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Care Home: Windsor Lodge

  • 43 Cranford Avenue Exmouth Devon EX8 2QD
  • Tel: 01395263211
  • Fax: 01395223154
  • Planned feature Advertise here!

11 11 1Windsor Lodge is a detached three storey building in a residential area of Exmouth. The home also has a one-bedroom annexe. The main house provides accommodation and personal care for up to 10 people with a learning or physical disability over the age of 40. The annexe provides personal and supportive care for one person. Although both the annexe and main house are registered as one home. They often run as two separate units. Southern Cross Health Care operates the home with a subsidiary company called Active Care who is in charge of general operations. The home`s current fees range from GBP343.73 to GBP2448 with extra costs for personal items such as hairdressing, toiletries and so on being charged individually. Inspection reports are displayed in the entrance hall of the home, making them available to visitors and the people living in the home who wish to read them.

  • Latitude: 50.622001647949
    Longitude: -3.3900001049042
  • Manager: Manager post vacant
  • Price p/w: ~
  • UK
  • Total Capacity: 11
  • Type: Care home only
  • Provider: Networking Care Partnerships (SW) Ltd
  • Ownership: Private
  • Care Home ID: 18082
Residents Needs:
Sensory impairment, Physical disability, Learning disability

Latest Inspection

This is the latest available inspection report for this service, carried out on 11th May 2010. 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 Windsor Lodge.

What the care home does well People living at the home, who have diagnosed health problems, have received good treatment from health specialists and the home have good systems in place for recognising potential signs of illness and referring people appropriately to their GP or relevant medical practitioner. People are provided with a range of activities at Windsor Lodge to help them lead interesting lives, with a choice of things to do each day both within the house or in the wider community. [ Please refer also to "what the service could do better"] The accommodation offers people a comfortable home to suit their individual needs. Each person has their own single bedroom that has been furnished and decorate to suit their tastes, interests and preferences. The home is clean, bright, airy, and safe. What the care home could do better: There should be a robust accounting system in place for medications that are not supplied in four weekly blister packs. This should enable the home to provide evidence of the amount of each medication carried forward at the end of each four weekly medication cycle. The level of information on each medication administered in the home should be improved to give staff all of the information they need about each medication, how it should be stored and administered, and any side effects. The information about creams and lotions should be improved so that staff know where each cream should be applied, and how to monitor the condition and decide when the creams or lotions are no longer required. A record of all medication received at the home must be maintained. When medication received at the home is hand written onto medication administration records it should be checked and signed by two members of staff to ensure accuracy. There should always be sufficient staff on duty to meet the assessed health and social care needs and staff must be trained to ensure they are competent to meet the assessed needs of people and to maintain their health and safety. People living at the home should be encouraged and supported to do what they wish in the community safely.Decor, which is tired and would benefit from redecoration, should be attended to to ensure that people live in a well maintained environment. Random inspection report Care homes for adults (18-65 years) Name: Address: Windsor Lodge 43 Cranford Avenue Exmouth Devon EX8 2QD three star excellent 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: Michelle Oliver Date: 1 1 0 5 2 0 1 0 Information about the care home Name of care home: Address: Windsor Lodge 43 Cranford Avenue Exmouth Devon EX8 2QD 01395263211 01395223154 windsorlodge@activecarepartnerships.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Networking Care Partnerships (SW) Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 11 Number of places (if applicable): Under 65 Over 65 0 0 0 learning disability physical disability sensory impairment Conditions of registration: Date of last inspection Brief description of the care home 11 11 1 Windsor Lodge is a detached three storey building in a residential area of Exmouth. The home also has a one-bedroom annexe. The main house provides accommodation and personal care for up to 10 people with a learning or physical disability over the age of 40. The annexe provides personal and supportive care for one person. Although both the annexe and main house are registered as one home. They often run as two separate units. Southern Cross Health Care operates the home with a subsidiary Care Homes for Adults (18-65 years) Page 2 of 11 Brief description of the care home company called Active Care who is in charge of general operations. The homes current fees range from GBP343.73 to GBP2448 with extra costs for personal items such as hairdressing, toiletries and so on being charged individually. Inspection reports are displayed in the entrance hall of the home, making them available to visitors and the people living in the home who wish to read them. Care Homes for Adults (18-65 years) Page 3 of 11 What we found: Before it is agreed that Windsor Lodge would be the right place for a person to live a visit to the home will be arrange and, if possible, an overnight stay prior to admission. An assessment of individual health and social care needs will be undertaken prior to admission, and all relevant paperwork including contract/service agreement, service user guide and statement purpose will be given to the person. On the day of this inspection 8 people were living at Windsor Lodge. The service has not had any new admissions over the past 12 months but a person has moved on and the service tells us followed the same transition format as above in providing a smooth safe move in the best interests of the person moving. The care plan and admission documents were seen for the last two people who had moved into Windsor Lodge. Both people had limited verbal communication skills and the staff had been developing ways of improving communication with them using signs and symbols. The care plan files showed good information had been gathered about each person before they moved in. We talked to two members of staff and were satisfied that the home takes good care to get to know people thoroughly before they move in. In response to surveys returned prior to this inspection people living at Windsor Lodge confirmed they had been asked if they had wanted to move into the service and that they had received enough information before they moved in Also 12 staff who responded to surveys confirmed they are given up to date information about the needs of the people they support and care for. All people living at Windsor Lodge have individual care plans which include comprehensive information about how their health and social care needs are to be met. We spoke to staff who were familiar with the needs of people and how they chose to have these needs met. For example, one staff member told us about the preferred morning routine for one person and described how staff communicate with another person who uses a combination of non verbal communication methods. When asked whether staff are given up to date information about the needs of the people they support or care for 6 who responded to surveys confirmed they always and 6 usually provided with the necessary information in individual care plans. In response to surveys received before this inspection comments included The staff group that worked with my client were excellent. The care and support was second to none. In response to the question what could the home do better? comments included Better record keeping, incidents used to be reviewed and reflect in practice, Active care as an organisation do not seem to inform staff or teams [ LD teams] of future plans. This sometimes leads to unrest and a reduction in confidence,Staff could fill in care plans more frequently as and when a situation arises or changes, and More relevant information to be passed on shift changes. Care Homes for Adults (18-65 years) Page 4 of 11 At the time of this inspection people living at the home presented as happy and comfortable. Some people had chosen to stay in bed until mid morning when the came to the kitchen and staff encouraged and supported them to do what the person chose. One had breakfast before asking staff to assist them with personal care. Another person told us they were visiting the dentist later that morning and some chose to take part in a drama session, which is undertaken at the home regularly. Lunch time at the home was a very sociable occasion, people were encouraged to choose what they wanted to eat. One person prepared their own lunch and another was very specific when asked what they wanted; their choice was prepared quickly and was well presented. We were told that people living at Windsor Lodge are encouraged to stay in contact with family and the community. Information provided by the service prior to this inspection included that the service has improved over the last 12 months by being able to take all service users on holiday over the past 12 months from day trips to holidays abroad. This promotes confidence and empowers the service user as well as provides them with new challenges and equips them with new skills. People told us about their holiday and how much they had enjoyed it during this inspection. Comments in returned surveys in response to what does the home do well included: Activities, food. Enjoy pub and Guinness everyday. I enjoy the meals and food at the home. I enjoy going out with people and on my own. Gateway, nails, activities, holidays, enjoy crosswords. In response to what the home could improve people living at the home comments included: Would like to go out more maybe arts and crafts and Would like to do more and visit Stallcombe House. Staff comments in relation to what the service could do better included: Organise staff levels better when the sus are going out to an appointment or outing [ sometimes these have to be canceled due to not enough staff or no driver]. Support more so the residents have more chance to get out and do things. We discussed these comments with staff and the manager who confirmed that this is often the case. People are not usually able to undertake outings without prior planning to have staff available. The two care plan files we looked at contained good evidence of each persons personal and health care needs. There were letters on file from health professionals and a member of staff told us about forthcoming appointments with specialists. Accident reports forms were seen files in individual files. We looked at the way medications were stored and administered for the people living in the home. The medicines were stored in a locked cupboard. The home used a monthly monitored dosage system supplied by a local pharmacy. The records had been generally well maintained for those medicines supplied in the monthly blister packs. Administration records for medicines not in blister packs were satisfactory with the exception of hand written prescriptions for medication not received regularly, Care Homes for Adults (18-65 years) Page 5 of 11 such as antibiotics. These had not audited into the home or signed by 2 staff to ensure accuracy and there was no ongoing accounting system for those medications held in the home at the end of each 4 week period. We talked to the manager about introducing a brought forward system to show the amounts held in the home and carried forward each month. We looked around the building during this inspection and looked at some private rooms with the consent of the individuals. The rooms we saw were comfortable, some rooms were personalised and all were homely. Some of the decoration in the communal areas, halls, landings, looked tired and would benefit from redecoration. In response to is the home fresh and clean one person living at the home thought it was always and 4 usually so. Suggestions as to what the home could do better included ,Improve environment, make room better Staff suggestions included Redecorate, Hygiene around the home could be improved , Improve environment and Redecorate the home. We looked at the recruitment files for the last two members of staff recruited by the home. We saw the home had obtained criminal record checks and there was evidence to show that the Protection of Vulnerable Adults (POVA) checks had been carried out . Two satisfactory references had been obtained for each person before the staff began working. During our inspection we talked to two members of staff who told us they were very happy in their work and felt the communication and support systems in the home are generally adequate. However, their comments also confirmed comments received in surveys, which included suggestions of what the home could do better: More frequent staff meetings More frequent basic training updates. Find other relevant training courses for staff to attend. Relevant information from head office either given to staff or displayed on notice board. We spoke to the acting manager who told us that training had not been provided as it should be recently. We looked at records of training and found that staff training needs to be updated; none of the staff have undertaken basic food hygiene but all are involved in preparing food, one person has not undertaken fire training since 2007. Two staff confirmed there were always and 10 usually enough staff to meet the individual needs of all the people who use the service. One staff member told us that 3 staff are on duty during the morning, but 1 person needed assistance form 2 staff for up to an hour. This left on member of staff to care for and support others living at the home with personal needs and breakfast, which they did not feel was sufficient to meet peoples needs in a relaxed way. The service does not currently have a registered manager although a former team leader has undertaken the responsibilities of this role. Care Homes for Adults (18-65 years) Page 6 of 11 Information provided by the service prior to this service confirms that policies and procedures are kept up to date to reflect good practice and that all Health and Safety checks and maintenance of equipment is undertaken at Windsor Lodge to ensure people are protected from risk. What the care home does well: What they could do better: There should be a robust accounting system in place for medications that are not supplied in four weekly blister packs. This should enable the home to provide evidence of the amount of each medication carried forward at the end of each four weekly medication cycle. The level of information on each medication administered in the home should be improved to give staff all of the information they need about each medication, how it should be stored and administered, and any side effects. The information about creams and lotions should be improved so that staff know where each cream should be applied, and how to monitor the condition and decide when the creams or lotions are no longer required. A record of all medication received at the home must be maintained. When medication received at the home is hand written onto medication administration records it should be checked and signed by two members of staff to ensure accuracy. There should always be sufficient staff on duty to meet the assessed health and social care needs and staff must be trained to ensure they are competent to meet the assessed needs of people and to maintain their health and safety. People living at the home should be encouraged and supported to do what they wish in the community safely. Care Homes for Adults (18-65 years) Page 7 of 11 Decor, which is tired and would benefit from redecoration, should be attended to to ensure that people live in a well maintained environment. 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 Adults (18-65 years) Page 8 of 11 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 Adults (18-65 years) Page 9 of 11 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 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 Care Homes for Adults (18-65 years) Page 10 of 11 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 Adults (18-65 years) 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 Adults (18-65 years) Page 11 of 11 - 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. 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