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Inspection on 23/11/09 for Chapel Lodge

Also see our care home review for Chapel Lodge for more information

This inspection was carried out on 23rd November 2009.

It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: Chapel Lodge The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Christine Mulcahy Date of this annual service review: 2 3 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: 11 Hall Street Worsthorne Burnley Lancashire BB10 3NR 01282413901 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Dr Zahid Mahmood Dabir,Mrs Naila Dabir Number of places (if applicable): Under 65 Over 65 0 23 The registered person may provide the following category of service only: Care home only - Code PC. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP. The maximum number of service users who can be accommodated is: 23. Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: There have been no registration changes to this service in the last 12 months Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Chapel Lodge is registered to accommodate up to 22 older people over the age of 65 and 1 person with dementia over 65. The home is a converted chapel with some bedrooms overlooking the cemetery. Chapel Lodge is in a residential area in the village of Worsthorne about two miles from Burnley town centre. There are some local facilities nearby such as a general store, post office, public Annual Service Review Page 2 of 6 houses and a Church quite close to the home. There is a small parking area to the front of the home, also gardens and a patio area. Garden furniture is provided. A ramp provides access to the front door. The home has inter-connecting sitting rooms and a dinning area. All the bedrooms are single; some have en-suite toilets. Staff are available to provide assistance with personal care and support. The home can provide for recreational activities. The registered providers live next door to the home. At the time of the inspection visit, the range of fees charged were between £332 and £374 per week, there were additional charges of £25 per week for en-suite toilets, also variable amounts for hairdressing. Written information about the home was available in the entrance hallway. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review: What did we do for this annual service review? An annual service review is a report that we write for services that we have rated as good or excellent and have not had a key inspection in the last year. This report does not routinely include a visit to the service. The review is an analysis of all the information that we have gathered about the service since the last main inspection. Every year the registered manager is asked to provide us with written information about the quality of the service they provide by completing an Annual Quality Assurance Assessment (AQAA). The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also gives us some numerical information about the service. We have used information from surveys returned to us by people using the service and information we have about how the service has managed any complaints. We also got information from what the manager has told us about things that have happened in the service, these are called notifications and are a legal requirement. This information is used in part to focus our annual service review. What has this told us about the service? The home sent us their AQAA when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgment is that the home is still providing a good service and they know what improvements they need to make. Eight surveys from people who use the service and their relatives were returned to us and the following written comments about the home were made. I am well looked after, clean and warm and well fed, I am well satisfied. The home creates a happy family environment with good home cooked food. I m happy with how things are. I am very happy here, I know I am very safe here with most of my family around me close by in Worsthorne. Im as happy as a king, here till death do us part - if theyll have me. Comments made by relatives told us, They care and look after my mother. She is safe and they feed her well. She has friends around to talk to. Another relative commented, They are always ready to call for a doctor or district nurse if necessary. the home is always clean, everywhere. Staff are very friendly. The manager of the home told us that they always listen to the residents and try to act on their wishes and opinions. This has resulted in changes being made to the layout of the dining room and subsequent changes meant that new carpet and a new conservatory are now in place. Residents have recently expressed they would like new window blinds to the conservatory and would like the home to continue placing fresh flowers around the home. The AQAA told us that people who are interested in living at the home always receive a full needs assessment before they move in to make sure that all of their care needs can be met. Staff training in care plans and risk assessments is updated regularly and staff are now more aware of the importance of detailed information that needs to be written into residents care plans. Care plans are agreed with residents and their Annual Service Review Page 4 of 6 preferences and care needs are always noted. The manager told us there is a strict medication policy that ensures all trained staff are aware of current legislation regarding the homes medication policies and procedures and these procedures are followed at all times. The AQAA told us there is a full programme of activities available to all residents and people are actively encouraged to participate. Minutes taken at residents meetings show they are happy with the activities and entertainment provided. People using the service are made aware of the homes complaints procedure when they are moving into the home and a copy of the homes complaint procedure can be found in all residents bedrooms. The manager told us that staff are very aware of this procedure and particular attention is paid to the abuse and safeguarding policy and procedure. The AQAA told us that the management team always ensure there are enough care staff on duty and more than 70 of staff are trained to level NVQ 2 or above in care. According to the AQAA staff are always keen to embark on training to further their own development. The training programme has proved successful as care staff are more enthusiastic and have a lot of input in their personal appraisals. We received five completed staff surveys from care staff who work at the home and the following written comments were made. the home does everything well, It could do no better, I like working here. I believe the residents are cared for to the best standards of care. They have plenty of opportunity to join in with activities organised by the home. There is good practice of care, always training available and good set meals are home cooked. Equipment in the kitchen could be better, overall everything is very good. We work well as a team at Chapel Lodge and always communicate well with each other. The home runs well in every aspect. The AQAA told us that the service is regularly reviewed resulting in comprehensive changes being introduced and the homes policies and procedures ensure all systems are adhered to so that the best possible service can be provided to the residents. The manager is committed to providing quality care which reflects in the happiness of the residents and their relatives. What are we going to do as a result of this annual service review? We are not going to change our inspection plan and will do a key inspection by the 16th November 2010 However we can inspect the service at anytime if we have concerns about the quality of the service or safety of the people using the service Annual Service Review Page 5 of 6 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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