Inspection on 03/03/06 for Astbury Lodge

This inspection was carried out on 3rd March 2006.

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 14/09/05

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 Unannounced Inspection 3rd March 2006 11:00 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 Astbury Lodge DS0000006520.V284168.R01.S.doc Version 5.1 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.V284168.R01.S.doc Version 5.1 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) www.clsgroup.org CLS Care Services Limited Mrs Jenny Ringstead Care Home 42 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (32) of places Astbury Lodge DS0000006520.V284168.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. This service is registered for a maximum of 42 services users to include: * Up to 32 service users in the category (OP) (old age not falling within any other category) may be accommodated * Up to 10 older service users in the category of DE(E) (Dementia over 65 years of age) may be accommodated in the Meadows Unit The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidance that may be issued through the Commission for Social Care Inspection. 14th September 2005 2. 3. Date of last inspection Brief Description of the Service: Astbury Lodge is a two-storey care home for people over 65 years of age. Access between floors is via a shaft lift or the stairs. The home is owned by CLS care services, a registered charity and is located in Ellesmere Port. It is close to the local shops and other community facilities. There are a variety of garden and patio areas available for residents; these are accessible and well maintained. Adequate car parking facilities are available. Residents accommodation consists of 39 single and one double bedroom. Three of the single bedrooms have en-suite facilities; the remaining rooms have wash hand basins fitted. The 42 beds are currently registered to provide care for up to 32 older people and ten older people with dementia who have their own designated accommodation, the Meadows unit. There are a variety of lounge and dining areas with drink making facilities provided for residents. Astbury Lodge has an adequate number of toilets and a variety of bathrooms available. Aids to help independence are in evidence throughout the home; these include bath hoists, grab rails and an emergency call bell system. Astbury Lodge DS0000006520.V284168.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 3 March 2006 and lasted for two hours and forty minutes. The home manager was on duty together with the agreed numbers of senior, care and ancillary staff. During the inspection eight residents, two visiting relatives, the manager and three 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 and a number of bedrooms was undertaken. Comment cards for residents and relatives/visitors were given to the manager upon arrival. Since the previous inspection a new ten-bedded dementia care unit, the Meadows has been registered. What the service does well: What has improved since the last inspection? A new care planning system is in the process of being implemented. The activities co-ordinator is now established in the post and a good variety of social events and activities are organised. Astbury Lodge DS0000006520.V284168.R01.S.doc Version 5.1 Page 6 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.V284168.R01.S.doc Version 5.1 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.V284168.R01.S.doc Version 5.1 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): 1, 3 and 6 Information on the service provided by the home is made available to clients and their relatives/representatives. Residents are assessed prior to admission to ensure that the home will be able to meet their needs. EVIDENCE: The home provides a range of information to residents; these include the statement of purpose, the service user guide and the procedures to be followed in the event of a complaint. As part of the inspection process the care files of three 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 Astbury Lodge DS0000006520.V284168.R01.S.doc Version 5.1 Page 9 professionals are involved with the pre-admission assessment. Various risk assessments were also completed. Intermediate care is not provided at Astbury Lodge. Astbury Lodge DS0000006520.V284168.R01.S.doc Version 5.1 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 the following standard(s): 7, 8, 9 and 10 All residents have a care plan that shows how their individual needs are being met. The current system is in the process of being updated The health, social and emotional needs of people living at Astbury Lodge are being identified and met. EVIDENCE: The care team leaders are responsible for drawing up a resident’s plan of care. The 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 being 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 monthly and where necessary re-written. A new care planning system is in the process of being implemented; those seen were written in the first person and demonstrated that ongoing consultation with residents or their families/advocates was taking place. Astbury Lodge DS0000006520.V284168.R01.S.doc Version 5.1 Page 11 All personal care is carried out in the privacy of a resident’s bedroom or one of the bathrooms. 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. Staff members were observed interacting with them in an appropriate, dignified and respectful way. CLS has a written policy on the receipt, administration [including selfadministration] safekeeping, handling, recording and disposal of medication within its homes. The home uses a blister pack system dispensed by a local pharmacist. No obvious issues were seen during the inspection visit. Residents’ medication within the Meadows unit is kept in a lockable cabinet in each bedroom. A medication audit has recently been undertaken by the home manager and supplying pharmacist. Astbury Lodge DS0000006520.V284168.R01.S.doc Version 5.1 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 the following standard(s): 12, 13 and 14 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. Staff members were observed to knock on the door and to await permission before entering a resident’s bedroom. The residents and visitors spoken with made a number of positive comments regarding the care and services provided at Astbury Lodge. Visitors are free to visit the home at any reasonable time. The home has an activities co-ordinator whose role is to work with residents, both individually and in groups. A wide variety of social and other activities are organised and information about forthcoming events was displayed on the notice board and throughout the home. A computer, with Internet access is also available for residents if they wish to use it. Links with the local Astbury Lodge DS0000006520.V284168.R01.S.doc Version 5.1 Page 13 community are maintained and people are able to come and go from the building subject to risk assessment. There is a new secure ten-bedded dementia care unit within the home. Exit doors within this unit are operated by a keypad system in order to maintain the safety of the residents who may be at risk if they leave the home on their own. Astbury Lodge DS0000006520.V284168.R01.S.doc Version 5.1 Page 14 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): None of the standards were inspected during this visit. The key standards were assessed as having been met during the previous inspection. EVIDENCE: None of the standards were inspected during this visit. The key standards were assessed as having been met during the previous inspection. Astbury Lodge DS0000006520.V284168.R01.S.doc Version 5.1 Page 15 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 24 and 25 The home provides good facilities to meet the needs of older people. Standards of hygiene and cleanliness are high. 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. The home manager explained that new carpets were being fitted in one of the lounges and the entrance area in the immediate future. Residents are encouraged to personalise their bedrooms with their own belongings and furniture, and those seen during the inspection fully reflected the individual tastes, preferences and interests of their occupants. Astbury Lodge DS0000006520.V284168.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30 Staff members were seen to be working with residents, families and visiting professionals to improve the quality of life of people living in the home. New staff members undertake an appropriate induction when starting work. EVIDENCE: Staff members were cheerful and friendly and residents were complimentary about their attitude and competence. New staff members are routinely inducted through the company’s induction scheme to ensure that they are suitably trained when starting work. An example for a new staff member was seen during the visit. CLS introduced a new induction policy and procedure in December 2005. Astbury Lodge DS0000006520.V284168.R01.S.doc Version 5.1 Page 17 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, 35 and 38 The home is being well run and managed on a day-to-day basis. The service collects feedback regarding the quality of the care provided. Residents’ personal allowances are being handled appropriately. EVIDENCE: The home has an experienced and competent manager who is registered with the Commission for Social Care Inspection. She has completed the registered managers award. A quality assurance survey to ascertain whether residents and families are happy with the standards of care being provided has been undertaken. Comment cards and a feedback box, also located in the entrance area are available for people to use if they wish to do so. Astbury Lodge DS0000006520.V284168.R01.S.doc Version 5.1 Page 18 Residents’ personal allowances are being handled appropriately. Personal monies were being kept securely and those inspected had correct balances and accurate records. There is a comprehensive health and safety manual as well as policies and procedures in relation to safe working practices in place. 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. Monthly visits to comply with regulation 26 of the Care Homes Regulations are being carried out Astbury Lodge DS0000006520.V284168.R01.S.doc Version 5.1 Page 19 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 3 X 3 X X N/A 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 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 3 X X X 3 3 X STAFFING Standard No Score 27 X 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 Astbury Lodge DS0000006520.V284168.R01.S.doc Version 5.1 Page 20 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.V284168.R01.S.doc Version 5.1 Page 21 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.V284168.R01.S.doc Version 5.1 Page 22 - 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!