Inspection on 08/01/07 for Breck Lodge

This inspection was carried out on 8th January 2007.

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 29/03/06

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 Mrs Christine Marshall Unannounced Inspection 8th January 2007 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 Breck Lodge DS0000031837.V323362.R01.S.doc Version 5.2 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.V323362.R01.S.doc Version 5.2 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 chrisbrecklodge@btinternet.com 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.V323362.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th March 2006 Brief Description of the Service: Breck Lodge is a residential home that provides personal care for 15 people aged 65 and over. 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. Breck Lodge is a large detached property with a parking area at the side of the home. There are pleasant garden areas at the rear of the home, which are accessible to the people who live there. There are two lounges and a lounge/dining room. Accommodation is provided in 15 single rooms all of which have en-suite facilities. A chairlift provides access to first floor areas. The home is owned and managed by Mr Simon Dickinson and Mrs Christine Dickinson. At the time of this visit, (08/01/07) the information given to the commission showed that the fees for care at the home are from £366 to £404 per week, with added expenses for hairdressing, chiropody and newspapers. Breck Lodge DS0000031837.V323362.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Breck Lodge included a site visit to the home that was done between late morning and early afternoon; the visit was unannounced, which means that the owners, staff and residents did not know it was taking place until the inspector arrived. Time was spent sitting and talking with people who use the service, alongside their relatives, and observing the day-to-day routines of the home and care staff, as they provided support. A tour of the home included looking at bedrooms, lounges and dining areas, toilets and bathrooms. This was to assess whether the home provided a comfortable, homely environment for the enjoyment of everyone, and to ensure the residents’ safety. Comment cards were sent to the home for residents and relatives to fill in; only two were returned, and both showed a good level of satisfaction with the care at the home. A pre-inspection questionnaire was completed by the owners, and forwarded to the commission before the inspection visit; this offered good information about the home and its policies, and enabled the commission to gather comments and feedback prior to the inspection visit. Resident’s were spoken with and their comments included – “It’s lovely here.” “I have been here two years and it is wonderful.” “The food is fantastic, all home cooked.” A visiting relative said that they were happy with everything at the home and had no complaints to make. Discussions took place with the owner Mr Dickinson and members of the care staff. Administration records were also looked at. Everyone at the home was friendly, welcoming and co-operative throughout the visit. Breck Lodge DS0000031837.V323362.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? During the previous inspection, the care plans were noted as being in need of a possible review of the format. On this visit the care plans proved to be of a satisfactory format, giving good information about the residents and a clear picture of their strengths and needs. Breck Lodge DS0000031837.V323362.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Breck Lodge DS0000031837.V323362.R01.S.doc Version 5.2 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.V323362.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 2 & 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides enough information about their service, and gathers good information about prospective residents, so that their needs can be met. EVIDENCE: The home provided contracts of care for each resident and these were seen; three residents were asked if they had a written contract of care and each said that they thought that they had. Breck Lodge DS0000031837.V323362.R01.S.doc Version 5.2 Page 10 The pre-admission assessments were looked at for the three residents’ and these were completed extremely well; they were very comprehensive and included all aspects of physical, social and psychological care, making sure that the prospective resident’s strengths and needs were identified, and that the home could provide the care that was needed. These assessments were done by the owner Mrs Dickinson, and agreed by the resident and/or their family. Three residents were asked if they had been visited before going into Breck Lodge and were able to confirm that they had been assessed before entering the home. Generally all residents were assessed by the same tool, thus promoting equality of assessment and care provision. These assessments were extremely good. Breck Lodge DS0000031837.V323362.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents health and social care needs were met and people were treated with dignity and respect at this home. EVIDENCE: Care plans are written records that describe the care that is given to each resident. Three of these were looked at and found to be very informative and individual. One care plan was a little late being reviewed and the provder addressed this immediately. All aspects of care had been considered, including a good social history. Breck Lodge DS0000031837.V323362.R01.S.doc Version 5.2 Page 12 Some of the residents were unable to say that they knew about their care plans; others were able to confirm that they knew about them, but that they were not really interested. Health care opportunities were offered equally to all residents and there were records of GP, chiropody and physiotherapy visits. The medication system was looked at and found to be basically satisfactory. However, the keys to the medication room and internal cupboards were not kept by senior carer, but put in a cupboard without a lock. The provider addressed this immediately, to make sure that drugs are stored properly and that residents are kept safe from harm. The residents were seen to be treated with respect, privacy and dignity, and there were good personal interactions between residents and carers. There were some locks on bedroom doors, and the owner is now developing a plan for safety locks to be fitted to every door over a period of time; he also agreed that whenever a room becomes vacant, a safety lock would be fitted. Breck Lodge DS0000031837.V323362.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents benefit by being supported, so as to promote the quality of their daily lives. EVIDENCE: The home offered activities such as card and board games, reminiscence and manicures for the residents. There were regular outings arranged and a good musical entertainer was at the home during this visit. Musical entertainment was planned on a regular basis and the residents said that they always enjoyed this. Residents were encouraged to continue with any hobbies or activities that they have; one lady still knitted and the home provided a basket full of knitting wool. Breck Lodge DS0000031837.V323362.R01.S.doc Version 5.2 Page 14 Religious ministers also visit the home. A number of residents said that they enjoyed having their relatives visit and that they were always welcomed by the staff at the home. A visiting relative said that they were always welcomed at the home, was very happy with the care of his parent, and had a very good relationship with everyone there. There is a full choice of breakfast and morning tea or coffee with biscuits: The midday meal served at the home during the visit looked very appetising. There was a set main course, but with a choice if preferred. There is equality of choice for every resident and any preferences that are requested are catered for. The home caters for any other preferred diets that are requested or required, for example vegetarian and diabetic food. The evening meal also offers full choices, with afternoon tea and suppers available. The residents said that the food was “fantastic”, “unbeatable” and that “I never go out for a meal because it always better here.” All residents agreed that they had plenty of choice. The mealtime was relaxed and unhurried, with the carers helping discretely when needed. Breck Lodge DS0000031837.V323362.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents benefit by being supported and protected. EVIDENCE: There are policies and procedures in place for complaints, whistle-blowing and adult abuse issues, and the three members of staff on duty staff said that they were aware of these. There have been no complaints either to the home or to the Commission for Social Care Inspection. Three residents were asked if they knew about the complaints procedure and who they would speak to if they were unhappy; each of those spoken to said that they knew about the procedure and who to speak to; however they insisted that they had no complaint to make at all. Breck Lodge DS0000031837.V323362.R01.S.doc Version 5.2 Page 16 A visiting relative said that they knew about the complaints procedure and who to speak to if they were unhappy; however they also insisted that they had no complaints to make about the home. Breck Lodge DS0000031837.V323362.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19,20,21,22,24 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents were provided with a very comfortable environment and bedrooms were personalised. This means that residents feel at home with their belongings around them. EVIDENCE: A tour of the home showed that the general environment was more than satisfactory and furnishings were very comfortable. Breck Lodge DS0000031837.V323362.R01.S.doc Version 5.2 Page 18 There is equal access to all areas of the home for residents and visitors with mobility problems, in that there are wheelchair ramps and a stair lift in place. There were aids and adaptations in place to give equal access and to help with the residents’ toilet and bathing needs. Most of the residents were able to say that they were happy with their rooms, and all the bedrooms that were visited were clean, very personalised and very comfortable. The laundry area was very clean and hygienic. Policies are in place for the prevention of any cross infection and domestic staff said that they knew about this. Breck Lodge DS0000031837.V323362.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents care needs were met through adequate staff provisions who were appropriately trained. EVIDENCE: The home’s equal opportunities policy was reflected in that there were male and female staff, between the age of 18 and 65 employed at the home. The list of staff on duty showed that there were adequate levels of carers and domestic staff on duty. Residents who were able said that they never had to wait very long for the carers to help them and that they were happy with the levels of staff on duty. The carers and the domestic staff were very helpful and showed that there was a good mix of people in place. Breck Lodge DS0000031837.V323362.R01.S.doc Version 5.2 Page 20 National Vocational Qualifications (NVQ) and staff training programs were in place and over 70 of carers have currently achieved the NVQ award. The staff who have completed their NVQ training have also done a unit covering Equality and Diversity issues and this means that they will be aware of how they can make sure that the residents were treated equally, and given care according to individual choice and preference. Recruitment files were satisfactory and showed that rigorous pre-employment checks are done so that the residents were protected. The owner provided a pre-inspection questionnaire to the commission and this showed that there are induction and training programmes being given. Staff on duty during this visit confirmed that they were up to date with training programmes. Breck Lodge DS0000031837.V323362.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents were supported and there were quality systems in place to make sure that they were protected. EVIDENCE: The owners are in the final stages of their Registered Managers Award course and this is due to be finally assessed in February. Breck Lodge DS0000031837.V323362.R01.S.doc Version 5.2 Page 22 There was a quality monitoring system in place, which is Investors in People (IIP). Some residents were able to say that they were asked about the home and the service, and a visiting relative said that they were happy with the quality of care. Staff said that they were encouraged to be proactive in improving the quality of care that was provided at the home. The pre-inspection questionnaire provided information about residents’ financial arrangements and records that were kept at the home; also information was given that the safety certificates at the home were up-to-date, making sure that the residents were safe and secure. Breck Lodge DS0000031837.V323362.R01.S.doc Version 5.2 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Breck Lodge DS0000031837.V323362.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? 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. 2 3 Refer to Standard OP7 OP9 OP10 Good Practice Recommendations The providers should ensure that care plans are reviewed monthly. The providers should make sure that the keys to the medication cupboards are kept with the senior person on duty. As is planned, appropriate locks should be fitted to bedroom doors and the keys given to the resident so that they can have full privacy of their room and belongings. Breck Lodge DS0000031837.V323362.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Text phone: 0845 015 2255 or 0191 233 3588 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.V323362.R01.S.doc Version 5.2 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. 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