Inspection on 19/01/06 for Blacklake Lodge Residential Home

This inspection was carried out on 19th January 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

Blacklake Lodge Residential Home 16/04/08

Blacklake Lodge Residential Home 19/03/07

Blacklake Lodge Residential Home 18/07/05

Blacklake Lodge Residential Home 21/03/05

Blacklake Lodge Residential Home 22/11/04

Blacklake Lodge Residential Home 04/03/04

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Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Blacklake Lodge Residential Home 85 Hilderstone Road Meir Heath Stoke On Trent Staffordshire ST3 7NS Lead Inspector Mr Berwyn Babb Announced Inspection 19th January 2006 10:30 X10029.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 Blacklake Lodge Residential Home DS0000004918.V279759.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 and Care Homes for Adults 18 – 65*. 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. Blacklake Lodge Residential Home DS0000004918.V279759.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Blacklake Lodge Residential Home Address 85 Hilderstone Road Meir Heath Stoke On Trent Staffordshire ST3 7NS 01782 388881 01782 396597 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 Eric John Dudley Mrs Sylvia Dudley Mr Eric John Dudley Care Home 39 Category(ies) of Dementia - over 65 years of age (11), Old age, registration, with number not falling within any other category (39), of places Physical disability (10), Physical disability over 65 years of age (39) Blacklake Lodge Residential Home DS0000004918.V279759.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 10 - PD - 2 minimum age 30 on admission and 8 minimum age 50 on admission 18th July 2005 Date of last inspection Brief Description of the Service: Blacklake Lodge is an extended detached house which provides 24 hour residential care for up to 39 older people, all of whom may have a physical disability, and 11 of whom may have dementia. Additionally there is registration for 10 younger adults with physical disability. Located just off the Hilderstone Road and surrounded by open country, it is less than a mile from Meir Heath where there are local shops. More extensive services are available at either Longton or Stone. A bus service passes the home and the nearest railway station is two miles distance as Blythe Bridge. The accommodation includes two units built independently of the main property but also serviced with 24-hour care. The home offers a permanent service to elderly and physically disabled people of both sexes and when a bed is available will also provide respite care in the same categories. The home has 35 single rooms and two shared rooms, 31 of the single rooms have ensuite facilities, as have the shared rooms. All rooms meet current size requirements, and eight of the single rooms are large enough to be used for wheel chair accommodation. Bathrooms and toilets are to be found conviently located around the home. Two communal lounge areas are provided, and two dining areas. Extensive gardens surround the home and there is substantial off road parking. Blacklake Lodge Residential Home DS0000004918.V279759.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was arranged with the home to complete the 2005/2006inspection cycle, commenced on 18th July 2005 by an unannounced inspection. That inspection had concentrated on the bungalows, which at the time of this inspection were in “Moth balls” awaiting a decision about their long-term future, and recommendations made concerning residents at that time had been enacted. The proprietor/care manager, Mr. Eric Dudley, was on sick leave recovering from a broken leg, and the home was being run by his deputy Mrs Marie Goodwin, and his son and fellow director, Mr. Steven Dudley. The day to day life of the home was continuing smoothly, with relatives and the likes of District Nurses visiting resident’s, and suppliers making deliveries, and residents receiving attention to the assessed needs, and current choices. Lunch and tea were served during the inspection, and both appeared to be appreciated, as well as being nutritious and of sufficient quantity and variety to meet individual requirements. The environment of the home was maintained to a high standard, and was comfortable, clean, warm, and tidy. What the service does well: What has improved since the last inspection? All the requirements and recommendations made following the previous inspection have been met. Care plans demonstrated closer attention to including risk assessments for items identified in the initial assessment. Blacklake Lodge Residential Home DS0000004918.V279759.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. Blacklake Lodge Residential Home DS0000004918.V279759.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Blacklake Lodge Residential Home DS0000004918.V279759.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,6 The comprehensive Statement of Purpose fully described the needs that this home is able to meet, including the fact that they do not provide intermediate care, and that nobody will be accepted without a full assessment of their needs. Blacklake Lodge Residential Home DS0000004918.V279759.R01.S.doc Version 5.1 Page 9 EVIDENCE: The extensive Statement of Purpose reviewed by the inspector together with a Service User’s Guide adequately covered such items as the philosophy of care at that home, the aims and objectives of the home, the environment, the terms and conditions being offered to prospective residents whose assessed needs fell within the remit of what the home was able to meet, and the terms and conditions clearly indicated that nursing care would only be of an extent, that was applicable to, and met by the local district nursing service. Reference was also made to the services and activities that were available, and for what category of resident that the home was registered to take. There was a diagram showing the management structure of the home, and information regarding the numbers of people available to care for residents, and the programmes of training that they had undertaken and skills they possessed. The relative of one resident confirmed to the inspector in a private interview, that the information given to him both by the above means, and verbally by staff at the home when he visited, had enabled him to choose Blacklake Lodge, over other homes he had contacted, as being a suitable place for his father to have his care needs met. He recalls that he played a full part in the assessment of his father’s needs, in conjunction with information from members of the health and social services. At this time Blacklake Lodge does not offer Intermediate Care, nor have they indicated that they are considering so doing in the future. Blacklake Lodge Residential Home DS0000004918.V279759.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,11 Contents of those care plans reviewed had improved since the last inspection, in detailing more clearly the health and social needs, risks, and choices of the resident and how they were being met. Medication records were complete and without omissions, and appropriate training adequately evidenced. Anecdotal evidence from a relative was appreciative of the sensitivity shown to him and his father during a recent bereavement. Blacklake Lodge Residential Home DS0000004918.V279759.R01.S.doc Version 5.1 Page 11 EVIDENCE: The inspector reviewed a sample of care plans some chosen at random, and some chosen to follow up on recommendations and requirements made following the previous inspection. He found that progress had been made to ensure that for every need and risk identified in the initial assessment, there was a corresponding programme and plan of care. Investment had been made in improved recording systems templates, and these appeared to be aiding staff to keep records that were more logically ordered, and easier to follow. In one care plan he was able to observe the choice of a resident, who had refused an assessment offered in pursuit in expanding his daily activities. There was evidence of social workers managing major reviews on residents whose needs suggested consideration of services in addition to those able to be offered at Blacklake Lodge, and the appropriateness of those services were being delivered within the home, were being reviewed on a monthly basis. Indicators of the assessment, review, and meeting of healthcare needs included pressure area and skin viability charts, body mass index and food and fluid intake charts, weight charts for those people whom it was possible to weigh, and non weight bearing charts for those people who it was not possible to weigh, visit by the district nurse, visit by a physiotherapist (in this instance to advice on the use of hoists for transfers), input of an audiologist to assess for and arrange provision of a more appropriate hearing aid, facilitating blood tests for various functions and the regular input of hospital consultants, GP’s, chiropodists, dentists, opticians and community psychiatric nurses. The home had recently found itself in a difficult situation when their most used GP had retired to return to his home country, but with the assistance of the Primary Care Trust, have been able to register resident’s who have not maintained their own GP, with one or other of the two practices in the nearby town of Stone. The deputy care manager stated that both these practices and the local chemist were providing them with an excellent service. Additionally, there is a superstore three miles away that has a late night pharmacy. All medication records reviewed by the inspector were clear, obvious, and accurate, and the arrangements for storage and distribution of medications in line with the recommendations of the Royal Pharmaceutical Society. In conversation with a visiting relative, the inspector learned of the sensitivity that had been offered to his father and himself, on the recent death of his mother, and the length to which staff had gone with his father, and (who was resident in the home at that time) to support him in making all the arrangements with which he found himself called on to make. Blacklake Lodge Residential Home DS0000004918.V279759.R01.S.doc Version 5.1 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13,14 Other key standards had been reported upon satisfactorily following the previous inspection, and from this one, records showed that attempts had been made to improve the leisure activities of younger and more active residents, the outcome of which was a profound demonstration of the control residents exert over their lives through individual choice. Blacklake Lodge Residential Home DS0000004918.V279759.R01.S.doc Version 5.1 Page 13 EVIDENCE: The inspector spoke to relatives who were able to visit the home at all reasonable times, and was always offered a cup of tea when one was being brought round for the resident’s. He was able to visit his father in private if they had sensitive issues to address, and the inspector was able to confirm from the Statement of Purpose, the instructions to staff to assist them in politely refusing to see anybody they did not want to. The home makes recommendations that any resident’s who do not continue to manage their own financial affairs should appoint someone to act as advocate for them. In the care plan of somebody who had already done this, the inspector was able to note where further choice had been exercised by that resident, not to avail themselves of some of the services being offered. Blacklake Lodge Residential Home DS0000004918.V279759.R01.S.doc Version 5.1 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The home has, and clearly advertises at the entrance, an appropriate written complaints procedure. However, staff and management alike may need to consider a more enlightened initial response, to prevent mole hills becoming mountains. Staff interviewed displayed a robust attitude towards protecting resident’s rights, and protecting them from abuse. EVIDENCE: Commission for Social Care Inspection had received two official complaints in the period between this inspection and the previous one. One of these had not been upheld, but sections of the second complaint were upheld, and reflected upon practice in the following areas: a) More formal consultation should be given to residents when unforeseen changes were having to be made, and proper written evidence needed to be kept to substantiate the consultations. b) Prioritisation of which repairs are most urgent. c) Proper procedures followed when moving food between buildings on the site. d) To ensure carers always respond to call bells immediately. Blacklake Lodge Residential Home DS0000004918.V279759.R01.S.doc Version 5.1 Page 15 Requirements and recommendations concerning these matters have already been made to the home by the Complaints Inspector, and are not being repeated in this report. However, it has to be acknowledged that positive steps have been taken by the home to address all the above issues. In a formal interview with a member of staff, the inspector discussed the subject of abuse. This person displayed an intuitive knowledge of various actions that would constitute abuse, including tone of voice, not following proper procedure when moving and handling, or not responding adequately or appropriately to requests for assistance. She knew the procedure that she should follow if she suspected that any resident of the home was being abused, and confirmed that her induction and training had included a session on the subject of protecting vulnerable adults. Blacklake Lodge Residential Home DS0000004918.V279759.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 From observation it appeared that the homes premises were suitable, comfortable, well maintained, and the facilities provided met the needs of the occupants of the home. Blacklake Lodge Residential Home DS0000004918.V279759.R01.S.doc Version 5.1 Page 17 EVIDENCE: The inspection was confined to the original main building, as both of the “bungalows” had been vacated, with no current consideration of them being brought back into service. The home enjoys a woody site with rural aspects and easy access from the Hilderstone road, with ample car parking. Buildings were maintained to a high standard and such things as storage tanks and refuse and contaminated waste storage, were screened from the view of the residents. An internal tour of the majority of the building, namely all the communal and service areas and a sample of the resident’s bedrooms, demonstrated a very high standard of quality in the decoration, furnishing, provision of heating and lighting, and homely nature of this facility. There was reference in two of the care plans examined of the input of a suitably qualified occupational therapist who advised on equipment suitable for the needs of individuals, and to arrange for this to be made available, with further visits to instruct staff and risk assess the resident in the use of these pieces of equipment. The owner/care manager is on record as having stated that the whole home was built to disability standards in terms of both size and equipment. During this inspection well anchored hand rails were observed in all corridors of the home, as well as in the bathrooms and toilets. The risk assessments for the use of bed guards were complimented with signed authorisations. The deputy care manager spoke knowledgably on various items of equipment used in the home to guard fragile skin from developing pressure sores, and was equally aware of the importance of the part played of exercise and diet to the viability of frail tissue. Records showed that walking aids and other disability equipment had been acquired only after assessment by the occupational therapist who was accessed in this home through the GP. The home was clean, warm, hygienic, and free from offensive odours throughout, and examination of the laundry showed that appropriate systems were in place to keep in different categories of soiled items separate. Washing machines had programmes that included boil wash and sluicing facilities, and collection of soiled laundry was done using “tiger bags”. A request to relatives to identify clothes with woven name tags was seen in the service user’s guide, but as a backup for when this does not happen, the inspector was shown a machine that generates appropriate labels. The laundry floor finishes were impermeable, wall finishes were easily cleanable, being tiled throughout, and separate handwashing facilities were prominently available. Blacklake Lodge Residential Home DS0000004918.V279759.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29,30 Staff were being recruited and supervised adequately and appropriately, and there continued to be sufficient numbers to ensure competent support to the residents of the home. Other key standards were covered satisfactorily during the previous inspection. EVIDENCE: The inspector undertook a formal interview with a recently appointed member of care staff, and she confirmed that she had been recruited through the local job centre who are subject to equal opportunities legislation, and required to provide two written references and a clear CRB check before being offered a three month trial. She confirmed that she had both a written contract and had been given a statement of what her job entailed and the boundaries of its remit, and that she had been invited to a staff meeting and given a schedule of proposed in service training. Blacklake Lodge Residential Home DS0000004918.V279759.R01.S.doc Version 5.1 Page 19 She had just missed this trench of NVQ applications, but deputy care manager confirmed that her name would be going forward in the next group. The Statement of Purpose of the home also details that staff are required to undertake training in the following crucial subjects: Care Code of Conduct (General Social Care Council) Confidentiality The rights of the service user Health and safety Food hygiene and safety Personal care tasks Responsibility of care assistants It goes onto say that all new staff will complete induction that follows the Skills for Care guidelines, [formerly N. T. O.] and that the home insists that all care assistants hold a minimum of NVQ Level 2 in Care and that all new members of staff must train to achieve this important qualification. Blacklake Lodge Residential Home DS0000004918.V279759.R01.S.doc Version 5.1 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) 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 Key standards 31 and 38 were assessed satisfactorily at the previous inspection of 18th July 2005, and from this inspection it was deemed that the home take appropriate steps to canvass opinion about the quality of the service they are offering, and that their policies and procedures set out safeguard the financial interested of their residents. Blacklake Lodge Residential Home DS0000004918.V279759.R01.S.doc Version 5.1 Page 21 EVIDENCE: The relative of a resident in the home told the inspector that there was regular contact between himself and the management and staff of the home, and that any issues he had needed to raise about the quality of the service, had promptly been dealt with. The inspector was also able to see a service user satisfaction questionnaire that is used by the home, covering such things as general contentment, meeting their needs, changing that the resident would like to see, whether they have enough to eat, is there enough choice in food, or would they like the meals cooked in a different way or presented in a different way. It goes on to ask them whether there is enough assistance available in the home, especially when other staff are physically available all the time, and whether they want to join in the activities that are regularly organised in the home.. There are opportunities to say whether visitors are made to feel welcome, and comment on any of the service available in the home as well as any suggestions for improvements. There were also records of residents meetings, held regularly in the home, where the provider was available to receive comments of residents and relatives, in a more formal setting. The director who was present at the inspection, confirmed the statement to be found in the terms and conditions that are required to be signed by each resident or their supporters, that with the exception of handling a residents pension or benefit book at their express request, the management and staff will take no responsibility for the residents financial affairs other than to operate a cash book to record small amounts of cash kept in individual wallets in the safe, for the convenience of paying for sundries such as hairdressing and newspapers etc. The inspector did a random spot check, and found monies held to exactly match the supporting documentation. This followed best accounting procedure of double signature for any entries being made, with an opening and a closing balance after monies had either been deposited or withdrawn, and receipts kept for any items purchased. The inspector gave advice to the deputy care manager about invoicing for services that had been purchased by a resident with insufficient funds. Blacklake Lodge Residential Home DS0000004918.V279759.R01.S.doc Version 5.1 Page 22 In one of the care plans examined during this inspection, he was able to follow the process involved in securing a financial advocate for that particular resident, who had been assessed as not having the capacity to manage their own financial affairs. In other care plans, it was recorded that a family member was managing finances on the residents behalf, whilst the home advised through their terms and conditions, that residents unwilling or unable to manage their own financial affairs should arrange for a solicitor, bank manager or accountant to undertake this task on their behalf if their next of kin’s does not do so. Blacklake Lodge Residential Home DS0000004918.V279759.R01.S.doc Version 5.1 Page 23 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 3 2 X 3 3 4 X 5 X 6 N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 4 20 X 21 X 22 3 23 X 24 X 25 X 26 4 STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 X 32 X 33 3 34 X 35 3 36 X 37 X 38 X Blacklake Lodge Residential Home DS0000004918.V279759.R01.S.doc Version 5.1 Page 24 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 Blacklake Lodge Residential Home DS0000004918.V279759.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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. Blacklake Lodge Residential Home DS0000004918.V279759.R01.S.doc Version 5.1 Page 26 - 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!