Random inspection report
Care homes for older people
Name: Address: Sherwood Lodge Sherwood Way Fulwood Preston Lancashire PR2 9GA 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: Susan Dale Date: 0 5 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Sherwood Lodge Sherwood Way Fulwood Preston Lancashire PR2 9GA 01772715077 01772774894 Telephone number: Fax number: Email address: Provider web address: www.barchester.com Name of registered provider(s): Name of registered manager (if applicable) Mrs Ann Beswick Type of registration: Number of places registered: Conditions of registration: Category(ies) : Barchester Healthcare Homes Ltd care home 49 Number of places (if applicable): Under 65 Over 65 49 old age, not falling within any other category Conditions of registration: 0 The registered person may provide the following category of service only: Care home only - Code 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 - Code OP The maximum number of service users who can be accommodated is:49 Date of last inspection Brief description of the care home Sherwood Lodge is a purpose built home owned by Barchester Healthcare Homes Ltd. The home has been significantly upgraded and improvements are ongoing. The home provides personal care for up to 49 older people of both sexes. The service provided is
Care Homes for Older People Page 2 of 9 Brief description of the care home suitable for people who are not highly dependent on admission but will try to meet a wide range of personal care needs should their health deteriorate. Sherwood Lodges primary aim is to provide long term care but may also provide short stay/respite if beds are available. Information about the services provided by the home are contained within a Statement of Purpose and Service Users Guide (Welcome Pack) that is freely available to any interested person. The current fees charged by the home are £595:00 rising to £650:00 for an en-suite room and according to assessment needs. Additional charges would be made for hairdressing, chiropody and newspapers. Further information about fees can be obtained from Sherwood Lodge. Care Homes for Older People Page 3 of 9 What we found:
The site visit was unannounced and focused on key standards with regard to Health and Personal Care and Protection. Various documents were examined belonging to the people cared for and staff. The registered manager completed the Annual Quality Assurance Assessment prior to the site visit that provided some statistical information and how well the home was meeting standards of care. Prior to the site visit surveys were provided to the persons cared for in the home and staff; their views and comments have been taken into account. Five surveys were returned from the people being supported in the home and six were from staff; all the responses were positive. Comments about what the home does well from the people supported in the home included the following: All aspects of the home are very good. I have no complaints it is lovely. Excellent home, care tops. Sherwood Lodge delivers excellent care and the manager is excellent, no problems. it is a home for home. Staff very good, if you need anything from the shops the staff will go for you. Staff comments included: Excellent care, great manager The staff always look after the residents like they are their relative. The residents daily do activities which help stimulate them. If I had to place a relative in a residential home I would look no further than Sherwood Lodge as I feel the care is second to none. The home provides all necessary equipment to help staff provide and maintain a high and correct standard of care for residents with all types of needs. Provides staff with adequate training to understand how to care for people with particular needs. Staff also raised some issues about difficulties getting in and out of the dining room and possible more chairs in the lounges. The manager stated that those issues have been raised by staff and addressed. New higher backed chairs have also been purchased for all areas as requested following a residents committee meeting. The manager and senior staff have received training in the Mental Capacity Act (MCA) and the Deprivation of Liberty Safeguards (DOLS) The MCA was fully implemented in 2008 and has been amended to include the deprivation of liberty safeguards that came into force on the 1st April 2009. The safeguards are in place for any person who lacks capacity and is unable to make decisions for themselves. Any person who lacks capacity
Care Homes for Older People Page 4 of 9 can be confident that any decisions made on their behalf will be made in their best interests. All service providers have to be aware of their duties and responsibilities placed on them by the MCA. The initial assessment now includes a check list that helps to identify the mental capacity of the person being assessed. The home has a very good relationship with the local Primary Care Trust (PCT) and has been encouraged to obtain the Gold Standards Framework in the provision of care for any person nearing the end of their life. The PCT are willing to fund training for the staff within the home. A dedicated room is located within the home that is used by nurses three or four times a day as well as staff within the home. The nurses work closely with the home staff and a communication log is shared between them. Six staff are currently trained to provide medication. The home has suitable policies and procedures with regard to providing medication which is stored securely. At the initial assessment an assessment takes place as to whether there are any risks associated with the person self medicating or whether they need assistance from staff. The details are recorded and lockable storage for any medication is provided within the individual bedrooms. The philosophy of care within the home is based on ensuring that each person is treated with respect, and dignity at all times. Staff are provided with training at induction on privacy, dignity and respect particularly with regard to bathing, washing and dressing and support the persons own capacity for self care. An assessment takes place with regard to pressure care and the care plan is reviewed on a continuing basis with appropriate equipment accessed through the district nurses. Nutritional screening takes place and the outcomes are given to the catering manager and the care team, weights gain and loss and height is monitored weekly and documented in the care plan and a report sent to the homes Clinical Nurse. The home has a well publicised complaints policy that is displayed on all notice boards. Procedures are in place to encourage the people cared for in the home, relatives and friends to raise any concerns and be confident that their complaints will be taken seriously and acted upon. The complaints procedure is in the homes Welcome Pack and Service User Guide, a Welcome Pack is placed in every room and reviewed and updated regularly. There had been one very recent complaint and the manager was able to show that an immediate investigation had taken place and corrective action had taken place. There have been no complaints made to the Care Quality Commission. The home has a robust policy and procedure with regard to safeguarding vulnerable people from any abuse and all staff have received certificated training in the subject and are aware of the reporting procedures. What the care home does well:
The manager of the home has been in post for a number of years and is held in high esteem by staff and the people cared for in the home and continues to maintain the high quality standards of care provided. With regard to equality and diversity the assessment process ensures that each person
Care Homes for Older People Page 5 of 9 feels that the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. The home is run for the benefit of the people being supported. Their views and observations are important and they are encouraged to participate in the way the home is run. A committee made up of people at the home is well established and they regularly hold meetings where they can share views, opinions, suggestions and concerns. One member of the committee sits on the panel when recruiting new staff and their opinions and observations are taken into account. The home has its own customer satisfaction survey and the results from 30 residents and relatives indicated that 92 of respondents thought the home provided good value for money. 99 of respondents said that it was a happy place to live. All staff have obtained a Hospitality Award and staff are very committed to exceptional customer care. There is an investment in staff training to ensure they have the right skills to deliver excellent care. The ratio of staff has been increased in order to diliver high quality care. By listening to the people supported in the home, the activities room now has a seating and dining area. This allows staff to provide discrete assistance with food to any person who requires help. There are also plans to provide a Life Style kitchen area in the activities room for the benefit of any person or visitor wishing to make a drink when they please, thereby promoting Independence and choice. Training is excellent with the all but one staff obtaining a National Vocational Qualification (NVQ); training is ongoing. There are currently 28 staff and 27 have an NVQ in Care at level 2 or above; one staff member is in the process of obtaining the qualification. Five staff have an NVQ in Care at level 3 as well as level 2. The NVQ in Care is the nationally recognised qualification required for staff working in social care. What they could do better: 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 Older People Page 6 of 9 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 Older People Page 7 of 9 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 Older People Page 8 of 9 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 Older People 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 Older People Page 9 of 9 - 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!
