Inspection on 28/04/10 for Lakeside House

This inspection was carried out on 28th April 2010.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lakeside House 23/03/10

Lakeside House 28/01/10

Lakeside House 12/05/09

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Extracts from inspection reports are licensed from CQC, this page was updated on 29/06/2010.

Random inspection report Care homes for older people Name: Address: Lakeside House Lakeside Lakeside House Darlington County Durham DL1 5TH zero star poor service 02/02/2010 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. 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: Jean Pegg Date: 2 8 0 4 2 0 1 0 Information about the care home Name of care home: Address: Lakeside House Lakeside Lakeside House Darlington County Durham DL1 5TH 01325286000 01325361253 lakeside.darlington@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Manager Post Vacant Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross OPCO Ltd care home 67 Number of places (if applicable): Under 65 Over 65 0 67 0 dementia old age, not falling within any other category physical disability Conditions of registration: 67 0 12 the maximum number of users who can be accommodates is 67 The registered person may provide the following category of service only: Care Home with nursing - Code N to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP, maximum number of places, 67 Dementia - Code DE, maximum number of places, 67 Physical disability - Code PD, maximum number of places 12 Date of last inspection Care Homes for Older People 0 2 0 2 2 0 1 0 Page 2 of 13 Brief description of the care home Lakeside House is a purpose built care home which is able to provide both nursing and residential care to people with dementia. The home also has a unit for younger people with physical disabilities. All bedrooms have en-suite facilities and each unit has its own dining room and lounge areas. There is a private car park for visitors to use. Fees range from £490 - £503.70 for private clients and £428 for clients funded by the Local Authority. Care Homes for Older People Page 3 of 13 What we found: The reason for carrying out this inspection was to check progress made against six requirements issued at the key inspection on January 28 2010 and against the contents of the subsequent warning letter sent following that inspection. These requirements concerned involving service users or their relatives in care planning, keeping an accurate record of complaints made, notifying the Care Quality Commission of changes to the management arrangements for the home, providing copies of provider visit reports to the home manager, the monitoring of the quality of services provided and the appropriate supervision of staff. Two inspectors spent three hours at the home and the inspection involved looking at records and care plans and talking to staff. We found the following: We looked at a sample of four care plans. Two of the care plans had not been reviewed in accordance with the homes standard of three and six monthly reviews involving service users and relatives. We also found that one of the care plans did not have any evidence of the service user or their relative being involved in the development of that plan. We looked at the complaints register and saw that it was being monitored by both the manager and a representative from head office who visits each month to complete the regulation 26 provider visit report. We were also given a copy of the new complaints procedure. The manager confirmed that they had not received any formal complaints since our last visit. The manager confirmed that she was still progressing her application to register with the Care Quality Commission as registered manager for the home. We were shown copies of the regulation 26 provider visit reports that had been completed for February and March 2010. The manager told us that the visit had been completed for April but that she was still waiting for the report to be sent through. We noticed that there had been an improvement in the quality of recording within these reports. We asked for the manager to send the Care Quality Commission copies of these reports for the next six months. We were given copies of opinion surveys that had been sent to service users and their relatives. These surveys had been completed in April 2010. The comments made on these surveys were generally very positive. The manager said that she would respond to the comments made. We also looked at minutes of a resident and relatives meeting that was held 8 April 2010. These minutes showed that the home intends to involve relatives in the three and six monthly reviews and seek their views on meeting the needs of the service users they are related to. We checked that the incident report forms (known as regulation 37 reports) held in the home matched those that had been sent to the Care Quality Commission. They did. We looked at the frequency of supervision for care staff and nursing staff in the home. We were shown a staff supervision planner that showed when staff had received supervision commencing January 2010. In total three nursing staff and three care staff had not received any supervision sessions since before January 2010. The remaining staff Care Homes for Older People Page 4 of 13 had received at least one supervision session and some had received more. The staff we spoke to confirmed whether they they had received supervision or not. Those that had received supervision were able to tell us when this had taken place. Those who had not received any supervision were not able to tell us when a supervision session was planned for them. What the care home does well: What they could do better: 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 5 of 13 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 7 15 Service users and or their 31/03/2010 representatives must be consulted about how their health and welfare needs will be met by the home. The results of this consultation must be reflected in a written care plan. This will ensure that the service user or their representative is happy and in agreement with how their health and welfare needs will be met. 2 9 13 To record all medication 30/04/2010 received into the home, including the quantity of any medication carried forward from the previous month To ensure that a complete record of medication in the home is maintained. 3 9 13 Arrangements must be in 28/02/2010 place to ensure that medication is given as prescribed and a record must be made at the time that it is given. This will make sure that people receive their medications correctly and the Care Homes for Older People Page 6 of 13 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 treatment of their medical condition is not affected. 4 9 13 To make arrangements to 30/04/2010 ensure that medication administration records are accurately maintained; that the reasons for nonadministration of medication are recorded by the timely entry on the medication record; that the meaning of any such codes are clearly explained on each record; and that the person administering the medication completes the Medication Administration Record in respect of each individual service user at the time of administration. This is to ensure that people living in the home receive their medication correctly and the treatment of their medical condition is not affected. 5 9 13 Make arrangements to 30/04/2010 ensure that all care plans include detailed information and instructions for staff in respect of the administration and management of medicines, including the reasons to give medicines on an as and when basis and what constitutes needed for the named person To ensure that people living in the home get their medication as intended by Care Homes for Older People Page 7 of 13 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 the prescriber. 6 30 18 New staff must receive a 30/04/2010 structured induction programme when they commence employment with the home. This will ensure that staff know what is expected of them and enable further training needs to be identified without delay. 7 30 18 Regular staff training must 30/04/2010 be provided that equips people with the skills and knowledge that they need to meet the needs of the people they care for. This will ensure that staff skills and knowledge are kept up to date and service users are not put at risk through ignorance or poor practices. 8 30 18 Training in the administration 30/04/2010 of medication must be provided to all staff who are administering medication. This will ensure that staff giving medication know how to do it safely. 9 30 18 Infection Control training and 30/04/2010 techniques must be implemented and monitored for all staff. This will ensure that good infection control measures are in place and the risk of Care Homes for Older People Page 8 of 13 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 cross infection is reduced. 10 36 18 Regular staff supervision 31/03/2010 sessions must take place and records kept of the outcome. This will ensure that staff receive regular feedback on their performance and are given the opportunity to raise any concerns that they may have. Care Homes for Older People Page 9 of 13 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 1 7 15 Complete all planned service 21/05/2010 user reviews due by 21 May. This will ensure that reviews are up to date 2 7 15 Produce a written annual plan showing planned dates for all service user reviews. This will ensure that reviews are regularly planned for and do not get missed. 21/05/2010 3 7 15 Service users and or their 21/05/2010 representatives must be consulted about how their health and welfare needs will be met by the home. The results of this consultation must be reflected in a written care plan. This will ensure that the service user or their representative is happy and in agreement with how their health and welfare needs will be met. 4 33 26 Provide the Care Quality 31/10/2010 Page 10 of 13 Care Homes for Older People 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 Commission with a copy of the regulation 26 provider visit reports for a six month period This will provide the Care Quality Commission with monitoring information and tell us how the home is progressing. 5 36 18 All care and nursing staff must have received at least one formal supervision session by 21 may 2010 This will ensure that all care and nursing staff are appropriately supervised. 6 36 18 Produce a written plan 21/05/2010 showing planned and actual dates for staff supervision for 2010 This will ensure that there is a plan for staff supervision and staff should know when their next supervision is planned for. 7 36 18 Regular staff supervision 21/05/2010 sessions must take place and records kept of the outcome. This will ensure that staff receive regular feedback on their performance and are given the opportunity to raise any concerns that they may have. 21/05/2010 Care Homes for Older People Page 11 of 13 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 12 of 13 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 13 of 13 - 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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