Inspection on 02/02/09 for Blackburn Lodge LSC

This inspection was carried out on 2nd February 2009.

CSCI found this care home to be providing an Good service.

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

Blackburn Lodge LSC 20/02/07

Blackburn Lodge LSC 24/01/06

Blackburn Lodge LSC 13/09/05

Blackburn Lodge LSC 11/10/04

Blackburn Lodge LSC 22/04/04

Blackburn Lodge LSC 09/10/03

Blackburn Lodge LSC 22/04/03

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 26/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Blackburn Lodge LSC The Broadway Sheerness Kent ME12 1TS     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Lisbeth Scoones     Date: 0 2 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Blackburn Lodge LSC The Broadway Sheerness Kent ME12 1TS 01795667035 01795668141 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Kent County Council Name of registered manager (if applicable) Mrs Vanessa Byrne Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The maximum number of service users to be accommodated is 35. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP). Date of last inspection Brief description of the care home Blackburn Lodge is a local authority home which caters for older people needing residential care. The home also provides recuperative care and there is a day centre on the premises. The residents are accommodated on the first floor of a Social Services building, with the managers office, the kitchen, the laundry, a day centre for 30 older people, some facilities used by occupational therapists and several care management offices occupying the ground floor. The premises are located on the seaward side of a busy main road in the centre of Sheerness, with transport and local amenities within Care Homes for Older People Page 4 of 25 care home 35 Over 65 35 0 Brief description of the care home walking distance. It provides 35 beds in 33 single and one double room. Seven beds are used by intermediate/recuperative residents. The weekly fee is £379. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The unannounced visit was carried out on 2 February 2009 and comprised information gathered and received about the home since the previous key unannounced inspection on 20 February 2007 and an Annual service Review on 15th May 2008. The registered manager completed an AQAA (annual quality and assessment) on 19th November 2008 providing an overview of changes made and plans for further improvement. Comment cards were sent to residents and staff working at the home and 9 residents and 5 members of staff responded. Information thus received is incorporated in the report and was discussed at the visit. Key Lines of Regulatory Assessment (KLORA) have informed the judgements made based on records viewed, observations made and written and verbal responses Care Homes for Older People Page 6 of 25 received. KLORA are guidelines that enable The Commission for Social Care Inspection (CSCI) to make an informed decision about each outcome area. Discussions were held with the registered manager, the senior team leader, team leader and administrator. A number of residents were met and their views on the service discussed. An accompanied tour of the building was carried out and documentation examined. The documentation included the Statement of Purpose, Service User Guide, care plans and risk assessments, medication charts, staff rotas, financial records and staff employment and training files. The CSCI has been made aware of one safeguarding vulnerable adults referral. This was investigated and has been concluded. The registered manager reported that one complaint had been received and speedily resolved. What the care home does well: What has improved since the last inspection? The pre-admission assessment documentation has been improved and now includes a questionnaire. This ensures that all pertinent information is available and informs the care plan. All care plans have been updated using the person centred format. Guidelines are in place for staff in relation to Diabetes management. An activities coordinator is now employed for 20 hours a week. In addition to some group activities, many residents benefit from one to one sessions. A volunteer worker visits weekly to do armchair exercises. A new library service has been introduced. Residents meetings have increased to provide residents with more frequent opportunities to have a say in the running of the home. The environment continues to be upgraded. Sluice rooms have been refurbished Care Homes for Older People Page 8 of 25 providing facilities of a high standard. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents have the information they require to make an informed choice about where to live. Residents needs are assessed prior to any placements taking place. All residents assessed for intermediate care are helped to maximise their independence. Evidence: The Statement of Purpose and Service User Guide have been updated and provide easy read comprehensive information about the services the home provides. Copies of the guide were seen in residents rooms. These are available to care managers and the Intermediate Care team to ensure that residents have access to this information before an assessment is made. Care Homes for Older People Page 11 of 25 Evidence: A resident said, I had stayed at the home for respite care before I decided to move in as a permanent resident. Those residents files examined included a pre placement assessment carried out by the registered manager or the deputy manager. Recuperative care referrals are made by the intermediate care team. Care managers are based at the care home. An experienced care worker assists the Occupational Therapy team in working with residents in the Intermediate care section Care Homes for Older People Page 12 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents care and social needs are well recorded. Residents are involved in the recording of their person centred plan and their health care needs are met. Residents are protected by good medication policies and practices. Residents can be confident that they will be are treated with respect and that their wishes are respected. Evidence: Care plans are based on the activities of daily living. A sample of care plans was seen which included one for a respite client. Care plans are person centred, informative, pictorial and written in plain language. Care plans have either been written entirely by the resident or with staff or relatives input. A copy of the care plan is kept in residents rooms. Care plans are reviewed monthly and informed by risk assessments such as in relation to nutrition, falls, mobility and risk of skin breakdown. The manager is in the process of completing a section in the care plan that relates to outcomes and Care Homes for Older People Page 13 of 25 Evidence: action required. Care plans evidence that Equality and Diversity is promoted. The registered manager reported that staff are fully aware of these important issues and have received training. A discharge satisfaction survey questionnaire includes a section relating to Equality and Diversity. A residents care plan included wishes in respect of practising religion and those in respect of death and dying. The care plans contain a section on health professional input and evidence that residents receive good health care. All residents are registered with local GPs. District nurses hold in-house clinics twice a week and they are also available out of hours. A district nurse said that there is good communication between the home and the staff. An optician, dentist, chiropodist and other health professional visit the home regularly and as required. Medication administration and recording systems are sound. Medication charts seen were well completed. Following risk assessment, residents would be encouraged to self medicate. It was observed that staff communicate with the residents in a pleasant and respectful manner, promoting their independence. A resident said, They are nice and friendly towards me. Care Homes for Older People Page 14 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are provided with a range of activities that meet their needs. Residents are provided with opportunities to exercise choices in their lives and contact with family, friends and the local community is encouraged. Residents are provided with a choice of wholesome and varied meals. Evidence: Since the previous inspection, a care worker has been given 20 dedicated hours a week to organise group events and provide one to one sessions with the residents. A volunteer worker organises weekly armchair exercises. An activities programme is available and each resident contributes to an individual activities plan. Records are kept of activities enjoyed with details of participation. Equipment has been purchased and further training organised for the dedicated care worker to attend. The manager said in the AQAA that regular meetings are to be set up with the fund raising committee. Residents meetings provide an opportunity to express their views on the services such Care Homes for Older People Page 15 of 25 Evidence: as menus and activities. See also standard 33. Key-workers meet with the residents individually on a regular basis. Families and relatives visit regularly. The menu is taken round to residents the night before and they make a choice from the three options available of what they would like. This can be changed at any time at their request. The majority of the residents eat their meals together in the dining room. Lunch served looked appetising and wholesome. Fresh cakes and puddings are made daily. The home recently received the Clean Food Award 2008. Care Homes for Older People Page 16 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents and their relatives are listened to if they have any concerns about the service. Residents can be confident that they are protected from abuse. Evidence: The complaint procedure was seen on display. A resident said that he had no complaints. They are all good. I have nothing to complain about. On comment cards residents reported that they would know who to speak to if they have any issues of concern. Residents said they were happy with the care provided. The manager reported one complaint, which was swiftly dealt with. There has been one safeguarding vulnerable adults referral, which was dealt with and concluded in a competent and professional manner. Two senior staff are trained as trainers in adult protection resulting in all staff receiving regular training and updates. Mental Capacity Act trainers have delivered MCA training to staff. Staff have attended safeguarding vulnerable adults training as evidenced on the training matrix. The manager reported that she and her deputy are to be attending training in the Deprivation of Liberty. Care Homes for Older People Page 17 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a homely, comfortable, clean, hygienic, safe, well-maintained and pleasant environment. Specialist equipment to meet the needs of the residents such as mobile hoist and adapted baths is available. Evidence: The homes communal areas are welcoming and well maintained and have recently been improved with new carpets. There is an on-going redecoration programme. A number of quiet rooms, including a well-stocked library and a public telephone area are provided. Those residents rooms visited were homely and personalised. A resident said, Everything is clean and cosy. A wind sensor awning has been provided to the balcony seating areas providing sun protection for residents when sitting out. Regular audits are carried out in respect of health and safety, fire alarm testing and water temperature checks. See also standard 33 in relation to quality assurance. Significant improvements in respect of infection control have been made to the sluice areas. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents needs are met by adequate numbers of well-trained staff. Residents are protected by the homes staff recruitment policy and procedures. Evidence: On the day of the visit, staff on duty comprised five care staff per shift and a Team Leader. The Manager and Deputy were also on site and work Monday to Fridays. At weekends the Deputy or Manager are on call to advise and assist if required. The home is currently fully staffed following a recent successful recruitment drive. Staff on comment cards reported that at the start of each shift they always receive a comprehensive handover. We receive good instructions from the team leader. The manager reported that the great majority of staff is trained at NVQ level 2. Team leaders have at least NVQ level 3, some level 4. Staff are provided with many training opportunities. Staff on comment cards reported that they are happy with the training provided. We have regular update training. We are well supported. In addition to Skills for Care induction, staff are provided with all statutory training such as food hygiene, first aid, fire safety awareness, moving and handling and infection control. Other training includes safeguarding vulnerable adults, dementia care and Equality and Diversity. Care Homes for Older People Page 19 of 25 Evidence: The manager reported that some residents are included in the staff recruitment process. This is good practice. A sample of staff files demonstrated that the homes recruitment policy is robust. Appropriate safety checks are carried out and two written references obtained before the offer of employment is made. In respect of staff supervision see standard 36. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in well managed home that is and run in their best interest. Residents finances are safeguarded and their health, safety and welfare promoted and protected. The manager should ensure that the frequency of staff supervision complies with the standard. Evidence: The home is well managed by a qualified and experienced registered manager who is supported by a deputy and other senior staff. There is an open door policy and she relates well to residents and staff. Staff on comment cards said that Blackburn Lodge is a good place to work. I am proud to be part of this care home. We work well as a team and communication is good. There is a clear management structure with lines of responsibility. Care Homes for Older People Page 21 of 25 Evidence: It is evident that the home is run in residents best interests. Residents have been involved in choosing colours for redecoration and new furniture. As already referred in standard 14, regular residents meetings provide opportunities to have a say in the running of the home. See also standard 29 in respect of recruitment. A number of audits are in place such as in relation to medication, care planning and health and safety. Regulation 26 visits are carried out monthly. Financial records were viewed with the administrator and evidenced that a sound system for recording is in place. The Annual Service Review reported that staff receive regular supervision. Records seen at this visit are of good standard. It was however noted that the most recent recorded supervision for one member of staff was in August 2008. It was recommended that a supervision matrix be devised to ensure timely supervision for all staff. For the purpose of regular review, it was recommended that all forms and records used are signed and dated. Through quality assurance tools, safety checks and staff statutory training, residents and staffs health, safety and welfare are promoted and protected. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 24 of 25 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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