Inspection on 19/11/07 for Paddock Lodge

This is the latest available inspection report for this service, carried out on 19th November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

Other inspections for this house

Paddock Lodge 08/03/06

Paddock Lodge 07/09/05

Paddock Lodge 30/03/05

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Paddock Lodge 60 Church Street Paddock Huddersfield West Yorkshire HD1 4UD Lead Inspector Karen Summers Key Unannounced Inspection 19th November 2007 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Paddock Lodge DS0000062361.V355028.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Paddock Lodge DS0000062361.V355028.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Paddock Lodge Address 60 Church Street Paddock Huddersfield West Yorkshire HD1 4UD 01484 543759 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) info@eaglecarehomes.co.uk None Eagle Care Homes Ltd Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Paddock Lodge DS0000062361.V355028.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th December 2006 Brief Description of the Service: Paddock Lodge is a care home registered to provide personal care for up to twenty four older people. It is situated on the main street of the Paddock area of Huddersfield, within close proximity to shops and community facilities. Huddersfield town centre is a short journey away on public transport. The property, a detached stone house, was formerly a vicarage, which has been adapted and extended for its current use. It is set in its own grounds and there are car-parking facilities in the grounds. There is ramped, level access to the home. The accommodation is on two levels and there is a passenger lift, which enables people who have difficulty in managing stairs, to reach most of the first floor accommodation. There is a stair lift to the original part of the building on the first floor, where a minority of bedrooms are located, together with a bathroom, a lounge/diner and the managers office as this area cannot be accessed by the passenger lift. There are assisted bathing facilities on both floors. There are en-suite bedrooms on the ground floor, two lounges, a dining room and two communal toilets, both in fairly close proximity to the lounges and dining room. Smoking is not permitted in the home. The Commission for Social Care Inspection was informed that as at 19.11.07 the fees range from £358.80 for a single bedroom to £347.02 when sharing a room. Additional charges are made for hairdressing, chiropody, magazines and papers. Information about the home in the form of a Statement of Purpose, Service User Guide and the latest Commission for Social Care Inspection report are available from the home. Paddock Lodge DS0000062361.V355028.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report refers to an inspection which included an unannounced visit to the home by an inspector on Monday 19 November 2007, commencing at 9am, and the length of the inspection was 6.75 hours. There were 24 people living at the home on the day of this visit. Prior to the visit, the manager was asked to complete an annual quality assessment document. This she did, and the document provided the Commission for Social Care Inspection (CSCI) with a lot of information about the way the home is run, and what they hope to achieve in the future. During the visit the inspector spoke with members of staff, and people who receive care, to obtain their views. The inspector also looked at a sample of care records, staff recruitment records, staff training records, quality assurance audits and looked around the home. To enable people who use the service to comment on the care it provides, ten surveys were sent out to people, 9 of which were returned, 10 to their next of kin, 3 were returned, people’s doctors and health care workers (social workers, community nurses). None of these were returned at the time of writing the report. The feedback from those who returned surveys to the Commission was very positive. Below are some examples of the feedback we received: • “Yes so good. Mum very happy with care.” • “Always kept up to date. Good care.” • “X is so much happier for moving in.” The Commission would like to thank all the people who gave feedback about this home, and would like to thank the manager and staff for their cooperation throughout the inspection process. What the service does well: Relatives’ surveys asked, “What do you feel the care home does well?” Responses include: • • • “All the residents look very clean, well dressed and happy.” “The staff communication with them is very friendly and helpful and very approachable.” “Visitors are made very welcome, with staff assisting with chairs or a drink.” DS0000062361.V355028.R01.S.doc Version 5.2 Page 6 Paddock Lodge • “The general rooms are very pleasant and the gardens always look well kept.” People are encouraged to visit the home before deciding that it is the right home for them, and everyone has an assessment of their needs. Once it is agreed that the person would like to move in, a member of staff stays with them on the day and introduces them to other people living at the home. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can Paddock Lodge DS0000062361.V355028.R01.S.doc Version 5.2 Page 7 be made available in other formats on request. Paddock Lodge DS0000062361.V355028.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Paddock Lodge DS0000062361.V355028.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3&5 Standard 6 - the home does not take people who require intermediate care. People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are assessed prior to them moving into the home and are able to visit the home to establish whether or not it is the right place for them. EVIDENCE: The care records of three people who use the service were examined, all of which contained a pre-admission assessment carried out by the funding local authority. Each assessment contained detailed information about the person’s current needs and, in addition to this, there was evidence that the home had also carried out an assessment of the person’s needs. The information in the annual quality assessment (AQAA) document confirmed Paddock Lodge DS0000062361.V355028.R01.S.doc Version 5.2 Page 10 that all prospective people have a pre-admission assessment to ensure the home can meet any identified need and the placement will be appropriate. The manager also said that people were encouraged to visit the home and spend some time there before making a decision to move in. People living at the home said that they received enough information about the home before deciding if it was the right place for them, and relatives also confirmed this. Paddock Lodge DS0000062361.V355028.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7 –10 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The level of care people need, which includes their health, personal and social care needs, are clearly highlighted within their care plan. People are treated with respect. EVIDENCE: Three people’s care records were looked at in detail and the documentation clearly identified the care needs, risk of falls assessments, movement and handling assessments, nutritional assessment, social interests and people’s likes and dislikes. There was also evidence that the care plans are updated monthly or as the needs of the person change. In addition to this, there is a section in the care plans relating to any family involvement of which the manager said that the family are encouraged to read the care plans where appropriate. Paddock Lodge DS0000062361.V355028.R01.S.doc Version 5.2 Page 12 Relatives confirmed that the home help their relative to keep in touch. One person said that the staff always brings their relative to the phone when they ask, and another person said that the staff, “Keep me posted - very good.” Without exception, people said that they receive the care and support that they need and one person said that the staff are, “Always very helpful and friendly.” Everyone said that the staff listen and act on what the person says. Staff were seen to talk to people by name and respect their wishes. The inspector identified people as having had a number of falls and their documentation was looked at in detail. There was evidence that the appropriate action had been taken and referrals to doctors, nurses and fall prevention professionals had been made. There was also evidence in people’s care records that they are able to access health care services, such as the dentist, chiropodist and optician, and everyone living at the home is registered with a doctor. One person said that they, “always get good medical support.” Everyone said that they receive the medical support they need. All staff who give medication to people have recently had training, and the storage, administration and recording of the medication was done correctly. Should a person wish to self- administer their medication, there is a risk assessment and documentation to support this. The manager confirmed that she audits the medication weekly to ensure that practices remain safe. Paddock Lodge DS0000062361.V355028.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 – 15 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service are able to maintain contact with their family and friends, and staff assist people in having a choice in most things they do. A variety of meals is offered that take into account the likes and dislikes of the people and their religious and medical needs. EVIDENCE: At the time of the visit people were sitting chatting, playing dominoes and generally passing the time of day. The routines of daily living were seen to be flexible and people commented on how they were able to choose how they spend their day. The home does not have a dedicated activities person. The manager said that the carers or the team leader who are on duty would carry out the daily activity. A variety of activities were displayed on the notice boards, and activities that people are involved in were recorded in their individual care records. The manger said that the activities programme is discussed with people living at the home at their monthly meeting. Activities include a sing Paddock Lodge DS0000062361.V355028.R01.S.doc Version 5.2 Page 14 along, cards or dominoes, and manicures etc. An outside entertainer visits the home every three months and, in addition to this, the home celebrate events, have clothes parties and go out on outings, eg. Blackpool to see the Christmas lights. Without exception, people said that there are activities arranged by the home that they can take part in, and one person said there were, “Lots and lots of activities, and days out.” The information in the annual quality assessment document said that the home do meaningful activities seven days a week and have an entertainer visit on a regular basis. It also said that visitors are invited to events and there is no restriction on visiting times. Ministers from different denominations visit the home monthly. The home does not routinely provide newspapers, however they will, on request, order individual papers on behalf of people. Library books including large print books and audiotapes for people who have sight impairment are delivered to the home monthly, and the people living at the home confirmed this. The menus offered a variety of food, and the food preferences of people had also been taken into consideration when planning the menus. When asked if people like the meals at the home, everyone said yes. One person commented, “Oh yes, can eat, and it goes down very nice.” Another person said that the home supplies a good menu with plenty of choice. Paddock Lodge DS0000062361.V355028.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 &18 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People living in the home are protected from abuse and they can be confident that their complaints will be listened to and acted upon. EVIDENCE: There is a complaints procedure which specifies how complaints may be made, with an assurance that they will be responded to within a maximum of 28 days. There has not been any complaints received since the last inspection. People who use the service said they know who to speak to if they are not happy, and that they know how to complain. One person said, “No concerns over care.” Another person said, “Yes well done.” Staff who were spoken with said that they were aware of the procedure to follow if they suspected abuse of a person, and that they also were aware of the home’s Whistle blowing policy. Training records were seen and showed that staff have attended safeguarding training, or were booked on a course to attend the Kirklees safeguarding training in the near future. This was also confirmed by staff. Paddock Lodge DS0000062361.V355028.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. The home offers people a homely, comfortable and clean environment. EVIDENCE: The inspector had a look around the home which included communal areas, a number of people’s bedrooms and the laundry. As mentioned at the previous inspection, the radiators throughout the home have been covered to protect people from burns, however, the coverings have not been painted and in some areas were stained and could not be effectively cleaned. The radiator covers should be painted. Paddock Lodge DS0000062361.V355028.R01.S.doc Version 5.2 Page 17 One of the bedrooms had a slight offensive odour that the home is taking steps to address. The majority of people said that the home is always fresh and clean. One person said, “Spotless, no bad odours, nice smells of food.” Paddock Lodge DS0000062361.V355028.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27 – 30 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. There are sufficient numbers of staff to meet people’s needs. Staff receive training to assist them to carry out their responsibilities and they have had all the necessary checks before working with people so that they are kept safe. EVIDENCE: The information in the annual quality assessment document states that the home is staffed with people who have the appropriate training. This includes induction, mandatory training and training in dementia care. Recruitment has also been done properly. The list of staff on duty showed that there were sufficient staff in number to meet the needs of the people in their care, and the manager confirmed this. This included support staff, administrator, maintenance, and kitchen staff. Everyone said that there are always staff available when you need them, and one person said that the staff are very good. Sixty five percent of care staff have an NVQ (National Vocational Qualification) level two or above, and a further six staff are working towards the qualification. Paddock Lodge DS0000062361.V355028.R01.S.doc Version 5.2 Page 19 The recruitment files of three members of staff were looked at in detail and found to contain the required information and employment checks. These checks are necessary to help protect people from potentially unsuitable staff. Paddock Lodge DS0000062361.V355028.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. People benefit from the management approach of the home and the manager ensures, so far as is practicable, that the health, safety and welfare of people and staff are protected. The home is run in the best interest of people who live there. EVIDENCE: Laura Spencer is the proposed new manager, and is also a Registered General Nurse. She is soon to start a NVQ level 4 award in Management. Staff spoke positively about the proposed manager saying she was supportive and approachable. Paddock Lodge DS0000062361.V355028.R01.S.doc Version 5.2 Page 21 For those people who wish, small amounts of personal money are held safely at the home. The financial records of three people were examined and satisfactory records were maintained. Meetings involving people who live at the home are held monthly and minutes are then written and displayed on the notice board for people and their relatives to see. The things that are discussed at the meetings include the daily routines, activities, quality of care, the quality of food and the menus. Care should be taken to ensure that individuals’ identity is protected when recording the minutes. Staff meetings also take place every three months or more frequently if needed. Satisfaction questionnaires are distributed twice a year to people living at the home and the findings are recorded on the notice board for people to seen. The format of the questionnaires was discussed with the proposed manager to ensure that everyone is able to read and understand them. Compliments were recorded in the form of letters and cards of appreciation from visitors and relatives, and included, “Thank you for your kindness to mum. It was a comfort to our family.” “You showed that you are true carers.” The Operations Manager visits the home monthly and writes a report on her visit that is used to monitor the quality of the service. Records showed that the fire alarms are tested weekly and that the emergency lighting is tested monthly. Fire drills are carried out at regular intervals and the proposed manager said that this included the night staff taking part. When looking at the fire training records, a number of the staff had not had refresher fire lectures. The acting manager said that she was waiting for dates when the lectures would take place. In the interest of staff and people’s safety, all staff should have up to date fire training. Training records also showed that not all staff had attended a yearly movement and handling lecture. Further movement and handling training sessions have been arranged to ensure that all staff have had the training. Accidents are recorded and audited each month. Discussion was held regarding the need to audit the accidents in greater detail so that any trends can be identified. Paddock Lodge DS0000062361.V355028.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Paddock Lodge DS0000062361.V355028.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard OP19 OP31 OP38 OP38 Good Practice Recommendations Radiator covers should be painted to enable them to be properly cleaned. The manager should have an NVQ level 4 in management. In the interest of staff and people’s safety, all staff should attend regular fire lectures each year. In the interest of staff and people’s safety, all staff should have up to date movement and handling training. 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