Inspection on 06/06/06 for Eastwood Lodge

This inspection was carried out on 6th June 2006.

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

Eastwood Lodge 05/03/08

Eastwood Lodge 13/09/07

Eastwood Lodge 05/12/05

Eastwood Lodge 11/05/05

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 Lincs LN10 6SP Lead Inspector Roger Harrison Key Unannounced Inspection 6th June 2006 09:30 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 Eastwood Lodge DS0000002353.V288595.R01.S.doc Version 5.1 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. Eastwood Lodge DS0000002353.V288595.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Eastwood Lodge Address Stanhope Avenue Woodhall Spa Lincs LN10 6SP 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) 01526 352188 Mr S J Cobb Mr J A Hill Ms Yvonne Margaret Lovely Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Eastwood Lodge DS0000002353.V288595.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th December 2005 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. The home is situated in a suburban, tree-lined avenue in Woodall Spa, 300 yards from the shops and local facilities. The home is registered to provide personal care for up to nineteen people of both sexes over the age of 65 years. 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/stair lift. There are car parking spaces to the front of the building. The garden has an attractive 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. Charges made at the home on 06/06/2006 range from: £345.00 £355.00 pw. Eastwood Lodge DS0000002353.V288595.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Key inspection was undertaken using a review of all the information regarding Inspection records and information provided by the Manager, and available to the Inspector about Eastwood Lodge, and through undertaking a visit to the home, with the inspector using a method of inspection called “case tracking”. This involved identifying three residents who currently live at the home and tracking the experience of the care and support they have received during the time they have lived at Eastwood Lodge. The inspection visit was achieved by the inspector talking to the manager, touring the home, looking at information on care plans and files, talking to residents and care staff, and observing day-to-day care practice within the home. What the service does well: What has improved since the last inspection? 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 DS0000002353.V288595.R01.S.doc Version 5.1 Page 6 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 Eastwood Lodge DS0000002353.V288595.R01.S.doc Version 5.1 Page 7 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 Standard 6 N/A. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents confirmed their needs are assessed prior to admission and that they have access to information about the home before deciding to move in. Eastwood Lodge does not provide an intermediate care service. EVIDENCE: Eight residents provided written comments to the Inspector before undertaking a visit to the home which confirmed that information is given and assessments are undertaken to ensure any new resident is able to make an informed choice about moving to the home wherever possible. During the Inspection visit three residents confirmed that their needs were assessed prior to admission and that they had access to information about the home before deciding to move in. One resident said “I moved from another home and the Manager came to see me to make sure I could come here”. Care plan information includes details of all health needs and that an assessment was undertaken before admission. Eastwood Lodge DS0000002353.V288595.R01.S.doc Version 5.1 Page 8 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 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are in place for all residents. These show medication needs for each resident and how they are met. Plans are reviewed each month to ensure changes in need are responded to. Residents are involved in Reviews as they wish and are supported to maintain their privacy and dignity. EVIDENCE: Three Care plans looked at by the Inspector during the Inspection visit showed details of all personal care needs and that since the last Inspection the Manager has used formal invitations to residents and relatives to ensure they have the opportunity to be fully involved in reviews. A record of reviews are maintained on care plan files. Care plans contained some information about residents social needs. This was discussed with the Manager who said she is going to offer residents the opportunity to develop life histories and personal profiles for those residents who wish to take part, in order to gain a greater understanding of individual social needs and how these are to be met. The Manager showed the Inspector daily record sheets, which are used by the care team and are cross referenced with up to date medication records and practices to ensure changes in need are met for each resident. The Manager confirmed that medication training is given to those senior staff who administer medicines and further training is planned for October 2006. Eastwood Lodge DS0000002353.V288595.R01.S.doc Version 5.1 Page 9 Three residents told the Inspector they are treated respectfully by the staff and two staff members were observed working with residents to meet needs sensitively. Eastwood Lodge DS0000002353.V288595.R01.S.doc Version 5.1 Page 10 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 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff time is made available in order to plan and provide structured activities to meet the social and cultural needs of a residents. Food in the home is varied and of good quality offering a wholesome diet for residents. EVIDENCE: Information provided by the Manager before the Inspection visit was made confirmed that activity time has recently increased to ten hours a week spread over three days and provided by a dedicated worker from within the care team, who encourages residents to maintain family and community contacts and to be involved in home activities, which residents told the Inspector they had access to. One family carer said “I visit once a week, and think it’s a good home” and one resident commented that she would like to go out more but felt the home was improving with activities. During the visit to the home the Inspector observed the activity person undertaking bingo with a resident group and a range of activities currently being offered on a new activity board at the home. Activities include trips into village/lunch/church and In house games/craft sessions. Residents said they are offered these activities and can choose to take part. The Manager told the Inspector that the additional staff time available will help to develop the range of activities and that she would be working with the activity worker to support the development of personal profiles in order to ensure activities are planned around individual needs and wishes. Menu plans provided by the Manager before the Inspection visit Eastwood Lodge DS0000002353.V288595.R01.S.doc Version 5.1 Page 11 showed a variety of meals are offered by the Cook. Six residents told the Inspector the food is good and the Inspector Observed lunch being taken by residents in the communal dining area and in their rooms as they wished. The cook confirmed she consults with residents daily regarding alternatives which three residents said was really good. One resident said “ The food is great, they come and ask me what I want and tell me whats on the menu”. Eastwood Lodge DS0000002353.V288595.R01.S.doc Version 5.1 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 the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Home owners, Manager and care team take complaints seriously and wherever possible involves residents and carers in resolving issues as soon as they are evident. The Care team know how to act in order to protect residents from abuse. EVIDENCE: Before carrying out the visit to Eastwood Lodge the Manager provided information for the Inspector which confirmed that the home has a complaints and adult protection policy in place, which were reviewed in March 2006. Information available to the Inspector also showed that the home has received two complaints, one about a staff members attitude toward a resident and another about care and cleanliness within the home, which have been responded to, and are in the process of being fully resolved by the Home Owner and Manager. Three residents said they felt happy to raise any concerns thay may have with the Manager, who showed the Inspector a recent survey circulated to residents asking them to highlight any concerns or contributions they want to make to the development of the service. One resident said “Im a good judge of character and I think the Manager is good, she listens to any concerns I have”. One staff member confirmed the action she would take to report any concerns relating to abuse to the Manager and that abuse awareness training was undertaken on 25/05/06 by the staff team. The Manager confirmed that she understood her responsibilities to act in order to protect residents from abuse and that she used supervision to ensure staff members know about the policies and procedures in place and are able to follow them. Eastwood Lodge DS0000002353.V288595.R01.S.doc Version 5.1 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 the following standard(s): 19 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The provider recognises the need to monitor and make improvements to the homes environment; however, cleanliness in the home is not being maintained consistently. The use of a communal toilet as a sluice facility places residents at potential risk of cross infection. EVIDENCE: Before making a visit to the home the Manager provided information confirming that some decoration had been undertaken in the home since the last Inspection and that radiator covers have been fitted to radiators, new carpets had been fitted in one of the lounge and corridor areas of the home. During the visit to the home the Inspector asked residents for their view on the cleanliness of the home. Three residents said they live in a Homely environment, that their rooms are personalised in the way each wishes and felt safe, but that they also felt standards had slipped since not having a dedicated cleaner. One resident said “My room isn’t as clean as it used to be” and another resident said; “The staff do a great job and work extra but it’s not the same as when we had a cleaner”. During a meeting with the Manager and Home owner it was confirmed that increased hours have been made available Eastwood Lodge DS0000002353.V288595.R01.S.doc Version 5.1 Page 14 for care staff to carry out domestic work and that the Manager is actively seeking to recruit domestic staff. The Manager also confirmed that they are currently using a communal toilet area of the home for its sluice facility, which may increase the risk of cross infection for residents. This was discussed with the home owner who confirmed that he is planning further investment to update the home and would seek advice from the environmental health authority regarding hygiene practice and sluice facilities in order to take action to support the health and welfare of residents. During a tour of the building the Inspector also noticed that two doors to residents rooms had been wedged open at residents individual request. Two residents said they wanted their doors open and the Manager confirmed she would be consulting with the local fire officer about purchasing suitable devices to safeguard all residents who wish to have their room doors open. Eastwood Lodge DS0000002353.V288595.R01.S.doc Version 5.1 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 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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are sufficient numbers of care staff available at the home with appropriate training and skills to meet the needs of residents. EVIDENCE: Before making a visit to the home the Manager provided information, which showed that there is a staff team with training in place to meet the needs of the current group of residents. During the visit to the home the Inspector looked at four staff files and confirmed that recruitment information is up to date and included a full induction checklist and details of training courses undertaken for each staff member. The Manager told the Inspector she is reviewing file information and taking action to organise files so that all information is easier to access. The Manager also showed the Inspector a training plan which confirmed that four carers have NVQ2 and four more are commencing their NVQ training. One staff member said that training is always encouraged by the Manager and that; “There is a good Manager here and the training Ive had helps me provide the right care for residents”. two staff members said This is a really good place to work because residents needs are put first. Three Residents told the Inspector they get the personal care support each needed and care plans reflected the activity undertaken by care staff. Eastwood Lodge DS0000002353.V288595.R01.S.doc Version 5.1 Page 16 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 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a registered Manager in post who regards residents as central to the service provided at Eastwood Lodge. The Manager has introduced a supervision system for all staff, which ensures the development needs of each individual team member are met. EVIDENCE: During the visit to the home the Manager confirmed she had taken action since the last Inspection to commence supevision for staff and has produced a supervision record which confirms each staff member has access to supervision which is recorded and maintained. Two staff members staff said they receive supervision form the Manager. The Manager confirmed she is receiving increased support from the home owners to improve communication through monthly visits and e mail access. During the visit to the home the Inspector was also introduced to one of the organisations nurse Managers who said she is spending specific time working with the Manager over the next few months in order to provide professional support and supervision, which the Manager Eastwood Lodge DS0000002353.V288595.R01.S.doc Version 5.1 Page 17 said will help to further develop care practice within the home. five residents told the Inspector that the Manager is very good and that they trusted her to support them. Discussions with the Manager throughout the visit to the home, and observation of her practice confirmed that she regards residents needs a central to the service being provided. Eastwood Lodge DS0000002353.V288595.R01.S.doc Version 5.1 Page 18 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 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 2 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 Eastwood Lodge DS0000002353.V288595.R01.S.doc Version 5.1 Page 19 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. 1. Standard OP26 Regulation 23(d) Requirement Timescale for action 06/08/06 2. OP26 16(j) The Manager must employ domestic staff in order to ensure that all parts of the care home are kept clean and tidy at all times. The Manager must consult 06/09/06 with the environmental health Authority in order to ensure that sluice facilities at the home are appropriate and satisfactory standards of hygiene in the care home are maintained. 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 registered provider carries out an internal environmental audit in order to develop a clear action plan with timescales, which fully identify and address all the environmental needs of the home. DS0000002353.V288595.R01.S.doc Version 5.1 Page 20 Eastwood Lodge 2. OP19 It is recommended that the Manager consults with the Fire Safety Officer to ensure the home fully complies with the requirements of the local fire safety department. Eastwood Lodge DS0000002353.V288595.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby 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 DS0000002353.V288595.R01.S.doc Version 5.1 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. 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!