Inspection on 14/06/07 for Huntleigh Lodge Care Home

This inspection was carried out on 14th June 2007.

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.

Other inspections for this house

Huntleigh Lodge Care Home 07/02/06

Huntleigh Lodge Care Home 28/06/05

Huntleigh Lodge Care Home 29/10/04

Huntleigh Lodge Care Home 11/06/04

Huntleigh Lodge Care Home 20/01/04

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Snydale Care Home

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Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Huntleigh Lodge Care Home Taylors Avenue Cleethorpes North East Lincs DN35 0LE Lead Inspector Rob Padwick Unannounced Inspection 14th June 2007 12:45 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 Huntleigh Lodge Care Home DS0000002813.V308596.R02.S.doc Version 5.2 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. Huntleigh Lodge Care Home DS0000002813.V308596.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Huntleigh Lodge Care Home Address Taylors Avenue Cleethorpes North East Lincs DN35 0LE 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) 01472 692986 manager.huntleighlodge@hica-uk.com Humberside Independent Care Association Limited Mrs Susan Joan Fearn Care Home 56 Category(ies) of Dementia (2), Dementia - over 65 years of age registration, with number (56), Old age, not falling within any other of places category (56) Huntleigh Lodge Care Home DS0000002813.V308596.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One further bed for a service user between the ages of 55 years and 65 years with a category of DE (Dementia) 7th February 2006 Date of last inspection Brief Description of the Service: Huntleigh Lodge is a registered care home providing residential care for up to fifty-six residents who have varying degrees of memory impairment and dementia. The home consists of a large purpose built two storey building, with access to the top floor via a passenger lift. The majority of bedrooms are for single accommodation. Huntleigh Lodge has four lounge areas and a dedicated reminiscence room decorated in the style of 1940s era. The two dining rooms are spacious and set out with individual tables. The courtyard garden provides a safe environment that is accessible to all service users. Accommodation offered is of a high standard in terms of décor, cleanliness, facilities and furnishings. There is ample car parking. The home is situated on a bus route and access to the amenities in the town are within ten minutes walking distance. Huntleigh Lodge is owned by Humberside Independent Care Association, which is a not for profit organisation. The standard fees charged by the home range from £420 to £460 with additional charges made for hairdressing, chiropody, toiletries etc. Huntleigh Lodge provides information to residents about its facilities in its Statement of Purpose and Service User Guide. Huntleigh Lodge Care Home DS0000002813.V308596.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A Pre Inspection Questionnaire asking for information about the home was sent to the manager before this visit and information from this was included as part of the inspection process. Other information used included reports from monthly visits carried out by a senior manager from the parent company and notifications received by the Commission for Social Care Inspection about serious incidents that had taken place in the home. Questionnaires were sent out to relatives and professional staff who know the service well and all of those that were returned expressed high levels of satisfaction with the home. The inspection site visit for this service lasted for 7 hours and during this period, time was spent talking with people living in the home and observing their daily lives. Other time was spent looking at their care plans and other records and talking to staff. The inspection visit also included a tour of the building. What the service does well: What has improved since the last inspection? What they could do better: Creams and ointments administered to people living in the home must be recorded accurately, in order to ensure that their health needs are appropriately met. Huntleigh Lodge Care Home DS0000002813.V308596.R02.S.doc Version 5.2 Page 6 Support plans for people living in the home should be reviewed and updated on a monthly basis, to ensure that they are kept up to date and reflect any changes in their needs. Staff should receive regular supervision and more training, to ensure they are equipped with the skills and support required to meet the needs of people living in the home. 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. The summary of this inspection report can be made available in other formats on request. Huntleigh Lodge Care Home DS0000002813.V308596.R02.S.doc Version 5.2 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 Huntleigh Lodge Care Home DS0000002813.V308596.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 People who use this service experience good outcomes in this area. People living in the home had been provided with information about it to help them make a decision about moving into the home. Their needs have been assessed in order to ensure that the service was able to meet them appropriately. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The case files of the three people most recently admitted to the service all contained evidence that their needs had been assessed before they had moved in to the home, in order to ensure that it was able to meet these satisfactorily. People living in the home and relatives who were visiting confirmed that they had been provided with information about the home, in order to help them make a decision about it. Huntleigh Lodge Care Home DS0000002813.V308596.R02.S.doc Version 5.2 Page 9 The manager confirmed that the service does not admit people for intermediate care. Huntleigh Lodge Care Home DS0000002813.V308596.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): People who use this service experience good outcomes in this area. People living in the home were being supported by staff who had received training to do their jobs. However, more regular recording and monitoring of health and personal care issues was needed to ensure these are appropriately met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All of the three case files inspected contained support plans which covered a range of health and personal care issues, that had been developed from the individual’s assessment of need. The support plans provided clear information on how aspects of these needs should be delivered by staff, together with a generally good standard of daily recording confirming staff actions and the monitoring of the individual’s concerned. Issues relating to the management of known risks to people living in the home were included within the case files inspected, together with information to staff on what to look out for and do in these respects. Evidence was seen that wherever possible people living in the home had contributed to the development of their support plans and discussion with them and their relatives confirmed that they were involved in and Huntleigh Lodge Care Home DS0000002813.V308596.R02.S.doc Version 5.2 Page 11 participated in reviews of their care. Staff were observed to be respectful of the wishes of people living in the home and the interactions between these two groups were friendly and positive throughout this inspection visit. In order to ensure that the support provided by staff continued to reflect the needs of people living in the home, the home’s senior staff members were reviewing the support plans on a monthly basis. However, two of the three case files inspected highlighted some gaps in the frequency of these reviews and a recommendation is therefore made about this. Policies and procedures were available to ensure that people living in the home were protected in relation to their medication. Only senior members of staff are responsible for this aspect of practice and information provided by the manager indicated that they had received training in relation to this. Staff demonstrated knowledge on these matters. Records of tablets given to people living in the home were being appropriately maintained. A recent complaint however, had highlighted a failure for creams and ointments prescribed to people living in the home to be recorded properly. Despite recent action being taken by the provider to rectify this matter, inspection of the home’s records in respect of these indicated that they were still not being accurately maintained. A requirement is therefore made about this. Huntleigh Lodge Care Home DS0000002813.V308596.R02.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use this service experience good outcomes in this area. Support was being provided to enable people living in the home make choices and decisions, in order that their lifestyle needs and wishes could be appropriately met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Observation throughout the inspection visit confirmed that staff were engaging with people living in the home and discussion with them confirmed that individual’s were supported to make decisions about their lives. People living in the home stated that they were consulted about aspects of life in the home and that they could contribute to making suggestions about it. People confirmed that they were able to make choices about what time to get up and go to bed and staff were observed discussing weekend arrangements to enable a recently admitted individual get into town. Another individual confirmed that he liked to help out in the home’s garden. The home has two part time activities organisers who arrange regular social events such as visits from entertainers and tea dances and the home has a reminiscence room decorated Huntleigh Lodge Care Home DS0000002813.V308596.R02.S.doc Version 5.2 Page 13 in the style of the 1940’s that is used for parties and therapeutic work. Visits from a multi denominational church singing group take place on a monthly basis and discussion with the home’s manager confirmed that people living in the home would be supported to attend religious services in the community if this was wanted. Relatives were observed coming and going and discussion with them confirmed that they were welcomed to visit and be involved in the life of the home. People living in the home confirmed that the food was of a good quality and inspection of their case files confirmed that aspects relating to their nutritional needs were being monitored and evaluated where appropriate. Huntleigh Lodge Care Home DS0000002813.V308596.R02.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use this service experience good outcomes in this area. The concerns of people living in the home were being taken seriously and they were being safeguarded from abuse by staff that had received training in the protection of vulnerable adults. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had policies and procedures to ensure that the concerns of people living in the home were taken seriously and that they were protected from abuse. The provider organisation includes training on the protection of vulnerable adults as part of its induction process for new staff and those staff members spoken to demonstrated appropriate knowledge concerning this aspect of practice. Discussion with people living in the home and their relatives indicated that they were happy with the service and that they knew how to make a complaint, if this was needed. The home had received seven complaints since the last inspection and inspection of the log of these confirmed that action had been taken to resolve these matters. The local authority had investigated a recent complaint about the service and an action plan had subsequently been developed by the provider organisation, in order to remedy aspects relating to aspects of this that had been substantiated. Inspection of the medical records kept in the home however, indicated that this still needed to be fully actioned by staff (See Health and Personal Care). Huntleigh Lodge Care Home DS0000002813.V308596.R02.S.doc Version 5.2 Page 15 Huntleigh Lodge Care Home DS0000002813.V308596.R02.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use this service experience good outcomes in this area. The home was comfortable, clean and was being appropriately maintained to ensure that people living there had an environment that met their needs safely. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The building was comfortable and clean and being maintained to ensure that people living in the home were kept safe. Decoration was of a good standard and inspection of the service’s maintenance records confirmed that appropriate action was being taken to remedy any issues that required attention. Huntleigh Lodge was purpose built and wide corridors ensure good access for people experiencing difficulties with their mobility. Observation indicated that wheel chairs were stored out of the way when not in use, in order to lessen the Huntleigh Lodge Care Home DS0000002813.V308596.R02.S.doc Version 5.2 Page 17 risk of falls. Following the discovery that hot water in one of the home’s bathrooms was above the recommended level, prompt action was taken by the home’s acting manager to put it temporarily out of use, whilst the provider organisation’s maintenance department made repairs to the boiler system. Bedrooms inspected were individually decorated and equipped with items of furniture and other belongings that reflected the individual tastes of people living in the home. The home’s laundry area was neat and tidy and the domestic staff were observed to be diligent in carrying out their work. Huntleigh Lodge Care Home DS0000002813.V308596.R02.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use this service experience good outcomes in this area. The home’s recruitment process was safeguarding the people living in the home, but further NVQ training would ensure that staff are better equipped to meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with people living in the home indicated that their needs were being appropriately met. Staff displayed confidence in their skills and abilities and were observed to be working well as a team and friendly and approachable in their interactions throughout this inspection visit. The provider organisation has developed a training and induction programme for staff and inspection of the records for these confirmed that staff members had received training on a variety of topics relating to their work. Information provided by the manager indicated that a significant number of staff had left since the last inspection and that 28 of the current staff team had achieved an NVQ in care at level 2 or above. A recommendation is made that the NVQ programme is delivered to further staff to ensure that they equipped with the skills needed to do their jobs. Huntleigh Lodge Care Home DS0000002813.V308596.R02.S.doc Version 5.2 Page 19 The service had a recruitment policy and procedure to ensure that staff who are employed are safe to work with the people living in the home. Inspection of the files of four of the most recently employed staff indicated that this was being appropriately followed, with evidence of staff identity, Criminal Records Bureau and Protection of Vulnerable Adults (POVA First) checks being carried out and references obtained. Other records contained within the staff files provided further evidence of training undertaken, however the supervision records highlighted some gaps, which indicated this was not always occurring on a regular basis. A recommendation is made about this. Huntleigh Lodge Care Home DS0000002813.V308596.R02.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 39 People who use this service experience good outcomes in this area. The home is well managed and good administrative procedures ensure that the health, welfare and safety of people living in the home are safeguarded. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Comments received from people living in the home and staff indicated confidence in the home’s management team. Following a period of running a service elsewhere for the provider organisation, the home’s manager was due to return to working permanently in the home the day following this inspection. People living in the home and their relatives stated that they felt the home was Huntleigh Lodge Care Home DS0000002813.V308596.R02.S.doc Version 5.2 Page 21 being well run and confirmed they were consulted about matters affecting them. The provider organisation has developed strong quality assurance systems for checking the service meets its aims and objectives and inspection of these confirmed that regular meetings were being held to ensure good communication. A recent meeting held with people living in the home had focussed on ways of improving the quality of food, whilst a questionnaire recently circulated to people living in the home and their relatives, requested their views about the service and ways that it could improve. Inspection of the records of finances held on behalf of people living in the home indicated that they were being accurately kept and a random inspection of the home’s maintenance records, confirmed that regular checks and monitoring of various aspects of health and safety were being carried out to ensure the welfare of people living in the home. Huntleigh Lodge Care Home DS0000002813.V308596.R02.S.doc Version 5.2 Page 22 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Huntleigh Lodge Care Home DS0000002813.V308596.R02.S.doc Version 5.2 Page 23 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 OP9OP9 Regulation 13 (2) Requirement The registered person must ensure that creams and ointments administered to people living in the home are recorded accurately, in order to ensure that their health needs are appropriately met. Timescale for action 14/06/07 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 OP7OP7 Good Practice Recommendations The registered person should ensure that service user’s support plans are reviewed and updated on a monthly basis, to ensure that they are up to date and reflect any changes in their assessed needs. The registered person should ensure that 50 of the staff have obtained an NVQ level 2 qualification. The registered person should ensure that staff receive regular supervision in order to provide them with support and assist them in meeting the needs of people living in the home. 2 3 OP28OP28 OP30OP30 Huntleigh Lodge Care Home DS0000002813.V308596.R02.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. 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