Inspection on 01/07/05 for Lodge Lane Nursing Home

This inspection was carried out on 1st 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 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

Lodge Lane Nursing Home 30/05/07

Lodge Lane Nursing Home 20/03/06

Lodge Lane Nursing Home 04/03/05

Lodge Lane Nursing Home 16/06/04

Lodge Lane Nursing Home 05/02/04

Lodge Lane Nursing Home 12/12/03

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

CARE HOMES FOR OLDER PEOPLE LODGE LANE CARE HOME 10a Lodge Lane Bewsey Warrington WA5 0AG Lead Inspector Anthony Cliffe Unannounced 29th June 2005 09:00 and 1 July 10:30 am st 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. LODGE LANE CARE HOME F51 F01 S5155 Lodge Lane V233112 280605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Lodge Lane Care Home with nursing Address 10a Lodge Lane Bewsey Warrington Cheshire WA5 0AG 01925-418501 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) Warrington Community Care Ms J Harvey Care Home 20 Category(ies) of MD - Mental Disorder (20) registration, with number MD(E) - Mental Disorder - over 65 (20) of places LODGE LANE CARE HOME F51 F01 S5155 Lodge Lane V233112 280605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 Within the maximum number of 20, 20 service users may be over 65 years of age Date of last inspection 4 March 2005 Brief Description of the Service: Lodge Lane care home registered to accommodate twenty service users diagnosed with a history of enduring mental health needs. The care home comprises of a modern two storey building on the outskirts of Warrington Town Centre and in the local community of Bewsey. The home is situated close to local shops and is in close proximity to other community facilities and public transport. There are two railway stations in the centre of Warrington.The home is operated by a voluntary organisation, Warrington Community Care and residents and staff benefit from the organisational support provided through local management. The registered manager is Ms J Harvey. LODGE LANE CARE HOME F51 F01 S5155 Lodge Lane V233112 280605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 29th June and 1st July 2005. It lasted 7 hours with feedback given to the registered manager on 1st July 2005. All parts of the home, which accommodate residents, and some bedrooms were looked at, including residents’ care records and the home’s records. A number of residents’ and staff were spoken with. What the service does well: What has improved since the last inspection? What they could do better: Residents could be better informed about the policy on having pets in the home. LODGE LANE CARE HOME F51 F01 S5155 Lodge Lane V233112 280605 Stage 4.doc Version 1.30 Page 6 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. LODGE LANE CARE HOME F51 F01 S5155 Lodge Lane V233112 280605 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 LODGE LANE CARE HOME F51 F01 S5155 Lodge Lane V233112 280605 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 and 5. Lodge Lane does not provide intermediate care facilities and this standard is not applicable. Assessments of needs are completed, before residents move into the home, to ascertain if their needs can be met. EVIDENCE: The records of a resident who had recently moved into the home were examined. A standard pre-admission form is completed as part of the preadmission assessment. The information includes the resident’s previous mental health history and history of physical illness and current medication. The preadmission form included the details of the arrangements for the resident’s care under the Care Programme Approach (CPA) for mental health. The CPA identified the responsibilities of the care home under these arrangements and the action to be taken if the resident’s mental health needs deteriorated. The pre admission assessment was completed in an NHS facility. The residents said that he visited the home prior to moving in, had a meal and met residents and staff. He said ‘I liked it so much the first time I visited, I decided I wanted to move in there and then’. A detailed care plan was completed from the information obtained pre - admission assessment and from the Five Boroughs Partnership, Mental Health Trust. LODGE LANE CARE HOME F51 F01 S5155 Lodge Lane V233112 280605 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) 7, 8, 9 and 10. Residents’ plans ensure that health and social care needs are identified and met. Medicine management and administration are safe and promote residents’ health and welfare. Residents are treated with dignity and respect and their rights as individuals upheld. EVIDENCE: The care plans of two residents were examined. The plans had a wide range of assessment documents completed in full, with a care plan to address the identified needs of the residents. The care plans for recording the mental health needs of residents, used a very detailed format and identifies stress factors, which affect the residents’ mental health. The information is used to provide a detailed support plan to meet residents’ needs and identifies areas of risks where residents can take risks safely or need support. The information is detailed and clear and informs staff of indicators to be aware of that the residents’ mental health may be deteriorating. Evidence from care plans, and from conversations with residents, indicated that the health needs of residents were met. One resident was receiving treatment in an NHS facility for an infected wound. Records detailed that the wound received regular treatment from the General Practitioner but the resident did not comply with treatment or take notice of staff advice to not touch the wound. LODGE LANE CARE HOME F51 F01 S5155 Lodge Lane V233112 280605 Stage 4.doc Version 1.30 Page 10 A resident moved into the home with complex physical health needs, including a sacral pressure ulcer, a colostomy and limited mobility. With the support of the district nursing service, stoma nurse and physiotherapist the resident’s health improved. The sacral pressure ulcer healed and the resident now cares for the colostomy site with some support. The resident said “I was very ill in hospital, almost paralysed. I could not walk I had a serious infection. Since I came here I can walk about three hundred yards, very slowly. Staff help me as much as I need. I only let them do what I can’t. There is a car or mini bus for transport and I use a wheelchair for longer distances”. LODGE LANE CARE HOME F51 F01 S5155 Lodge Lane V233112 280605 Stage 4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 14 and 15. Residents are supported to make choices in their lifestyle and in meeting their social needs. Residents have a good choice of meals in pleasing surroundings. EVIDENCE: Residents are free to move in and out of the home and were at ease in asking staff for help. A variety of sitting areas are available and two separate dining room. Residents have their own lounge with drinks making facilities located on the first floor. Staff are not permitted to use these facilities unless invited by residents. Staff were seen spending social time with residents and talking about their plans for a trip out in the afternoon and appointments with the hairdresser. Staff supported a resident to attend an appointment at an out patient clinic. Residents pursued their own interests and went shopping into the local town centre. In the afternoon there was a trip arranged to a working farm. Planned daily activities are held in the craft room. There are planned sessions Monday and Thursday from the local college and a volunteer. There is an electric organ in the home and residents can have lessons if they wish. A staff member uses free time to play the organ for the residents in an evening. A resident said ‘I enjoy the activities and I regularly go out and have my hair done and to the local pub on an evening if I wish’. Another resident said I maintain contact with my cousin but he hasn’t visited since Christmas. I join in some of the activities to help the other residents, but it depends on how I am feeling or if I am in pain. I enjoy going out to the local pub, and staff can come with me if I wish’. LODGE LANE CARE HOME F51 F01 S5155 Lodge Lane V233112 280605 Stage 4.doc Version 1.30 Page 12 During a conversation with staff a resident expressed her love of animals and expressed she ‘would love to have a cat’. In discussion, the manager said this request had not been previously made and the previous policy was that residents did not keep pets. The manager said she was sure that this policy had been changed. Meals were served in the dining room and a choice was offered. The choice was seen as a hot snack of omelette, sandwiches or cheese on toast. Dessert was a choice of fresh fruit salad, yoghurt or cheese and biscuits. The dining room furniture is being refurbished and only the large dining room was in use. See recommendation 1. LODGE LANE CARE HOME F51 F01 S5155 Lodge Lane V233112 280605 Stage 4.doc Version 1.30 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16. Complaints are taken seriously and acted upon. EVIDENCE: The complaints procedure is displayed in the entrance of the home. Some residents said they knew whom to complain to ‘Jackie or the staff’. Two previous complaints regarding the level of expressed emotion within the home were recorded, including the outcome of the complaints investigation to the complainants. The manager has taken further action and involved the social worker of the resident about whom the complaints were made. LODGE LANE CARE HOME F51 F01 S5155 Lodge Lane V233112 280605 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 22, 24, 25 and 26 Residents live in a safe and well-maintained home, which is clean and hygienic. There is a commitment to improving the standard of accommodation for the benefit of residents. EVIDENCE: All communal areas and some bedrooms were seen. The interior and exterior of the building was well maintained. The manager had purchased an air replacing mattress and gel cushion for a resident identified as being as risk of developing pressure ulcers. Three bedrooms have had carpets replaced. Free-swinging self-closure devices have been fitted to all internal fire doors in the building. The building was clean with no odours noted. Domestic staff are on duty seven days a week. The kitchen was clean with a regular schedule of cleaning in place. Staff in the laundry was aware of the Control of Substances Hazardous to Health guidance on the use of cleaning products. LODGE LANE CARE HOME F51 F01 S5155 Lodge Lane V233112 280605 Stage 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 29. Lodge Lane provides sufficient staff to meet residents’ needs. EVIDENCE: Information from the staff rota showed that sufficient Registered Nurses and care assistants were employed to meet the residents` needs. The home employs its own bank of staff to cover gaps on the duty rota and uses regular staff from an agency. Additional professional support is available to residents from PCT and local authority staff with referrals made when necessary. Staff records were examined at the head office. The records of a staff member transferred from another of the registered provider’s care homes were examined. The records showed that the transfer had followed recruitment procedures, with the transfer date confirmed in writing and kept on file. LODGE LANE CARE HOME F51 F01 S5155 Lodge Lane V233112 280605 Stage 4.doc Version 1.30 Page 16 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) 38. Working practices protect residents’ health and safety. EVIDENCE: The maintenance records relating to the health & safety of residents were examined. These included; Fire Log Book, Accident Book, Risk Assessments, Portable Electrical Appliance Tests, Maintenance Records for Hoists and Air mattresses, Liability Insurance, five yearly electrical maintenance, Records of Discharged Hot Water and Staff Training. The fire systems in the home had been tested as required. LODGE LANE CARE HOME F51 F01 S5155 Lodge Lane V233112 280605 Stage 4.doc Version 1.30 Page 17 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 3 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 x 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x 3 x 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x x x 3 LODGE LANE CARE HOME F51 F01 S5155 Lodge Lane V233112 280605 Stage 4.doc Version 1.30 Page 18 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 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. Refer to Standard OP14 Good Practice Recommendations Residents should be informed of the policy on keeping pets in the home. LODGE LANE CARE HOME F51 F01 S5155 Lodge Lane V233112 280605 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Unit D, Off Rudheath Way Gadbrook Park Northwich Cheshire, CW9 7LT 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 LODGE LANE CARE HOME F51 F01 S5155 Lodge Lane V233112 280605 Stage 4.doc Version 1.30 Page 20 - 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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