Inspection on 25/02/09 for Fitzwilliam Lodge

This inspection was carried out on 25th February 2009.

CSCI found this care home to be providing an Good service.

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

Fitzwilliam Lodge 11/12/06

Fitzwilliam Lodge 22/11/05

Fitzwilliam Lodge 14/12/04

Fitzwilliam Lodge 15/06/04

Similar services:

Snydale Care Home

Staveley Birk Leas Nursing Home

Fairmount Nursing Home

Currergate Nursing Home

Brookfield

Castlethorpe Care Home

Elmleigh Convent

Woodlands Respite Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 12/10/2009.

Key inspection report Care homes for adults (18-65 years) Name: Address: Fitzwilliam Lodge Westfield Road Rawmarsh Rotherham South Yorkshire S62 6EY     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Ian Hall     Date: 2 5 0 2 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 24 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 24 Information about the care home Name of care home: Address: Fitzwilliam Lodge Westfield Road Rawmarsh Rotherham South Yorkshire S62 6EY 01709523400 01709710705 fitzwilliam.lodge@craegmoor.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Yorkshire Parkcare Company Limited Name of registered manager (if applicable) Dawn Wilkins Type of registration: Number of places registered: care home 15 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 physical disability Additional conditions: One specific service user over the age of 65, named on variation dated 7th January 2005, may reside at the home. The home can accommodate one named service user with an associated learning disability named on the application dated 1st June 2005. Date of last inspection Brief description of the care home Fitzwilliam Lodge provides care for up to fifteen residents with a physical disability. The home is located at Rawmarsh in Rotherham, close to public transport and other facilities. Fitzwilliam Lodge is owned by Craegmoor Healthcare. The home shares a location with two other homes also owned by Craegmoor Healthcare. It is a single storey modern building providing fifteen single bedrooms, appropriate bathroom and toilet facilities and lounge, kitchen and dining area. The home has suitable communal Care Homes for Adults (18-65 years) Page 4 of 24 Over 65 0 15 Brief description of the care home facilities, and garden and patio area for residents. There is a range of individualised disability equipment provided for residents. There is a car park which is shared with the other homes on the site. There are ten care staff and four registered nurses employed at the home. Weekly fees are from 400.00 pounds to 1500.00 pounds. A service users guide is available for residents and their relatives and representatives. Care Homes for Adults (18-65 years) Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The unannounced site visit undertaken as part of the inspection started at 08:30 and concluded at 14:00 on the 25th February 2009. The inspection was conducted by the visiting inspector Mr I A Hall. The site visit included a tour of the building, reading records, discussions with staff and people who use the service and observation of the meals provided. We also met with Care Homes for Adults (18-65 years) Page 6 of 24 the manager and other members of staff. In addition the inspection took account of information received about the service since the last inspection. This included records of telephone conversations with staff, events notified to CSCI and records of management visits to the home. Prior to the site visit the home carried out a self-assessment of the service. This is called the annual quality assurance assessment (AQAA). People we spoke to who were able to comment said; I like living here; and The staff are good. At the end of the the site visit verbal feedback was given to the manager. Care Homes for Adults (18-65 years) Page 7 of 24 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 24 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service provides people with detailed information to enable them to choose whether the home is the one for them. Detailed assessments ensure that peoples needs could be met prior to offering them a place. Evidence: An information pack was available that provided details of the standards of care and services provided available at Fitzwilliam Lodge. This included information about staff, their qualifications, visiting the home, choosing meals and how to raise concerns. We checked two case files. Each contained a detailed needs assessment; this included such things as daily living, personal care, health care, social interests and areas of risk when appropriate. The assessment formed the basis of the initial care plan. Whenever possible people had been encouraged to visit and spend time at the home so they could meet members of staff and other people living at the home. This was confirmed by written entries in the care records. Care Homes for Adults (18-65 years) Page 10 of 24 Evidence: Copies of contracts, social work referrals and assessments were available and kept in the case file. Care Homes for Adults (18-65 years) Page 11 of 24 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were treated with respect and supported to make some decisions about their lives and take risks as part of an independent lifestyle. Evidence: Two care plans were checked both of which were detailed and of a good standard. The format used detailed peoples individual needs including their life history, preferred routines and the ways they were able to communicate. The care planned for people had been reviewed regularly. The manager and staff had a good knowledge of peoples preferred routines, care needs and communication methods. They were able to demonstrate how they encouraged people to make choices within their capabilities. Many people were able to take responsible risks due to their limited awareness and capabilities. Peoples files contained individual risk assessments including mealtimes, mobility and travel to minimize the risks to people both inside and outside the home. Care Homes for Adults (18-65 years) Page 12 of 24 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home have their social and personal care needs met in a way that respects their privacy and dignity. Evidence: People had good opportunities to access appropriate activities. Regular outings took place. The home has its own mini bus, which gave staff the opportunity to plan trips on a regular basis. Many trips had been made to local places of interest. Discussions with staff and observations demonstrated that routines within the home were flexible. People were encouraged to make simple choices about their daily living activities such as the times they rose or retired to bed, and how they chose to spend their day promoting independence and choice. People who had chosen to spend their day at the home were observed relaxing in the lounge areas with staff. Care Homes for Adults (18-65 years) Page 13 of 24 Evidence: Menus were continuously reviewed to provide people with a healthy balanced diet. Mealtimes were flexible to meet peoples needs. The staff spoken to had a good knowledge of peoples likes, dislikes and dietary requirements. The care plans checked included any risks, ie swallowing that may be presented by people during mealtimes. detailed records of meals taken were maintained. Care Homes for Adults (18-65 years) Page 14 of 24 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home have their health and personal needs met in a way that respects their privacy and dignity. Evidence: Plans of care were examined and found to be satisfactory. They had been regularly reviewed in response to peoples changing needs. Individual goals and objectives were agreed with each person and advocate if appropriate and then regularly monitored and reviewed. People were registered with a GP and assisted to visit the surgery by staff. Other health services such as dental, opthalmic were available in the wider community with staff accompanying people to appointments as needed. Medication was securely stored to keep it safe. A sample of medication administration records were examined; they were seen to be complete and up to date. The sample of medication stocks checked corresponded with the records checked. All staff that administered medication were trained to make sure safe procedures were followed. Care Homes for Adults (18-65 years) Page 15 of 24 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home and their representatives feel able to complain and are confident they will be listened to. Evidence: Written information about how to make a complaint was seen in the service user guide. Records of all complaints made were recorded; they detailed actions taken by staff in response to the complaint. No formal complaints had been made about the home. The manager and staff had undertaken training in adult protection. They were clear about the steps to follow if an allegation was made or they suspected abuse. Staff were aware of the different types of abuse. The adult protection policy and procedure was kept at the home and was included with staff induction training. People said that they felt safe at the home. Care Homes for Adults (18-65 years) Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were provided with a safe and comfortable home that met their needs. Evidence: Peoples bedrooms were individually decorated and reflected personal choice. We were told people were encouraged to choose their own colour scheme within their capabilities. Some bedrooms were identified that were to be redecorated in accordance with the maintenance plan. Corridor areas were light and bright with level access throughout the home. We saw areas of paintwork that had been damaged that were due to be redecorated in accordance with the business plan. Bathroom and toilet areas were equipped with aids and adaptations to assist people to maintain their independence when ever possible. The bathing provision has been reviewed with plans to re equip one bathroom area shortly. Lounge areas were well equipped with a range of equipment and games for people to use in their activities. The dining room had been refurnished with suitable tables and chairs. Care Homes for Adults (18-65 years) Page 17 of 24 Evidence: A relaxation snoozlem area was in the process of being re equipped, this facility was well used and enjoyed by people at the home. The home was overall well presented, homely with a good standard of cleanliness throughout. The number of electrical sockets provided throughout the home has been reviewed with plans advanced to provide additional points in most areas of the home. Care Homes for Adults (18-65 years) Page 18 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home are cared for by a group of staff that have been properly recruited, trained and are sufficient in numbers to ensure peoples needs would be met. Evidence: Adequate numbers of staff were on duty to meet the needs of people living at the home. We examined three staff files; these showed that appropriate procedures were being followed to ensure that people were being protected and cared for by suitable people. Staff confirmed that they had job descriptions and contracts of employment. The staff team was stable with a number of them having worked there for several years. Staff confirmed they had been provided with training. Updates in mandatory topics had been prioritized so that core skills such as infection control and moving and handling people were up to date. Most staff had achieved national vocational qualifications in care. Regular professional supervision was taking place to the overall benefit of people living at the home. Care Homes for Adults (18-65 years) Page 19 of 24 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that is well managed and takes into account their wishes about how the home is run. Evidence: We saw that there was always a qualified member of staff on duty at the home with advice and support readily available. Staff said the manager was approachable, very professional and they had confidence in her. Staff had received professional supervision at regular intervals; this is needed to develop staff and monitor care practices. A senior manager visits the home regularly to monitor care and standards at the home. Management use a quality assurance system to monitor standards of care and Care Homes for Adults (18-65 years) Page 20 of 24 Evidence: services provided. Questionnaires were used annually to seek the views of people and their relatives. Regular meetings are held for staff and people who live at the home. These give people living at the home a voice and chance to say how the home should be run. People felt their views and opinions were taken into account by staff and they felt listened to. The manager handles money on behalf of some people; account sheets with receipts were kept. A second person witnessed each transaction. Policies and procedures met the required standards. Records were mainly up to date and well ordered to ensure the best interests of people. No fire exits were obstructed and hazardous material were stored securely. Statutory checks and servicing of equipment were complete. Risk assessments had been completed and reviewed regularly to maintain a safe environment. Fire safety records and other maintenance records were up to date. Care Homes for Adults (18-65 years) Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 24 Continue to redecorate and upgrade the building in accordance with business plan. Care Homes for Adults (18-65 years) Page 23 of 24 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 24 of 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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