Care Home: The Lodge, Exeter

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Annual service review Name of Service: The Lodge, Exeter The quality rating for this care home is: The rating was made on: three star excellent service 0 6 1 1 2 0 0 8 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?   No 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: Michelle Oliver Date of this annual service review: 2 7 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: The Lodge 22 Spicer Road Exeter Devon EX1 1SY 01392271663 01392431545 thelodge@efhl.co.uk www.efhl.co.uk Elizabeth Finn Homes Ltd Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): 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 46 The maximum number of service users who can be accommodated is 46. The registered person may provide the following category of service only: Care home with Nursing - Code N 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) Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service The Lodge, close to the centre of Exeter, retains features of what is one of the citys grander houses. It has been extended in the past to provide facilities for those requiring nursing care. Some people living there are receiving residential care only and are more able. There are various garden areas, patios, an orchard area and a large courtyard directly accessible from some bedrooms and wheelchair accessible. A major re-building and refurbishment programme has been completed to provide Annual Service Review Page 2 of 7 0 6 1 1 2 0 0 8 accommodation for up to 46 people. A new 22 bedded wing has been built and occupied, and extensive landscaping and re-furbishment to the original building. There is a car parking area at the rear for visitors and staff. The Home is owned by the Elizabeth Finn Homes Ltd, which offers accommodation to people from a professional background on application. The average cost of care is £785-980 per week at the time of inspection. Additional costs, not covered in the fees, include hairdressing and personal items such as toiletries, newspapers and magazines and private chiropody and taxis. Current information about the service, including CSCI reports, which are accessible at the Home, is given to prospective residents/their representatives. The Service Users Guide and Statement of Purpose are available on request and a copy given to all people on admission. Annual Service Review Page 3 of 7 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. Surveys returned to us by people using the service and from other people with an interest 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. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. 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 all the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing an excellent service and that they know what further improvements they need to make. People living in the home, and family representatives, tell us that they are happy there. We received comments from 9 people living in the home. All continue to be very satisfied with the quality of the care provided. Seven responses confirmed that people had been provided with enough information to enable them to make an informed choice about making The Lodge their home, two responses stated that they had not. All those who responded confirmed that the home was always fresh and clean. Seven people told us they always and two usually liked the meals served at the home. Seven people stated the home always and two usually provided activities they could take part in. Annual Service Review Page 4 of 7 The manager told us a social events co ordinator will be working at the weekends and during absence cover to ensure people living at the Lodge are offered a choice of activities over a seven-day period. Sherry mornings are now taking place every week and more trips have been organised. The service has incorporated an evening of cocktails and conversation following a vote by people living at the home. Comments in surveys included: It is an excellent home. Home from Home, another I like the programmes, the variety, the people, the official visitors, the home is constantly improving on itself and The Lodge makes sure everyone is cared for in comfortable surroundings. It really is a good home from home. In response to what could the home do better 6 people who responded did not make any comments. Other comments included: Have more staff so response times are not so long another check that all washing is returned to correct owner and I dont know. The manager provided the Commission with information about the service prior to this report being completed. We were told that since the inspection the service continually make minor changes on a day to day basis to reflect individual needs at the time and people living at the home have not expressed a collective desire for any specific change, but any such change suggested would be discussed widely, with the recognition that The Lodge is their home. We also sent surveys to 5 staff at the home but did nor receive any responses. The manager told us the service has ensured that a verbal complaints file is offered if residents have any concerns and do not wish to make their concerns in writing and the service continues to assure people living at The Lodge that any comments or complaints they make are taken seriously and acted upon in a timely and consistent manner. The Lodge has received two complaints during the last 12 months. One of the complaints was upheld and one complaint was waiting an outcome at the time the manager completed information to send to us. No complaints have been made to the Commission since the last inspection. The service operates an open management culture to ensure that everyone who lives, works or visits The Lodge feels confident that any issues they may have will be taken seriously and dealt with. We sent surveys to 5 health care professionals and received responses from 4. In response to what does the home do well comments included: Responds to the needs of clients, I am constantly delighted by the attention to detail that staff pay, regular checks and updates on care plans are good and allow changes in needs to be accommodated. Regular staff training shows in standards of clinical practice, another Patients/residents usually appear happy being in The Lodge, Annual Service Review Page 5 of 7 appear well presented, they look forward to meal times, have social activities and relatives encouraged to take them out as residents wish and The Lodge is a delightful nursing home to visit. Staff are helpful, friendly and willing to work with our service as part of a mulidisciplinary team providing holistic care for patients. Standards of care and hygiene appear faultless. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide excellent outcomes for the people who use it. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 26th November 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 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: 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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