This inspection was carried out on 3rd May 2005.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.
CARE HOMES FOR OLDER PEOPLE
Layton Lodge Care 1 Bispham Road Layton Blackpool FY3 7HQ Lead Inspector
Kevan Royston Announced 3 May 10:00 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. Layton Lodge Care F57 F09 S9762 Layton Lodge V210806 030505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service Layton Lodge Care Home Address 1 Bispham Road Layton Blackpool FY3 7HQ 01253 393821 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) Mr robert Allan Howarth Mrs Elaine Bernadette Howarth Hilda Blofeld CRH Care Home 18 Category(ies) of OP Old Age 18 registration, with number of places Layton Lodge Care F57 F09 S9762 Layton Lodge V210806 030505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 8 November 2004 Brief Description of the Service: Layton Lodge is situated close to layton shopping centre and all its ammenities. 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. Layton Lodge Care F57 F09 S9762 Layton Lodge V210806 030505 Stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an announced inspection on the 3/5/05 and took place over 6 hours. Discussion with the registered provider, registered manager, interviews and informal discussion with staff, and residents have gathered the information contained in this report. Questionnaires were sent to relatives, residents, social workers and GP surgeries to comment on the standard of care provided by the home. A tour of the premises took place and examination of documentation formed the basis of the visit. Records of three staff and residents who were spoken to were examined. What the service does well: What has improved since the last inspection?
Records of both staff and residents are up to date and accurate with a regular reviewing system in place for residents care plans.
Layton Lodge Care F57 F09 S9762 Layton Lodge V210806 030505 Stage 4.doc Version 1.30 Page 6 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. Layton Lodge Care F57 F09 S9762 Layton Lodge V210806 030505 Stage 4.doc Version 1.30 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 Layton Lodge Care F57 F09 S9762 Layton Lodge V210806 030505 Stage 4.doc Version 1.30 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 and assessment procedures are clear ensuring the care needs of residents are met. EVIDENCE: The records of three residents were looked at. This included the records of a resident recently admitted to the home and full assessment information had been obtained so that staff would know how to care for this individual. Staff members spoken to said they had access to this information. They were also able to demonstrate how they would care for other residents in the home demonstrating they were aware of individual needs. One resident spoken to was aware of the assessment process when admitted to the home and said, “The management and staff were very caring and made me feel welcome”. Layton Lodge Care F57 F09 S9762 Layton Lodge V210806 030505 Stage 4.doc Version 1.30 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) This section of standards was not assessed. EVIDENCE: Layton Lodge Care F57 F09 S9762 Layton Lodge V210806 030505 Stage 4.doc Version 1.30 Page 10 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, 13, 14 and 15 Contact with families is encouraged and supported by staff to maintain relationships. Activities and meals are varied and well managed and choice is provided. EVIDENCE: Residents spoken to confirmed visitors are allowed at any time. One relative said “Staff always make me feel welcome when I come here”. Activities are arranged to suit the resident’s wishes. Care plans of residents examined recorded preferences for social activities. One resident said, “Its very relaxed and homely here I enjoy some games we do”. The menus were found to provide a varied and balanced diet. Fresh produce from local suppliers is used. Questionnaires returned from residents commented on the high quality of food provided. Two residents spoken to said, “The food is excellent”. Observations of residents rooms showed personal belongings are allowed to be brought into the home. One resident said “its home from home I like my family pictures around my room”.
Layton Lodge Care F57 F09 S9762 Layton Lodge V210806 030505 Stage 4.doc Version 1.30 Page 11 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 and 18 The arrangements for recording and reporting of complaints are good ensuring people feel listened to. Staff have good knowledge and understanding of adult protection issues, which protect residents from abuse. EVIDENCE: The home has a detailed complaints procedure and staff were able to explain the process. Records of complaints investigations with outcomes are up to date. One resident spoken to knew who to complain to and said “I would speak to the manager if I had a problem if that didn’t help I would speak to social services.” 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. Staff spoken to have received training in relation to complaints and abuse procedures and policies. Layton Lodge Care F57 F09 S9762 Layton Lodge V210806 030505 Stage 4.doc Version 1.30 Page 12 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 and 26 There has been no change in the décor or furnishings since the last inspection and the home was clean and tidy ensuring the residents are safe. However some redecoration could be improved to create more comfortable surroundings. EVIDENCE: A tour of the building found the home to be clean and tidy. However some communal and bedroom areas are in need of redecoration and refurbishment due to general wear and tear. Examination of maintenance records showed there is a rolling programme of general repairs and renewal of the premises. Layton Lodge Care F57 F09 S9762 Layton Lodge V210806 030505 Stage 4.doc Version 1.30 Page 13 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 28 29 and 30 The policies and procedures for the recruitment of staff are robust and provide safeguards for the protection of residents. The number of staff on duty are sufficient to meet the needs of residents. EVIDENCE: Three staff files and records seen contained the necessary recruitment checks to ensure the protection of the residents. Staff spoken to confirmed they had received induction training on commencement of employment. One staff member said “Training is very good at the home there isn’t a problem to attend courses to help our work”. Examination of Staffing levels confirmed there is enough staff on duty to meet the needs of the residents. Records show training is ongoing but further staff should achieve national vocational qualification (NVQ) training. Layton Lodge Care F57 F09 S9762 Layton Lodge V210806 030505 Stage 4.doc Version 1.30 Page 14 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) The core standards were not assessed. EVIDENCE: There remains a recommendation for the registered manager to achieve the Registered managers award in 2005. Layton Lodge Care F57 F09 S9762 Layton Lodge V210806 030505 Stage 4.doc Version 1.30 Page 15 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 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3
COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 2 x x x x x x x Layton Lodge Care F57 F09 S9762 Layton Lodge V210806 030505 Stage 4.doc Version 1.30 Page 16 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. 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. 1. 2. Refer to Standard 28 31 Good Practice Recommendations 50 of care staff should achieve level 2 NVQ training by 2005. The registered manager should complete the registered managers award equivalent to level 4 NVQ by 2005. Layton Lodge Care F57 F09 S9762 Layton Lodge V210806 030505 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection Area Office, Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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