Inspection on 04/05/05 for Alpine Lodge Nursing Home

This inspection was carried out on 4th May 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Alpine Lodge Nursing Home 12/07/07

Alpine Lodge Nursing Home 18/07/06

Alpine Lodge Nursing Home 19/12/05

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 S36 1AD Lead Inspector Mike ONeil Unannounced 4 May 2005,08:50 th 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 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 J55 S21764 Alpine Lodge V218796 04.05.05 UI Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Alpine Lodge Nursing Home Address Alpine Road Stocksbridge Sheffield S36 1AD 0114 2888226 0114 2888610 None Alpine Health Care Limited Telephone number Fax number Email 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 N Care Home With Nursing 61 Category(ies) of OP Old Age (41) registration, with number of places DE(E) Dementia - Over 65 (20) Alpine Lodge Nursing Home J55 S21764 Alpine Lodge V218796 04.05.05 UI Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 19th October 2004 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. Alpine Lodge Nursing Home J55 S21764 Alpine Lodge V218796 04.05.05 UI Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Mike O’Neil carried out this unannounced inspection over six and a half hours from 8:50 to 15:25. Annie Kudangirana ,registered Manager and Angela Parkes, Business Services Manager were present during the inspection. Opportunity was taken to make a partial tour of the premises, inspect a sample of records and policies and talk to staff, relatives, a visiting healthcare professional and residents. The inspector had the opportunity to speak to 7 staff on duty, 5 visiting relatives and 10 of the 61 residents in some detail. What the service does well: What has improved since the last inspection? Staff were receiving increased supervision and support from the management of the home and more staff had obtained an NVQ qualification in care. Staff had improved the record keeping. The residents said that they felt there was not a lot to improve on since the last inspection, as they were as happy now, as they were then, with the care they received at Alpine Lodge. Alpine Lodge Nursing Home J55 S21764 Alpine Lodge V218796 04.05.05 UI Stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Alpine Lodge Nursing Home J55 S21764 Alpine Lodge V218796 04.05.05 UI Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Alpine Lodge Nursing Home J55 S21764 Alpine Lodge V218796 04.05.05 UI Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3 and 4. Standard 6 is not applicable to this home. The Statement of Purpose and Service User Guide provided sufficient information. Residents’ needs had been assessed. Staff were receiving specific training. Specialist medical and nursing staff were regularly consulting with the staff at the home and advising good practice. EVIDENCE: The homes Statement of Purpose and Service User Guide were informative and up to date which would enable prospective residents to make an informed decision about admission to the home. Copies of the statement of purpose were available in residents’ rooms. Three resident files were checked and each contained a copy of their full needs assessments. The information from the full needs assessment had been incorporated into the resident care plans. Details of medical/nurse specialists who had been consulted with regard to the residents care were recorded in the care plans. This will assist in ensuring residents needs are met. Alpine Lodge Nursing Home J55 S21764 Alpine Lodge V218796 04.05.05 UI Stage 4.doc Version 1.20 Page 9 A health care professional said that staff at the home regularly contacted them to ask for advice and that the staff at the home were always willing to listen to advice and act on it. This will improve the specialist medical/nursing care received by the residents. Staff said that they had undertaken relevant training needed to assist them in caring for the specific client groups who are resident at Alpine Lodge. This training will assist them to meet the needs of the residents at Alpine Lodge. Alpine Lodge Nursing Home J55 S21764 Alpine Lodge V218796 04.05.05 UI Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10 and 11. Care plans detailed a significant amount of information relating to health, personal and social needs. A range of health care professionals visited the home to assist in maintaining the health care needs of residents. Residents themselves said that they were very satisfied with the care they were receiving and that the staff were friendly, helpful and polite. Relatives said that the care delivered by staff was excellent. Current medication practices undertaken by staff were safe. EVIDENCE: Three resident plans of care were checked. Each set out individual needs and the action required by staff to ensure those needs were met. Discussion with residents identified that a range of health professionals visited the home to assist in maintaining health care needs. Residents or their relatives were involved in drawing up the plans. Residents said that they were happy and that the staff were very caring. Relatives said that they thought the staff of the home were” wonderful” and “diamonds” and that the care delivered by them was “excellent”. Residents were well dressed in clean clothes and had received a good standard of personal care. Medication procedures provided protection to residents. Alpine Lodge Nursing Home J55 S21764 Alpine Lodge V218796 04.05.05 UI Stage 4.doc Version 1.20 Page 11 Medicines were securely stored around the home in locked cupboards within treatment rooms. Medicine Administration Records (MAR) checked were completed with staffs’ signatures and identified the resident via a photograph and highlighted any allergies they had. Observation during the inspection showed that staff had a good awareness of how to protect residents privacy and dignity by knocking on doors and waiting for a response before entering and speaking to residents in a respectful way. Residents and relatives said that staff were friendly, helpful and polite. Palliative care nurses regularly visited the home to offer advice and support to the residents, relatives and staff. Alpine Lodge Nursing Home J55 S21764 Alpine Lodge V218796 04.05.05 UI Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15. On the whole meals served at the home were of a good quality and offered choice. Residents had a choice of lifestyle within the home and they were able to maintain contact with family and friends. EVIDENCE: Throughout the day friends and family were seen visiting freely and being offered hospitality, which creates a home that people want to visit. A friendly and welcoming feel was evident in Alpine Lodge. Residents and relatives spoke positively about the amount of activities available both within the home and on trips outside the home. Residents said they chose when they got up and went to bed. Residents were having breakfast at different times in the morning. Lunch was served in a pleasant relaxed manner with staff sat with some residents assisting them to eat. Residents said that they enjoyed their lunch. Residents said that they had a choice of food and that the quality of food served was of a good quality. Three staff and one relative however said that the appearance of the pureed diets was poor and did not look appertising. The inspector would agree on this point and would question why the meat and vegetables are pureed together and not individually pureed and served in three separate portions on a plate. Alpine Lodge Nursing Home J55 S21764 Alpine Lodge V218796 04.05.05 UI Stage 4.doc Version 1.20 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Staff had an understanding of the procedures to be followed should they suspect any abuse at the home. Complaints procedures are in place to enable residents and relatives to feel confident that any concerns they voice will be listened to. EVIDENCE: Complaints procedures were displayed around the home. Relatives and residents said that if they had any concerns that they would feel comfortable in talking to the staff or the manager. Staff had received information on adult abuse and some staff had received formal training. This will help to ensure that residents are protected from abuse. Alpine Lodge Nursing Home J55 S21764 Alpine Lodge V218796 04.05.05 UI Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22,24,25 and 26. The environment within the home was well maintained and clean providing a comfortable, safe environment for residents. EVIDENCE: The grounds around the home were very welcoming and service users said that they could easily access them should they wish. All areas of the home were clean and tidy. Lounge and dining areas were domestically furnished. Three bedrooms were checked in detail and many others seen, all were comfortable and homely. The home was clean, with no unpleasant odours noticeable. Relatives and residents said that the home was always kept clean. Staff said that there were enough hoists available to ensure that residents could be safely moved. The home was warm in all areas. Window restrictors were fitted to all windows checked. The hot water temperature in one bathroom measured a safe temperature of 41 degrees centigrade. Alpine Lodge Nursing Home J55 S21764 Alpine Lodge V218796 04.05.05 UI Stage 4.doc Version 1.20 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 and 30 Staff were employed in sufficient numbers. Service users felt safe at the home. Full recruitment checks on new staff were carried out. New and existing staff had undertaken training in various subjects. EVIDENCE: The manager stated that agreed staffing levels were being maintained. The staff rota identified agreed staffing levels had been met. This will assist in making sure that service users needs are met. Residents said there was always a member of staff available when they needed them. Residents said that staff came to their room promptly if they used the nurse call system during the day or at night. A resident said that they felt very safe in the home. Staff said that there were good training opportunities available to them, and new staff said they had undertaken a detailed and informative induction programme, which enabled them to feel competent to do their job. The manager said that fifty per cent of care staff had now achieved their level 2/3 NVQ qualification. A sample of staff files checked identified that staff had achieved their NVQ qualification. The recruitment information obtained for new staff was sufficient to adequately protect the welfare of residents who lived at the home. The staff files contained references from the staffs last employer, information to verify identity and a Criminal Record Bureau (CRB) check. Alpine Lodge Nursing Home J55 S21764 Alpine Lodge V218796 04.05.05 UI Stage 4.doc Version 1.20 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36,37 and 38. There was a positive style of management in the home and staff moral was good. Some of the homes equipment had not been serviced. Further staff moving and handling training and more information on fire records is needed. EVIDENCE: The manager said that she had nearly completed her NVQ level 4 in management and care. Recorded visits by the registered provider had been carried out. A record of these visits have been forwarded to the CSCI.Records of regular audits by the manager were seen. Relatives and residents said that they met regularly with the manager and spoke positively about her approachability and helpfulness. Records of relative, resident and staff meetings were seen. Alpine Lodge Nursing Home J55 S21764 Alpine Lodge V218796 04.05.05 UI Stage 4.doc Version 1.20 Page 17 This quality assurance monitoring will help to ensure that the home is run in the best interests of the residents. Staff said that staff moral was high and said that they enjoyed working at the home. Residents’ financial interests were safeguarded as the residents’ personal money accounts were up to date and a receipting system and statement sheets were seen for each resident. The homes insurance certificate was up to date. Staff said they were receiving supervision and management support on a regular basis. Records were securely stored around the home, which protected the residents’ best interests and confidentiality. The health and welfare of residents could not be fully protected, as the nurse call system had not been serviced in the past year. One member of staff had not received recent moving and handling training. Practice fire drills had been conducted in the home, however the records did not identify the length of the drill, any corrective action needed after the drill and the drills were not conducted at different times of the day. Staff said they had received recent fire safety training .A sample of records showed that staff were receiving this statutory training. At the time of inspection no fire exits were blocked and window restraints were in situ at first floor windows checked to prevent falls. Hazardous products were safely stored in the home. This will promote the safety and welfare of the service users. Alpine Lodge Nursing Home J55 S21764 Alpine Lodge V218796 04.05.05 UI Stage 4.doc Version 1.20 Page 18 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 3 3 3 3 x 3 3 3 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 Standard No 16 17 18 Score 3 x 3 2 3 3 3 3 3 3 2 Alpine Lodge Nursing Home J55 S21764 Alpine Lodge V218796 04.05.05 UI Stage 4.doc Version 1.20 Page 19 Yes Are there any outstanding requirements from the last inspection? 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. 1. 2. Standard 15 38 Regulation 16 18 Requirement Food ,including liquidised meals, must be served in an attractive and appealing manner. All staff must receive annual moving and handling training. (Previous timescale of 01/01/05 not met) The nurse call system must be maintained. Fire Drills must be conducted at different times of the day/night so as to ensure that all staff working at the home are aware of the procedures to follow in the event of fire.Fire Drills records must indicate the time of the drill and any corrective action taken after the drill. Timescale for action 01/07/05 01/07/05 3. 4. 38 38 23 23 01/07/05 01/07/05 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. Refer to Standard 31 Good Practice Recommendations The registered manager should achieve a level 4 NVQ qualification in management or equivalent by 2005. J55 S21764 Alpine Lodge V218796 04.05.05 UI Stage 4.doc Version 1.20 Page 20 Alpine Lodge Nursing Home Commission for Social Care Inspection Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: 0845 015 0120 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 J55 S21764 Alpine Lodge V218796 04.05.05 UI Stage 4.doc Version 1.20 Page 21 - 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!