Inspection on 03/10/05 for Hunter`s Lodge

This inspection was carried out on 3rd October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Hunter`s Lodge 03/04/07

Hunter`s Lodge 07/02/06

Hunter`s Lodge 05/01/05

Hunter`s Lodge 20/07/04

Hunter`s Lodge 11/03/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

Parkmanor Residential Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Hunter`s Lodge Church Lane Old Dalby Melton Mowbray Leicestershire LE14 3LB Lead Inspector Ruth Wood Unannounced Inspection 3rd October 2005 01:00 03/10/05 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 Hunter`s Lodge DS0000001743.V254897.R01.S.doc Version 5.0 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. Hunter`s Lodge DS0000001743.V254897.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hunter`s Lodge Address Church Lane Old Dalby Melton Mowbray Leicestershire LE14 3LB 01664 823064 01664 822769 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) www.hunterslodge.org Hunter`s Lodge Retirement Homes Limited Mrs Heather Lillian Cowley Care Home 36 Category(ies) of Past or present alcohol dependence (36), Past or registration, with number present alcohol dependence over 65 years of of places age (36), Past or present drug dependence (36), Past or present drug dependence over 65 years of age (36), Dementia (36), Dementia - over 65 years of age (36), Learning disability (36), Learning disability over 65 years of age (36), Mental disorder, excluding learning disability or dementia (36), Mental Disorder, excluding learning disability or dementia - over 65 years of age (36), Old age, not falling within any other category (36), Physical disability (24), Physical disability over 65 years of age (24), Sensory impairment (24), Sensory Impairment over 65 Hunter`s Lodge DS0000001743.V254897.R01.S.doc Version 5.0 Page 4 years of age (24) Hunter`s Lodge DS0000001743.V254897.R01.S.doc Version 5.0 Page 5 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No person under 55 years of age falling within Categories LD, A, D, PD or SI may be admitted into the Home. No person under 50 years of age falling within categories MD or DE may be admitted into the home. Service User Numbers. No person falling within categories PD, PD(E), SI or SI(E) may be admitted to the home when 24 persons in total of these categories/combined categories are already accommodated within the home. Date of last inspection 05 January 2005 Brief Description of the Service: Hunter’s Lodge is a residential care home registered to provide accommodation and care for service users with a wide range of needs who are over the age of 50. The home was built from the conversion of stables in the grounds of a large house, and accommodation is on the ground and lower floors, accessed by stairs (with stair lift). There are twenty-two single and seven double bedrooms most having en-suite toilet facilities. There are four lounges and two dining rooms. Some lounges have been designated quiet areas, others are equipped with TV, stereo and video recorder. Access to the home is gained through the conservatory lounge, which also contains a pleasant water feature. The home is located in the quiet village of Old Dalby and is set within its own grounds. There are seating areas in the front garden for service users to enjoy as well as an enclosed garden to the rear of the home. Gardens are attractive and well kept, the rear containing some mature fruit trees. The home has three registered managers, one of whom is currently not actively involved in the running of the home; the remaining two share ongoing day-today responsibility. Hunter`s Lodge DS0000001743.V254897.R01.S.doc Version 5.0 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took place on a weekday afternoon between 1pm and 5.15pm. Planning for the Inspection took approximately one hour and included a review of the Pre-inspection information returned by the Registered Manager. Discussion was held with two of the Registered Managers and with four residents. Residents’ assessments and care plans and staff records were examined as well as fire safety and other records. Staff interaction and practice with residents was indirectly observed. What the service does well: What has improved since the last inspection? What they could do better: An exceptionally high standard of care is provided by this home and there were no requirements or recommendations for improvements to be made. Hunter`s Lodge DS0000001743.V254897.R01.S.doc Version 5.0 Page 7 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. Hunter`s Lodge DS0000001743.V254897.R01.S.doc Version 5.0 Page 8 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 Hunter`s Lodge DS0000001743.V254897.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,4 An exceptionally thorough system of assessment ensures that residents’ needs are consistently well met. EVIDENCE: The assessment records of two residents were examined in detail and elements of the assessment were later verified in discussion with one of the residents. All aspects of need are assessed including social and emotional needs. Assessments are very detailed and include such information as the newspaper a resident may like to read and their preferred social activities as well as every aspect of physical and mental health care. The Registered Managers describe the assessment process as ongoing and all staff that work with a resident contribute to the process. This also includes external professionals as well as the residents’ family members. Many residents have previously attended the home for day care allowing staff to establish a good knowledge of their needs before they come to live in the home permanently. Hunter`s Lodge DS0000001743.V254897.R01.S.doc Version 5.0 Page 10 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, Residents needs are comprehensively and accurately reflected in their care plans and their health care needs are exceptionally well met. EVIDENCE: The two care plans examined outline in detail all aspects of care both physical as well as social and emotional. They contain evidence of monthly review and resident &/or relative involvement. They include comprehensive risk assessments in relation to falls prevention and the home has taken an active part in the local Primary Care Trust’s scheme in this area. As a result of this assessment, 8 residents have been issued with hip protectors and all residents are receiving appropriate dietary supplements. A physiotherapist visits regularly and works with residents on mobility and exercise programmes which are subsequently continued by trained care staff. The Registered Managers state they are well supported by local health care professionals such as community psychiatric & district nurses and these practitioners also deliver periodic training in such areas as continence management. Discussion with the Registered Managers illustrated that they are very pro-active in their attitude to residents’ health needs including lobbying the local primary care trust if they see a gap in the service received. All residents receive regular NHS chiropody treatment and have access to dental, optical services and hearing aid services. All residents have a pressure area assessment that is regularly updated and equipment such as airflow mattress is accessed from the District Nurse. Hunter`s Lodge DS0000001743.V254897.R01.S.doc Version 5.0 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): 12,13,15 Residents enjoy a good lifestyle which matches their individual needs and preferences and includes a healthy and varied diet served in pleasant surroundings. EVIDENCE: Residents’ social preferences are clearly identified on their care plans. One resident confirmed that they visited the local pub with staff support on a regular basis. Formal outings take place usually during the summer and there are regular parties and social events organised throughout the year. Photographs of these are displayed throughout the home. Menus showed that a wide variety of food is served of a good nutritional standard. Residents for example can choose from a full breakfast menu each day including cooked items. If a resident does not like anything on the menu they will be offered an alternative of their own choosing. Many relatives regularly join residents for meals and there is a separate dining room which can be used for family celebrations if required. Several staff have completed training in nutrition. Relatives can visit residents at any time and are actively supported by the home, many continuing to visit even after their relative is no longer resident. Hunter`s Lodge DS0000001743.V254897.R01.S.doc Version 5.0 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): These standards will be inspected at the next inspection later in the year. EVIDENCE: Hunter`s Lodge DS0000001743.V254897.R01.S.doc Version 5.0 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): 19,26 Residents live in a safe, comfortable and well maintained environment in which exceptionally high standards of hygiene are practiced. EVIDENCE: There is a programme of routine maintenance and full time maintenance staff to ensure that any repairs are done as and when required. The lower corridor has been redecorated and re- carpeted and all areas of the home appeared comfortable well maintained and decorated. Grounds to the front of the home contained many planters with flowers and appeared attractive and welcoming. There is a high standard of hygiene practice with all staff having received comprehensive training in infection control. The home also takes part in the local Primary Care Trust’s infection control link group and has ongoing access to an infection control nurse. As a result of this involvement, paper hand towel dispensers have been fitted in all bedrooms and only disposable cloths are used in the cleaning of bedrooms. Gloves and protective aprons are routinely used and appropriate preventative measures are in place to in relation to MRSA. Hunter`s Lodge DS0000001743.V254897.R01.S.doc Version 5.0 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): 27,28,29,30 Stringent recruitment practices and high levels of training and support ensure that residents are very well supported by the staff team. EVIDENCE: There is a very active training programme within the home in which all staff fully participate. All staff who have supervisory responsibilities have undertaken supervisory management training. All staff have also received extensive training in dementia care and moving and handling (including instruction on how to use the new hoist). New staff undertake a structured induction programme before going on to National Vocational Qualifications. Currently two night staff and nine day staff have achieved at least level 2 in these awards. There are extra staff on duty during ‘peak’ periods of activity, for example there are 6 care staff on duty between 7am and 8am. In addition to care staff rotas show that there are kitchen, cleaning and maintenance staff on duty with the Registered Managers always being on call, living locally and able to get to the home within 5 minutes. All staff, whatever their role receive training in moving and handling, dementia care and other ‘core’ training which enables flexibility and ensures that the whole team has an understanding of residents’ needs. Recruitment records were examined; all staff have a valid Criminal Records Bureau check and two written references are obtained before staff are employed. Prospective staff complete a full application form and are interviewed by the Registered Managers. Hunter`s Lodge DS0000001743.V254897.R01.S.doc Version 5.0 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): 31,36,38 Good management ensures that the health, safety and welfare of residents and staff is actively promoted and protected. EVIDENCE: The home currently has three Registered Managers of which one, Heather Cowley now has minimal involvement with the home. Monica Gardner has completed her NVQ level 4 in Management and Care, together with her Registered Manager’s Award. Registered Manager, Allison Cowley, has a NEBSS Management Certificate and extensive experience in care and management. Staff receive regular individual, group and work based supervision, which is formally recorded. An appraisal system is also in place. Fire records were examined; the fire officer visited on 06.04.05 and assessed the home’s fire prevention arrangements as “excellent”. All tests and equipment maintainace is up to date. Testing of small electrical appliances took place on 13.07.05. Staff have received food health and hygiene, moving and handling and first aid training. The Control of Substances Hazardous to Health assessment is in place. Hunter`s Lodge DS0000001743.V254897.R01.S.doc Version 5.0 Page 16 Hunter`s Lodge DS0000001743.V254897.R01.S.doc Version 5.0 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 X X 4 4 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X X X X 4 X 4 Hunter`s Lodge DS0000001743.V254897.R01.S.doc Version 5.0 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. 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. Refer to Standard Good Practice Recommendations Hunter`s Lodge DS0000001743.V254897.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Hunter`s Lodge DS0000001743.V254897.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!