Inspection on 29/03/06 for Breck Lodge

This inspection was carried out on 29th 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

Breck Lodge 08/01/07

Breck Lodge 09/11/05

Breck Lodge 02/12/04

Breck Lodge 05/05/04

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 Breck Lodge 78/80 Breck Road Poulton le Fylde Lancashire FY6 7HT Lead Inspector Mr Patrick Rooney Unannounced Inspection 10:00 29 March 2006 th 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 Breck Lodge DS0000031837.V275091.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. Breck Lodge DS0000031837.V275091.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Breck Lodge Address 78/80 Breck Road Poulton le Fylde Lancashire FY6 7HT 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) 01253 894567 Mrs Christine Dickinson Mr Simon Dickinson Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Breck Lodge DS0000031837.V275091.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th November 2005 Brief Description of the Service: Breck Lodge is registered with the Commission For Social Care Inspection to provide personal care for 15 service users of either sex aged 65 and above. The home is situated near to Poulton and is within easy reach of local shops and amenities. There is a main bus route near the home. It is a large detached property with a parking area at t he side of the home. There are pleasant garden areas at the rear of the home, which are accessible to service users. There are two lounges and a lounge/dining room. Resident’s private accommodation consists of 15 single rooms all of which have ensuite facilities. Residents are encouraged to retain their links with family and friends and every effort is made to ensure relationships, hobbies and interests are pursued. Relations and friends are always made welcome at the home and may see residents in private. Personal requirements of residents are catered for by staff, who receive training in all aspects of care for the older person. Any medical needs are managed by resident’s own general practitioners and district nursing staff. Breck Lodge DS0000031837.V275091.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place over a three-hour period, two inspectors Mr P Rooney and Mrs F Lacey carried out the inspection. Records were consulted and the inspectors spoke to most of the residents, including two who were seen in their own rooms. Questionnaires given out as part of the inspection were received from six relatives and eight residents. A tour of the building was carried out and staff on duty spoken to individually. Comments from relatives were very positive and included the following comments; “Staff are always pleasant, nothing is too much trouble. The owners visit the home regularly and ensure there is good practice, the home is very clean and there is good food –best produce used”. “My aunty is very happy at this home and she is well cared for”. “Breck Lodge is a very homely rest home, exceptionally clean, the owners and staff are very helpful, professional and caring”. Comments from residents were all positive and included. “Its lovely here, they look after us very well”. “They are good carers and are very kind, nothing is too much trouble”. “Everything is spotlessly clean rooms are very well kept”. What the service does well: Breck Lodge is a small home and continues to provide a good standard of homely care. There is a stable staff team who have worked at the home for a long time and are able to provide a continuity of care. Discussion with staff and residents and observations made confirmed this to be the case. Staff said that there is a really good team spirit and they work well together. They are encouraged to take part in training. Breck Lodge DS0000031837.V275091.R01.S.doc Version 5.1 Page 6 The home places importance in providing training for staff and over 50 are trained to at least NVQ 2 level with four currently doing this training. Extra training is always available to staff to ensure they are kept up to date. Both the owners are doing Registered Managers award. And the assistant manager has NVQ4. Training records seen during the inspection confirmed that there is on going training available to staff. Information from relatives and residents confirmed that levels of care are good and that staff are kind and helpful. What has improved since the last inspection? What they could do better: One recommendation is made following this inspection and is with regard to care plan reviews. Care plans seen contained a good deal of information including the social and cultural needs of residents. This matched the care needs of residents spoken to about their care. However at present there is no format for carrying out reviews and consist of a paragraph written into the notes any changes to care plans are written in notes on the original care plan and are often not dated. The system needs some refinement in order to fully meet Standard7. It is recommended that the review could be more detailed and is a format produced using as a guideline the bullet points noted in Standard 3.3. Please contact the provider for advice of actions taken in response to this Breck Lodge DS0000031837.V275091.R01.S.doc Version 5.1 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Breck Lodge DS0000031837.V275091.R01.S.doc Version 5.1 Page 8 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 Breck Lodge DS0000031837.V275091.R01.S.doc Version 5.1 Page 9 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): All core Standards in this section were assessed at the last inspection. EVIDENCE: Breck Lodge DS0000031837.V275091.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 and 10 There are good initial care plans with a lot of detail however the review system needs improving. Care is delivered sensitively, respecting the dignity and privacy of residents. EVIDENCE: Care plans seen contained a good deal of information including the social and cultural needs of residents. This matched the care needs of residents spoken to about their care. However at present there is no format for carrying out reviews and consist of a paragraph written into the notes any changes to care plans are written in notes on the original care plan and are often not dated. It is recommended that the review could be more detailed and is a format produced using as a guideline the bullet points noted in Standard 3.3. Three residents spoken to in their own rooms told the inspector that the care they receive is very good and that all their care needs are met. They said that staff are kind and helpful and always treat them with respect. Personal care is carried out in privacy. Breck Lodge DS0000031837.V275091.R01.S.doc Version 5.1 Page 11 Residents comments are; “Its lovely here, they look after us very well”. “They are good carers and are very kind, nothing is too much trouble”. “Everything is spotlessly clean rooms are very well kept”. Relatives comments from surveys given out for the inspection are; “Staff are always pleasant, nothing is too much trouble. The owners visit the home regularly and ensure there is good practice, the home is very clean and there is good food –best produce used”. “My aunty is very happy at this home and she is well cared for”. “Breck Lodge is a very homely rest home, exceptionally clean, the owners and staff are very helpful, professional and caring”. Breck Lodge DS0000031837.V275091.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): 14 The home operates in a flexible manner and enables residents to have choice and control in everyday life. EVIDENCE: Residents are asked on admission whether they can manage their own financial affairs, currently all residents have their families carrying out this function. The home does not become involved in this aspect. Personal allowances are kept in safekeeping for some residents and good records are maintained regarding this. There is a high degree of informal contact with residents and their opinions are asked about what they wish to do. Residents said they are regularly consulted about things happening in the home and are able to take part in a range of outings and activities, which are arranged by staff. Residents have access to independent advocacy services; literature and leaflets regarding this were seen in the home. Resident’s rooms are personalised and they are able to bring items of their own furniture and ornaments on admission to the home. Residents have the Breck Lodge DS0000031837.V275091.R01.S.doc Version 5.1 Page 13 choice of using their own rooms or any of the communal areas during the day. If they wish they may also take their meals in the privacy of their own rooms. Breck Lodge DS0000031837.V275091.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): All core Standards in this section were assessed at the last inspection. EVIDENCE: Breck Lodge DS0000031837.V275091.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): 26 The home is always kept spotlessly clean and hygienic. EVIDENCE: The home was seen to be very clean and nicely perfumed. There are cleaning programmes in place and domestics employed to maintain good standards. There were positive comments from both residents and relatives about the cleanliness of the home. “Everything is spotlessly clean rooms are very well kept”. “Breck Lodge is a very homely rest home, exceptionally clean”. Staff receive training in dealing with infection control and there is an infection control policy in place. There is a laundry and the washing machines comply with disinfecting standards and the home’s equipment and fittings comply with Water Supply Regulations 1999. Breck Lodge DS0000031837.V275091.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): 29 and 30 The homes recruitment procedures are good and ensure residents are well supported and protected. The home places importance on training staff to carry out their duties. EVIDENCE: The staff records of three members of staff were looked at, including the last member of staff appointed. A full application form has been completed and any gaps in employment queried. Two references are applied for including the previous employer. All POVA and CRB clearances have been obtained prior to staff taking up post. All staff have an induction and a training record, this is kept on computer by the proprietors. Over 50 of staff are qualified to NVQ2 in care. Four staff are currently doing this training. Recent training provided for staff includes Dementia Awareness, Health and Safety and Infection Control. Certificates of training were seen in staff training folders. Staff interviewed during the inspection said that the owners encourage training and they receive an incentive to get on in order to provide the best of care for the residents. Breck Lodge DS0000031837.V275091.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): 33, 35 and 38 There are quality assurance systems in place to ensure the home meets its aims and objectives. Monies kept in safe keeping for residents are administered correctly. The health and safety of staff and residents is taken seriously and measures in place to ensure this. EVIDENCE: Breck Lodge is accredited with Investors in People and carries out its own resident and relatives surveys. The owners are available to residents every day. Residents said that they are approachable and take on board their requests and wishes. Resident’s personal allowances are kept in a safe and good records are maintained of them. These were checked during the inspection and were in order. Residents have easy access to their money when they require to go shopping or buying items they need. Breck Lodge DS0000031837.V275091.R01.S.doc Version 5.1 Page 18 All staff are required to have health and safety training and records showed all current staff have this training. Moving and handling training is given for all staff and records showed they have all completed this training. Staff have first aid, food hygiene, infection control training. The proprietors are always keen to ensure staff are encouraged to take part in training. Records showed that all safety checks take place, including fire, electricity and hot water. Risk assessments are carried out to ensure safety in the home, records of these were seen. Breck Lodge DS0000031837.V275091.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 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Breck Lodge DS0000031837.V275091.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. 1 Refer to Standard OP7 Good Practice Recommendations Care plan reviews need some refinement and should include a format using the guidelines shown in Standard 3.3 Breck Lodge DS0000031837.V275091.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Breck Lodge DS0000031837.V275091.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. 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