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Care Home: White Lodge

  • 44-46 Madeira Road White Lodge Cliftonville Margate Kent CT9 2QQ
  • Tel: 01843225956
  • Fax:
  • Star rating: CQC StarCQC StarCQC Star

  • Latitude: 51.387001037598
    Longitude: 1.3930000066757
  • Manager: Manager post vacant
  • Price p/w: £374
  • UK
  • Total Capacity: 23
  • Type: Care home only
  • Provider: Mr Michael Joseph Topping,Mrs Christine Salms Topping
  • Ownership: Private
  • Care Home ID: 17852
Residents Needs:
Old age, not falling within any other category

Latest Inspection

This is the latest available inspection report for this service, carried out on 29th October 2009. CQC found this care home to be providing an Excellent service.

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 White Lodge.

What the care home does well This service is consistently providing good outcomes enabling this to be viewed as an excellent service in line with Inspecting for Better Lives. People living at White Lodge feel it is a real family home and you can have a laugh with the staff. Relatives feel that as soon as you walk in you can tell what a wonderful home this is by the smiles on people`s faces, their chatter and laughter. A thorough assessment of people needs and wishes is undertaken before admission to ensure the home can meet people`s needs. People are encouraged to visit the home prior to admission to look at their room and meet everyone. People feel their health care needs are met. If there are any issues these are dealt with quickly. Monitoring of any concerns and referrals are well documented in care plans. People feel there are opportunities for a variety of activities, which meet their expectations. People said they are happy with their own rooms, and the home is always clean and tidy. People said the food was good and that choices are available. Everyone spoke well of the staff and owners. Staff feel well supported and feel they have a good team. What has improved since the last inspection? The home subscribes to a distance learning/training package, that aids staff training and knowledge. Introduced a programme of themed mealtimes starting with Halloween. Two bedrooms were refurbished during the year. A new nurse call system has been installed. What the care home could do better: Further develop a formal quality assurance tool that would allow everyone involved in the home to give anonymous feedback. Put in place a safer system of administration of medication. Update the pre-assessment documentation. Improve the care planning system by the implementation of person centred care planning. Implement formal regular supervision for staff with written records maintained. Key inspection report Care homes for older people Name: Address: White Lodge White Lodge 44-46 Madeira Road Cliftonville Margate Kent CT9 2QQ     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Sandra Crosby     Date: 0 2 1 1 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: White Lodge White Lodge 44-46 Madeira Road Cliftonville Margate Kent CT9 2QQ 01843225956 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: michaeljtopping@aol.com Mr Michael Joseph Topping,Mrs Christine Salms Topping care home 23 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 23 The registered person may provide the following category/ies of service only: Care home only (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home White Lodge is registered to provide accommodation for up to 23 older people and admits low to medium dependencies. Mrs and Mrs Topping own the home and also have day-to-day control. The premise was originally two semi detached properties and are now joined as one. Accommodation for people is on three floors, the basement, ground and first floor. The Care Homes for Older People Page 4 of 27 Over 65 23 0 Brief description of the care home home has a passenger lift and is therefore suitable for wheelchair users. There are 20 bedrooms. Two doubles and 18 single rooms. Nine rooms have ensuite toilet and wash hand basin. All other bedrooms have a wash hand basin. People have the use of two bathrooms, one of which is assisted and a shower room. There is a dining room and three lounges, one of which is used as a smoking room. There is a reasonable sized garden, which is well maintained with lawn, established borders and shrubs and seating areas with table and chairs. The garden is suitable for wheelchairs users. Each room has a call bell for people to call for assistance should it be needed. All rooms have a television point. The home is set in a residential street in Cliftonville. There is car parking in the street to the front of the home. Within short walking distance there is a selection shops, local amenities and bus stop. The staff compliment consists of the owners, senior carers and carers. In support are a cook and domestic staff and a gardener. Staff work a rota that includes a minimum of three care staff on duty in the morning, two in the afternoon and two at night. The current fees range from £328 to £420 per week. There are additional charges for hairdressing, magazines and newspapers, chiropody, telephone and personal toiletries. A copy of the latest inspection report can be viewed at the home or down loaded from www.cqc.org.uk. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This report contains the findings of the homes key inspection and takes account of information obtained from various sources since the last Key Inspection of the 19 and 22nd February 2008, and a visit to the home. The key inspection visit was unannounced and carried out on Thursday 29th October 2009 between 09.45 and 15.00, and at a second visit on Monday 02nd November 2009 between 09:30 and 13:30. During the inspection the inspector spoke with the registered persons, one senior carer, care staff, the cook, and people who use the service. Various records were seen during the visit, together with an accompanied tour of some areas of the premises. Care Homes for Older People Page 6 of 27 Information contained in the completed Annual Quality Assurance Assessment (AQAA), completed by the registered person was clear and informative. This information has been used together with information gained and observations made at the time of the inspection visit all of which has been used when completing this report. Ten service user surveys and eight staff surveys were sent to the home for completion and return. However, due to the difficulties in relation to the postal strikes, none have been received back at the time of completing this draft report. It was discussed with the registered persons that if completed surveys were received before the final report was due to be published, comments from surveys would be added to the report. Any amendments made to the report would be discussed and agreed with the registered persons before the final report is published. The aim of the visit was to carry out an inspection against the key standards of the National Minimum Standards for Older Persons in accordance with the Inspecting for Better Lives (IBL) process. Judgements have been made for each outcome area in this report and these have been made using the Key Lines of Regulatory Assessment (KLORA), which is guidance used to ensure that a fair and proportionate judgement is made in each outcome area. More information about KLORAs can be found on the Care Quality Commissions (CQC) website. The findings of this inspection were discussed with the registered persons at the end of the visit, and overall indicate that this home is providing sustained good quality outcomes provision for the residents and in line with CQC ratings agenda this service has achieved an excellent 3* rating. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: Further develop a formal quality assurance tool that would allow everyone involved in the home to give anonymous feedback. Put in place a safer system of administration of medication. Update the pre-assessment documentation. Improve the care planning system by the implementation of person centred care planning. Implement formal regular supervision for staff with written records maintained. Care Homes for Older People Page 8 of 27 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents are provided with the information they need to make a decision about moving into the home. People who use the home can be confident their needs will be met based on an assessment. Evidence: The completed AQAA documentation states the home has a well-documented statement of purpose and service user guide, which clearly reflects what the home has to offer and describes day-today life at the home. A copy of the Statement of Purpose and Service User Guide were seen. The documentation contained all components as required by regulation. The documents had been updated earlier this year and the registered persons conveyed that small amendments were still needed to fully update the documentation and confirmed that these amendments would be addressed promptly. Care Homes for Older People Page 11 of 27 Evidence: It was previously reported that people said they chose the home because it was recommended and they would have no hesitation in recommending it themselves. One said you could see and feel what its like as soon as you come in, people have a smile on their faces and theres plenty of chat and laughter. The completed AQAA documentation states prospective clients are visited in their own homes or hospital and a thorough assessment is carried out usually by one of the registered persons. Pre-assessment information was viewed, and it was discussed that a more comprehensive format could be used that covers all topics referred to under Standard 3 of the National Minimum Standards. The registered person said that she would take action to improve the format of the documentation used. The preassessment information and care management assessments are used to develop the care plan. People confirmed that they or their families had been and looked round the home prior to moving in. They were able to see the room, which would be theirs and meet other people. The home does not offer intermediate care but subject to room availability can offer respite care. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. An area of the medication system needs improving to fully safeguard people. People are treated with privacy and dignity. Evidence: People are asked about their care needs and wishes, these are documented in a Standex care planning system. Two care plans were seen, and the records were organized and comprehensive including records for example, daily records, reviews and risk assessments. It was discussed that the page for reviews only contained a series of dates and initials. On the second day of the inspection visit, the registered person showed written reviews for the two persons whose care plans were seen, and confirmed that she would undertake this form of review format for all the care plans. Care plans contain risk assessments including falls and moving and handling. It was discussed that further risk assessments for example in relation to tissue viability, catheter care and stoma care were needed as appropriate for the individual person. Care Homes for Older People Page 13 of 27 Evidence: The registered person addressed this issue and on the second day of the inspection visit provided the additional risk assessments for the care plans seen. A recommendation has been made that the registered person undertake person centred care planning training to enable the registered person to improve the current system by the implementation of person centred care planning. People confirmed that support and help is given in a way they prefer. Peoples health care needs are clearly met. People spoke of attending out patients, district nurse visits and confirmed a doctor is called as soon as there is a problem. Detailed reports are in place and indicate that any health issues are monitored closely. A chiropodist visits the home every six weeks. Equipment is in place to aid independence. People confirmed that regular opportunities are available to do armchair exercises, which are enjoyed. The registered person confirmed on the second day of the inspection visit that weights are now to be regularly recorded. It was previously reported that the home only has bathroom scales and the registered person stated that where people cannot be weighed they are monitored and should there be any cause for concern action would be taken. Generally people are protected by the homes medication systems. The Medication Administration Record (MAR) charts were examined and showed appropriate use of signatures and codes. Staff advised that all staff that administers medication have received training. Staff who administer medication have their competency regularly reviewed by the registered person who is a trained assessor. The current practice seen is for the medications to be transferred from the lockable medication trolley onto and taken around on an open trolley. Following discussion with the registered persons in relation to good practice and maintaining safety and protecting staff and people who use the service, action is to be taken to change this procedure. A recommendation has been made. People are encouraged to manage their own medication where possible. The risk assessment clearly records peoples abilities to do this safely. A safe system has been put in place, including safe storage, and information in relation to the handover of medicines. The recommendation made at the last inspection visit has been met. People feel their independence is encouraged and their privacy and dignity is respected. Staff were observed to always knocked on doors before entering peoples rooms. People feel their rights as citizens are recognised and promoted, including fairness, equality, dignity, respect, and autonomy over their chosen way of life. Care Homes for Older People Page 14 of 27 Evidence: This service is consistently providing good outcomes enabling this to be viewed as an excellent service in line with Inspecting for Better Lives. Care Homes for Older People Page 15 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use services are able to make choices about their life style. Social and recreational activities meet individuals expectations. People are supported to maintain contacts with families and friends and enjoy a balanced and healthy diet. Evidence: The completed AQAA documentation states service users are encouraged to exercise choice and control over their lives and to try as far as possible to live an ordinary and meaningful life. To promote a full and stimulating lifestyle we do offer a programme of activities, which always considers the preferences of service users for example a lady who works with materials, shapes and various instruments in such a way that audience participation is almost 100 . People have access to varied activities including dominoes, bingo, armchair exercises, reading, television and music. An entertainer comes in to play music. One person said I enjoy taking part in all the activities. The home celebrates events for example birthdays, and a number of pumpkins were evident on the second day of the visit, following a Halloween Party for the people at the home. People are able to choose to spend time alone in their own room if they wish which is respected. Care Homes for Older People Page 16 of 27 Evidence: Outings are an area where the home plans to develop opportunities. One person is able to go out into the community and also uses public transport. Others said their families take them out. A hairdresser visits the home regularly. Staff advised that two clergymen regularly come into the home to see different people. One person attends a local church every week. People said that relatives are made to feel welcome and always offered refreshments. Those spoken to are entirely satisfied with the care provided and felt they are always kept informed. The main meal for the day was observed and was well presented and looked appetizing. Discussion with the cook confirmed that special diets are catered for. Records of the food provided are maintained. Breakfast is a choice of cereals or toast usually taken in peoples own rooms. The main meal is at lunchtime although there is no choice alternatives are always available. Staff said that the cook goes around discussing choices and finding out what they like to eat. Tea is a light meal or sandwiches. People confirmed there is always plenty of fresh fruit available, and bowls of fresh fruit was seen on the dining room tables on both days of the visit. All people spoken with and staff, confirmed that the food provided at the home was good. Care Homes for Older People Page 17 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People feel confident to speak out about any concerns and are sure that action would be taken. People are protected from abuse and feel safe living in the home. Evidence: The registered person confirmed that no formal complaints had been made in the last twelve months. Everyone spoken to felt any concern would be resolved not that they had any. The complaints procedure is displayed within the home. People spoken to said the owners are so easy to talk to. A record of all complaints is maintained together with any investigation and outcomes. The registered person discussed implementing a four part complaints system that includes a section for recording grumbles. People feel safe living in the home. Staff have received training in safeguarding of vulnerable adults. Policies are in place to protect people including a whistle-blowing policy. Staff said they would be confident to speak out if they were unhappy with others care practices. Staff demonstrated they had the knowledge of routes to report abuse both inside and outside of the home. The registered persons confirmed that ten members of staff had completed a Mental Capacity Act Awareness training session. The registered persons take immediate action to address any issues of concern enabling this to be viewed as an excellent service in line with Inspecting for Better Lives. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a homely, comfortable and clean environment. Evidence: People live in a safe environment. The home is homely and domestic in character. Some parts of the home are nicer than others although there is an ongoing refurbishment and redecoration plan in place. All communal areas and some corridors have been re-carpeted. All radiators are now fitted with low temperature surfaces. Two bedrooms have recently been redecorated and some corridors. The registered persons discussed planned improvements that are to take place in the near future including a new roof, a loft conversion to provide an office and a separate training/meeting room. The current office is to be refurbished as a staff room. Replacement of doors and door frames is planned. Provision of sluicing facilities is being considered. The registered person said that as bedrooms are re-decorated new furniture will be purchased as it was seen that this was needed in some of the bedrooms viewed. People confirmed the gardens are used in the summer weather and fetes are also held outside. The gardens are safe, attractive and assessable to those with mobility problems. They consist of lawn areas, borders with established shrubs and seating areas with table and chairs. There are three lounges one of which was a smoking room. This room is currently being refurbished. People confirmed that they are happy Care Homes for Older People Page 19 of 27 Evidence: with their rooms and were able to bring in personal possessions. A new nurse call system has been installed. The system also has the added facility of radio call bell cords which can be placed around someones neck if they are unable to walk or reach a call point, or can be used whilst in the garden. The home has purchased a device with a magic eye which is connected to the Nurse Call system. This may be used with someone who is at risk of falling by sounding the alarm if they have got out of bed. Following discussion on the first day of the inspection visit, the registered person had taken immediate action to obtain a supply of red alginate bags to be used for the safe handling of soiled laundry, thereby promoting good infection control procedures in the home and safeguarding staff and persons in the home. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a mainly well-trained, enthusiastic and supportive staff team. Staff training is ongoing to ensure that all staff have and maintain the skills and knowledge needed to meet the needs of the residents. The homes practice regarding the recruitment of new staff ensures residents are protected. Evidence: The staff rota for the week was seen and indicates that there are sufficient staff on duty at all times to meet the needs of the current group of residents. People benefit from a stable staff team. Each shift has a senior carer on duty. People felt there are sufficient staff on duty. All comments about the staff were good. People felt they were kind and hard working. Staff said they felt well supported by the owners and felt there is a good team in place. Following the immediate requirement made at the last inspection visit, action has been taken to ensure that a thorough recruitment process is in place thereby endeavouring to safeguard and protect the people living at the home. Four staff files were viewed two for new members of staff and two for staff that had been employed for sometime. It was seen that the files contained all the components as required by regulation and included for example, application form, two references, CRB and POVA checks and proof of identity. The registered person said they had contracted with an Care Homes for Older People Page 21 of 27 Evidence: external company who would provide staff contracts of employment. Staff spoken with confirmed that robust recruitment practices are in place at the home. Induction training for new staff includes shadowing a senior carer as well as undertaking the homes induction programme. These documents were seen completed and it was discussed that each section needs to be signed and dated by both parties. The registered persons agreed to address this issue. The staff training matrix was seen, and indicates that training is ongoing with seven of the fourteen staff having completed National Vocational Qualification Level 2 or above. The completed AQAA states the registered person is a qualified trainer for Manual Handling and puts all staff through an annual programme. First aid training is booked for four staff in November 2009. Training in relation to Infection Control and Basis Food Hygiene is needed to be undertaken by some members of staff. The registered persons said that training would be arranged. Staff confirmed that they regularly undertook training. People are well supported by a staff team that recognises and responds appropriately to their diverse needs and human rights. This service is consistently providing good outcomes enabling this to be viewed as an excellent service in line with Inspecting for Better Lives. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a well run home and the health, safety and welfare of service users and staff are promoted and protected. The management and administration of the home is based on openness and respect. Further development of quality assurance systems would ensure that peoples views underpin the development of the home. Evidence: People felt the owners are approachable and will resolve any issues that arise. Mr Topping has completed a Registered Manager Award (RMA) at National Vocational Qualification (NVQ) level 4 in care. Mrs Topping is a Level 1 Registered General Nurse (RGN) and an NVQ assessor. Both have considerable years experience in residential care. All feedback regarding the owners was very positive. White Lodge has a very homely and friendly atmosphere. People feel that the owners offer a personal touch to make White Lodge a happy place to reside. Care Homes for Older People Page 23 of 27 Evidence: A formal quality assurance system is yet to be fully developed, however surveys were seen that were to be given to residents, relatives, GPs and other professionals in order to gain their views on the service provided. The registered persons plan to implement a self-assessment quality audit shortly, which is based on the National Minimum Standards. Staff feel well supported. Senior staff meetings are held regularly and a full staff meeting held annually. Supervision is mainly informal at present, however appraisals are to be undertaken in the near future and the registered persons said that regularly supervision with written records maintained will then be introduced. The home holds a small amount of monies for one person with records maintained. Information received showed the servicing of equipment was within recommended timescales. This service is consistently providing good outcomes enabling this to be viewed as an excellent service in line with Inspecting for Better Lives. Care Homes for Older People Page 24 of 27 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 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, Care Homes 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 1 2 3 4 3 7 9 33 Update and implement a comprehensive pre-assessment format that will fully inform the person centred care plan. Improve the care planning system by completing person centred care plans. Provide a safer system of administration of medication. Further develop a formal quality assurance tool thereby allowing everyone involved in the home to give anonymous feedback. Implement formal regular supervision for staff with written records maintained. 5 36 Care Homes for Older People Page 26 of 27 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - 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!

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