Inspection on 14/09/05 for Astbury Lodge

This inspection was carried out on 14th September 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

Astbury Lodge 21/02/07

Astbury Lodge 03/03/06

Astbury Lodge 23/11/04

Astbury Lodge 11/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Astbury Lodge Randle Meadow Hope Farm Estate Great Sutton South Wirral CH66 2LB Lead Inspector Paul Ramsden Announced Inspection 14th September 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 Astbury Lodge DS0000006520.V249558.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. Astbury Lodge DS0000006520.V249558.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Astbury Lodge Address Randle Meadow Hope Farm Estate Great Sutton South Wirral CH66 2LB 0151 355 7043 0151 356 9025 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) CLS Care Services Limited Mrs Jenny Ringstead Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (42) of places Astbury Lodge DS0000006520.V249558.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd November 2004 Brief Description of the Service: Astbury Lodge is a two-storey care home for people over 65 years of age standing in its own grounds. Access between floors is via the shaft lift or the stairs. The home is owned by CLS care services, a registered charity and is located in Ellesmere Port, close to the local shops and other community facilities. There are adequate car parking facilities available. Residents accommodation consists of 39 single and one double bedroom. A variety of lounge and dining areas with drink making facilities are provided for residents. There are an adequate number of toilets and bathrooms within the home. The grounds are private and accessible to wheelchair users. Astbury Lodge DS0000006520.V249558.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out on 14 September 2005 by Paul Ramsden and lasted six hours and fifty-five minutes. The home manager was on duty together with the agreed numbers of senior, care and ancillary staff. Thirty-six people were living in the home at the time of the visit. During the inspection nine residents, two visitors, the manager and seven of the staff on duty were spoken with. A range of care, health and home records were examined and a tour of the premises, including all lounges, other shared areas and a number of bedrooms, was undertaken. Comment cards for use by residents and relatives were forwarded to Astbury Lodge prior to the inspection. Three resident cards have been returned to the CSCI. What the service does well: What has improved since the last inspection? The manager said that there was greater stability within the Care Team Leaders. In addition a new activities co-ordinator had just been appointed. The appointment of a domestic supervisor has improved the hygiene standards within the home. Astbury Lodge DS0000006520.V249558.R01.S.doc Version 5.0 Page 6 The stairwells, hairdressing salon and a number of bedrooms have been redecorated. The garden areas have been improved. 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. Astbury Lodge DS0000006520.V249558.R01.S.doc Version 5.0 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 Astbury Lodge DS0000006520.V249558.R01.S.doc Version 5.0 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 the following standard(s): 3 and 6 Residents are assessed prior to admission to ensure that the home will be able to meet their needs. EVIDENCE: As part of the inspection process the care files of four people living at the home were reviewed. Pre-admission assessments that demonstrated that resident’s individual needs were being assessed in an accurate and consistent way had been carried out. Those seen contained enough information for staff to be able to meet individual needs. Residents, relatives and other healthcare professionals are involved with the pre-admission assessment. Various risk assessments were also completed. The manager explained that a number of residents had been referred for a re-assessment of their needs. Intermediate care is not provided at Astbury Lodge. Astbury Lodge DS0000006520.V249558.R01.S.doc Version 5.0 Page 9 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): 7, 8 and 10 All residents have a care plan that shows how their individual needs are being met. The health, social and emotional needs of people living at Astbury Lodge are being identified and met. The records inspected were being kept to a good standard. EVIDENCE: The care team leaders are responsible for drawing up a resident’s plan of care. The four care plans seen as part of the case tracking process provided staff members with the necessary information for them to look after a person’s needs. The health and well being of residents was carefully and appropriately monitored, and an appropriate record of development and actions taken was being kept. There was written evidence to confirm that care plans were being reviewed and where necessary re-written on a regular basis. The care plans seen contained evidence of consultation with residents or their families/advocates. A new care planning system has recently been implemented. All personal care is carried out in the privacy of a resident’s bedroom or one of the bathrooms. Astbury Lodge DS0000006520.V249558.R01.S.doc Version 5.0 Page 10 Residents spoken with confirmed that they had been able to express their opinions and wishes about their daily routines. Residents are able to have a telephone fitted in their rooms if they want to and their mail is given to them unopened. Astbury Lodge DS0000006520.V249558.R01.S.doc Version 5.0 Page 11 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, 13, and 15 Residents spoken with were positive about the home and the services provided; they are able to maintain contact with their family and friends and make choices regarding their own lives. EVIDENCE: Residents were able to move around freely within the home and a choice of sitting areas was available. Residents confirmed that routines within the home were flexible and that they were able to make choices in many areas of daily living, for example times of rising and retiring, participation in planned activities. One of the residents spoken with had a fridge and kettle in his room. Staff members were observed to knock on the door and to await permission before entering a resident’s bedroom. The residents and visitors made a number of positive comments regarding the care and services provided at Astbury Lodge. Comments made by residents during the inspection included “staff are very good”. Visitors are free to visit the home at any reasonable time. A new activities co-ordinator had just been appointed. Residents are able to come and go from the building subject to risk assessment. Astbury Lodge DS0000006520.V249558.R01.S.doc Version 5.0 Page 12 Links with the local community are maintained; a resident explained that he and two other war veterans from the home had attended a Royal British Legion function the previous evening. Other residents also confirmed that they went out regularly. Meals can be eaten in the dining room or in the privacy of residents’ own rooms. There is a menu that has the flexibility to meet individual needs and choices. All of the residents that commented said that the food was good and that choices were available. Special diets are prepared where necessary. A small kitchen is available for residents and their families to use. Astbury Lodge DS0000006520.V249558.R01.S.doc Version 5.0 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 the following standard(s): 16 and 18 The complaints procedure was available to residents in the home’s service user guide and on the notice board. Those residents that commented said that they would inform the home manager or another senior employee of any concerns or complaints. They also said that they felt confident that appropriate action would be taken. Policies, procedures and staff training are in place to protect residents from abuse. EVIDENCE: There is a written complaints procedure for the home. This is also included in the Statement of Purpose and Service User Guide. Residents were aware of their right to complain if they were unhappy with any aspect of the service they received at Astbury Lodge. The home has an Adult Protection procedure (including Whistle Blowing), which complies with the Public Disclosure Act 1998 and the Department of Health Guidance No Secrets. Staff confirmed that they had received training regarding Adult Protection. Astbury Lodge DS0000006520.V249558.R01.S.doc Version 5.0 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 the following standard(s): 19, 20, 23, 24 and 26 The home, which is purpose-built, provides facilities to meet the needs of older people. Standards of hygiene and cleanliness are good. EVIDENCE: A tour of the premises was undertaken; this included all communal areas and a number of bedrooms. The home both externally and internally is maintained to a good standard. Some of the corridors within the home are due to be redecorated in the immediate future. One of the assisted bathrooms within the home was out of order; this has been reported and therefore a requirement has not been made. Bedrooms seen during the inspection were personalised, comfortable, well-furnished and contained items of furniture belonging to residents’. The home was found to be clean and tidy on the day of inspection. The appointment of a domestic supervisor has improved the hygiene standards within the home. The laundry is appropriately equipped and good systems are in place for the care of peoples’ clothes. Astbury Lodge DS0000006520.V249558.R01.S.doc Version 5.0 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 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, 28 and 29 Staff members were seen to be working positively with residents, families and visiting professionals to improve the quality of life of people living in the home. A robust recruitment process is in place. EVIDENCE: Staff on duty and rotas seen demonstrated that staffing levels and the skill mix of staff were adequate to meet the needs of the residents within the home. Staff members were cheerful and friendly and residents were complimentary about staff attitude and competence. Staff training is ongoing and the manager confirmed that they were working to achieve 50 of staff qualified to NVQ level 2 or equivalent. The two staff files seen contained all of the required information and a robust recruitment procedure was in place for the protection of residents. The home manager confirmed that she was aware that all new staff must be checked against the POVA list and that a satisfactory CRB disclosure must be obtained before employment commences. Astbury Lodge DS0000006520.V249558.R01.S.doc Version 5.0 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 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): 31, 33 and 38 The home is being well run and managed on a day-to-day basis. EVIDENCE: The home has an experienced and competent manager who is registered with the Commission for Social Care Inspection. She has recently completed the Registered Managers Award. Attempts are being made to seek the opinions of residents about the quality of service provided by the home; comments cards and a feedback box are located in the entrance area. A quality assurance survey to ascertain whether residents and families are happy with the standards of care being provided was being undertaken. Copies of the results will be made available to residents, families and the Commission. All staff members are supervised on a continuous basis; in addition they all receive formal supervision regularly. Staff members confirmed this. Astbury Lodge DS0000006520.V249558.R01.S.doc Version 5.0 Page 17 There was evidence that staff were receiving training in areas such as moving and handling, first aid and fire safety. The home manager keeps a record of all statutory and other training undertaken by staff. The fire precautions record book was up to date and demonstrated that checks of the alarm system, emergency lighting, fire drills and staff training were taking place. Two of the residents currently living in the home have electric wheelchairs, these are heavy and could present a hazard to other people living in the home; no risk assessment was in place regarding this. The home manager agreed to address this. This will be checked during the next inspection. Monthly visits to comply with regulation 26 of the Care Homes Regulations are being carried out Astbury Lodge DS0000006520.V249558.R01.S.doc Version 5.0 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. 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X 3 3 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X X X X 3 Astbury Lodge DS0000006520.V249558.R01.S.doc Version 5.0 Page 19 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 Astbury Lodge DS0000006520.V249558.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Astbury Lodge DS0000006520.V249558.R01.S.doc Version 5.0 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!