Inspection on 13/11/06 for Layton Lodge Rest Home

This inspection was carried out on 13th November 2006.

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

Layton Lodge Rest Home 06/11/07

Layton Lodge Rest Home 06/09/05

Layton Lodge Rest Home 03/05/05

Layton Lodge Rest Home 08/11/04

Layton Lodge Rest Home 17/05/04

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 Layton Lodge Rest Home 1 Bispham Road Layton Blackpool Lancashire FY3 7HQ Lead Inspector Mr Wesley Cornwell Unannounced Inspection 13th November 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 Layton Lodge Rest Home DS0000009762.V312216.R01.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. Layton Lodge Rest Home DS0000009762.V312216.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Layton Lodge Rest Home Address 1 Bispham Road Layton Blackpool Lancashire FY3 7HQ 01253 393821 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) Mr Robert Allan Haworth Mrs Elaine Bernadette Haworth Hilda Blofeld Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Layton Lodge Rest Home DS0000009762.V312216.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th September 2005 Brief Description of the Service: Layton Lodge is situated close to Layton shopping centre and all its amenities. The home accommodates 18 residents. The accommodation consists of 16 single rooms and one twin bedded room and all but two have en-suite facilities. The communal areas provide lounge and dining space in two separate rooms. Assisted bathing facilities are provided on both floors. A passenger lift has been installed to allow access to all floors. The home has a Statement of Purpose and Service User Guide providing information about the care provided, the qualifications and experience of the owners and staff and the services residents can expect if they choose to live at the home. A copy of the Service User Guide and most recent inspection report is issued to all prospective residents and their relatives/representatives to help them make an informed choice whether to move into the home. The range of fees at the home are £285.04 to £329.91 covering all aspects of care, food and accommodation. The manager provided this information on the 11th September 2006. Layton Lodge Rest Home DS0000009762.V312216.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit was undertaken as part of the homes Key Inspection. The site visit commenced at 9.30am and took place over 4 hours. The Inspector spoke to one staff member, five residents and the manager of the home. Comment cards were completed by sixteen residents and their relatives prior to the site visit providing their views about the home. Staff, care, maintenance and financial records were also examined. A full tour of the premises was undertaken with the manager. What the service does well: This is a care home where residents are well looked after. The staff team work well together and show a good understanding of the needs of the people living at the home. Those residents spoken to said they liked living at the home and felt they were being well cared for by the staff. One resident said, “ I have lived here for a number of years and I am very happy with my care. The home has a relaxed atmosphere and the manager and staff are very easy going”. The relative of one resident said, “ I cannot recommend the staff highly enough. They are friendly, helpful, kind and polite. In my opinion they are very suited in their roles as care givers”. Staffing levels were sufficient for the number of residents living at the home. Staff members seen said they were happy with their workload and were well supported by the manger. Observation of care plans confirmed equality and diversity is promoted. This was being achieved by staff members supporting residents to maintain their individuality. Discussion with one resident confirmed the support being provided by the home enabled them to pursue hobbies and interests outside of the home and maintain an independent lifestyle. Meals are varied with an alternative available if required. Residents were pleased with the choice and variety available. Layton Lodge Rest Home DS0000009762.V312216.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Layton Lodge Rest Home DS0000009762.V312216.R01.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 Layton Lodge Rest Home DS0000009762.V312216.R01.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission and assessment procedures were clear to ensure the care needs of residents are met. EVIDENCE: The care plan records of three residents recently admitted to the home had full assessment information including the religious/cultural and relationship needs of residents. Staff members confirmed they had access to this information and could describe in detail the care needs of the residents. Staff responsible for the preparation of meals said they were informed about residents who had special dietary needs and these are always accommodated. The residents confirmed they had been involved in their assessment and were happy that their needs were being met by the home. This home does not provide intermediate care. Layton Lodge Rest Home DS0000009762.V312216.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously. Resident’s welfare is closely monitored and health needs were met. Residents feel respected by the staff team and their right to privacy is upheld. EVIDENCE: Individual records are kept for each resident with a plan of care setting out in detail the action that needed to be taken by staff to ensure all aspects of health, personal and social care needs of the residents were met. Significant events had been recorded and daily entries made setting out the care given. Three residents recently admitted to the home confirmed they had been involved in the preparation of their care plan and were fully aware entries are recorded on the care plan by staff when they complete their care tasks. Layton Lodge Rest Home DS0000009762.V312216.R01.S.doc Version 5.2 Page 10 The records of three residents were looked at and these clearly described their healthcare needs. Discussion with staff members confirmed they were fully aware of the healthcare needs of residents and these are monitored and kept under review. Entries made on care plans showed good communication between the home and healthcare professionals. The records of one resident confirmed a healthcare problem had been identified and appropriate action had been taken by the home. The resident said they were very grateful for the prompt action taken by the home and they were now feeling much better. Residents spoken to said they liked living at the home and were well treated by staff members. One resident said, “ I have lived here for a number of years and I am very happy with my care”. The relative of one resident said they were very satisfied with the care being provided by the home and found the staff to be very hard working, conscientious and respectful. The relative said, “ My sister is very happy living at the home. I have an easy mind knowing she is being well cared for”. Three residents said the staff team respected their privacy and they could spend time on their own if that was their wish. Residents spoken to said the staff at the home were polite, kind, caring and supportive and had the skills and competence required to meet their needs. Medication practices observed were safe and good records had been maintained. Layton Lodge Rest Home DS0000009762.V312216.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes procedures enable residents to exercise choice and control over their lives. Visiting arrangements at the home are informal and family and friends of residents are encouraged to maintain contact. Social activities and meals are both well managed, creative and provide daily variation and interest for people living in the home. EVIDENCE: Residents spoken to said routines within the home were flexible and they were able to make their own decisions about how to live their lives. One resident said, “ I have lived here for a number of years and couldn’t be happier. The staff are polite, friendly, very respectful and allow me to make my own decisions. I have my own routine and come and go as I please”. Residents spoken to said they were happy with arrangements in place for receiving their visitors. The relatives of eight residents said they were always Layton Lodge Rest Home DS0000009762.V312216.R01.S.doc Version 5.2 Page 12 made welcome by the staff when they visited the home and found the staff friendly and approachable. The home provides a varied and balanced diet for residents. The staff member responsible for the preparation of meals was able to confirm they had information about residents with special diets and personal preferences. Residents spoken to were happy with the choice of meals available. The relatives of four residents said they were happy with the food being provided by the home. Meal times were served in a relaxed and unhurried manner. Staff members were observed being very attentive to residents needs. Social activities are not structured but residents were satisfied that their leisure interests were being met. Layton Lodge Rest Home DS0000009762.V312216.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. Procedures for dealing with and reporting abuse were satisfactory ensuring people are adequately protected. EVIDENCE: The home has a detailed complaints procedure, which is made available to all residents on admission to the home. Residents spoken to were aware of how to make a complaint and felt these would be listened to and acted upon. The relatives of eight residents said they were aware of the complaints procedure but hadn’t had any cause to make a complaint about the home. At the time of this site visit three complaints had been recorded by the home. The Inspector was satisfied the complaints had been taken seriously and had been dealt with appropriately. The home has a procedure in place for dealing with allegations of abuse. The manager and staff spoken to had a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. Layton Lodge Rest Home DS0000009762.V312216.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a planned maintenance and renewal programme for the redecoration and refurbishment of the home to ensure residents live in a comfortable, homely, clean and safe environment. EVIDENCE: There has been some progress in upgrading the environmental standards in the home since the last inspection with the lounge, dining room and ground floor bedrooms having recently been painted. A new patio door had also been fitted in the dining room. However, carpets and furnishings in communal areas are old and worn due to day-to-day wear and tear. Resident bedrooms would all benefit from redecoration and refurbishment to ensure residents live in bright and cheerful accommodation. The manager said the redecoration and Layton Lodge Rest Home DS0000009762.V312216.R01.S.doc Version 5.2 Page 15 refurbishment of the home was ongoing and there were plans for further improvements. A tour of the building confirmed resident bedrooms had been personalised with their own belongings. One resident recently admitted to the home said they were very happy with their room and could spend as much time there as wanted without being disturbed by the staff. Hot water temperatures throughout the home were checked and found to deliver water at a safe temperature in line with health and safety guidelines. It was observed during the visit the home was clean and hygienic providing a pleasant environment in which to live. Layton Lodge Rest Home DS0000009762.V312216.R01.S.doc Version 5.2 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 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The deployment of staff throughout the day is sufficient to meet the needs of residents. Staff are trained and competent to do their jobs. The homes recruitment procedures are not robust and these potentially place residents at risk. EVIDENCE: Staffing levels were sufficient for the number of residents living at the home. Residents said they were happy with the care they receive and were well treated by the staff. The relatives of eight residents said in their opinion there was always sufficient staff members on duty. The relative of one resident said, “ The residents are very well looked after and always clean and tidy. The staff are always around when you need them and nothing seems to be too much trouble for them. I am very satisfied with the care being provided and have no complaints”. Staff spoken to said they were clear about their role and work well as a team to ensure the individual and collective needs of residents are met. Records show four staff members have achieved National Vocational Qualifications (NVQ). Discussion with staff and examination of records Layton Lodge Rest Home DS0000009762.V312216.R01.S.doc Version 5.2 Page 17 confirmed training had been provided for staff members to ensure they had a clear understanding of the specific care needs of residents accommodated at the home. One area of concern identified was the homes recruitment procedures. Examination of staff records showed one staff member who left the home was re-employed after a four month break and had been recruited without appropriate checks including a Criminal Record Bureau (CRB) clearance being obtained. The manager said she wasn’t aware this was against protocol and would review the homes procedures to ensure they are robust. Layton Lodge Rest Home DS0000009762.V312216.R01.S.doc Version 5.2 Page 18 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 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of residents. The homes financial records are well maintained ensuring residents financial interests are safeguarded. The home has policies and procedures in place to ensure the health and safety of residents and staff are promoted and protected. EVIDENCE: The manager has many years experience in caring for elderly people. However, she was reminded of her responsibility to obtain a nationally recognised qualification in management and care. Layton Lodge Rest Home DS0000009762.V312216.R01.S.doc Version 5.2 Page 19 Residents and their relatives were very positive in their comments about the manager who was described as being friendly, approachable, very helpful and professional. Quality assurance systems are in place to gather the views of residents and keep them informed about events being organised by the home. One resident said, “ I look forward to the meetings organised by the manager as we are informed about activities being planned and consulted about any menu changes we would like”. Inspection of records for residents finances were well maintained and up to date ensuring residents interests are safeguarded. Inspection of maintenance records confirmed facilities and equipment was being maintained as required by health and safety legislation to provide a safe environment for residents and staff. The manager was reminded of her responsibility to inform the Commission in writing of all notifiable incidents as required by regulation 37. Since the last inspection five residents had died and there had also been occasions when residents had required hospital attention following a fall at the home. Layton Lodge Rest Home DS0000009762.V312216.R01.S.doc Version 5.2 Page 20 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 3 X 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Layton Lodge Rest Home DS0000009762.V312216.R01.S.doc Version 5.2 Page 21 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 OP29 Regulation 19 Requirement Timescale for action 13/11/06 2 OP38 37 The home must ensure all information and documentation required by regulation in respect of any person managing or working at a care home has been obtained prior to appointment. The registered manager must 13/11/06 ensure the Commission is informed in writing of all notifiable incidents that occur within the home. 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. 2. 3. Refer to Standard OP28 OP31 OP19 Good Practice Recommendations 50 of care staff should achieve level 2 NVQ qualifications. The registered manager should achieve an NVQ level 4 qualification in management and care. The registered person should continue with a programme for the routine maintenance of the fabric and decoration of DS0000009762.V312216.R01.S.doc Version 5.2 Page 22 Layton Lodge Rest Home the home. Layton Lodge Rest Home DS0000009762.V312216.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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. Extracts may not be used or reproduced without the express permission of CSCI Layton Lodge Rest Home DS0000009762.V312216.R01.S.doc Version 5.2 Page 24 - 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!