Care Home: Staddon Lodge

Similar services:

• Fairfields Country Rest Home
• Poldhu
• Queensmount
• Trevaylor Manor
• Didsbury Court Rest Home
• Belma
• Hunters Care Centre
• Manor Lodge

What the care home does well We found that when a person has been admitted to the home, 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 medications held within the home. The premises were clean, in good decorative order and furniture and fittings in goodrepair. On the day of our inspection, a course was being run for all of the staff in health and safety, and the protection of vulnerable adults. Accidents were being recorded and trends analyzed. 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: Window restrictors must be fitted to windows above the ground floor to eliminate the risk of accidents. Training must be provided to all the staff in dementia care and the Mental Capacity Act 2005. A staff training matrix would make it easier to identify training gaps or when re-fresher training should be provided to staff. Random inspection report Care homes for older people Name: Address: Staddon Lodge 25 Nelson Road Branksome Poole Dorset BH12 1ER 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: 0 6 0 7 2 0 1 0 Information about the care home Name of care home: Address: Staddon Lodge 25 Nelson Road Branksome Poole Dorset BH12 1ER 01202764269 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Sheena Anne Staddon Davis,Mr David Roger Staddon Davis Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 12 Number of places (if applicable): Under 65 Over 65 12 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 Staddon Lodge is registered with the Commission to accommodate a maximum of 12 older people. The home is situated in a residential area within walking distance of Westbourne shopping area and Bournemouth upper gardens. The home is an older style property that has a secluded and well-maintained garden. All of the bedrooms are offered for single occupancy with six of these being sited on Care Homes for Older People Page 2 of 9 Brief description of the care home the ground floor. Bedrooms on the ground floor have ensuite toilet facilities. The remaining bedrooms are sited on the first floor with two of these having ensuite toilet facilities. Access to the first floor is by means of the stairwell or stair lift. On the ground floor there is a lounge with a separate dining room for residents use. Mrs Davis, one of the registered providers is responsible for the day-to-day management of the home. Care Homes for Older People Page 3 of 9 What we found: We carried out a random inspection of Staddon Lodge as a result of concerns raised through safeguarding referrals about the management of the home and the meeting of residents health care needs. The inspection was carried out by two inspectors, however, throughout the report the term we is used, to show that the report is the view of the Care Quality Commission. We were assisted throughout the inspection by Mrs Davis, one of the Registered Providers of the home. We discussed with Mrs Davis, the management arrangements of the home with particular reference to periods when Mrs Davis is absent from the home, as she will be on holiday shortly after this inspection for three weeks. We also discussed staffing levels, training and how care of residents was organized and carried out. We reviewed the records and care plans for two residents we tracked through the inspection, as well as looking at their medication administration records. We carried out a tour of the premises and reviewed accidents and notices sent to the Commission. During the inspection we spoke with a visiting relative, four members of staff and briefly with two residents. We found that when a person is admitted to Staddon Lodge, further assessments were completed and from these care plans were developed. The two care plans we saw were concise, typed and up to date as they were reviewed each month or when needs of residents changed. The care plans reflected how the staff were to support residents needs as identified in the assessments that had been completed. We saw that body maps were generally used to record any marks or injuries sustained by a resident. The visiting relative told us that they had been happy with the service provided at Staddon Lodge and the care of their relative. We looked at how medication was managed within the home by looking at the medication administration records for the two residents we tracked through the inspection, and the homes storage facilities. The medication administration records were completed with no gaps within the recording. We saw that staff who administer medication had received training in safe administration and the home maintains a list of sample signatures of staff trained to administer medication. We saw 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 made correctly. We found that the home had suitable storage facilities for medications held in the home. We observed medication being administered to residents by one of the staff and saw that they complied with good medication administration practice. Mrs Davis told us that she usually did the ordering of medication and checking of the records but there were other staff who were competent and could be delegated to perform these duties. We were told that the staffing levels were the same as at the time of the last inspection with two staff on duty each day. During the night time period there are also two staff, one on an awake duty and another who carries out a sleep-in duty. We were told that should the sleep-in member of staff have to be got up at night, they would be paid for the hours they were called to provide care duties. The visiting relative told us there were always two staff on duty whenever they called at the home. Care Homes for Older People Page 4 of 9 As part of the inspection we spoke with four members of staff. They told us that they authority to call doctors or emergency services in the absence of the manager, should the need arise. Generally, the staff felt supported by management, but the newest members of staff felt that on occasion they could do with more management support. We looked at the training that had been provided to the staff. On the day of our inspection a training course on health and safety and the protection of vulnerable was taking place for all the staff within the home. We found that core mandatory training was being provided, however, as the home accommodates some residents who have developed dementia whilst residing at the home, the staff should receive training in dementia care and the Mental Capacity Act 2005. We recommend that a training matrix be developed, so that it is easy to identify which members of staff require re-fresher training or to identify any training gaps in the staff team as a whole. As part of this inspection we carried out a tour of the premises, which were clean and generally free from adverse odours. The furniture and fittings were in good repair. At the last inspection it was agreed that an action plan would be put in place for the covering of unprotected radiators in the home, to eliminate the risk of residents receiving burns from hot surfaces. Since that time, some of the uncovered radiators have had covers fitted and three uncovered radiators in three residents bedrooms have had temporary covers fitted, whilst the action plan is being carried through. This will be followed up at future inspections. Thermostatic mixer valves have been fitted to hot water outlets to also protect residents from scalding water. We found that many of the windows above ground level did not have window restrictors fitted. A requirement was made that all windows above ground floor level have restrictors fitted to eliminate potential falls from windows. The home has well maintained gardens for the enjoyment of residents. We looked at the homes accident book and found accidents had been recorded and notifications had been sent to the Commission when 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. Mrs Davis told us that before going on holiday, she would make sure that all the staff knew of the management arrangements that had been put in place for the smooth running of the home in her absence. What the care home does well: We found that when a person has been admitted to the home, 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 medications held within the home. The premises were clean, in good decorative order and furniture and fittings in good Care Homes for Older People Page 5 of 9 repair. On the day of our inspection, a course was being run for all of the staff in health and safety, and the protection of vulnerable adults. Accidents were being recorded and trends analyzed. 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 1 19 13 Windows above ground floor level must have restrictors fitted. To eliminate the risk of residents falling from these windows. 16/08/2010 2 30 19 Training must be provided to 06/09/2010 the staf in dementia care and the Mental Capacity Act 2005. To make sure that the staff are competent in meeting needs of the residents who have developed a degree of dementia. 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 30 We recommend that a staff training matrix be developed to make it easier to determine training needs of the staff team. 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. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 9 of 9 - 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!