You are here

Chandos Lodge Nursing Home Requires improvement

All reports

Inspection report

Date of Inspection: 15 July 2011
Date of Publication: 26 September 2011
Inspection Report published 26 September 2011 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

Our judgement

The health and social care needs of each person living in the home was recorded. Risk assessments had been carried out to identify actual or potential risks and how these should be addressed. The records were well maintained, regularly reviewed and updated where necessary.

Overall, we found that Chandos Lodge Nursing Home was meeting this essential standard

User experience

People told us that they liked the staff and felt they met their needs well. They said that they were able to choose how they spend their day, including the time they chose to get up and retire to bed. They told us that individual and group activities were provided for them to take part in if they wished. They said if they preferred to spend some time alone they could choose to sit in a quieter part of the home or their bedroom.

One person visiting their relative told us that they were very happy with the care provided. They said that they were always kept informed of any concerns or changes in their relative’s care. They described the staff as ‘wonderful’ and very kind, patient and consistent. They told us that their relative used to live alone, but following a fall and stay in hospital was transferred to Chandos Lodge Nursing Home. They said that ‘mum is always looked after well, she likes it here and there is never a dull moment, whereas previously at home she had very little to do’. They said they had seen a positive change in their mother and that the staff were ‘good natured, kind people who took a pride in the home’.

Other evidence

We followed through the care and support that people received at Chandos Lodge Nursing Home. We found that people’s care plans were individualised to their particular needs, were detailed, reviewed and updated regularly. We saw that an assessment of any risks had been clearly recorded with actions recorded as to how the risk was to be managed. Examples included assessing the risk of people who could potentially develop pressure sores and risks associated with poor mobility needs such as falling. Plans were in place to address the moving and handling of people with the use of specialised equipment. We saw assessments in relation to people’s nutritional needs where they were at risk of poor nutrition. Records were kept of people's weight, with evidence of referral to their doctors or the dietician if there was any significant weight loss. Where a risk had been identified, a specific plan of care to address the need was documented within the file for staff to follow.

It was evident that people and their families had been consulted with and involved in the care planning and assessment process to ensure their likes dislikes and views had been taken into account.

Where people lacked the capacity to make informed decisions about some aspects of their care and support needs, best interest meetings were held. Best interest meetings consider all relevant circumstances and factors when decisions are being made about or for an individual. This includes consulting with family and other agencies or professionals involved in care and treatment.

People’s files contained documentation noting and summarising any visits by other healthcare professionals together with any recommendations that they made. We saw instructions had been added to people’s care plans following any recommendations made.

One file that we viewed contained documentation to show that blood tests had been taken and sent to the surgery. However, the documentation had not been completed to advise of the outcome of the tests.

Daily records were completed for each person. Where people were cared for in bed, charts were in place for regular turning, fluid and food intake. We saw that people being cared for in bed looked comfortable, were being repositioned regularly to prevent any discomfort or pressure sores and their fluid and food intake was being recorded appropriately. One such person we spoke to told us that the staff were meeting her needs appropriately.

Procedures were in place to make sure that when people moved between services information was shared sensitively and appropriately to ensure continuity of care. There were transfer forms completed and held in people’s files for this purpose.

Throughout our visit the atmosphere in the homewas calm and relaxed. Staff were observed to be interacting with people in a positive and appropriate manner.