Inspection on 22/04/09 for Haven Lodge Residential Home

This inspection was carried out on 22nd April 2009.

CQC found this care home to be providing an Poor service.

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

Haven Lodge Residential Home 04/08/09

Haven Lodge Residential Home 19/05/09

Haven Lodge Residential Home 16/02/09

Haven Lodge Residential Home 06/11/07

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Extracts from inspection reports are licensed from CQC, this page was updated on 06/08/2009.

Inspecting for better lives Random inspection report Care homes for older people Name: Address: Haven Lodge Residential Home Wakefield Road Normanton Wakefield W Yorks WF6 1BP zero star poor service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Gillian Walsh Date: 2 2 0 4 2 0 0 9 Information about the care home Name of care home: Address: Haven Lodge Residential Home Wakefield Road Normanton Wakefield W Yorks WF6 1BP 01924220013 01924895464 traceybed1@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Carestream Limited care home 32 Number of places (if applicable): Under 65 Over 65 32 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 32 The registered person may provide the following category of service only: Care home only - Code PC; to service users of the following gender: Either, whose primary needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP Date of last inspection Brief description of the care home Haven Lodge is situated in Normanton on the main road between Wakefield and Castleford and is on a bus route. Set in its own grounds, there is parking provided to the front and side of the home and a large walled garden area at the back, accessible to people living at the home. The home is registered to Carestream Limited although is currently in the hands of the Care Homes for Older People Page 2 of 12 Brief description of the care home receivers and is being run by the administrators. The home provides a service for up to thirty-two older people. In relation to the accommodation, there are two main lounges and a good size dining area. In addition, there is a large conservatory at the back of the home which people can use at their leisure. All the bedrooms are single and there are good toilet, bathing and washing facilities. There is a pleasant reception area. Outside, there is good access to the home at the front and back. Ramps are in place. Inside, there is access to the first floor by means of two stair lifts. The home is generally spacious. The provider makes information about the service available to enquirers when initial enquiries are made, and a copy of the Service User Guide, on admission to the home, which includes the Commission for Social Care Inspection contact details. The weekly fees in February 2009 are £388. Hairdressing and chiropody are charged extra to these fees. Care Homes for Older People Page 3 of 12 What we found: This inspection was undertaken by a regulation inspector and an inspector from the regional enforcement team. This was because the manager had been served a statutory requirement notice following the key inspection in February 2009 during which the home were found to be in breach of some of the care homes regulations. This visit was to check compliance with the statutory requirement notice and with other requirements made at the last inspection. Our findings were: The home manager advised inspectors that there had not been any new people admitted to the home since the last inspection. However it was noticed, by inspectors, that one person had been admitted. A full assessment of this persons needs had not been completed. Although some new care plans had been developed, there were a number of instances where staff had failed to recognise the need for the development or review of care plans. Examples of this included:One persons assessment had identified that they were at risk of of developing pressure sores but no care plan had been developed to inform staff of what actions they should take to prevent this from happening. It was also of concern that despite the manager saying that pressure mattresses were available in the home, this person had not been provided with one. Another person had a care plan in place for eating and drinking. The care plan instructed staff to monitor the persons weight monthly and to contact the GP if their food intake decreased. Despite records showing that the person had lost ten pounds in weight in less than a month and numerous entries in the persons food and fluid intake charts showing very poor intake, there was no evidence to show that the GP had been informed. Although some assessments were in place, they were not always accurate and contained information which conflicted with that in other places within the care file. One persons Waterlow assessment said that the person was fully mobile. However the moving and handling assessment for this person said that they needed a handling belt, a zimmer frame and a hoist to aid mobility. The care plan then said that the person sometimes used a wheelchair. The manager said that she must have overlooked these problems when she reviewed the files. Although staff have had some training in moving and handling, care plans are still Care Homes for Older People Page 4 of 12 unclear in this area and staff are clearly not reading the care plans and moving and handling plans or these issues would have come to light. Documentation is not available to instruct staff which slings are to be used when using the hoist and staff were observed to be lacking in confidence when using the hoist. One person had a care plan in place for pain, however the care plan failed to say where the persons pain was. The care plan went on to say that the person was prescribed paracetamol on an as required basis for their pain. However inspectors noted that the prescription for paracetamol was not as requiredbut was prescribed to be taken four times each day. Another persons notes showed that a district nurse had requested a urine sample be taken for a person at the home as an initial test had indicated that blood was present in the urine. Staff had failed to take the actions necessary to obtain the sample. The manager said that a person had now been employed to engage people in activities. This person was seen in the home but was not observed to engage with any of the people living there. One person said they thought he was there to do activities with them but didnt. When asked about this the manager said that activities had not taken place that morning as all of the residents wanted to watch the Jeremy Kyle show. When one of the inspectors had been speaking to a person living at the home they had said they didnt want to watch the television but they had nothing else to do. Documentation relating to a complaint made to the home prior to the last inspection was seen. The manager had sent a letter to the complainant but had not fully addressed the issues of the complaint. Prior to this visit, the Commission had been informed about a safeguarding issue which had arisen at the home. The manager, when asked about this, said that she was aware of the issue but had not reported it under safeguarding procedures. Nothing had been documented relating to the incident or to events following the incident. The manager said that staff had received safeguarding training but was unaware of the content of the training as she had not received it herself. It was apparent that the manager is in need of this training. Inspectors found that the the manager had failed to effectively audit and review care records to make sure that people were receiving the care they need and that people within the home were still at risk due to poor practices in relation to safeguarding people. What the care home does well: What they could do better: People should have proper assessments of their needs completed before they are admitted to the home. Care Homes for Older People Page 5 of 12 Care plans need to reflect peoples current and changing needs and give staff the direction they need to make sure that people have their needs met. Information in care files should not be conflicting and confusing. Systems for managing medication need to be in place to make sure people get the medication they need when they need it. Staff need to support people in meeting their privacy and dignity needs. People should be supported to make decisions about their lifestyles and leisure time. The manager and staff need to know how to keep people safe. 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 set out on page 2. Care Homes for Older People Page 6 of 12 Are there any outstanding requirements from the last inspection? Yes R No £ 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 3 14 People should not be admitted without first being given confirmation, as a result of assessment, that their needs can be met at the home. To make sure that people are not put at risk by being admitted to a home where staff are unable to meet their needs. 10/04/2009 2 7 15 Care plans must be up to 10/04/2009 date and include details of the actions staff need to take to make sure that the needs of the people who live at the home are met. To make sure that staff know how to support people to meet their needs in the way they would prefer. 3 8 13 A safe system for moving 10/04/2009 and handling people must be in place at the home. To prevent people being harmed. 4 8 12 Proper provision must be 10/04/2009 made to ensure the health, welfare and treatment of people who live at the home. Care Homes for Older People Page 7 of 12 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action To make sure that people receive the care they need to promote their health and well being and comfort. This includes timely referrals to healthcare professionals and carrying out prescribed treatment. 5 9 13 Arrangements must be made 10/04/2009 for the safe handling and administration of medications in the home. To make sure people receive the treatment they are prescribed and are safe. 6 10 12 Arrangements must be made 10/04/2009 to promote and ensure the privacy and dignity of the people who live at the home. So that peoples privacy and dignity is not compromised. 7 12 16 People who live at the home 10/04/2009 must be consulted about their social interest and the home must make arrangements to enable people to engage in activities either within the home or outside the home. To make sure that people who wish to, have as active and fulfilling lifestyle, considering their personal preferences, as they need. 8 14 12 People living at the home 10/04/2009 must be offerred choice and enabled to make decisions about their care and lifestyle. Page 8 of 12 Care Homes for Older People 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action So that people have choice within their lives. 9 15 16 People must be provided with 10/04/2009 choices of wholesome and nutritious food which is varied and suited to the needs of the individual. So that people receive the nutrition they need which meets with their personal choice. 10 16 22 All complaints must be investigated and responded to as per the homes complaints procedure. So that people have confidence that their complaints will be taken seriously and managed appropriately. 11 18 13 Arrangements must be made, by training staff or other measures, to prevent people being harmed or suffering abuse or being placed at risk of harm or abuse. To keep people safe. 12 25 23(4)(a)13(4) The registered person must ensure that there are arrangements in place for completing fire system and running hot water temperature check in the absence of the person designated to do them to ensure people are safe. 30/11/2007 10/04/2009 10/04/2009 Care Homes for Older People Page 9 of 12 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 13 30 18 Staff working at the home 10/04/2009 must receive training appropriate to the work they are to perform. This must include moving and handling, fire and adult protection training. To make sure people are cared for safely. 14 33 24 A system for reviewing and 10/04/2009 improving the quality of care provided at the home must be established and maintained. So that the services provided to people can be improved. 15 38 11 The home must be conducted in a way which promotes and makes proper provision for the health and welfare of service users. So that people are safe. 10/04/2009 Care Homes for Older People Page 10 of 12 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, 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 Care Homes for Older People Page 11 of 12 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 12 of 12 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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