Inspection on 29/11/06 for Byker Lodge

This inspection was carried out on 29th November 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

Byker Lodge 10/02/06

Byker Lodge 03/08/05

Byker Lodge 09/03/05

Byker Lodge 01/10/04

Byker Lodge 19/02/04

Similar services:

Ashlea Mews Residential Home

Eastwood

West Lodge

Arran House

Avenue Community Nursing Home

Cosin Lodge

Farmborough Court

Cragston Court

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

CARE HOMES FOR OLDER PEOPLE Byker Lodge Bolam Way Byker Newcastle upon Tyne NE6 2AT Lead Inspector Anne Brown Key Unannounced Inspection 10:00 29 November 2006 and 1st December 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 Byker Lodge DS0000033564.V304612.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. Byker Lodge DS0000033564.V304612.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Byker Lodge Address Bolam Way Byker Newcastle upon Tyne NE6 2AT 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) 0191 265 2448 0191 224 2259 angie.gray@newcastle.gov.uk Newcastle City Council Social Services Department Ms Angela Mary Gray Care Home 25 Category(ies) of Dementia - over 65 years of age (19), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (6) Byker Lodge DS0000033564.V304612.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 5 beds can be flexibly used to accommodate service users receiving respite care aged 55 to 64 years old, or service users over pensionable age. 10th February 2006 Date of last inspection Brief Description of the Service: Byker Lodge is a Local Authority home providing care for services users suffering from old age, dementia and mental health problems. The service users are either admitted to the home for respite care or on a short-term emergency basis. All bedrooms have en suite facilities. There are three lounge/dining rooms, small lounges, conservatory and a large secure garden with raised flowerbeds and a water feature. There is a range of aids to assist people with disabilities such as hoists, wheelchair access and grab rails throughout the home. The location of the home is convenient for access to the post office, newsagents, general dealers and off licence. There are two social clubs and a public house nearby. The fees are £64.65p per week. Information about the home and inspection reports are readily available. Byker Lodge DS0000033564.V304612.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over six and a half hours. A partial tour of the premises took place and a sample of care records was inspected along with the fire logbook, accident book and minutes of service users’ and staff meetings. Discussions were held with the manager and five members of staff. The majority of service users were seen and conversations were held with five service users and two visitors. Telephone conversations were held with two relatives. As part of this unannounced inspection the quality of information given to people about the care home was looked at. People who use services were also spoken to, where possible, to see if they could understand this information and how it helped them to make choices. The information discussed, included the service user’s guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. What the service does well: The home is comfortable, well maintained and pleasantly decorated. There was a pleasant and relaxed atmosphere and good relationships exist between the staff and the service users. Regular meetings take place to consult the service users about the food served in the home and activities provided. The service users stated that the food is very good and special diets are catered for. Staffing levels are good and staff members are offered a wide range of training courses. These include mandatory health and safety training and a range of specialist courses to ensure they are competent to deal with the individual needs of the service users. The staff team work hard to provide various activities for the service users. They are enthusiastic about their roles and are keen to improve their skills. The records in the home were up to date and well recorded. Byker Lodge DS0000033564.V304612.R01.S.doc Version 5.2 Page 6 Two service users said they enjoyed the activities taking place and felt the staff were very helpful. The relatives who were spoken to said the staff in the home were very good and kept them informed of any events affecting their relative. They said their relatives were well cared for and felt they were in the best place to meet their needs. One commented that ‘they were delighted with the care offered’. What has improved since the last inspection? 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. Byker Lodge DS0000033564.V304612.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Byker Lodge DS0000033564.V304612.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Information is provided to help service users make a choice about where they stay. Some service users are not aware of the terms and conditions in the home. Service users are fully assessed prior to moving into the home to help ensure their needs can be met. Byker Lodge DS0000033564.V304612.R01.S.doc Version 5.2 Page 9 EVIDENCE: The home as a statement of purpose and service user guide giving service users information about their stay in the home. The staff confirmed that these are given to the service users when they are admitted to the home. Copies of these were seen in some bedrooms. However one relative, whose wife suffers from dementia, had not seen a copy of these documents. The case files that were examined did not contain a signed copy of the statement of terms and conditions and residency. Two relatives stated they had not been given a copy of these. The care plans all contained detailed assessments completed by the care managers and staff in the home. Two relatives confirmed that assessments had been carried out prior to their relative moving into the home. Byker Lodge DS0000033564.V304612.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The individual personal and health care needs are monitored in service users’ care plans. The system for administering medications is suitable, which protects service users. The service users’ privacy and dignity is respected. Byker Lodge DS0000033564.V304612.R01.S.doc Version 5.2 Page 11 EVIDENCE: Four care plans were examined and contained detailed information about personal, health and social needs. They were well organised and easy to use. Each person’s care and support is regularly reviewed and action is taken on any change in needs. Health needs are monitored by the staff who work closely with a range of other professionals to ensure that any specialist needs are met. A random sample of medication records and the system for storage and handling medication was looked at. This system was appropriate except that the medication record did not include a section to record allergies. Service users are assessed and encouraged to keep their own medication if they are able. The service users confirmed that staff respect their privacy and dignity. Staff were observed to be working with them in a caring and sensitive way. The relatives also confirmed that the staff treated the service users in a dignified manner. Byker Lodge DS0000033564.V304612.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A range of activities and events are provided in the home for the residents to enjoy. Friends and family are encouraged to visit and participate in any events taking place. Residents are able to make personal choices and the staff encourage them to retain their independence. The residents are offered a choice of food and mealtimes are flexible to meet their needs and preferences. Byker Lodge DS0000033564.V304612.R01.S.doc Version 5.2 Page 13 EVIDENCE: There are opportunities for service users to take part in social activities. These are offered on an individual and group basis. If service users cannot give information as to their wishes and preferences, this information is gained from relatives/representatives. Some service users enjoy carrying out some household tasks such as dusting, setting tables and folding laundry. This is encouraged by the staff. Seasonal events and birthdays are celebrated. The home has an open visiting policy. The relatives confirmed they were always made welcome in the home and staff keep them well informed. They all felt their relatives were very well cared for and were in the best place to meet their needs. On the day of the inspection service users were choosing where to spend their time. Some were chatting in the lounge whilst others preferred to be in their bedrooms. Staff encouraging service users to retain their independence and this was observed during the mealtime. The menus are varied and nutritious. A choice of meal is offered at lunchtime and alternatives can be requested at any time. Lunch was taken with the service users and this was relaxed and unhurried. The staff were offering the service users choice and were assisting them in a sensitive way. The tables were attractive and condiments were available. Byker Lodge DS0000033564.V304612.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system in place. Service users are protected from abuse. EVIDENCE: A suitable complaints procedure is in place and complaints leaflets are displayed in the foyer area of the home. Three complaints have been received by the home since the last inspection. These have been investigated and satisfactorily resolved. A complaint had recently been raised in a service users’ meeting and the manager was dealing with this. One relative said they were not aware of the home’s complaints procedure. Numerous thank you cards and complimentary letters have been received from relatives. Byker Lodge DS0000033564.V304612.R01.S.doc Version 5.2 Page 15 Policies and procedures are in place to help protect the service users from abuse. The manager and senior staff have attended a two-day training course on the protection of vulnerable adults and the majority of care staff attended a one-day course. Another date has been booked to ensure all staff receive this training. The staff on duty confirmed that they would not hesitate to report any bad practice in the home. Byker Lodge DS0000033564.V304612.R01.S.doc Version 5.2 Page 16 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): 19, 22, 23 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained, safe, homely and comfortable. Most areas are well furnished and decorated. Special equipment is provided where necessary. The bedrooms suit the needs of the service users. All areas are clean and hygienic. Byker Lodge DS0000033564.V304612.R01.S.doc Version 5.2 Page 17 EVIDENCE: On the day of the inspection the home was welcoming, clean and well maintained. The home is divided into three units, North, South and East and each has its own lounge and dining areas. The carpets in the reception area and corridors were showing signs of wear and tear. Some tiles were loose in the bathroom in the East unit. The fridge in the East dining room was rusty around the base and the internal shelves were missing from the door. All bedrooms are single with en suite facilities. Bathing facilities are provided throughout the home and specialist equipment is available. One relative said their father’s bedroom was very good and provided everything he needed to be comfortable. Handrails, hoist and residents’ call system are provided in the home. All areas were observed to be clean, hygienic and free from offensive odours. Liquid soap and paper towel dispensers have been provided in all en suite facilities and bathrooms to prevent the spread of infection. The manager stated that wallpaper borders in the reception area and corridors were soon to be replaced. Byker Lodge DS0000033564.V304612.R01.S.doc Version 5.2 Page 18 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): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels are good and meet the needs of the service users in the home. The recruitment policy and practice supports and protects the service users. Staff are provided with training to help them carry out their roles more effectively. EVIDENCE: The manager confirmed that staffing levels are being maintained. On the day of the inspection the manager, team leader, three senior care assistants, three care officers, two domestic assistants and two cooks were on duty. Appropriate checks and references are received before staff are employed in the home. Disciplinary procedures are followed when necessary. Byker Lodge DS0000033564.V304612.R01.S.doc Version 5.2 Page 19 Mandatory health and safety training is up to date. Seven care staff have achieved NVQ Level 3 and eight have achieved Level 2. Two night care staff have enrolled to do NVQ Level 2. Two domestic staff have achieved NVQ Level 2 in domestic skills. Specialist training is provided and includes dealing with dementia, falls, foot care and recording skills. Two members of staff are currently receiving training on dealing with epilepsy. The managers and senior staff are undergoing ‘Solution Focused Skills Training’ regarding their supervisory roles. The staff on duty were observed to be caring for the service users in a competent and sensitive manner. Good relationships were observed throughout the home. Byker Lodge DS0000033564.V304612.R01.S.doc Version 5.2 Page 20 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): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management team are approachable and take their responsibilities seriously. The home is run in the best interests of the residents. There are systems in place to ensure service users’ financial interests are safeguarded. The staff team promote the health and safety of the service users and staff. Byker Lodge DS0000033564.V304612.R01.S.doc Version 5.2 Page 21 EVIDENCE: The staff on duty confirmed that the management team are supportive and approachable. They are committed to providing the best possible care to the service users. Meetings are held with the service users on a regular basis to discuss day-today issues in the home. These include menus and activities. The minutes were available for inspection. Policies and procedures are in place for dealing with the service users’ finances. The staff in the home do not act as appointee or agent for any service users. Money is deposited by service users for safekeeping. A random sample of records and money held was examined. This confirmed that all transactions were appropriately recorded, receipts kept and two signatures retained. Risk assessments are carried out for the individual service users and the premises. All accidents are recorded and monitored on a monthly basis. One care assistant has completed a course on health and safety issues and was enthusiastic regarding their responsibilities in the home. Checklists are in place to ensure food, water and fridge/freezer temperatures are tested and recorded on a daily basis. Fire safety checks are carried out and fire instruction for the staff team is given at appropriate intervals. Certificates were not available to confirm that routine safety tests had been carried out on the equipment in the home. Byker Lodge DS0000033564.V304612.R01.S.doc Version 5.2 Page 22 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 2 2 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 2 X X 3 3 X X 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 2 Byker Lodge DS0000033564.V304612.R01.S.doc Version 5.2 Page 23 NO 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. 1 2 3 3 4 5 6. Standard OP1 OP2 OP9 OP16 OP19 OP19 OP38 Regulation 5(2) 5(1)(b) 13(2) 22(5) 16(2)(h) 23(2)(c) 13(4)(c) Requirement Service user guide must be made available to all service users or their representatives. A signed copy of a statement of terms and conditions must be available on all case files. Allergies must be clearly recorded on all medication administration records. Relatives/representatives must be issued with a copy of the complaints procedure. Fridge must be checked and repaired in the East unit dining room. Tiles must be replaced in the East unit bathroom. Copies of safety test certificates must be forwarded to the Commission. Timescale for action 31/12/06 31/01/07 31/12/06 31/01/07 31/01/07 31/01/07 31/01/07 Byker Lodge DS0000033564.V304612.R01.S.doc Version 5.2 Page 24 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 OP19 Good Practice Recommendations Carpet in reception area and corridors should be replaced. Byker Lodge DS0000033564.V304612.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: 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 © 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 Byker Lodge DS0000033564.V304612.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. 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!