Inspection on 06/11/07 for Layton Lodge Rest Home

This inspection was carried out on 6th November 2007.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Layton Lodge Rest Home 13/11/06

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 6th November 2007 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.V350305.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.V350305.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.V350305.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th November 2006 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 £287.91 to £336.49 covering all aspects of care, food and accommodation. The manager provided this information on the 6th November 2007. Layton Lodge Rest Home DS0000009762.V350305.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. Prior to the site visit the owner of the home completed an Annual Quality Assurance Assessment form (AQAA) providing detailed information about the service they are providing. A number of residents, their relatives and healthcare professionals were contacted prior to the site visit and their views about the home have been included in the report. In addition the Inspector spoke to six residents, three staff members, the manager and the homeowner. Staff, care, maintenance and financial records were examined during the site visit and a full tour of the premises was undertaken with the manager. What the service does well: Residents seen during the visit said they liked living at the home and felt well cared for. Several residents said they had recently moved into the home and were very satisfied with the care being provided. One resident said, “ I have recently moved into the home and I am very satisfied with the care being provided. I have found the staff are very attentive ”. The relative of one resident said, “ I feel that all the care staff without exception are 100 committed to providing the best care possible to my relative. We are grateful for their caring manner, caring smile and kind words ”. Residents spoken to said they enjoyed the quality and variety of food provided by the home. One resident said, “ I enjoy all the meals and get plenty to eat ”. The relative of one resident said, “ The meals are very good with plenty of variety ”. Residents and their relatives said they had no complaints about the service being provided but were confident they would be listened to if they had. The relative of one resident said, “I have always found the staff and management willing to listen to any complaint (no matter how small) at all times. I feel a fair and caring assessment of any issues raised is always the response received”. Visiting arrangements at the home are informal and family and friends of residents are encouraged to maintain contact. The relative of one resident Layton Lodge Rest Home DS0000009762.V350305.R01.S.doc Version 5.2 Page 6 said, “ Always made welcome whenever we visit. We find the staff very friendly and helpful ”. 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.V350305.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.V350305.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, found it easy to follow and could describe in detail the care needs of the residents. Residents spoken to confirmed they were happy with the care being provided. One resident said, “ I am very happy with my care ”. Staff responsible for the preparation of meals said they were informed about residents who had special dietary needs and these are always accommodated. This home does not provide intermediate care. Layton Lodge Rest Home DS0000009762.V350305.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. EVIDENCE: Individual records are kept for each resident with a plan of care setting out the action that is needed to be taken by care 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. The care plans were being reviewed at least once a month and updated to reflect any changing needs in the health and personal care of the resident and these were being actioned. The records of three residents were looked at and these described their healthcare needs. Discussion with staff members on duty confirmed they were fully aware of the healthcare needs of residents and these are monitored and their care plans kept up to date. Entries made on care plans showed good Layton Lodge Rest Home DS0000009762.V350305.R01.S.doc Version 5.2 Page 10 communication between the home and healthcare professionals and confirmed residents were receiving appropriate medical attention when this was required. The relative of one resident said, “ I feel the staff act appropriately when medical issues are raised ”. Discussion with staff confirmed they were aware of the needs of the residents and the level of care that needed to be provided. One resident said, “ The staff are very kind and patient. I am more than happy with my care ”. Another resident who had recently moved into the home said, “ The staff have been marvellous with me and have helped me settle very quickly. I have been very impressed with my care ”. Medication practices observed during this visit were safe and good records had been maintained. The staff members responsible for the administration of medicines had received accredited training to ensure they had basic knowledge of how medicines are used and how to recognise and deal with problems in use. Residents spoken to said the staff team respected their privacy and they could spend time on their own if that was their wish. Layton Lodge Rest Home DS0000009762.V350305.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. 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 recently moved into the home and feel very settled. I have found routines are relaxed and I can come and go as I please. It’s just like home, no restrictions in place ”. Residents spoken to said they were happy with arrangements in place for receiving their visitors. The relative of one resident said, “ Always made welcome whenever we visit. We find the staff very friendly and helpful ”. Most residents handle their own financial affairs or these are handled by their relatives/representatives. Records being kept in respect of residents unable to manage their own finances were being well maintained. Layton Lodge Rest Home DS0000009762.V350305.R01.S.doc Version 5.2 Page 12 The home provides a varied and balanced diet for residents. The staff members responsible for the preparation of meals were able to confirm they had information about residents with special diets and personal preferences. Residents spoken to were happy with the choice and standard of meals available. One resident said, “ I am looking forward to lunch and always enjoy my meals. We are always provided with a choice and get plenty to eat. We are having chicken today with all the trimmings ”. Meal times were served in a relaxed and unhurried manner in pleasant surroundings. Staff members were observed being very attentive to residents needs. Residents spoken to were very happy with the arrangements in place for social activities. These were varied and arranged individually and in groups. Layton Lodge Rest Home DS0000009762.V350305.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. EVIDENCE: The home has a detailed complaints procedure, which is made available to all residents on their admission and is also on display for the attention of all visitors. Residents spoken to were aware of how to make a complaint and felt these would be listened to and acted upon. The relative of one resident said, “ I feel the staff take appropriate action and act on any issues I bring to their attention ”. At the time of this site visit no complaints had been referred to the home or the Commission for Social Care Inspection. The home has a procedure in place for dealing with allegations of abuse. Staff members spoken to said they wouldn’t hesitate to report any concerns they had about care practices to ensure residents are protected from potential harm or abuse. Layton Lodge Rest Home DS0000009762.V350305.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. A planned maintenance and renewal programme for the redecoration and refurbishment of the home to ensures residents live in a comfortable, homely, clean and safe environment. EVIDENCE: The home has been maintained and decorated for the comfort of residents. Since the last inspection a number of improvements have been made as part of the homes refurbishment programme. All carpets in communal areas including corridors have been replaced. New curtains to the front lounge, new dining room furniture, foot stools and occasional tables, a new fire and surround and new televisions have been purchased. Residents and their relatives were very pleased with the improvements. Layton Lodge Rest Home DS0000009762.V350305.R01.S.doc Version 5.2 Page 15 A tour of the building confirmed resident bedrooms had been personalised with their own belongings. Residents spoken to said they were very happy with their room and could spend as much time there as they 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.V350305.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 adequate. This judgement has been made using available evidence including a visit to this service. 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. All residents seen during the visit said the staff were very quick to respond whenever called upon. The relative of one resident said, “ All the staff are available when needed and provide adequate care and support when asked and quite often more ”. Discussion with staff members confirmed 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 33 of staff members have achieved National Vocational Qualifications (NVQ). However, concern was expressed about the lack of a structured training and development programme. Some staff members spoken to had not received any training for over twelve months and expressed no desire to achieve National Vocational Qualifications. The manager was reminded that residents living in the home should be looked after by a well trained staff team who have access to training such as safe working Layton Lodge Rest Home DS0000009762.V350305.R01.S.doc Version 5.2 Page 17 practices and the principles of care. This will ensure their knowledge and skills are regularly up dated. Another area of concern identified was the homes recruitment procedures. Examination of staff records showed one staff member was employed and working in the home prior to their Criminal Record Bureau clearance being obtained. The manager said she was aware this was against protocol and would review the homes procedures to ensure they are robust and residents are protected from potential harm. Layton Lodge Rest Home DS0000009762.V350305.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 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. The manager should also be able to demonstrate she has undertaken periodic training to update her knowledge on the delivery of health and personal care tasks and safe working practices. This will ensure the home is run by a qualified and well trained manager who has Layton Lodge Rest Home DS0000009762.V350305.R01.S.doc Version 5.2 Page 19 the skills necessary to promote and protect the health, safety and welfare of residents and staff. The home has effective quality assurance systems in place to monitor the level of service being provided for its residents. A recent quality assessment of standards was undertaken by a professionally recognised organisation who complete an audit of the care being provided and seek the views of residents and their relatives. In addition the home has in place its own quality assurance systems in place to gather the views of residents and keep them informed about events being organised by the home. Staff and resident meetings are held on a regular basis to seek their views about the service being provided. Residents spoken to said they enjoyed the meetings and looked forward to them being organised. 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. Layton Lodge Rest Home DS0000009762.V350305.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 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Layton Lodge Rest Home DS0000009762.V350305.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 People employed to work at the home must be recruited properly to ensure the protection of residents. Previous timescale extended from 13/11/06. Timescale for action 06/11/07 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 OP30 OP31 Good Practice Recommendations 50 of care staff should achieve level 2 NVQ qualifications ensuring the residents are cared for by a suitably qualified staff team. People who work at the home should receive training appropriate to their work ensuring residents are in the hands of a well trained staff team. The manager should achieve a relevant qualification in management and care to ensure the home is run by a qualified and well trained manager who has the skills necessary for managing the home. Layton Lodge Rest Home DS0000009762.V350305.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway 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.V350305.R01.S.doc Version 5.2 Page 23 - 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!