Inspection on 20/10/05 for Amberdene Lodge

This inspection was carried out on 20th October 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 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

Amberdene Lodge 08/07/08

Amberdene Lodge 09/07/07

Amberdene Lodge 02/07/06

Amberdene Lodge 21/06/05

Amberdene Lodge 11/11/04

Amberdene Lodge 20/07/04

Amberdene Lodge 09/02/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

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 Amberdene Lodge Amberdene Lodge 40 - 42 Boulevard Hull East Yorkshire HU3 2TA Lead Inspector George Skinn Unannounced Inspection 20th October 2005 09:30 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 Amberdene Lodge DS0000000832.V260230.R01.S.doc Version 5.0 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. Amberdene Lodge DS0000000832.V260230.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Amberdene Lodge Address Amberdene Lodge 40 - 42 Boulevard Hull East Yorkshire HU3 2TA 01482 587774 01482 587774 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) Mr Graham Abel Elaine Kathryn Grant Care Home 25 Category(ies) of Dementia - over 65 years of age (25), Old age, registration, with number not falling within any other category (25) of places Amberdene Lodge DS0000000832.V260230.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st June 2005 Brief Description of the Service: Amberdene is a large care home comprising of two Victorian houses on The Boulevard, off Anlaby Road in the west of Kingston-upon-Hull. Local services on Anlaby Road include a chemist, a GP surgery, taxi office, pubs and the Hull Royal Infirmary. Bus services to the city centre and out of the city are a short walk away. The home provides residential care for a maximum of 25 older people, who may have dementia. There are thirteen single rooms and six doubles on two floors, accessed via a passenger lift. None of the bedrooms have en-suite. There are three bathrooms and nine WCs. The home has two lounges and a dining room. There is a garden to the rear of the house, which is accessible via a concrete ramp. There is car parking for two cars at the front of the building. Amberdene Lodge DS0000000832.V260230.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection undertaken over 3 hours residents were spoken with for the majority of the time spent at the home and some records were looked at. What the service does well: 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. Amberdene Lodge DS0000000832.V260230.R01.S.doc Version 5.0 Page 6 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 Amberdene Lodge DS0000000832.V260230.R01.S.doc Version 5.0 Page 7 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 the following standard(s): EVIDENCE: Amberdene Lodge DS0000000832.V260230.R01.S.doc Version 5.0 Page 8 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 the following standard(s): EVIDENCE: Amberdene Lodge DS0000000832.V260230.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 12 & 14 Residents are satisfied that their expectations and preferences are met, and they are able to have control over their lives. EVIDENCE: Residents are encouraged to maintain their independence and if this means ignoring the routines of the home then they expect the staff to be flexible, which they are. Flexibility is available and exercised, but some routines ensure the smooth running of the day’s activities. Residents were spoken to about being able to do as they choose, and those asked said they do please themselves as much as possible, regarding such as going to bed, rising, etc. They were also eager to say that they feel they are well cared for in the home, one saying she had said as much in her review with the local authority. Residents are encouraged to make choices on a daily basis regarding the care they need and some were observed instructing staff in care tasks, to ensure their comfort and wishes. There are some residents unable to make fully informed choices, but staff are sensitive to their needs and try to meet them respectfully. Amberdene Lodge DS0000000832.V260230.R01.S.doc Version 5.0 Page 10 Most residents handle their own finances, or family members do, and bedrooms are personalised with possessions, which are listed in case files. There are no residents who make regular requests to view their records or files, but one or two were aware of the review process and that documents are kept and can be viewed if wished. Staff offer information as necessary to residents and relatives/representatives. Amberdene Lodge DS0000000832.V260230.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 16 Residents are confident that their complaints are taken seriously and acted upon. EVIDENCE: The home’s statement of purpose contains details for making a complaint, and a complaint procedure, which is posted around the home this is also available in the service user guide. Residents spoken to said they would talk to the Manager if they had a concern. There is also an information pack in place in the lounges, informing residents of the way in which to make a complaint. A complaint record is maintained and staff are told how to handle receiving complaints in their induction. Amberdene Lodge DS0000000832.V260230.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 19 Residents live in a safe, well-maintained environment. EVIDENCE: The home is situated in a residential area off The Boulevard in Hull and is well maintained within a programme of routine maintenance. There is a rear garden for use by residents; the building complies with the requirements of the local fire service and environmental health department. Resident commented on the cleanliness of the home and how the rooms are kept clean and tidy. Amberdene Lodge DS0000000832.V260230.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 & 30 Residents benefit from having the right amount of appropriately trained staff on duty, and they are protected by the homes recruitment policy and practise. EVIDENCE: The National Care Standards Commission has been advised that recommended Department of Health guidance should only be applied to new registrations. For homes registered prior to April 1st 2002 staffing levels must at least meet the minimum requirements of the previous regulatory authority. This the home achieves. No new members of staff start working at the home until a satisfactory CRB check has been received. The home provides staff with at least three paid days training per year, in line with the identified training and development needs of the staff as individuals and as a group. Training and development programmes are written in staff files and records of training are maintained. Amberdene Lodge DS0000000832.V260230.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 & 38 Residents live in a home which is run in their best interests with the health and welfare being safeguarded. EVIDENCE: There is a quality assurance system in place. The system involves an annual development plan, staff training plan, audit checklists on the premises, the service of care, food provision, administration etc., with staff, residents and relatives questionnaires being used for the gathering of this information. The home produces an annual report of the quality assurance system and this is available for perusal by all interested parties including the CSCI. There is a policy on handling residents’ finances. All transactions entered in to on behalf of residents are recorded individually and money held for them in safekeeping is kept in individual containers. Two of the four residents tracked have money in safekeeping and this was found to be correct and satisfactorily Amberdene Lodge DS0000000832.V260230.R01.S.doc Version 5.0 Page 15 recorded. Storage of money is safe and secure. Where possible residents are encouraged to handle their own finances or the responsibility is passed to a family member. Staff are trained in moving and handling, fire safety, first aid, food-hygiene and medication administration if appropriate. There are policies, procedures and safety notices in place, covering all areas of safety within the home and these are followed. There is a general Health & Safety policy statement. There is safe storage and disposal of hazardous substances. Boilers and electrical equipment are adequately serviced, hot water outlets are fitted with thermostatic control valves, which are tested and results recorded, and there are restrictors on upper level windows to prevent them opening beyond a safe width. The home’s kitchen equipment and the fabric of the building are adequately maintained. Risk assessments are completed for the property; the care practices are safe and based on the combination of risk assessments and clear policies and procedures. Records are maintained of accidents and incidents relating to health and safety issues. Amberdene Lodge DS0000000832.V260230.R01.S.doc Version 5.0 Page 16 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x 3 x x x x x x x STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 3 x 3 x x 3 Amberdene Lodge DS0000000832.V260230.R01.S.doc Version 5.0 Page 17 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. 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 Amberdene Lodge DS0000000832.V260230.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Amberdene Lodge DS0000000832.V260230.R01.S.doc Version 5.0 Page 19 - 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!