Inspection on 12/07/07 for Alpine Lodge Nursing Home

This inspection was carried out on 12th July 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

Alpine Lodge Nursing Home 18/07/06

Alpine Lodge Nursing Home 19/12/05

Alpine Lodge Nursing Home 04/05/05

Alpine Lodge Nursing Home 19/10/04

Alpine Lodge Nursing Home 14/04/04

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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Alpine Lodge Nursing Home Alpine Road Stocksbridge Sheffield South Yorkshire S36 1AD Lead Inspector Tony Brindle Key Unannounced Inspection 12th July 2007 12:00 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 Alpine Lodge Nursing Home DS0000021764.V345578.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. Alpine Lodge Nursing Home DS0000021764.V345578.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Alpine Lodge Nursing Home Address Alpine Road Stocksbridge Sheffield South Yorkshire S36 1AD 0114 288 8226 0114 288 8610 alpinelodge@exemplarhc.com None Alpine Health Care Limited 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) Annie Kudangirana Care Home 61 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (41) of places Alpine Lodge Nursing Home DS0000021764.V345578.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th July 2006 Brief Description of the Service: Alpine Lodge is a care home providing nursing care for sixty-one older people. Within the home is a twenty-bedded unit for people with dementia. Alpine Health Care Limited owns the home. The home is located in Stocksbridge, northwest Sheffield, opposite a school, within walking distance of shops and the bus route. The home is a purpose built two-storey building. All bedrooms are single occupancy and have en-suite facilities. The home is comfortably furnished and well decorated with an appropriate number of lounge and dining areas. The home has a garden area and a car park. A copy of the previous inspection report was available in the service user guides, which are provided in every person’s bedroom. Information about how to raise any issues of concern or make a complaint was on display in the foyer of the home. The business services manager confirmed that the range of fees from July 2007 were £429 - £489 per week. Additional charges included hairdressing, newspapers and private chiropody. Alpine Lodge Nursing Home DS0000021764.V345578.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the care home. The inspector spoke with people living at the home, the registered manager and staff members. While at the home the inspector had a look around the home, looked at some of the paper records. Before a visit to the home took place, surveys were sent out to people living at the home, their relatives and health and social care professionals who have dealings with Alpine Lodge. Several of the surveys were returned before the visit took place, and the feedback that people gave was positive. Some of things people said included: • “I like living at Alpine Lodge”. – Person living at the home • “The staff are great, and they always are ready to help and support me.” - Person living at the home • “My relative is really happy at Alpine Lodge, I’m really happy for him”. – Relative of a Person living at the home The inspector would like to take this opportunity to thank everyone for their hospitality and assistance during this inspection visit. What the service does well: People who use the service and/or their representatives are given the information needed to decide whether the home is appropriate for them, and if the service will meet their needs. People have their needs assessed and a contract given to them which clearly tells them about the service the will receive. The home does not provide intermediate care. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. People who use services are able to make choices about their life style, and supported to develop their life skills. People who use the service are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse, and have their rights protected. The physical design and layout of the home enables people who use the service to live in a safe, wellmaintained and comfortable environment, which encourages independence. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. Alpine Lodge Nursing Home DS0000021764.V345578.R01.S.doc Version 5.2 Page 6 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 be made available in other formats on request. Alpine Lodge Nursing Home DS0000021764.V345578.R01.S.doc Version 5.2 Page 7 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 Alpine Lodge Nursing Home DS0000021764.V345578.R01.S.doc Version 5.2 Page 8 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 and 6 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use the service and/or their representatives are given the information needed to decide whether the home is appropriate for them, and if the service will meet their needs. People have their needs assessed and a contract given to them which clearly tells them about the service the will receive. The home does not provide intermediate care. Alpine Lodge Nursing Home DS0000021764.V345578.R01.S.doc Version 5.2 Page 9 EVIDENCE: The records show that the home has developed a Statement of Purpose and Service User Guide that is given to people and their families to help when deciding whether or not to move into the home. The Statement of Purpose is specific to the individual home, and the people cared for. It clearly sets out the objectives and philosophy of the service and is supported by a Service user Guide. The guide details what people can expect and gives a clear account of the specialist services provided, quality of the accommodation, qualifications and experience of staff and how to make a complaint. The manager explained that admissions are not made to the home until a full needs assessment has been undertaken. The records show that assessment is conducted sensitively and involves the individual, and their family or representative, where appropriate. The manager explained that where the assessment has been undertaken through care management arrangements she always receives a summary of the assessment and a copy of the care plan. The manager explained that admissions to the home only take place if the service is confident staff have the skills, ability and qualifications to meet the assessed needs of the person. People are given the opportunity to spend time in the home. One staff member explained that people who live in the home are provided with a Statement of Terms and Conditions/Contract; this sets out in detail what is included in the fee, the role and responsibility of the provider, and the rights and obligations of the individual. Alpine Lodge Nursing Home DS0000021764.V345578.R01.S.doc Version 5.2 Page 10 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): 7,8,9 and 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Personal healthcare needs including specialist health, nursing and dietary requirements are clearly recorded in each person’s plan. One person living in the home said that personal support is based on their needs and preferences. Adding to this, the manager explained that the delivery of personal care is individual and is flexible. Observations made while at the home showed that staff respect the privacy and dignity of the people they are working with. One person living in the home said that they are supported and helped to be as independent as possible and can take responsibility for their personal care needs if able to do so. Alpine Lodge Nursing Home DS0000021764.V345578.R01.S.doc Version 5.2 Page 11 One person living in the home said that they have access to healthcare and that the staff make sure that they have regular appointments and visit local health care services as required. The records show that the health care needs of people who are unable to leave the home are managed by visits from local health care services. One person living in the home said that they have the aids and equipment they need and these are well maintained. The records confirmed this. The records show that staff have access to training in health care matters and are encouraged and given time to attend training on specialist areas of work. One member of staff said that the company offer them a lot of very good training. The manager explained that the home has medication policy supported by procedures and practice guidance, which are used by the staff. The medication records were seen to be in good order. Feedback from people who completed our survey indicated that they were satisfied with the way that the staff at Alpine Lodge dealt with healthcare issues. However, some relatives who were spoken with expressed some dissatisfaction. The manager took the opportunity to speak with these visitors and this helped the relatives to understand better, the ways in which their relative is supported. Alpine Lodge Nursing Home DS0000021764.V345578.R01.S.doc Version 5.2 Page 12 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 13 14 15 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use services are able to make choices about their life style, and supported to develop their life skills. EVIDENCE: One person living in the home said that they have the opportunity to develop and maintain important personal and family relationships. One member of staff said that help with communication skills is given by the staff team, both within the service, and when accessing the community to enable people to fully participate in daily living activities. Feedback from people who completed our survey indicated that people who use services are involved in meaningful daytime activities of their own choice based on their individual interests and capabilities. The records confirmed this. Observations made while at the home showed that the staff support people to get involved in different activities and spend time talking with people. Alpine Lodge Nursing Home DS0000021764.V345578.R01.S.doc Version 5.2 Page 13 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 and 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use the service are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse, and have their rights protected. EVIDENCE: A relative who was visiting the home said that the home has an open culture that allows people to express their views, and concerns in a safe and understanding way. One person living in the home said that they can say when they are unhappy with the ways they are treated. The manager explained that the service has a complaints procedure. This was seen to be clearly written and easy to understand. The records show that the policies and procedures for Safeguarding Adults are available and give clear specific guidance to those using them. One member of staff explained how the procedures work in practice and gave a good account of when incidents needed external input and who to refer the incident to. The records that there have been no Safeguarding referrals made since the last inspection. The records show that the training of staff in the area of protection is regularly arranged by the manager. Other training around dealing with physical and verbal aggression is also made available to staff as needed. On the day of the inspection staff were involved in Non-Abusive Physical Intervention training. Alpine Lodge Nursing Home DS0000021764.V345578.R01.S.doc Version 5.2 Page 14 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 and 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence. Alpine Lodge Nursing Home DS0000021764.V345578.R01.S.doc Version 5.2 Page 15 EVIDENCE: A relative who was visiting the home said that the home provides a nice, pleasant environment for the people who live in the home. One person living in the home confirmed this saying, “The home to very pleasant, a safe place to live and a nice place to be”. A tour of the home found that the lay out and design of the home allows for small clusters of people to live together. One person living in the home said that that they are encouraged to personalise their bedrooms. One member of staff said that the shared areas provide a choice of communal space with opportunities for people to meet their relatives and friends. This person added that people can meet their relatives or friends in private if they so wish. One person living in the home confirmed this. The bathrooms and toilets were seen to be are fitted with appropriate aids and adaptations to meet the needs. It was noted that in some of the communal areas of the home, there was a faint unpleasant odour. This odour was detectable throughout the day. It was pointed out to the manager who explained that she would ensure that the staff were made aware of this with a view to dealing with it. The operations manager for the company that runs the home explained that a full refurbishment of the home is to take place with carpets and seats being replaced, and redecoration taking place. She hoped that replacing the carpets and seating would help to combat the odour as some of the floor coverings and furniture had been at the home for some time. One person living in the home said that they had been asked about the colours that should be used when the refurbishment takes place. One person living in the home said that they were looking forward to the home being redecorated. Alpine Lodge Nursing Home DS0000021764.V345578.R01.S.doc Version 5.2 Page 16 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 28 29 and 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. EVIDENCE: The records show that staff members undertake external qualifications beyond the basic requirements. E.g. National Vocational Qualifications (NVQ). Accurate job descriptions and specifications were found on file, which clearly define the roles and responsibilities of staff. One person living in the home said that the staff are “lovely, with caring and even though they are busy, still make time for you”. A relative who was visiting the home said that sometimes staff say “I’ll deal with something in a minute, but often that minute turns into 10 or 15 minutes.” This issue was passed onto the manager who said she would look into talking with the staff team about responding to requests in a timely manner both from people who live at the home, and their relatives. The manager explained that there are consistently enough staff available to meet the needs of the people using the service, with more staff being available at peak times of activity. The records show that the staff receive relevant training that is focussed on delivering improved outcomes for people using the service. One member of staff spoke about receiving induction and foundation training, and was looking forward to more in depth training by way of starting an NVQ. Alpine Lodge Nursing Home DS0000021764.V345578.R01.S.doc Version 5.2 Page 17 The records show that the service has a good recruitment procedure that clearly defines the process to be followed. The staff files that were checked showed that the manager obtains the correct checks, such as a Protection of Vulnerable Adults and Criminal Records Bureau checks and appropriate reference, before a person starts work in the home. Alpine Lodge Nursing Home DS0000021764.V345578.R01.S.doc Version 5.2 Page 18 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 and 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. Alpine Lodge Nursing Home DS0000021764.V345578.R01.S.doc Version 5.2 Page 19 EVIDENCE: The records held by the Commission show that the manager has the required qualifications and experience to run the home. The records show that the home works to a clear health and safety policy. Discussions with staff showed that they are aware of the policy and the records show that they are trained in health and safety issues. The manager undertakes checks such as fire safety, risk assessments and audits to ensure they there is safe living and working environment. The records show that the operations manager for the company is also involved in monitoring the systems operated by the home. Records were seen to be of a good standard and are routinely completed. One person living in the home said that they are aware of safety arrangements such as what to do if there’s a fire, and if they either see, or are involved in an accident/incident, such as a fall. A member of staff explained what they would do if they witnessed an accident/incident. Their explanation was satisfactory, and centred around keeping people safe, assessing their well being, reporting it appropriately and seeking medical help as required. This may include calling an ambulance or calling a GP. The records show that the manager ensures risk assessments are completed and taken into account in planning the care and routines of the home. Alpine Lodge Nursing Home DS0000021764.V345578.R01.S.doc Version 5.2 Page 20 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 X X 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 3 STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Alpine Lodge Nursing Home DS0000021764.V345578.R01.S.doc Version 5.2 Page 21 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. Refer to Standard Good Practice Recommendations Alpine Lodge Nursing Home DS0000021764.V345578.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © 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 Alpine Lodge Nursing Home DS0000021764.V345578.R01.S.doc Version 5.2 Page 23 - 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. 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