Inspection on 17/01/07 for Dinsdale Lodge Nursing Home

This inspection was carried out on 17th 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

Dinsdale Lodge Nursing Home 19/01/06

Dinsdale Lodge Nursing Home 09/08/05

Dinsdale Lodge Nursing Home 17/01/05

Dinsdale Lodge Nursing Home 30/06/04

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

CARE HOMES FOR OLDER PEOPLE Dinsdale Lodge Nursing Home 42-44 Station Lane Seaton Carew Hartlepool TS25 1BG Lead Inspector Bridgit Stockton Unannounced Inspection 11:30 17 January 2007 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 Dinsdale Lodge Nursing Home DS0000000164.V296906.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. Dinsdale Lodge Nursing Home DS0000000164.V296906.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dinsdale Lodge Nursing Home Address 42-44 Station Lane Seaton Carew Hartlepool TS25 1BG 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) 01429 863440 01429 282588 Finchworth Limited Mrs Nora Dolores McKittrick Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (0), Physical disability (0) of places Dinsdale Lodge Nursing Home DS0000000164.V296906.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named individual who is under the age category is allowed to reside in the home. 19th January 2006 Date of last inspection Brief Description of the Service: Dinsdale Lodge is a large Victorian building, which has been extended and redesigned to provide a two storey residential care home, with nursing, for up to 28 elderly frail users. The home has twenty two single and three double bedrooms. All the rooms are very individual in shape, size and decor. The rooms have wash-hand basins but no en-suite facilities. There is a ground floor dining room, a smoking and non-smoking lounge, and a small quiet room that can be used by visitors. There is a small passenger lift, which can take a single wheelchair, between the ground and first floor. There is flat access into the home and parking on site. The home is in a pleasant residential area close to local bus routes At the time of inspection weekly fees charged are £338.00. Additional charges were made for, hairdressing, chiropody, individual newspapers and magazines and aromatherapy treatments. Dinsdale Lodge Nursing Home DS0000000164.V296906.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over a period of 4 hours on 17th January 2007. The plan for the inspection was to check whether the home had met previous requirements and recommendations; to talk with service users about living in the home; to meet with staff and the home’s management team; and to look at records. The manager supplied some information on a pre inspection questionnaire, and Service users and relatives returned surveys to the Commission for Social Care Inspection (CSCI.) Some of this information has been used in the report. What the service does well: What has improved since the last inspection? What they could do better: Dinsdale Lodge Nursing Home DS0000000164.V296906.R01.S.doc Version 5.2 Page 6 The refurbishment plan needs to continue. Included in this plan should be the provision of a showering facility, and the instillation of a sluice disinfector for commode pan washing, rather than using the hopper sink located on the ground floor. 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. Dinsdale Lodge Nursing Home DS0000000164.V296906.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 Dinsdale Lodge Nursing Home DS0000000164.V296906.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): 1,2,3 &6 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Prospective service users can be assured that their needs are appropriately assessed prior to admission to the home and that they are given sufficient information to make an informed choice before moving into the home. EVIDENCE: The home’s Statement of Purpose and Service User Guide have been updated. These guides contained all of the information that is required to enable people to make an informed choice about where to live. Evidence was seen in service users files that service users or their representatives had signed a contract. The contracts were detailed and included a breakdown of the fees and who was responsible for paying them. The manager confirmed that visits to prospective service users always takes place before their admission to the home, to carry out an assessment of needs. Dinsdale Lodge Nursing Home DS0000000164.V296906.R01.S.doc Version 5.2 Page 9 Four care plans examined contained notes from assessments made on these visits. Also, each service users care plans contained assessments from the placing authority that were responsible for commissioning the service users care at the home. The home does not provide intermediate care Dinsdale Lodge Nursing Home DS0000000164.V296906.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 outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Good systems are in place to ensure that health care needs of the service users are met. Service users can be confident that their privacy and dignity is protected and that they are treated with respect EVIDENCE: A service user plan has been developed for each service user that identifies needs associated with health and personal care. This ensures that staff are clear about what is required of them in meeting service user’s needs. The care plans of four service users were inspected. They were comprehensive and well written, and demonstrated the support and care the individual received. There was evidence of involvement of specialist healthcare people such as the community psychiatric nurse, the dietician and continence nurse. The management and administration of medication is carried out appropriately and audited by the manager on a regular basis. Staff were seen to be treating service users with respect and dignity and this was also reflected within the care plans. Service users said that the ‘girls are kind’ and ‘we are like one big family everyone gets on’. A relative commented Dinsdale Lodge Nursing Home DS0000000164.V296906.R01.S.doc Version 5.2 Page 11 in a questionnaire ‘I visit at all different times and have always found the staff caring and thoughtful towards their clients and visitors’. Dinsdale Lodge Nursing Home DS0000000164.V296906.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): Quality in this outcome area is good. The recreational and social needs of service users are well catered for which enables service users to make daily choices and promotes independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home employs an activities co-ordinators who produced a varied and interesting activities program, appropriate to service users’ needs and interest. The home had a busy and purposeful atmosphere, some service users were enjoying chatting with each other, some were listing to music or else joining in with a group activity. Visitors at the home said they were always made to feel very welcome, and there was always a ‘friendly, easy going atmosphere’. All of the service users said the food was good, a choice of meals were offered and the menus were well thought out, catering for most people’s tastes. The lunchtime meals were nicely presented and service users said ‘it’s lovely, nice and hot and really tasty’. Service users were given choices about how they wished to spend there time, one service user said ‘I’m always asked if I want to join in things, I can go shopping when I want, there are no restrictions on what we do or when we do it’. Dinsdale Lodge Nursing Home DS0000000164.V296906.R01.S.doc Version 5.2 Page 13 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 outcome area is good. Service users can be confidant that their concerns and complaints are dealt with appropriately and that safeguards are in place to protect them from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are adequate written policies and procedures in place to deal with complaints and the care staff spoken to confirmed they were aware of these. Staff knowledge of these help ensure that they were able to address any issues or anxieties of the residents, relatives and visitors to the home. Staff training has taken place in the protection of vulnerable adults in abuse. Staff recruitment procedures were adequate and staff were employed and deployed following appropriate CRB and POVA checks. The manager and staff team were clear and confident in the protection of vulnerable adult procedures. Dinsdale Lodge Nursing Home DS0000000164.V296906.R01.S.doc Version 5.2 Page 14 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&26 Quality in this outcome area is adequate. The home was clean, comfortable and well-maintained providing service users with a safe and pleasant environment. Better provision in bathrooms could be made for service users who require showering. This judgement has been made using available evidence including a visit to the home EVIDENCE: Since the previous inspection some of the main communal areas have been redecorated and some furniture replaced. This looks really nice and service users said it made the home look nice and welcoming. It is important this refurbishment plan continues. The bathing facilities were inspected. Service users would benefit from having a shower fitting on the first floor, the adaptation of one of the bathrooms has begun and it is recommended that this be completed. Dinsdale Lodge Nursing Home DS0000000164.V296906.R01.S.doc Version 5.2 Page 15 The home was lovely and clean. Service users said that their bedrooms were always cleaned to a good standard. Currently the home does not have a sluice disinfector and it is reliant on a hopper sink to wash commode pans. It is recommended that the home should look to purchase a disinfector in the near future in order to promote better infection control between staff and service users. Dinsdale Lodge Nursing Home DS0000000164.V296906.R01.S.doc Version 5.2 Page 16 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 outcome area is good. Service user can be confident that staff are trained and on duty in sufficient numbers to meet their assessed needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was evidence of on going training for staff in such things as moving and handling of service users, fire awareness and prevention of falls, and the protection of vulnerable adults. All but three care staff are trained to NVQ 2 or above in caring for people. From the rota’s supplied at the inspection and with the pre inspection questionnaire; there was sufficient care staff on duty to meet the assessed needs of service users. Service users said that staff were always around and answered the call bells quickly. One service user said ‘the staff are kind and helpful’ Another service user said ‘ they are really good, they are always willing, they will come and sit and chat with me ’ A returned survey commented ‘staff are always friendly and very helpful’. Dinsdale Lodge Nursing Home DS0000000164.V296906.R01.S.doc Version 5.2 Page 17 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): 31,33,35 &38 Quality in this outcome area is good. Service users can be confident that the home is well managed. Systems and safeguards are in place to ensure the health, safety and welfare of service users and staff is protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of the home is experienced in managing a care service. There was an open, friendly culture between the management team and the staff at the home, and staff said they felt very well supported in their work. Service Dinsdale Lodge Nursing Home DS0000000164.V296906.R01.S.doc Version 5.2 Page 18 users said that the manager was very approachable and they would go to her or any of the staff if they had any concerns. A service satisfaction questionnaire is also used within the home, some of these are sent to service users families and visitors, the results of these are available at the home, and are included in the statement of purpose. The records regarding administration of residents’ personal allowances were inspected. All transactions are recorded correctly and receipts are kept. The homes health and safety file was examined; all equipment in the home is regularly checked with valid certificates issued. Dinsdale Lodge Nursing Home DS0000000164.V296906.R01.S.doc Version 5.2 Page 19 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 3 3 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 3 17 X 18 3 3 X X X X X X 2 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 Dinsdale Lodge Nursing Home DS0000000164.V296906.R01.S.doc Version 5.2 Page 20 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. 1. Refer to Standard OP19 Good Practice Recommendations It is recommended that the refurbishment program continues at the home and consideration is given to the instillation of an assisted showering facility and a sluice disinfector. Dinsdale Lodge Nursing Home DS0000000164.V296906.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Dinsdale Lodge Nursing Home DS0000000164.V296906.R01.S.doc Version 5.2 Page 22 - 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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