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Inspection on 22/08/05 for Hawthorn Lodge Nursing Home

Also see our care home review for Hawthorn Lodge Nursing Home for more information

This inspection was carried out on 22nd August 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Many of the staff have worked at the home for many years and have a good knowledge of the Residents` they care for. The four Residents` who spoke to the Inspector spoke highly of the staff. One Resident stated that he would prefer to be at home but had settled at Hawthorn Lodge. Another Resident stated that the food was nice and that she could always have a cup of tea. She stated that she had a nice bedroom and had brought some personal items from her own home. Another Resident stated that she liked the home because it was like one big family. A new Resident to the home stated that she had improved since moving to the home and it was much better than being in hospital. She stated that she had been pleased to be able to bring personal items from her home with her to Hawthorn Lodge. She stated that what she liked about the home was that the staff listened to what she had to say. All of the Residents stated that the food was good and that they could have something different to what was being offered if they asked.

What has improved since the last inspection?

Risk assessments are now in place in the Residents care documentation.

What the care home could do better:

CARE HOMES FOR OLDER PEOPLE Hawthorn Lodge Nursing Home 2 Canberra Grove Hartburn Stockton-on-Tees TS18 5EL Lead Inspector Julia Connor Unannounced 22 August 2005 10:35 am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hawthorn Lodge Nursing Home B51-B01 SN172 Hawthorn Lodge VN245633 220805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hawthorn Lodge Nursing Home Address 2 Canberra Grove Hartburn Stockton-on-Tees TS18 5EL 01642 570100 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr M Ramdhan Ms Jacqueline Jane Pallister Care Home 30 Category(ies) of OP - Old Age (30) registration, with number PD(E) - Physical Disability - over 65 (0) of places Hawthorn Lodge Nursing Home B51-B01 SN172 Hawthorn Lodge VN245633 220805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd February 2005 Brief Description of the Service: Hawthorn Lodge is a care home providing both nursing and personal care for older people. It is a converted Victorian building with an extenion. The 26 single bedrooms are a minimum of 10 sq.m. The 2 double bedrooms are a minimum of 16 sq.m. There are 3 lounges and a large dining room. There is a passenger lift giving access to both floors. The home is opposite a parade of local shops. There is a small car park at the back of the home. Hawthorn Lodge Nursing Home B51-B01 SN172 Hawthorn Lodge VN245633 220805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection commenced at 10.35 a.m. and concluded at 2.10 p.m. Four Residents’ and two members of staff were spoken to during the inspection. The two visitors in the home at the time of the inspection declined to speak to the Inspector. What the service does well: What has improved since the last inspection? Risk assessments are now in place in the Residents care documentation. Hawthorn Lodge Nursing Home B51-B01 SN172 Hawthorn Lodge VN245633 220805 Stage 4.doc Version 1.40 Page 6 What they could do better: The following areas should receive attention: • • • • • • The The The The The The carpet in lounge one requires a deep clean. carpet in lounge three requires a deep clean. flooring is bathroom one has dark scuff marks. flooring in bathroom three has dark scuff marks. carpet in bedroom 12a requires a deep clean. carpet in bedroom 17 requires a deep clean. The Registered Manager must ensure that 50 of the care staff have their NVQ Level 2 in care. 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. Hawthorn Lodge Nursing Home B51-B01 SN172 Hawthorn Lodge VN245633 220805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Hawthorn Lodge Nursing Home B51-B01 SN172 Hawthorn Lodge VN245633 220805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 4 Residents are assessed prior to being admitted to the home. Risk assessments are in place within the care documentation and have been agreed by the Resident or their next of kin. EVIDENCE: There was evidence in the care documentation to show that the home received information from the Social Worker or discharging ward prior to the Resident being admitted to the home. The Manager of the home assesses Residents’ prior to their admission to the home, to ensure that the home can meet their needs. Two sets of Residents’ care files were audited. Risk assessments had been completed once a risk had been identified in the admission procedure or following an evaluation of a care plan. Hawthorn Lodge Nursing Home B51-B01 SN172 Hawthorn Lodge VN245633 220805 Stage 4.doc Version 1.40 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 standard(s) 7, 8 and 10 The Residents health, personal and social needs are recorded in an individual plan of care. The Residents health care needs are met and Residents are treated with respect and dignity. EVIDENCE: Two sets of Residents care files were audited and all contained an adequate amount of information. There was evidence that Residents’ or their representative had had access to their files and agreed the plans of care. The Residents have access to out side health professionals e.g. Doctor, District Nurse, Dentist and Optician. The Residents’ who spoke to the Inspector stated that the staff always treated them with respect and dignity. Hawthorn Lodge Nursing Home B51-B01 SN172 Hawthorn Lodge VN245633 220805 Stage 4.doc Version 1.40 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 standard(s) 12 and 15 Residents were not satisfied that the home meets their social, religious and recreational needs. Residents are served a wholesome and balanced diet. EVIDENCE: Three of the four Residents’ who spoke to the Inspector stated that there was very little to do during the day unless they read and watched television. One Resident stated that she liked to read and watch the television but the days were long. Another Resident also stated that there was little to do except watch the television. A third Resident stated that she kept herself occupied by reading, writing letters and going out into the community. She stated that there were no activities on offer in the home for the Residents to participate in. A fourth Resident stated that she found plenty of things to do to occupy her during the day. The Manager and staff informed the Inspector that activities were available but the Residents’ didn’t wish to participate or were too unwell to take part. The Residents’ stated that the food was good. All of the Residents’ stated that alternative food was available if they did not like what was on the menu. Hawthorn Lodge Nursing Home B51-B01 SN172 Hawthorn Lodge VN245633 220805 Stage 4.doc Version 1.40 Page 11 On the day of the inspection the kitchen was clean and there was a good stock of dried food. There was a good supply of small tins for individual choice. The home has a four-week menu plan. There were staff available in the dining room to offer assistance to those Residents who required it. Hawthorn Lodge Nursing Home B51-B01 SN172 Hawthorn Lodge VN245633 220805 Stage 4.doc Version 1.40 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 There are procedures in place for the protection of Vulnerable Adults and staff have received training in the protection of vulnerable adults. EVIDENCE: There was evidence in the training files that the staff had received training in elder abuse and the protection of vulnerable adults. The staff that spoke to the Inspector confirmed they had received training and were aware of what action to take should they become aware of any form of abuse towards Residents’. The home has a copy of the No Secrets Protection of Vulnerable Adults Teeswide Guidance. Hawthorn Lodge Nursing Home B51-B01 SN172 Hawthorn Lodge VN245633 220805 Stage 4.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 21, 24 and 26. Residents’ live in a predominantly well-maintained environment that is clean and hygienic. Residents’ bedrooms are comfortable and suit their needs. There are sufficient toilets and bathrooms to meet the needs of the Residents. EVIDENCE: Although the home is predominantly well maintained there following areas require attention: • • • • • • The The The The The The carpet in lounge one requires a deep clean. carpet in lounge three requires a deep clean. flooring is bathroom one has darks scuff marks. flooring in bathroom three has dark scuff marks. carpet in bedroom 12a requires a deep clean. carpet in bedroom 17 requires a deep clean. Hawthorn Lodge Nursing Home B51-B01 SN172 Hawthorn Lodge VN245633 220805 Stage 4.doc Version 1.40 Page 14 There are sufficient bathrooms and toilets available to meet the needs of the Residents. Residents’ bedrooms had been personalised by the Residents and/or their family to meet their needs. On the day of inspection the home was clean, pleasant and odour free. Hawthorn Lodge Nursing Home B51-B01 SN172 Hawthorn Lodge VN245633 220805 Stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28 and 30 The home does not have the recommended 50 of NVQ Level 2 trained care staff. Staff have received training that should ensure they can meet the needs of the Residents’. EVIDENCE: There are seventeen care assistants working at the home; five staff currently have their NVQ Level 2 or 3. A further two members of staff are doing their NVQ training and five members of staff are registered to commence their NVQ Level 2 training. The following is an example of the training that has taken place since the last inspection in February 2005: • • • • • • Diabetes. Dementia. Elder Abuse. Pressure Sore Management. Infection Control. Mandatory training, for example Manual Handling and Fire. Hawthorn Lodge Nursing Home B51-B01 SN172 Hawthorn Lodge VN245633 220805 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 35 and 38 The home is managed by a person who is fit to be in charge. Residents’ finances are safeguarded. The health and safety of the Residents’ and staff are promoted by the homes policies and procedures. EVIDENCE: The Manager has the required nursing and management qualification to ensure that the needs of the Residents are fully met. A record is kept of all the money a Resident receives and spends, receipts are obtained and kept with the Resident’s individual recording sheet. There are two signatures when money is deposited or withdrawn. There is a policy and procedure in place for Residents’ finances. Hawthorn Lodge Nursing Home B51-B01 SN172 Hawthorn Lodge VN245633 220805 Stage 4.doc Version 1.40 Page 17 A full range of policies and procedures relating to Health and Safety were in place. Maintenance records and certificates were up to date. A record of the monthly water temperatures was evidenced. Hawthorn Lodge Nursing Home B51-B01 SN172 Hawthorn Lodge VN245633 220805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 2 x 3 x x 3 x 3 STAFFING Standard No Score 27 x 28 2 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 3 x x x 3 x x 3 Hawthorn Lodge Nursing Home B51-B01 SN172 Hawthorn Lodge VN245633 220805 Stage 4.doc Version 1.40 Page 19 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action 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 OP 19 Good Practice Recommendations The Manager must ensure that the following areas receive attention: · · · · · · 2. OP 28 The The The The The The carpet in lounge one requires a deep clean. carpet in lounge three requires a deep clean. flooring is bathroom one has darks scuff marks. flooring in bathroom three has dark scuff marks. carpet in bedroom 12a requires a deep clean. carpet in bedroom 17 requires a deep clean. The Registered Manager must ensure that 50 of the care staff have an NVQ Level 2 by 2005 Hawthorn Lodge Nursing Home B51-B01 SN172 Hawthorn Lodge VN245633 220805 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Unit B, Advance St Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 Hawthorn Lodge Nursing Home B51-B01 SN172 Hawthorn Lodge VN245633 220805 Stage 4.doc Version 1.40 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. 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