CARE HOMES FOR OLDER PEOPLE
Huntleigh Lodge Care Home Taylors Avenue Cleethorpes North East Lincs DN35 0LE Lead Inspector
George Skinn Unannounced Inspection 7th February 2006 09:30 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.V262158.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. Huntleigh Lodge Care Home DS0000002813.V262158.R01.S.doc Version 5.1 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 HICA 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.V262158.R01.S.doc Version 5.1 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) 28th June 2005 Date of last inspection Brief Description of the Service: Huntleigh Lodge is situated in the town of Cleethorpes and is a registered home providing residential care for up to fifty-six residents who have varying degrees of memory impairment and dementia. The building covers two floors accessed by stairs and a passenger lift. There are fifty single bedrooms, twenty-three of which have en-suite facilities. The home also has three shared rooms on the first floor, two of which were en-suite. Two of the shared rooms do not meet national minimum standards in relation to size, and the company are investigating their future use. The home has six bathrooms with fixed bath hoists and a further bathroom with a parker bath insitu. There are sufficient single toilets strategically placed close to communal areas for ease of access. Huntleigh Lodge has four lounge areas, one of which is designated for smokers. It also provides a dedicated reminiscence room of the 1940s era. The two dining rooms are spacious and set out with individual tables. The courtyard garden provides a safe environment accessible to all service users. In addition the home has a secure lawned area with garden furniture, a gazebo and fruit trees. Accommodation offered is of a high standard in terms of décor, cleanliness, facilities and furnishings. There is ample car parking facilities for visitors. Huntleigh Lodge Care Home DS0000002813.V262158.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection undertaken over 2 hours. Service users were spoken with, the building was inspected and some paperwork was looked at. All those minimum standards looked at were met. What the service does well: What has improved since the last inspection?
Huntleigh Lodge Care Home DS0000002813.V262158.R01.S.doc Version 5.1 Page 6 Some of the service users rooms have been redecorated. 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. Huntleigh Lodge Care Home DS0000002813.V262158.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 Huntleigh Lodge Care Home DS0000002813.V262158.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): EVIDENCE: Huntleigh Lodge Care Home DS0000002813.V262158.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): 8, 10 Residents’ care records ensure personal care and health needs are well met by the staff group, and residents feel they are treated with respect. EVIDENCE: Each resident has a plan of care, which has been devised from the assessments; the resident or next of kin is involved in the formulation of these and subsequent reviews. Residents had signed their care plans as an indication of their involvement, A from is used which asks the resident where appropriate, or their relative to acknowledge that they are aware and agree with the contents of the care plan. Care plans set out in detail the action to be taken by staff; these are linked to individual risk assessments. Each care plan is reviewed on a daily, weekly and monthly basis. Risk assessments relating to falling, moving and handling are available. Residents’ health care needs are met and staff ensure they have access to health care services to meet their assessed needs. Equipment is available for the prevention of pressure sores. Huntleigh Lodge Care Home DS0000002813.V262158.R01.S.doc Version 5.1 Page 10 The maintenance of residents’ privacy and dignity forms part of the staff induction programme. Residents spoken with confirmed that privacy and dignity is respected whilst personal tasks are being undertaken, assistance is always available but where possible independence is enabled. Medical examinations/ treatment is conducted in the privacy of the residents’ own room. The preferred form of address is recorded on all case files. Residents are informed in the statement of purpose about their rights to have a private phone fitted in their bedroom. Residents can use the homes payphone to make and receive calls. Huntleigh Lodge Care Home DS0000002813.V262158.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 The resident expectations are satisfied and their cultural and religious needs are met, residents’ choice is maintained. EVIDENCE: Staff provide a variety of choice and flexibility in the daily lives of the residents, with care being given to ensure that it reflects the wishes of the resident. Care plans indicated how even small preferences were to be accommodated like the preference for putting slippers on before the residents feet touch the ground. Leisure and social activities are arranged both in house and within the local community. Notices of forthcoming social events are displayed around the home. Residents interests are recorded in their individual care plans. Through discussion with residents it was evident they choose when to get up, go to bed, spend time in company, time alone etc. Huntleigh Lodge Care Home DS0000002813.V262158.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): EVIDENCE: Huntleigh Lodge Care Home DS0000002813.V262158.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 Residents live in a home which well maintained and repairs are made as required. EVIDENCE: The home was purpose built and is accessible, safe and well maintained. The maintenance of the building is audited by the home manager as well as the company bank to ensure environmental standards do not deteriorate. Redecoration is ongoing and subject to individual choice. Small garden areas are available and used by residents. The building complies with the requirements of the local fire and environmental health department. CCTV cameras are not used. The premises were clean and hygienic with systems in place to reduce the risk of odours. It is the organisation policy that where minor odours are identified as a problem that cannot be rectified by cleaning then new carpets are
Huntleigh Lodge Care Home DS0000002813.V262158.R01.S.doc Version 5.1 Page 14 purchased. The location of laundry facilities is suitable and ensures that dirty laundry is not carried through food storage, preparation or dinning areas. Policies and procedures for the control of infection are in place along with the provision of protective clothing. The homes laundry is fitted with industrial washers and driers. There is separate hand washing facilities in the laundry room. The covering on the laundry room floor is impermeable and easily cleaned. Huntleigh Lodge Care Home DS0000002813.V262158.R01.S.doc Version 5.1 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 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): The number and skill mix of the staff meet the needs of the residents. EVIDENCE: The National Care Standards Commission have been advised that recommended guidance should only be applied to new registrations. For homes registered prior to April 1st 2002 staffing levels must at least meet the minimum requirements of the previous regulatory authority. At the time of this inspection staffing numbers were found to meet those previous requirements. The home retains a copy of duty rosters. All staff employed by the home to care for residents are aged over 18 years and those staff left in charge are at least 21 years old. Dedicated domestic staff are employed in sufficient numbers to ensure the home is maintained in a clean and hygienic state. The staff are well equipped to undertake their duties as the company provide a comprehensive training diary. Mandatory training is provided and routinely updated as required. The process of planned supervision and development interviews identifies any areas of specialist training which the staff feel they need and this is provided as far as possible.
Huntleigh Lodge Care Home DS0000002813.V262158.R01.S.doc Version 5.1 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 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 & 35 The residents live in a home which is well managed and run in their best interest. EVIDENCE: The home has a quality assurance system in place, which seeks the views of all stakeholders; residents confirmed that they are regularly consulted via questionnaires. The quality audit tool focuses monthly on areas such as the environment, complaints, individual care etc. In addition to this the home manager undertakes her own monthly monitoring. The company produces an annual development plan which looks at the organisation as a whole as well as each individual home. Residents who are able to manage their own finances are encouraged to do so; this was confirmed during the inspector’s discussions with them. For those who are not as able then finances are managed in varying degrees dependant on
Huntleigh Lodge Care Home DS0000002813.V262158.R01.S.doc Version 5.1 Page 17 individual abilities and wishes. This has resulted in a number of residents taking care of their own finances. Huntleigh Lodge Care Home DS0000002813.V262158.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 3 x x x x x x x STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x x Huntleigh Lodge Care Home DS0000002813.V262158.R01.S.doc Version 5.1 Page 19 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. 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 Huntleigh Lodge Care Home DS0000002813.V262158.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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