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Inspection on 25/03/09 for Alistre Lodge Nursing Home

Also see our care home review for Alistre Lodge Nursing Home for more information

This inspection was carried out on 25th March 2009.

CSCI found this care home to be providing an Good 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Inspecting for better lives Random inspection report Care homes for older people Name: Address: Alistre Lodge Nursing Home 69 St Annes Road East St Annes on Sea Lancashire FY8 1UR two star good 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Felicity Lacey Date: 2 5 0 3 2 0 0 9 Information about the care home Name of care home: Address: Alistre Lodge Nursing Home 69 St Annes Road East St Annes on Sea Lancashire FY8 1UR 01253-726786 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : J Parker (Care) Limited care home 43 Number of places (if applicable): Under 65 Over 65 43 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 with nursing - Code N 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: 43 Date of last inspection Brief description of the care home Alistre Lodge Nursing Home with Care offers care and nursing to 43 people. Accommodation is arranged over three floors on one side of the home and two floors on the other. There is a passenger lift at one side of the home and a chair lift at the other. Accommodation is in a mix of single and double rooms, most of which have ensuite facilities. There are a variety of communal rooms and a garden to the front of the home. The home is situated within ten minutes walk of the town centre of St Annes Care Homes for Older People Page 2 of 9 Brief description of the care home and is well served by public transport. Local shops and community facilities are within easy reach. Care Homes for Older People Page 3 of 9 What we found: This inspection was conducted to consider aspects of the health and personal care provided for people who live at the home, staffing levels and management arrangements at the home. During the visit a sample of case records, including moving and handling risk assessments were looked at. The systems in place to track the treatment and recovery of pressure sores and other wounds were looked at. The medication ordering practices were looked at. The quality of food was discussed. The staffing levels were looked at. Discussions were held with six people who lived at Alistre Lodge and three visitors. The manager and owner were also spoken with. The care plans seen contained brief and minimal information. There was limited information relating to the personal likes and dislikes and social history. One plan had not been updated following a significant change in the persons mobility needs. At the time of the visit one person used the hoist occasionally however the care plan indicated that this was used regularly. There was no risk assessment for this person and the safe use of the hoist. The care plans seen had not been kept under regular review. The information relating to the personal and health care needs of people living at the home is kept in a variety of formats and files. One file seen included details of bathing and weights of people. The weight record was partially completed but not dated. It would be advisable to keep the individuals record of weight on their own care records. The records of treatment of pressure sores, skin tears and wounds was looked at. This was completed regularly and showed that progress was being made to treat pressure sores and wounds successfully. There was evidence that the manager sought further expert guidance if needed, for example the tissue viability nurse had recently assessed a person at the home. The front sheet of the record of treatment gave a quick reference guide to any wounds that needed treatment and the treatment required, this could be improved by including the date on which the treatment began. The procedure in place for ensuring that medication is ordered and supplied to the people at the home was looked at. There is a good system in place which ensures that any medication prescribed outside of the routine cycle of ordering is obtained. The home employs dedicated kitchen staff. The home uses a four week menu cycle. the meals on offer are varied. Special diets are catered for. The staff rotas demonstrated that there were sufficient nursing, care and support staff to meet the needs of the people living at the home. There is a programme of staff training. The training includes Moving and Handling. There were records of training undertaken but these were not dated. Alistre Lodge has sufficient trained nurses, who are able to carry out routine nursing procedures including catheter care. What the care home does well: The people spoken with who live at Alistre Lodge felt that the home met their needs. Care Homes for Older People Page 4 of 9 They were pleased with the standards of care and attention. All people spoken with were confident that their medical needs were being monitored and that medical help was sought when needed. The food on offer was considered to be wholesome and good. They felt that there were enough staff on duty. Some people commented that there had been some staff changes and they had been sorry to see some staff leave and felt that this was to be expected in the care sector. The people spoken with thought that the home was maintained to a high standard. The system in place for the monitoring and recording of ongoing treatment of pressure sores and wounds was good. At the time of the visit only one person has a pressure sore and this was being treated in consultation with the Tissue Viability Nurse. Staff have access to regular training opportunities. This provides a skilled staff group who are able to meet the needs of people living at Alistre Lodge. A manager has been appointed to the home. She is an experienced nurse and is aware of the need to update care plans and risk assessments. 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 5 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 6 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 1 7 13 The registered person must 03/05/2009 make suitable arrangements to provide a safe system for the moving and handling of people living at the home. Any unnecessary risks to the health or safety of people living at the home must be identified and so far as possible eliminated. This will promote the health and safety of people living at the home and ensure that staff assist in safe ways. 2 7 15 Care plans must be kept under review. This will ensure that the care plan accurately reflects the persons health and social care needs. 03/05/2009 Care Homes for Older People Page 7 of 9 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 7 Consideration should be given to keeping the information gathered about a person on their individual care plan rather than in several files. This will ensure that the plan contains all the required information and monitoring about the persons health and personal care needs. Care plans should include social care needs recognising the life experience of people who come to live at Alistre Lodge. The training records of staff should be audited to provide an up to date and accurate record of training completed, this will also ensure that any gaps in training are identified. 2 3 7 30 Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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