Inspection on 19/07/05 for Lindhurst Lodge

This inspection was carried out on 19th July 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Lindhurst Lodge 04/12/06

Lindhurst Lodge 08/06/06

Lindhurst Lodge 05/04/05

Lindhurst Lodge 07/07/04

Lindhurst Lodge 01/04/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Lindhurst Lodge Lindhurst Road Athersley Barnsley S71 3DD Lead Inspector Jayne Barnett-Middleton Unannounced 19 July 2005 09:15am 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. Lindhurst Lodge J51 18262 Lindhurst Lodge V239361 19.7.05 UI Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Lindhurst Lodge Address Lindhurst Road Athersley Barnsley S71 3DD 01226 282833 None None Mr Azad Choudhry 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) Post vacant PC Care home only 37 Category(ies) of OP - Old age (37) registration, with number of places Lindhurst Lodge J51 18262 Lindhurst Lodge V239361 19.7.05 UI Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 5 April 2005 Brief Description of the Service: Lindhurst Lodge is a purpose built care home providing personal care and accommodation for 37 older people. The home is a two-storey building with a passenger lift. It has 33 single bedrooms and two double bedrooms. There is a small car park to the front, and large, private gardens to the rear. All areas of the home are accessible to people in wheelchairs. Lindhurst Lodge occupies a central position at Athersley North, and there are shops, pubs, a post office and other amenities within the vicinity. The home is approximately three miles from Barnsley town centre. Lindhurst Lodge J51 18262 Lindhurst Lodge V239361 19.7.05 UI Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out from 9.15 a.m to 1.30 p.m. Seven service users, six staff, three relatives and the deputy manager were spoken to. A sample of records was examined and a partial inspection of the building was carried out. Throughout the inspection positive and professional relationships were observed between staff and service users. The inspector wishes to thank the manager, staff and service users for their time and cooperation throughout the inspection process. What the service does well: What has improved since the last inspection? The carpet within the entrance of the home had been ‘deep cleaned’ and presented a welcoming home. Fire doors were appropriately closed, maintaining a safe environment. Lindhurst Lodge J51 18262 Lindhurst Lodge V239361 19.7.05 UI Stage 4.doc Version 1.40 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. Lindhurst Lodge J51 18262 Lindhurst Lodge V239361 19.7.05 UI Stage 4.doc Version 1.40 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 Lindhurst Lodge J51 18262 Lindhurst Lodge V239361 19.7.05 UI Stage 4.doc Version 1.40 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) 2 and 3 and 5. Service users were provided with a written contract/statement of terms and conditions. The contract required some amendments to ensure that it met the required standard. Service users were not admitted to the home without their needs being assessed. Service users and their relatives were given the opportunity to visit the home prior to their admission. EVIDENCE: Service users were provided with a written contract at the point of moving into the home, which set out in detail the overall care and services that would be provided. A previous requirement to include charges that were above the stated fees had not been met. A full needs assessment was carried out for all service users prior to their admission. This confirmed that the service was appropriate for the service user, and provided staff with the information to formulate an individual plan of care. Lindhurst Lodge J51 18262 Lindhurst Lodge V239361 19.7.05 UI Stage 4.doc Version 1.40 Page 9 Service users confirmed that they had been given the opportunity to visit the home prior to their admission to meet the staff and view the bedrooms that were available. The home does not provide an intermediate care service. Lindhurst Lodge J51 18262 Lindhurst Lodge V239361 19.7.05 UI Stage 4.doc Version 1.40 Page 10 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) 7,8,9 and 10. Care plans were in place for all service users. However one had not been reviewed on a regular basis and did not clearly evidence that the service user had been involved in their care review. Daily care notes required more detail to ensure that the needs of service users had been monitored. The homes policies and procedures for administering medication promoted the protection of service users. Service users were cared for in a manner that respected their dignity and privacy. EVIDENCE: Two Care plans set out in detail the action that was required by staff to ensure that all aspects of service users care needs were met. The Care plans had not been completed with the involvement of the service user, to give them the opportunity to agree with staff the help that they needed to live as independently as possible. One Care plan had not been reviewed on a regular basis to reflect the changing care needs of the service user. Care staff maintained daily records of service users health, but these required more detail, to ensure that the specific needs and care given to service users could be monitored. Lindhurst Lodge J51 18262 Lindhurst Lodge V239361 19.7.05 UI Stage 4.doc Version 1.40 Page 11 Records of healthcare visits were maintained and these evidenced that other healthcare professionals, e.g. general practitioner, chiropodist and optician, were visiting service users on a regular basis. Nutritional screening was undertaken for service users on admission and regular weight monitoring was taking place to ensure that any health problems could be identified. Service users said that their healthcare needs were met and were able to describe the healthcare visits that they received. There was a policy and procedure to ensure that staff adhered to safe practices regarding medication and the protection of service users. The recording and storage of medication was checked on a sample basis. Medication had been administered appropriately. Staff had received medication training, which promoted the safe administration of medication. Service users were observed to be receiving personal care in a manner that respected their privacy and dignity. Interactions between staff and service users appeared respectful and caring. Lindhurst Lodge J51 18262 Lindhurst Lodge V239361 19.7.05 UI Stage 4.doc Version 1.40 Page 12 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. The daily routines within the home were flexible and promoted service user choice. Service users said that the programme of leisure and social activities available should be improved. Service users were encouraged to maintain contact with their family, friends and the local community as they wished. A good choice of menu was offered and special dietary needs were catered for. EVIDENCE: The routines within the home were flexible. Service users were observed to be following their preferred routines. Several service users were spending time in the lounge, whilst others had chosen to spend time in the privacy of their bedroom. Service users confirmed, “We can do as we wish”. Staff at the home had recently held a Jumble sale and was planning to take service users to a Safari Park, with the monies raised. Several service users confirmed that they spent their day, “Reading the paper”, “I listen to the radio” and socialising with other service users. Three service users said that they would like more activities to be provided and said that they would enjoy activities such as bingo, dominoes and “more entertainment”. Service users said that their friends and relatives were welcome to visit them at any reasonable time. Lindhurst Lodge J51 18262 Lindhurst Lodge V239361 19.7.05 UI Stage 4.doc Version 1.40 Page 13 A choice of menu was offered and special dietary needs were catered for. Service users confirmed that they were offered a choice and that “we can have what we want”. Service users and one relative said that they enjoyed their meals and described the food as “good choice”, “always plenty” and “we can ask for an alternative”. Lindhurst Lodge J51 18262 Lindhurst Lodge V239361 19.7.05 UI Stage 4.doc Version 1.40 Page 14 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 complaints procedure was clear and accessible. Complaints made by service users and their relatives were listened to and action was taken to deal with complaints promptly. There was an adult protection procedure and all staff had received adult protection training. EVIDENCE: The complaints procedure ensured that service users and their relatives were aware of how to make a complaint and who would deal with them. One complaint had been made to the home and the area manager confirmed that she was in the process of responding to the complaint. There was an adult protection policy and procedure that promoted the protection of service users from harm or abuse. All staff had received adult protection training. Service users confirmed that they were satisfied with the care that they received and described the staff team as “caring”, “helpful” and “I am treated very well”. Lindhurst Lodge J51 18262 Lindhurst Lodge V239361 19.7.05 UI Stage 4.doc Version 1.40 Page 15 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 home was generally clean, comfortable and well maintained. Service users were provided with an environment that was safe, accessible and homely. EVIDENCE: There was a warm and welcoming atmosphere. In the main the home was clean and sufficient domestic staff were employed to provide a consistent level of cleanliness. Two toilet floors were wet with urine and one bedroom carpet was stained which did not present a hygienic environment. These areas were cleaned on the day of the inspection. A previous requirement to ‘deep clean’ the entrance carpet had been met and did look much cleaner, which promoted a welcoming environment. Service users had access to a three lounges, which were clean and comfortable. Service users said that they liked living at the home and said “I like it here” and “my bedroom is always clean”. Lindhurst Lodge J51 18262 Lindhurst Lodge V239361 19.7.05 UI Stage 4.doc Version 1.40 Page 16 There was an enclosed garden, which was well maintained. Service users confirmed that they enjoyed spending time in the garden area when the weather was warm. Several bedrooms were checked and all were very clean and pleasantly decorated. All the rooms had been personalised by the service user with small items of furniture, photographs and mementoes, which encouraged service users to retain their own identity. Service users confirmed, “ I like my bedroom.” Lindhurst Lodge J51 18262 Lindhurst Lodge V239361 19.7.05 UI Stage 4.doc Version 1.40 Page 17 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) 27,29 and 30. The area manager was in the process of reviewing the required staffing hours to ensure that sufficient staff were provided. A training and development programme was in place. Staff received regular training, which enabled them to meet the needs of service users. The home operated a recruitment procedure, which needed some amendments to promote the protection of service users. EVIDENCE: Service users and relatives spoke positively about the staff team and described them as “caring”, “good people” and “helpful”. Staff rotas checked, demonstrated that the agreed staffing levels were being met to meet the individual needs of service users. However, staff and service users said that due to the increasing dependency of some service users there were “not enough staff” provided at times. The area manager was aware of these concerns and was in the process of reviewing the required hours by consulting with the C.S.C.I and calculating hours specified by `The Residential Forum Care Staffing in Care Homes for Older People`. Lindhurst Lodge J51 18262 Lindhurst Lodge V239361 19.7.05 UI Stage 4.doc Version 1.40 Page 18 A training and induction programme for staff was in place to enable them to meet the assessed and changing needs of service users. Staff confirmed that they had attended various training courses that included food hygiene, adult protection, moving and handling, infection control and first aid. One member of staff who had recently been employed at the home confirmed that they had received the appropriate induction training to enable them to appropriately care for service users and that the staff team had been “helpful”. A recruitment policy and procedure was in place that promoted the protection of service users. One staff file checked did not contain a recent photograph of the employee. All staff employed had undertaken a Criminal Records Bureau Check at the enhanced level. Lindhurst Lodge J51 18262 Lindhurst Lodge V239361 19.7.05 UI Stage 4.doc Version 1.40 Page 19 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) 33 and 38. The home was managed in the best interests of service users. The homes policies and procedures promoted the health, safety and welfare of service users and staff. EVIDENCE: The registered managers post was vacant and the deputy manager and area manager were overseeing the management of the home. The area manager confirmed that a new manager had been recruited and that he was to commence employment at the home in August 2005. The staff were observed to be sociable and approachable which created a friendly and relaxing atmosphere. Lindhurst Lodge J51 18262 Lindhurst Lodge V239361 19.7.05 UI Stage 4.doc Version 1.40 Page 20 Service users had been encouraged to participate in service user surveys to enable them to comment about the quality of care that they received and to suggest how the service could be improved. One completed questionnaire commented, “The staff are always obliging”. The main kitchen within the home was very clean and tidy. All equipment was in good working order. The area was well maintained, with the exception of a broken skylight. The skylight had been temporarily repaired, however the cook confirmed that when the weather was wet, water did leak onto the kitchen floor, presenting a potential slipping hazard. The area outside the kitchen area was tidy, with the exception of the bin area. Only one paladin bin for kitchen waste was provided. It was evident that one bin was not sufficient for the amount of kitchen waste disposed of as several boxes and bags containing waste were placed at the side of the bin, creating a potential hygiene risk. The staff had received regular training, which promoted safe working practices and the health, safety and welfare of service users and their colleagues. Lindhurst Lodge J51 18262 Lindhurst Lodge V239361 19.7.05 UI Stage 4.doc Version 1.40 Page 21 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 2 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x x x x x 2 STAFFING Standard No Score 27 3 28 x 29 2 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 x x 3 x x x x 2 Lindhurst Lodge J51 18262 Lindhurst Lodge V239361 19.7.05 UI Stage 4.doc Version 1.40 Page 22 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 OP2 Regulation 5,17 Requirement The contract must state any charges that are above and beyond the stated fees (Timescale of 31st May 2005 not met.) Care staff in consultation with the service user and representative must review service users care plans at least once a month. Care staff in consultation with the service user and representative must review service users care plans at least once a month. Daily Care Records must be more detailed to reflect the care needs of service users. A programme of activities, suited to the needs of service users, must be provided. The premises including, carpets and toilet floors, must be kept clean and hygienic. Staff files must include proof of the person’s identity, including a recent photograph. The skylight within the kitchen must be repaired. An extra bin must be provided. Timescale for action 30 September 2005. 1 September 2005. 2. OP7 12,15 3. 4. 5. 6. 7. 8. OP8 OP12 OP26 OP29 OP38 OP38 12,13 16 16,23 19 16,23 16,23 1 September 2005. 1 September 2005. 19 July 2005. 30 September 2005. 30 September 2005. 31 August 2005. Page 23 Lindhurst Lodge J51 18262 Lindhurst Lodge V239361 19.7.05 UI Stage 4.doc Version 1.40 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 None. Good Practice Recommendations Lindhurst Lodge J51 18262 Lindhurst Lodge V239361 19.7.05 UI Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Ground Floor, Unit 3 Waterside Court Bold Street Sheffield, S9 2LR 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 Lindhurst Lodge J51 18262 Lindhurst Lodge V239361 19.7.05 UI Stage 4.doc Version 1.40 Page 25 - 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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