Inspection on 15/04/05 for Craigielea Lodge

This inspection was carried out on 15th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Craigielea Lodge 17/05/06

Craigielea Lodge 24/11/05

Craigielea Lodge 01/10/04

Craigielea Lodge 23/04/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Craigielea Lodge Lyndhurst Avenue Low Fell, Gateshead NE9 6AY Lead Inspector Lee Bennett Unannounced 15 April 2005 9:30 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 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. Craigielea Lodge Version 1.10 Page 3 SERVICE INFORMATION Name of service Craigielea Lodge Address Lyndhurst Avenue, Low Fell, Gateshead NE9 6AY 0191 482 5823 0191 487 0639 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Gateshead Dispensary Housing Association Ltd Ms Patricia Hillary PC care home only 33 Category(ies) of 33 x OP, 2 x PD(E), 2 x SI(E), 2 x MD(E) registration, with number of places Craigielea Lodge Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: Categories MD(D) and SI(E) relate to current residents only Date of last inspection 1st October 2004 Brief Description of the Service: Craigielea Lodge is care home, providing personal care for up to 33 older people. Nursing care is not provided, but District Nursing services can be arranged where necessary. It is a purpose built care home with accommodation provided over two floors, with level access throughout. A lift provides access between the two floor of the home. Adapted bathing facilities have been provided, and there are hand rails fitted to the corridors. There are garden areas to the front and around the home. This includes a paved seating area. The home is situated in the Low Fell area of Gateshead, near to local public transport links. It is also situated near to a wide range of local facilities, including a doctors surgery, a library, shops, pubs and places of worship. Craigielea Lodge Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted over 6 hours and was a scheduled unannounced inspection. A tour of the building took place, and staffing and service users records were inspected. The inspector participated in the planned activity for the afternoon. Service users, staff, the manager and visitors were spoken with and a meal was taken in a first floor dining room. Medication storage facilities and administration records were inspected. A sample of care plan records were also inspected. The judgements made are based on the evidence available to the inspector on the day of the inspection. What the service does well: What has improved since the last inspection? What they could do better: Care plans should be developed for those service users at risk of developing pressure sores and those staff administering medication must complete the administration record for each service user immediately after they receive their medication, not after the completion of the medication round. Craigielea Lodge Version 1.10 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Craigielea Lodge Version 1.10 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 Standards Statutory Requirements Identified During the Inspection Craigielea Lodge Version 1.10 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 standard(s) 3 and 4. Intermediate care is not provided at Craigielea Lodge. The admissions process ensures that service users’ needs are assessed prior to care being offered. This helps to ensure that service users are offered appropriate care at the home and are not inappropriately placed. EVIDENCE: Care managers’ assessments were received prior to care being offered at the home. Following this care plans are developed, and a review takes place after six weeks with the service user’s social worker. Care plans include information on service users’ specific needs, such as manual handling, communication and sight loss. Craigielea Lodge Version 1.10 Page 9 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 standard(s) 7, 9 and 10 Each service user has a care plan in place that, on the whole, reflects their observed needs. This can assist in guiding care practice and ensuring consistency where necessary. Arrangements are in place to help preserve service users’ privacy and dignity. Medication arrangements are generally well managed, which will ensure that service users receive their medication as prescribed by their GP, however recording practice did not reflect current good practice. This has to potential to lead to recording and stock keeping errors. EVIDENCE: The service users’ care plans that were inspected provide guidance to staff on those need areas observed by the inspector, such as assistance with eating, manual handling and sight loss. They did not include guidance in relation to pressure care for those service users assessed as being ‘at risk’. Care plans have been periodically evaluated, and daily progress notes are also written up by care staff. Staff help to promote the privacy and dignity of service users by dealing with their care needs in a discreet manner. There are private visitors facilities so Craigielea Lodge Version 1.10 Page 10 that service users can receive guests in private, in areas other than their bedroom. Separate, and secure storage facilities for medication are provided in the home, with sufficient space for the types and quantities of medication currently used there. Those staff who administer medication have received training on the safer handling of medication. Awareness training is planned for care staff more generally. Some stock records did not correspond to the stocks held in the home, and on the day of the inspection the member of staff who administered medication in the morning had not recorded this in the medication administration records. Craigielea Lodge Version 1.10 Page 11 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 standard(s) 12, 13 and 15 Service users are offered a range of activities, to contribute to a more fulfilling lifestyle at the home. Service users are able to maintain community and family links, which can help to ensure they do not become socially isolated. Service users are offered a choice of meals, to help promote their general health and wellbeing. EVIDENCE: Throughout the inspection, visitors called to the home. The activities coordinator is also able to assist service users in accessing local community facilities and arranges activities in the home. Service users are offered choices at meal times, and the lunchtime meal was well presented, nutritious, and served in a congenial setting. Service users commented positively on the meal provided. Craigielea Lodge Version 1.10 Page 12 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 standard(s) 18 Arrangements are in place to help protect service users from abuse. This can contribute to the preservation of their basic human rights. EVIDENCE: Staff have received awareness training regarding abuse and adult protection. The local authority’s adult protection procedure is available within the home, to guide staff on what to do if they have concerns in this area. The care provider has also developed their own adult protection and whistle blowing procedures, of which staff are aware through training. Craigielea Lodge Version 1.10 Page 13 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 standard(s) 19, 20, 23 and 24. The home is clean, well decorated and maintained. This can help promote a positive image for service users, and ensure they remain comfortable and safe. Service users bedrooms are spacious and are furnished to a good standard. This can contribute to their comfort during their stay at the home. EVIDENCE: The service users’ rooms were clean and many contained furniture and possessions personal to the person. They exceed 12 square metres and either have en-suite toilets or toilet facilities near by. Some have been recently redecorated, which service users commented on positively. Accommodation is provided over two floors, both of which have level access. Adaptations, such as accessible baths and walk in shower facilities have been installed to assist those service users who find it difficult to use standard facilities. Craigielea Lodge Version 1.10 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 Staffing levels are adequate to meet the personal care needs of service users. EVIDENCE: Three care staff and a senior carer, or manager, are present in the home between 08:00 and 20:00. Two night carers work in the home. Separate domestic, catering and laundry staff are employed and an activities worker is also employed. Staff have a range of backgrounds and prior experience, and include more experienced staff who can provide guidance and support to newer and younger staff members. Staff were also observed to have a good rapport with service users and to meet their needs in a discreet manner. During the inspection, the activities worker facilitated a quiz session, and was observed to positively engage those service users who wished to participate in this activity. Craigielea Lodge Version 1.10 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 and 38 The home is competently managed by a manager, their deputy and a team of senior staff. This provides direction and support for staff working in the home. Health and safety practices in the home keep service users safe. This contributes to the health and welfare of service users. EVIDENCE: The manager is undertaking training to achieve a management NVQ award. The manager is supported by a line manager, and a deputy who works in the home alongside her. They are knowledgeable of the needs of service users, and have clear lines of accountability within the home. Additional advice and support is available from the nursing manager in the adjoining care home, and from the home’s line manager. The home is kept clear of hazards to the health and safety of service users, visitors and staff. Craigielea Lodge Version 1.10 Page 16 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 x x 3 3 x x STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 3 x x x x x x 3 Craigielea Lodge Version 1.10 Page 17 Yes 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. Standard OP3 Regulation 4(1)(c) Requirement Timescale for action 24/8/2005 2. OP7 15(2)(b) 3. OP9 13(2) The registered person must make an application to the Commission to vary the conditions of registration applicable to the home to reflect the needs of the current service user group. This is an outstanding requirement and the previous action plans date was 11/12/2004. The registered manager must 24/6/2005 ensure that the care plans for service users at risk of developing pressure sores include guidance on the pressure relief and control measures to be adopted by staff. The registered manager must 15/4/2005 ensure that those staff administering medication sign the Medication Administration Record innediately following each medicine administration. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Craigielea Lodge Version 1.10 Page 18 No. 1. Refer to Standard None Good Practice Recommendations Craigielea Lodge Version 1.10 Page 19 Commission for Social Care Inspection Baltic House Port of Tyne South Shields NE34 9PT 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 Craigielea Lodge Version 1.10 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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