Inspection on 18/05/06 for Conifer Lodge

This inspection was carried out on 18th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Conifer Lodge 04/10/05

Conifer Lodge 24/05/05

Conifer Lodge 18/01/05

Conifer Lodge 10/08/04

Conifer Lodge 24/02/04

Similar services:

Applegarth

Trevayler Residential Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

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

CARE HOMES FOR OLDER PEOPLE Conifer Lodge 33 Aylestone Lane Wigston Magna Leicestershire LE18 1AB Lead Inspector Mrs Diane Butler Unannounced Inspection 18th May 2006 10:00 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 Conifer Lodge DS0000001677.V295387.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. Conifer Lodge DS0000001677.V295387.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Conifer Lodge Address 33 Aylestone Lane Wigston Magna Leicestershire LE18 1AB 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) 0116 2883170 0116 2883170 Conifer Lodge Limited Ms Anne Crooks Care Home 20 Category(ies) of Dementia - over 65 years of age (14), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (3), Old age, not falling within any other category (20), Physical disability over 65 years of age (16), Sensory Impairment over 65 years of age (2) Conifer Lodge DS0000001677.V295387.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service User Numbers. No more than 2 persons in category SI(E) may be admitted to the home when 2 persons who fall within category SI(E) are already accommodated within the home. Service User numbers. No more than 3 persons in category MD(E) may be admitted to the home when 3 persons who fall within those categories/combined categories are already accommodated within the home. Service User Numbers. No more than 16 person in category PD(E) may be admitted to the home when 16 persons who fall within category PD(E) are already accommodated within the home. Service User Numbers No more than 14 persons in category DE(E) may be admitted to the home when 14 persons who fall within category DE(E) are already accommodated within the home. Service User Numbers No service user’s in category PD(E) may be admitted into the four rooms located in the new first floor extension numbered on the fire plan as rooms 6,7,8 and 9. 2. 3. 4. 5. Date of last inspection Brief Description of the Service: Conifer Lodge is a care home for older persons, providing accommodation and personal care for up to twenty residents. The home is situated in Wigston Magna and is close to shops, pubs and other local amenities. Accommodation is on two floors with the upper floor accessed by lift or stairs. There are four lounges available to residents, two of which include dining space. All bedroom accommodation is provided in single rooms. The home has a decked garden area to the rear and to the front of the property and a large car park is available to visitors. Current charges are £445.00 per week and additional charges are in place for hairdressing and chiropody treatment. Details of all charges can be found in the homes Statement of Purpose document (a document which provides relevant information about the home) which is available to all prospective and current residents. Conifer Lodge DS0000001677.V295387.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit, which took place over a five hour period on Thursday 18th May 2006. When undertaking key inspections the Commission for Social Care Inspection (CSCI) focuses on the outcomes for residents living in a home. In order to do this, the inspector ‘case tracked’ three residents. This means the inspector checked their care records and met with them. Where communication was difficult, observation was used to evidence whether care needs were being met. The inspector talked with staff on duty at the time of the visit and observed them going about their daily work. The inspector also had the opportunity to talk with five other residents, four visitors to the home and the registered manager. Correspondence received since the last inspection and the last inspection report have also been taken into account when producing this report. What the service does well: What has improved since the last inspection? The manager has completed the Registered Managers Award and the senior care assistant has commenced the NVQ (National Vocational Qualification) level 4. The manager has also retrained to be an NVQ Assessor; this will enable her to assess care workers completing an NVQ qualification. Conifer Lodge DS0000001677.V295387.R01.S.doc Version 5.2 Page 6 Care workers are in the process of completing training in Safe handling of Medicines and training in dementia awareness has been completed. New care plan documentation has been developed since the last inspection. This new paperwork will provide a brief history of the resident and a more thorough picture of their individual care needs. 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. Conifer Lodge DS0000001677.V295387.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 Conifer Lodge DS0000001677.V295387.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,5,6 Quality in this area is good. This judgement has been made using available evidence including a visit to this service. All prospective residents have their needs assessed before moving into the home. EVIDENCE: The registered manager explained that all prospective residents are assessed before they move into the home to ensure that their needs can be met. On checking the paperwork/files belonging to two of the three residents case tracked, both were found to include an assessment of their needs completed by the residents social worker and/or the registered manager. A relative visiting on the day of the visit explained that someone from the home had visited their relative before they moved in and that she had been given the opportunity to look around the home to decide if it was the right place for their relative to live. Conifer Lodge DS0000001677.V295387.R01.S.doc Version 5.2 Page 9 Comments received included: “I had heard that Conifer Lodge was good, I had a look around and fortunately they had a room available”. “My daughter was able to look around before I came in”. Conifer Lodge DS0000001677.V295387.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are looked after well, they are treated with respect and their right to privacy is upheld. EVIDENCE: The registered manager ensures that there is a plan of care in place for all residents living in the home. Care plans looked at during this visit were found to be up to date and had been reviewed with the residents themselves. The manager is in the process of transferring all the current care plans onto new paperwork that she has developed. This will provide a more thorough picture of the resident’s needs and identify actions to be carried out by the care staff. Conifer Lodge DS0000001677.V295387.R01.S.doc Version 5.2 Page 11 On checking the daily records kept by the home it was evident that health care services including GP’s and community nurses are accessed on the residents behalf. Staff working at the home are well aware of the individual care needs of the residents and all residents and relatives spoken with stated that individual care needs were currently being met. All residents and relatives spoken with felt that the care workers treated them with respect and throughout the visit care workers were seen interacting with the residents in a professional and dignified manner. Comments received during the visit included: “They are ever so kind, you couldn’t find a better home”. “It’s a lovely, homely home”. “They let me have my independence”. “When I have a bath they wash my legs then ask if they should leave while I do my front, they are lovely”. “The care is good, it’s brilliant, I can sleep in peace knowing that xxxx is here” Conifer Lodge DS0000001677.V295387.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this area is excellent. This judgement has been made using available evidence including a visit to this service. There is a relaxed and homely atmosphere within the home and visiting is encouraged to enable residents to maintain contact with relatives and friends. EVIDENCE: Residents are offered choices on a daily basis. Choices include when to get up or go to bed, what to wear, when and where to eat their meals and whether to join in activities provided. An activities coordinator is employed three days a week and regular activities are provided. On the day of the visit residents enjoyed playing puzzles and card games in the morning and joining in a music session in the afternoon. Other activities offered include arts and craft, music and movement, outside singers and a boat trip has been arranged for June this year. Conifer Lodge DS0000001677.V295387.R01.S.doc Version 5.2 Page 13 Relatives and friends are encouraged to visit the home, one resident explained: “my family can come at any time”. Other comments received during the visit included: “I can come at any time”. “I can come and go as I please” “They put me at ease and tell me what’s going on” (with regard to their relatives care). The meals in the home are good offering choice and variety. All residents spoken with stated that they enjoyed the food. Comments received included: “The foods good, I like my dinners”. “The food is very good here”. “The plum crumble is lovely”. Conifer Lodge DS0000001677.V295387.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives are confident that their concerns will be listened to, taken seriously and acted upon. EVIDENCE: A complaints procedure is in place and all residents spoken with were aware of who to go to should they have a concern of any kind. One resident stated: “I would go to her” [the manager]. A relative spoken with stated: “Id speak to Anne [the manager] or xxx “[the senior care worker] The manager has received one allegation since the last inspection. This allegation, which was staff related, was correctly handled and investigated appropriately. There was no evidence to support the allegation and no further action was necessary. Care workers spoken with during the inspection were aware of what to do should they suspect any act of abuse and the manager is aware of the procedure to follow with regard to adult protection. Conifer Lodge DS0000001677.V295387.R01.S.doc Version 5.2 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): 19,20,23,24,25,26 Quality in this area is excellent. This judgement has been made using available evidence including a visit to this service. The standard of the accommodation within this home is very good, providing residents with an attractive and homely place to live. EVIDENCE: The home is very well maintained and suited to the residents needs. Decoration in the home is of a very good standard and furnishings in the communal areas are domestic in character and in good condition. The rooms belonging to two residents were seen during the visit. Both were clean, appropriately furnished and included the residents personal belongings. All areas of the home seen on this occasion were clean, fresh and well cared for. One resident explained: “Its always nice and clean here”. Conifer Lodge DS0000001677.V295387.R01.S.doc Version 5.2 Page 16 There are decked areas to the rear and front of the home. The decked area to the rear of the home is accessible via a ramp leading from the lounge area. One resident explained: “I can’t get out on my own, but they pushed me out there in my wheelchair in the nice weather, it was lovely”. Conifer Lodge DS0000001677.V295387.R01.S.doc Version 5.2 Page 17 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): 27,28,29,30 Quality in this area is good. This judgement has been made using available evidence including a visit to this service. Appropriate procedures for the recruitment of staff are in place to ensure residents are not put at risk. EVIDENCE: There were sufficient numbers of staff on duty on the day of the visit to meet the current needs of the residents. Residents and relatives spoken with felt that on the whole there were enough staff on duty to meet their individual needs and a staff member spoken with confirmed that staffing levels were sufficient to enable her to care properly for the residents. Two staff files were checked, both were found to include all the necessary information including an application form, two references and a criminal record bureau check (CRB). Conifer Lodge DS0000001677.V295387.R01.S.doc Version 5.2 Page 18 On checking two staff files it was evident that training is offered and completed on a regular basis. Training courses completed included: Emergency First aid Dementia Awareness Infection Control Moving and handling Food hygiene Safe Handling of Medicines Training in Nutrional awareness is arranged for June this year and a staff meeting is arranged for later this month to deliver in house training within the areas of: Data protection, Confidentiality, Security of the home and Health and safety in the home. Conifer Lodge DS0000001677.V295387.R01.S.doc Version 5.2 Page 19 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): 31,32,33,35,38 Quality in this area is excellent. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from the ethos, leadership and management approach of the home. EVIDENCE: The registered manager has many years experience in care and has completed her National Vocational Qualification level four and Registered Managers Award. Staff spoken with stated that they were well supported and positive relationships between management, staff, residents and relatives were evident throughout the visit. Conifer Lodge DS0000001677.V295387.R01.S.doc Version 5.2 Page 20 Residents and staff are consulted with regard to how the home is run and resident and staff meetings are held on a regular basis. It was evident throughout the visit that the residents benefit from the ethos, leadership and management that the manager provides. One resident explained: “You couldn’t get a better home”. All staff have received training in infection control and observations during the inspection confirmed that staff used appropriate protective clothing when carrying out their duties. Policies and procedures required for the safeguarding of residents are in place and all records seen on this occasion were accurate, relevant and up to date. Conifer Lodge DS0000001677.V295387.R01.S.doc Version 5.2 Page 21 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 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 X X 3 3 3 4 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 3 X X 3 Conifer Lodge DS0000001677.V295387.R01.S.doc Version 5.2 Page 22 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 Conifer Lodge DS0000001677.V295387.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Conifer Lodge DS0000001677.V295387.R01.S.doc Version 5.2 Page 24 - 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!