and we saw a record of visits. The manager told us about the home`s commitment to providing good quality end of life care based on best and current good practice, and gave us examples of this type of care. From one person`s records, we saw that the home has taken appropriate action and liaised with health professionals for advice and support for one of the people we met, such as the Occupational Therapy team. We saw that the home has an appropriate controlled drugs cupboard, and we saw that the medication cupboard was well organised. Medication administration records were appropriately completed for two of the people that we met. The manager looked at the controlled drugs record with us, and we saw that the records were correct, although there was one query that the manager agreed to follow up.There have been no complaints received by the CQC. Since the last inspection, the manager has recorded people`s concerns as recommended in our last report, and shown how the home has addressed them. We looked at the record and saw that these concerns were domestic ones, such as requesting more tea in the morning, which had been quickly addressed by the manager. The home was very well maintained, with an attractive and accessible garden. A person told us that it felt like a hotel but that it also felt like home. We spent time with one person in their room, and they told us that they were happy with their room and the furniture in it. They told us the bed was comfortable and they liked the views. Another person also confirmed that they were happy with their room. What the care home could do better: The home`s AQAA told us that the home`s recruitment of staff was `thorough`. We looked at the files for three staff who had been recruited since the last key inspection and found that significant improvement is needed in this area. We saw that recorded start dates for two staff were before the home had received adequate police checks (POVA and ISA First check) to ensure that people were suitable to work with vulnerable people. Written references were not robust, for example received after the person had started working at the home. There was not always a clear audit trail as to why some referees had been chosen, although the manager was able to explain their decisions. Recruitment files did not hold ID for staff, although we saw a notice in the staff room, which confirmed that the home was aware of this discrepancy and trying to address it. Random inspection report Care homes for older people Name: Address: St Denis Lodge Salisbury Road Shaftesbury Dorset SP7 8BS 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: Louise Delacroix Date: 3 0 0 6 2 0 1 0 Information about the care home Name of care home: Address: St Denis Lodge Salisbury Road Shaftesbury Dorset SP7 8BS 01747854596 01747855410 beverley@stdenislodge.fsnet.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Patricia Butler Type of registration: Number of places registered: Conditions of registration: Category(ies) : St Denis Lodge Ltd care home 21 Number of places (if applicable): Under 65 Over 65 21 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 St Denis Lodge is well-established care home situated on the outskirts of Shaftesbury town centre close to the Royal Chase roundabout. The home is registered to accommodate a maximum of 21 people aged 65 years and over in the category of Old Age (OP). The owner and registered individual (RI) is Ms Beverley Martin and the registered manager is Mrs Patricia Butler. St Denis Lodge residential home is a large Georgian property set in its own landscaped gardens. Accommodation is arranged over the ground and first floors and all but one of Care Homes for Older People Page 2 of 9 Brief description of the care home the bedrooms have en-suite toilet facilities. The accommodation is of a high standard and provides a comfortable and attractive environment. Communal rooms include a lounge, dining room and separate conservatory: assisted bathing facilities are available on the first floor and a separate toilet is situated close to communal areas. The home aims to provide a service to people who have low to moderate care needs, and is well-suited to people who retain a degree of independence. The homes environment is such that physically frail elderly people can access all parts of the home, as there are two passenger lifts available for use. There is a large off road car park to the side of the home for visitors convenience. The fees range from £650- £710 per week. Additional charges are made for made for chiropody, hairdressing, outings and newspapers. The homes service users guide and last inspection report are stored in the homes office and made available on request. Care Homes for Older People Page 3 of 9 What we found: The inspection was unannounced and took place over three hours and forty minutes. The inspection was a routine random inspection, which means that we focus on particular areas of care rather than inspecting all the key national minimal standards. Only key inspections change the homes rating. There were no requirements made at the last key inspection in 2007.There were twenty people living at the home, and one person staying for respite. On the day we visited, the registered manager Patrica Butler was working alongside the care staff in the morning as a staff member had called in sick. We met some of the people living at the home and the manager of the home. We looked at records relating to peoples care and medication administration, we looked at how incidents are logged, and observed how well the home is maintained and run. Prior to the inspection, the service completed an Annual Quality Assurance Assessment for CQC, which provides us with details about the home, including what the home does well and areas for improvement. What the care home does well: We saw that the manager takes time to ensure that they have enough information about peoples care needs before she agrees that the home can meet their needs. She told us that she visits people in hospital or in their own home. We saw how she had gathered information from relatives and from the person themselves, showing a person centred approach and good practice. We spoke to two people who had moved to the home, and they told us they could not remember if they had looked around but that a relative had visited. They both told us that staff were marvelous and were always there when they needed them. We saw from one persons records that they had stayed on a respite basis before making a decision to move in permanently. The day we visited there was a positive atmosphere with people chatting to one another, and listening to a visitor playing the guitar. The home has a care planning system, and we looked at two peoples care files, to see how their individual needs are described. Records show that people living at the home are encouraged to participate in their care plan, which is good practice. Care plans had up to date assessments in place, including moving and handling and skin care needs. We saw how peoples medical needs were met and how the home consulted with health professionals appropriately. The home told us they felt well supported by their health colleagues and we saw a record of visits. The manager told us about the homes commitment to providing good quality end of life care based on best and current good practice, and gave us examples of this type of care. From one persons records, we saw that the home has taken appropriate action and liaised with health professionals for advice and support for one of the people we met, such as the Occupational Therapy team. We saw that the home has an appropriate controlled drugs cupboard, and we saw that the medication cupboard was well organised. Medication administration records were appropriately completed for two of the people that we met. The manager looked at the controlled drugs record with us, and we saw that the records were correct, although there was one query that the manager agreed to follow up. Care Homes for Older People Page 4 of 9 There have been no complaints received by the CQC. Since the last inspection, the manager has recorded peoples concerns as recommended in our last report, and shown how the home has addressed them. We looked at the record and saw that these concerns were domestic ones, such as requesting more tea in the morning, which had been quickly addressed by the manager. The home was very well maintained, with an attractive and accessible garden. A person told us that it felt like a hotel but that it also felt like home. We spent time with one person in their room, and they told us that they were happy with their room and the furniture in it. They told us the bed was comfortable and they liked the views. Another person also confirmed that they were happy with their room. 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 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 6 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 1 29 19 Staff cannot start working until the provider has received confirmation that the staff applicants names are not included on a list of people unsuitable to work with vulnerable people. This is to ensure that people are suitable to work in a care setting. 15/08/2010 2 29 19 Staff must not start working at the home until two suitable references have been obtained. One reference should be from the last employer and include detail of why the person left their employment. This is to ensure that people are suitable to work in a care environment. 15/08/2010 3 29 19 Staff must not start working at the home until proof of identity has been obtained. 15/08/2010 Care Homes for Older People Page 7 of 9 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 This is to ensure that people are suitable to work with vulnerable people. 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 1 19 The home should ensure that the induction process is more robust by ensuring that they have gathered pertinent information about the applicant, such as proof of identity. 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. 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. 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