Inspection on 21/04/05 for Lakeside Rest And Nursing Home

This inspection was carried out on 21st April 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.

Other inspections for this house

Lakeside Rest And Nursing Home 05/06/07

Lakeside Rest And Nursing Home 20/01/06

Lakeside Rest And Nursing Home 01/11/04

Lakeside Rest And Nursing Home 10/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE LAKESIDE REST AND NURSING HOME CHORLEY ROAD WORTHINGTON STANDISH, WIGAN WN1 2XN Lead Inspector Kath Smethurst Announced 21 April 2005 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. LAKESIDE REST AND NURSING HOME F56 F06 S5686 Lakeside V213702 210405 Stage4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Lakeside Rest and Nursing Home Address Chorley Road Worthington Standish Wigan WN1 2XN 01257 422931 01257 422723 Lakesidenh@AOL.com Millennium Care UK Ltd 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) Mary Ellen Morley CRH Care Home 50 Category(ies) of OP Old Age 50 registration, with number of places LAKESIDE REST AND NURSING HOME F56 F06 S5686 Lakeside V213702 210405 Stage4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Maximum number of service users 50 - these to include up to 50 OP of either sex. The service should at all times employ a suitably qualified and experienced Manager who is registered with the CSCI. Date of last inspection 1 November 2004 Brief Description of the Service: Lakeside provides nursing and personal care for 50 older people. It is located close to Worthington Lakes and Standish town centre, and is set in its own, extensive grounds.The home has three floors and there is a passenger lift to all levels. A variety of aids and adaptations around the building to allow residents to move about independently. Forty two bedrooms are single, thirty seven have an en-suite toilet.There are six communal bathrooms. Communal toilets are provided on each floor. LAKESIDE REST AND NURSING HOME F56 F06 S5686 Lakeside V213702 210405 Stage4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and started at 9.15 am. It took place over 7 and half hours during the morning and afternoon. The inspector looked around some, but not all of the home. Records were looked at and the meal served to residents at lunch was eaten by the inspector. The inspector spoke to ten residents, one visitor, four staff and the manager. As this inspection was announced resident comment cards were sent to the home before the inspection and the views of visitors were also asked for. Eight comment cards were returned and completed by residents and ten from relatives and visitors What the service does well: What has improved since the last inspection? What they could do better: Although risk assessments are very detailed the home needs to improve upon how often those relating to bedrails are reviewed. This must be addressed quickly to ensure that any potential risks to health and safety associated with bedrails is closely monitored. LAKESIDE REST AND NURSING HOME F56 F06 S5686 Lakeside V213702 210405 Stage4.doc Version 1.20 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. LAKESIDE REST AND NURSING HOME F56 F06 S5686 Lakeside V213702 210405 Stage4.doc Version 1.20 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 LAKESIDE REST AND NURSING HOME F56 F06 S5686 Lakeside V213702 210405 Stage4.doc Version 1.20 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. The admission procedure is good and systems are in place to ensure proper assessments are completed prior to people moving in. EVIDENCE: The admission procedure is satisfactory and individual assessments are kept for all residents. Inspection of the records for four of the most recent admissions showed a full assessment of care needs had been completed and where applicable social work assessments had been taken note of. One resident described how staff asked about her needs and preferences prior to and on admission. Staff spoken to were aware of the importance of undertaking pre-admission assessments in order important and significant information is recorded. LAKESIDE REST AND NURSING HOME F56 F06 S5686 Lakeside V213702 210405 Stage4.doc Version 1.20 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 A clear and consistent care planning system in place, which provides staff with the information they need to meet service users needs. EVIDENCE: Six care plans were inspected and all contained comprehensive information relating to resident’s personal, social and health care needs. The plans were easy to read, had been regularly reviewed and set out clear guidance for staff to take when providing care. There was written evidence that when a change in a residents care needs had been identified and action had been taken to address this. Daily entries in care notes were completed and gave details of care provided and resident’s well-being. Anecdotal evidence from service users and a visitor indicated they had been involved in the development of care plans. A resident spoken to gave an example of how she had been able to discuss with staff her needs when been assisted up in the morning and how her preferences were respected. Comprehensive risk assessments relating to moving and handling and the environment were in place. These had been reviewed and updated on a regular basis. Risk assessments relating to the use of bedrails while extensive had not been reviewed as regularly. Bedrails can be potentially hazardous for residents, therefore it is important their use is reviewed frequently to ensure they are appropriate, essential and safe. LAKESIDE REST AND NURSING HOME F56 F06 S5686 Lakeside V213702 210405 Stage4.doc Version 1.20 Page 10 LAKESIDE REST AND NURSING HOME F56 F06 S5686 Lakeside V213702 210405 Stage4.doc Version 1.20 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 standard(s) 12 and 15 Social activities and meals are good offering variety, choice and interest for people living in the home. EVIDENCE: The activities organiser has developed an excellent weekly programme. Activities available take place both inside and outside the home and on a regular basis. Photographic and written records reflect the extensive and varied range available. Residents support various charities by making craft items for sale and one resident said she enjoyed this as it “made her feel she was doing something useful”. A relative wrote the following in a returned comment card, “ The activities on offer provide physical and mental stimulation. Days out mum has been on have been very much enjoyed. Well done Lakeside”. Those residents who completed comment cards indicated they were all happy with the activities provided. One resident advised she did not want to join in the activities and was appreciative staff respected this and did not try to persuade her to do so. A number of residents living in the home were spoken to and everyone who commented said the food was good as did those residents who returned comment cards. One resident said, “The food is always this good it’s not just because of the inspection”. Mealtime arrangements are flexible enough to accommodate individual preferences. One resident described how she LAKESIDE REST AND NURSING HOME F56 F06 S5686 Lakeside V213702 210405 Stage4.doc Version 1.20 Page 12 preferred to eat alone in her room and this had been arranged without any difficulty. Menus were inspected and were found to be well balanced and varied. LAKESIDE REST AND NURSING HOME F56 F06 S5686 Lakeside V213702 210405 Stage4.doc Version 1.20 Page 13 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) 16 The home has a satisfactory complaints system with some evidence that residents feel their views are listened to and acted upon. EVIDENCE: The home has a detailed complaints procedure and system for recording complaints. No formal complaints have been received by the CSCI or manager at the home over the past year. Care records show that where a resident had been unhappy with an aspect of life in the home efforts had been made to resolve the issue to their satisfaction. Anecdotal evidence from residents indicated they felt able to approach staff with any concerns and these would be taken seriously. One resident said, “ I have never complained but if there was something I didn’t like I would tell the manager and she would deal with it”. None of the residents or relatives who returned comment cards to the CSCI had made a complaint but all indicated they were aware of how to do so if the need arose. LAKESIDE REST AND NURSING HOME F56 F06 S5686 Lakeside V213702 210405 Stage4.doc Version 1.20 Page 14 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, 20 and 26 The standard of the environment within this home is good providing, residents with an attractive, homely and clean place to live. EVIDENCE: Lakeside is well maintained internally and externally. The home was refurbished relatively recently nevertheless improvements to the fabric of the building continue. For example, when bedrooms become vacant they are redecorated. There are three lounges and large dining area. These areas are furnished with good quality items. Ornaments, pictures and flowers enhance the homeliness of these areas. Outdoor space is extensive and residents spoken to were very complimentary about the garden areas. The Home was clean throughout with no offensive odours. Previous inspection reports indicate high standards of hygiene have been consistently maintained. Residents and a visitor in discussions also highlighted the cleanliness of the LAKESIDE REST AND NURSING HOME F56 F06 S5686 Lakeside V213702 210405 Stage4.doc Version 1.20 Page 15 home. All laundry is undertaken on site and residents spoken to had no complaints about the standard of laundry service provided. LAKESIDE REST AND NURSING HOME F56 F06 S5686 Lakeside V213702 210405 Stage4.doc Version 1.20 Page 16 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) 27 and 29 Staffing levels are satisfactory ensuring consistency of care. Recruitment procedures for staff are robust, which ensures people living in the home are protected. EVIDENCE: On the day of inspection sufficient staff were on duty to meet residents care needs. Start and finish times for staff are staggered and overlap with the previous shift, so at peak periods during the day, additional staff are on duty. The rota provided written evidence that domestic staff provide support to nursing and care staff seven days a week. Therefore care staff do not have to engage in domestic tasks, which would take them away from the direct care and supervision of residents. Staff were observed to respond speedily to requests for assistance made by residents and also spent time socialising with them. Staff spoken to said staffing ratios were adequate, as did the relatives who returned comment cards to the CSCI. The staff files of four staff employed indicated that all necessary recruitment checks had been undertaken. All staff files examined contained: written application forms, 2 references, Criminal Records Bureau (CRB) check, verification of identification and nurses PIN number (if applicable). LAKESIDE REST AND NURSING HOME F56 F06 S5686 Lakeside V213702 210405 Stage4.doc Version 1.20 Page 17 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 and 38 The home is well managed and run efficiently providing a safe environment for people living there. EVIDENCE: The Manager is a Registered General Nurse (RGN) with 16 years experience in running care homes for older people. She is currently undertaking the NVQ level 4 registered managers award and is aware she complete the course in order to continue managing Lakeside. Staff spoken to all indicated that the manager provides clear leadership and direction. One said, “ her standards are high and we all know what she expects”. The standard of record keeping in the home is of a good, further demonstrating staff are knowledgeable about their roles and responsibilities. There is a clear line of accountability in the home which both residents and staff are aware of. Residents who commented were all aware of whom to approach if they had a concern. LAKESIDE REST AND NURSING HOME F56 F06 S5686 Lakeside V213702 210405 Stage4.doc Version 1.20 Page 18 Policies and procedures are in place and cover a range of topics linked to health and safety. There was written and some anecdotal evidence from staff to confirm health and safety issues are taken seriously. Fire safety records showed that that all fire tests and maintenance procedures had been undertaken regularly. Records also indicated that fire drills and instruction had taken place at frequent intervals. Documentary evidence was available of staff having completed health and safety training including safe moving and handling techniques. Staff spoken to also confirmed this. Records examined showed evidence of regular inspections and maintenance checks of equipment and the building undertaken by external contractors, so ensuring the safety of both residents and staff. LAKESIDE REST AND NURSING HOME F56 F06 S5686 Lakeside V213702 210405 Stage4.doc Version 1.20 Page 19 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 2 x x x x x x 3 LAKESIDE REST AND NURSING HOME F56 F06 S5686 Lakeside V213702 210405 Stage4.doc Version 1.20 Page 20 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. 2. Standard 7 31 Regulation 13 9 Requirement Risk assessments relating to bedrails must be reviewed on a regular basis. The registered manager must complete the NVQ level 4 registered managers award. Timescale for action 31 May 2005 31 May 2006 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 Good Practice Recommendations There are no recommendations following this inspection. LAKESIDE REST AND NURSING HOME F56 F06 S5686 Lakeside V213702 210405 Stage4.doc Version 1.20 Page 21 Commission for Social Care Inspection Turton Suite, Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 LAKESIDE REST AND NURSING HOME F56 F06 S5686 Lakeside V213702 210405 Stage4.doc Version 1.20 Page 22 - 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. 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