Inspection on 11/05/05 for Eastwood Lodge

This inspection was carried out on 11th May 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Eastwood Lodge 05/03/08

Eastwood Lodge 13/09/07

Eastwood Lodge 06/06/06

Eastwood Lodge 05/12/05

Eastwood Lodge 10/12/04

Eastwood Lodge 18/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Eastwood Lodge Stanhope Avenue Woodhall Spa Lincolnshire LN10 6SP Lead Inspector Vanessa Gent Unannounced 11 May 2005 10.00 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. Eastwood Lodge C53 C04 S2353 Eastwood Lodge V225755 110505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Eastwood Lodge Address Stanhope Avenue Woodhall Spa Lincolnshire LN10 6SP 01526 352188 01526 352188 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) Mr S J Cobb Ms Yvonne Lovely Care Home 19 Category(ies) of Older Person (OP) - 19 registration, with number of places Eastwood Lodge C53 C04 S2353 Eastwood Lodge V225755 110505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 10/12/04 Brief Description of the Service: Eastwood Lodge Care Home is an Edwardian property which has been upgraded and extended by its owners, Mr J Cobb and Mr S Hill, and registered to provide personal care for nineteen older people. The home is situated in a suburban, tree-lined avenue in Woodall Spa, 300 yards from the shops and local facilities. Accommodation is provided on two floors, with seven bedrooms on the ground floor and twelve on the upper floor, three of which are ensuite. Rooms on the upper floor are served by a chair/stairs lift. There are car parking spaces to the front and side of the building. The garden has a patio area for residents to sit in. The building and garden are on level ground and accessible for wheelchair users. The owners of the home visit regularly and work closely with the manager and the staff working in the home. All people involved with the home wish the term resident to be used rather than service user. Eastwood Lodge C53 C04 S2353 Eastwood Lodge V225755 110505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was conducted in one day by one inspector. The main method of inspection used is called case-tracking which involves selecting a number of residents and tracking the care they receive through the checking of records, discussion with them and the care staff and observation of care practices. Five comment cards were received from residents with the request for a shower being the common theme and one from a relative, saying “we can’t fault it at all. Well done to all staff”. Residents’ care plans are well-completed. A number of residents were spoken with: two formally and the others in general conversation. No relatives were available for discussion. The residents all complimented the manager and staff on their caring and efficient manners. There were no residents with high needs at the inspection. Two staff spoke with the inspector; their files were checked and found to be in order. What the service does well: What has improved since the last inspection? Some further re-decoration has taken place. Residents are taken to the dining table before the food is served which ensures that all meals are hot when eaten. All financial transactions carried out on behalf of residents now have two signatures of staff; all finances are checked regularly by the manager to make sure that they are accurate. Where radiators are exposed, furniture has been placed in front of them to stop residents getting too close to them. Eastwood Lodge C53 C04 S2353 Eastwood Lodge V225755 110505 Stage 4.doc Version 1.30 Page 6 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. Eastwood Lodge C53 C04 S2353 Eastwood Lodge V225755 110505 Stage 4.doc Version 1.30 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 Eastwood Lodge C53 C04 S2353 Eastwood Lodge V225755 110505 Stage 4.doc Version 1.30 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, 4, 5 The manager and staff consider the residents’ needs from the beginning, fully assessing their needs and ensuring they can be met before accepting people into the home. Staff and the manager cater for the needs of residents in a considerate manner. New residents stay on a trial basis until comfortable with their surroundings. EVIDENCE: One resident case-tracked had a pre-admission assessment in place on which the care plans are based and had been involved in this assessment. She assured the inspector that her needs have been considered, that she is perfectly satisfied with what is provided and that staff are “patient, kind and understanding”. The home liaises with relevant external agencies to meet the needs of the residents, all of whom declared satisfaction with all aspects of their care. The district nurse and other healthcare professionals are accessed for advice on the care of residents as needed, such as for residents with diabetes, nutritional advice, tissue viability and the GPs are called without delay when needed. Eastwood Lodge C53 C04 S2353 Eastwood Lodge V225755 110505 Stage 4.doc Version 1.30 Page 9 Two recently admitted residents came to visit the home prior to taking up residence and are still able to consider the stay a trial visit until they are comfortable that they will settle. Eastwood Lodge C53 C04 S2353 Eastwood Lodge V225755 110505 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9, 10 Care plans are thoroughly completed with involvement of the resident or his representative where they wish to be. The needs of the residents are considered and healthcare professionals involved as necessary. Privacy and dignity are respected. EVIDENCE: Care plans seen are well-documented and give a holistic view of the residents. Involvement in the care plans was evidenced, where residents or their representative want to be involved. Care plans show that healthcare professionals are called in when appropriate to discuss and advise on the needs of the residents. Equipment is obtained for residents with tissue viability concerns, such as pressure relieving mattresses and cushions. No resident has pressure sores at present. All residents have been assessed to have low dependency needs. Medication practices were observed and checked and are in line with best practice. All staff who administer drugs are appropriately trained. Residents and a relative say that they all are treated with dignity and their privacy respected. Eastwood Lodge C53 C04 S2353 Eastwood Lodge V225755 110505 Stage 4.doc Version 1.30 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) 13, 14, 15 The manager and staff cater for all the wishes and choices of the residents and encourage relatives to be part of the ‘family’. Food is varied and well-cooked but is limited in daily choice. Some residents would like the table settings to be similar to what they were used to before they came to live at the home. EVIDENCE: Residents state that visitors are made very welcome, refreshment being offered when they arrive. Relatives are encouraged to be part of the home ‘family’ and join in the group activities organised. Residents say they can choose in all aspects of their lives in the home. Regular residents’ meetings are held for which minutes are kept. Although the choice of food at the main mealtime is limited, residents state that the food provided is excellent and if they prefer items not on the menu, the cook will cater for their choice. Some residents complained that there is not enough cutlery, such as teaspoons and dessert forks to go with the spoons for puddings and some stated they would like gravy served in a separate gravy tureen to pour onto their lunches themselves, as they “would do at home”. Eastwood Lodge C53 C04 S2353 Eastwood Lodge V225755 110505 Stage 4.doc Version 1.30 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 Staff care for the residents in a sensitive and considerate manner. Residents are protected from harm. EVIDENCE: Most staff have attended or are booked on training in Adult Abuse Awareness. It is also part of the induction for all staff. Staff state that they are well-trained in keeping residents safe. Residents say they feel safe, are well-cared for, are treated with consideration and are listened to by the manager and staff. Eastwood Lodge C53 C04 S2353 Eastwood Lodge V225755 110505 Stage 4.doc Version 1.30 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, 21, 22, 24, 25, The external aspects of the home are not as attractive or well-maintained as the inside. Outstanding requirements from previous inspections have not been completed. Certain aspects lacking in the repair and maintenance of the fabric of the building mean the safety and comfort of residents is compromised. EVIDENCE: Residents say that the housekeepers always keep the home “spotlessly clean”, tidy and smelling “nice and fresh”. The bedrooms inspected are personalised and attractively decorated and have matching upholstery. Residents state that they are encouraged to bring in photos, ornaments and mementos. Although the interior of the home is pleasant and mostly, recently decorated, the exterior of the building has needed repairs and renovations since before the last inspection and is still outstanding. The manager states that the provider is aware of the requirement. Specialist equipment is obtained where assessed as necessary or beneficial. Eastwood Lodge C53 C04 S2353 Eastwood Lodge V225755 110505 Stage 4.doc Version 1.30 Page 14 Some sinks, both in residents’ bedrooms and in the upstairs communal toilets, do not have running cold water and the temperature of the hot water is far higher than the recommended safe level, which puts residents at risk of harm. Until the hot and cold water system has been sorted, caution notices are needed above all taps where the water is too hot for safe handling. The requirement to cover all radiators has not been fully implemented. Furniture has been pushed against some of the exposed radiators to keep residents away from them. The completion date for this work was given by the previous inspector as 1st July 2005. Eastwood Lodge C53 C04 S2353 Eastwood Lodge V225755 110505 Stage 4.doc Version 1.30 Page 15 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, 28, 29, 30 There is an adequate number and skill mix of staff on duty at any time during the day and night to meet the residents’ needs. Staff know how to care for residents competently and are well-supported by the manager but need to complete all mandatory training to ensure the safety of the residents and themselves. EVIDENCE: Staff rotas were examined: staffing numbers and skill mix remain similar to the levels assessed as adequate at previous inspections and appear sufficient to meet the dependency needs of the current residents. The manager feels she has sufficient supernumery time to complete all paperwork for the running of the home. Residents say they are satisfied with the care, that they are “well-cared for”, “nothing is too much trouble”, staff “answer bells quickly”, “always there when we need them”. Two staff have achieved National Vocational Qualifications (NVQ) level 2 and a further five staff are currently completing this award. About fifty per cent of staff have undertaken all mandatory training; courses for more training are booked for the future. Staff say their induction is comprehensive and includes being aware of residents’ safety. Staff files examined contained all the material required in the National Minimum Standards. Criminal Record Bureau certificates have been obtained or Eastwood Lodge C53 C04 S2353 Eastwood Lodge V225755 110505 Stage 4.doc Version 1.30 Page 16 applied for, for all staff and the Protection of Vulnerable Adults (POVA) list is checked before any new staff is employed. Staff say they feel well-supported by the manager who sets them a good example and encourages them to undertake all aspects of training and NVQs. Eastwood Lodge C53 C04 S2353 Eastwood Lodge V225755 110505 Stage 4.doc Version 1.30 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 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, 32, 33, 35, 38 The manager ensures that most aspects of safety within the home are in place but needs to ensure that the providers are aware of their responsibility and is supporting her to maintain a safe environment in all aspects at all times. Safe practices are now in place for residents’ financial matters. Not all aspects of mandatory training have been completed by all staff. Heating and water systems need to ensure that residents are not at risk of harm. EVIDENCE: The manager is in the process of achieving her Registered Manager’s Award. She has had over twenty year’s experience in the care field. Staff see the manager as supportive and caring about their welfare as she does the residents. One resident said she “is five-star”, “interested in them” and “friendly”. Eastwood Lodge C53 C04 S2353 Eastwood Lodge V225755 110505 Stage 4.doc Version 1.30 Page 18 Evidence of the monthly, unannounced visits of the provider, as required in Regulation 26 of the National Minimum Standards, needs to be available at inspections. Staff now ensure that two signatures are obtained and receipts documented and kept for all financial transactions carried out on behalf of the residents. The manager does a regular auditing of financial records. Maintenance records are kept up-to-date since the employment of a maintenance man. The last report of the Environmental Health Officer, on 07/03/05, stated that all aspects of hygiene and safety were in order and the Fire Officer reported that the fire procedures of the home were satisfactory on 12/03/04. The manager needs to ensure that all aspects of the home are safe for residents, such as the heating and water systems. Eastwood Lodge C53 C04 S2353 Eastwood Lodge V225755 110505 Stage 4.doc Version 1.30 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 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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 4 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 x 2 3 x 3 2 x STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x 4 2 x 3 x x 3 Eastwood Lodge C53 C04 S2353 Eastwood Lodge V225755 110505 Stage 4.doc Version 1.30 Page 20 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 19 Regulation 23.2.b Requirement The exterior of the home must be kept in a good state of repair and be of sound construction. (Previous timescales of 11/03/03 & 18/12/03 not met.) The provider must ensure that the cold water is in working order and the hot water at the sink outlets is maintained at a temperature safe for residents and staff. Radiators must be provided to meet the needs of the residents safely. (Previous timescales of 11/03/03 & 18/112/03 not met.) All staff must receive full mandatory training within the first six months of their employment. The Provider must conduct an unannounced visit and report on the service of the home every month. Timescale for action 30/06/05 2. 21 23.2.j 25/05/05 3. 25 23.2.p 30/06/05 4. 30 18.1.c.i 30/09/05 5. 33 26 31/07/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Eastwood Lodge C53 C04 S2353 Eastwood Lodge V225755 110505 Stage 4.doc Version 1.30 Page 21 No. 1. Refer to Standard Good Practice Recommendations Eastwood Lodge C53 C04 S2353 Eastwood Lodge V225755 110505 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Unity House, The Point Weaver Road Lincoln LN6 3QN 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 Eastwood Lodge C53 C04 S2353 Eastwood Lodge V225755 110505 Stage 4.doc Version 1.30 Page 23 - 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!