Inspection on 25/01/06 for Harry Lord House

This inspection was carried out on 25th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Harry Lord House 21/07/09

Harry Lord House 14/07/08

Harry Lord House 23/08/06

Harry Lord House 09/05/05

Harry Lord House 23/11/04

Harry Lord House 16/06/04

Harry Lord House 12/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Harry Lord House 120 Humphrey Road Old Trafford Manchester M16 9DF Lead Inspector Helen Dempster Unannounced Inspection 25th January 2006 9:45am 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 Harry Lord House DS0000032586.V275594.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. Harry Lord House DS0000032586.V275594.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Harry Lord House Address 120 Humphrey Road Old Trafford Manchester M16 9DF 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) 0161 872 4156 Trafford Metropolitan Borough Council Mrs Susan Burrell Care Home 45 Category(ies) of Dementia - over 65 years of age (0), Old age, registration, with number not falling within any other category (0) of places Harry Lord House DS0000032586.V275594.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home provides accommodation for a maximum of 45 service users, 29 of whom require care by reason of old age (OP) and 16 of whom are older people who require care by reason of dementia (DE(E)). Separate lounge and dining space must be provided to meet the needs of the service users who require care by reason of dementia (DE(E)). There are currently 8 named older service users who require care primarily by reason of mental ill health (MD(E)) and 1 named older service user who requires care primarily by reason of physical disability (PD(E)). Should any of these service users no longer require accommodation at the home, 7 of the places will revert to the category (DE(E)) and 2 of the places will revert to the category (OP). The Statement of Purpose must be maintained in line with the requirements of Schedule 1, of Regulation 4(1) of the Care Homes Regulations. The Statement must be kept under review and updated. Any changes to the homes purpose must be agreed with the Commission for Social Care Inspection prior to implementation. The staffing arrangements at the home must be maintained in line with the minimum levels set out in the guidance published by the Residential Forum, `Care Staffing in Care Homes for Older People`. This must be reflected in the Statement of Purpose. The home must be managed at all times in accordance with the guidance and regulations issued in respect of older peoples` homes by the Secretary of State for Health under Sections 22 and 23(1) of the Care Standards Act 2000. The authority must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 9th May 2005 2. 3. 4. 5. 6. Date of last inspection Brief Description of the Service: Harry Lord House is a purpose built Registered Care Home, which is owned and managed by Trafford Metropolitan Borough Council. Accommodation is on 3 floors. Access to the first and second floors is by staircase, or vertical passenger lift. There are 7 lounges and a wide variety of bathing facilities, including a walk-in shower and Parker bath. There are 33 single and 6 double bedrooms. The home is situated in a quiet residential area and is close to the Metro link. Harry Lord House DS0000032586.V275594.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the home’s second inspection of the year and was unannounced. It was carried out on the morning of 25th January 2006. Time was spent discussing welfare matters relating to the residents the home supported and examining documentation in relation to the running of the home, staffing, care planning and the residents’ satisfaction. The term of address preferred by the users of the service was confirmed as “residents”. It was felt this best reflected the function and purpose of the service. The inspection only looked at a limited number of standards, so this report should be read together with the earlier report to get a full picture of how the home is meeting the needs of the residents living there. What the service does well: What has improved since the last inspection? Lots of things had improved since the last inspection. These improvements included: Prospective residents were given clear and detailed information to allow them to make a choice about the home. Care plans had been improved and were informing staff how residents wished to be cared for. Medication storage, administration and recording had improved. Staffing levels had improved which allowed staff to spend more time providing activities for residents. Residents benefited from being cared for by well-trained and well-supported staff in sufficient numbers. Staff were more familiar with the protection of adults from abuse procedure. Harry Lord House DS0000032586.V275594.R01.S.doc Version 5.1 Page 6 Fire safety practice had improved, including making regular fire safety checks and staff being familiar with the fire risk assessment. 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. Harry Lord House DS0000032586.V275594.R01.S.doc Version 5.1 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 Harry Lord House DS0000032586.V275594.R01.S.doc Version 5.1 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 and 6. Prospective residents were provided with clear and detailed information to allow them to make a choice about where to live. EVIDENCE: The Statement of Purpose and Service Users Guide had been updated in response to a requirement made at the previous inspection. It was clear and detailed and accessible. The home does not provide intermediate care. Harry Lord House DS0000032586.V275594.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. The residents’ care and health was well documented by the home in a comprehensive care planning system. This included having a well-managed system in place for medication and health conditions affecting the residents. Harry Lord House DS0000032586.V275594.R01.S.doc Version 5.1 Page 10 EVIDENCE: Four residents files were sampled. Overall, the home had made a great deal of progress with care plans in response to a requirement made at the previous inspection. In particular, there was a good audit trail of residents’ assistance to bathe and weight monitoring/nutritional screening was consistently in place. Some good practice was noted, including placing information/training leaflets about dementia in residents’ files. There was also evidence of regular updates of the care plan. This was particularly obvious on the file of one resident whose needs were great and for whom the plan of care had been changing on an almost daily basis. It was evident that staff had worked hard to try to consistently update this care plan and a referral for nursing care had been appropriately made. Records were written in a way, which respected residents and the home’s policies, procedures and practices promoted respect for residents and their right to privacy. At the previous inspection, a requirement was made to the effect that daily reports at the home must make reference to and monitor the meeting of needs identified in the residents needs assessment and care plan. Improvement was noted in response to this requirement. However, the need to provide staff with further guidance on reporting was discussed. The manager said that she had been monitoring the content of daily records and had already identified the need for staff to have guidance in report writing. She provided evidence of booking one to one supervision with each member of staff to provide this guidance. It was recommended that the content of residents’ day to day records continued to be consistently monitored and that staff are given ongoing guidance on the completion of records. At the previous inspection, a number of requirements were made concerning medication practice. These requirements had been addressed which resulted in much safer medication practice at the home. Work completed to address the issues included revising the policy for recording the receipt of respite care medication and ensuring that MAR sheets provided a full audit trail. A further requirement was however made to the effect that medication administration records must indicate the dosage of medication taken when one or two sachets/puffs of inhaler or spoonfuls of medicine are prescribed. Harry Lord House DS0000032586.V275594.R01.S.doc Version 5.1 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 the following standard(s): 12, 13, 14 and 15. Residents were able to exercise lifestyle choices, including choice of meals and were provided with activities. EVIDENCE: In response to requirements made at the previous inspection, reviews of staffing levels and deployment of staff allowed staff to spend more time providing activities for the residents. Records demonstrated that residents were supported to maintain family links and also demonstrated consultation with residents and their family/representatives. Menus were in place which gave residents choices. A requirement made at the previous inspection concerning documenting menu choices had been met. However, when talking to the chef and kitchen staff and looking at records, it was evident that the records of choices were not in place on every day. A recommendation was made to the effect that the records are made consistently. In response to a requirement made at the previous inspection, residents’ nutritional needs were fully documented and monitored in the care plan. Harry Lord House DS0000032586.V275594.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. Residents benefited from having a clear complaints procedure and staffs’ familiarity with the protection of adults from abuse procedure. However, managers and staff having training in dealing with complaints and customer service would enhance this. EVIDENCE: In response to a requirement made at the previous inspection, the complaints procedure had been updated and the complaints record was up to date. The complaints record contained the record of a complaint made in August 2005. This complaint had been investigated by the organisation’s complaints officer. Through discussion, the manager was asked about why the record did not include statements from staff concerning the issue. Overall, it was felt that the management team would benefit from training in dealing with complaints and customer service and a requirement was made accordingly. The home had a copy of Trafford Metropolitan Borough’s ‘Protection of Adults from Abuse Policy’ and staff had been provided with training in implementing the policy in response to a requirement made at the previous inspection. Harry Lord House DS0000032586.V275594.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. The standard of the environment was good and provided residents with a homely place to live. EVIDENCE: At the time of inspection, the home had reduced the number of places available to provide residential care for older people in preparation for the introduction of a day care facility, which would be provided in a separate part of the building from that providing residential care. This had resulted in a review/audit of facilities and some planned updating of fire precautions and replacement of windows. The home, including the main kitchen, was found to be clean and tidy. In response to a requirement made at the previous inspection the manager had ensured that all staff were informed of the homes updated fire risk assessment and that it was a working tool. Harry Lord House DS0000032586.V275594.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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, 29 and 30. Residents benefited from being cared for by well-trained and well-supported staff in sufficient numbers. EVIDENCE: At the time of inspection, only 31 residents were accommodated, rather than the 45 for which the home is registered. This was the case due to plans to set up a day care facility using part of the building. The reduction in resident numbers had significantly eased the staffing situation, which had given rise to 2 requirements at the previous inspection. Staffing levels had been reviewed in the context of service users dependency levels and the geographical layout of the building and there was evidence of consistent monitoring of staffing levels. There is a clear recruitment policy in place and the management team had attended recruitment training in July 2005. There had been no new staff recruited since the previous inspection, but the manager was able to describe appropriate recruitment practices. The home had a clear audit of staff training and availability of staff training was good. Harry Lord House DS0000032586.V275594.R01.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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 and 38. The residents benefited from a well ran home, with a manager who promoted health, safety and welfare of residents. EVIDENCE: The new manager had been registered prior to the inspection. She had worked hard to address 23 requirements made at the previous inspection, which is commendable. The manager was studying towards the registered managers award, which she hoped to complete in November 2006. The member of the management team on duty at the time of inspection said that she felt well supported by the manager. The organisation has a quality assurance package. However, the last survey was conducted in August 2005 and the results of this survey had not been collated, analysed and put into a report. A requirement was made accordingly. Harry Lord House DS0000032586.V275594.R01.S.doc Version 5.1 Page 16 Fire safety practice had improved in response to requirements at the previous inspection. In particular, fire safety checks were consistently made and the outcomes recorded, clear records of monthly drills were held and staff had updated fire training to take account of changes in fire practice and the risk assessment. Just prior to the inspection, the inspector had met with senior managers from TMBC to discuss fire safety work, which needed to be completed at the premises. TMBC had costed the work to be done and were in the process of inviting tenders to complete the work. A requirement was made, however, it was acknowledged that TMBC are working towards meeting this requirement. Harry Lord House DS0000032586.V275594.R01.S.doc Version 5.1 Page 17 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 X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 2 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X X X X 2 Harry Lord House DS0000032586.V275594.R01.S.doc Version 5.1 Page 18 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 OP9 Regulation 13 Requirement Medication administration records must indicate the dosage of medication taken when one or two sachets/puffs of inhaler or spoonfuls of medicine are prescribed. The manager and staff must receive training in dealing with complaints and customer service. The home must review and develop their quality assurance system to provide a verifiable method, which involves residents, to audit the service and report on the findings. All fire safety work highlighted at the homes last fire authority’s visit must be addressed. Timescale for action 02/03/06 2 OP16 22(1) 02/06/06 3 OP33 24 02/06/06 4 OP38 23(4) 02/06/06 Harry Lord House DS0000032586.V275594.R01.S.doc Version 5.1 Page 19 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 2 Refer to Standard OP7 OP15 Good Practice Recommendations It is strongly recommended that the content of residents’ day to day records is consistently monitored and that staff are given ongoing guidance on the completion of records. It is recommended that the records of residents’ menu choices are monitored to ensure that they are in place every day. Harry Lord House DS0000032586.V275594.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Harry Lord House DS0000032586.V275594.R01.S.doc Version 5.1 Page 21 - 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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