Inspection on 20/03/06 for Lodge Lane Nursing Home

This inspection was carried out on 20th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Lodge Lane Nursing Home 30/05/07

Lodge Lane Nursing Home 01/07/05

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 Nursing Home Lodge Lane Mental Nursing Home 10a Lodge Lane Bewsey Warrington Cheshire WA5 0AG Lead Inspector Jayne Telfer Unannounced Inspection 09:00 20 March 2006 th 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 Lodge Lane Nursing Home DS0000005155.V259995.R01.S.doc Version 5.0 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. Lodge Lane Nursing Home DS0000005155.V259995.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Lodge Lane Nursing Home Address Lodge Lane Mental Nursing Home 10a Lodge Lane Bewsey Warrington Cheshire WA5 0AG 01925 418501 01925 638768 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) Warrington Community Care Miss Jacqueline Harvey Care Home 20 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (20), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (20) Lodge Lane Nursing Home DS0000005155.V259995.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Within the maximum number of 20, 20 service users may be over 65 years of age 29th June 2005 Date of last inspection 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 Nursing Home DS0000005155.V259995.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a short, unannounced inspection. It looked at standards which were not examined during the previous detailed inspection. A tour of the home was completed, files and other documents examined. Staff and residents were both observed and spoken with. Discussions took place with the Deputy Manager. What the service does well: What has improved since the last inspection? What they could do better: Lodge Lane Nursing Home DS0000005155.V259995.R01.S.doc Version 5.0 Page 6 The Service User Guide could be made more user-friendly. Residents could be more informed about whether they can stay at Lodge Lane for their whole life. The quality assurance process could include positive comments and practice. Resident’s monies being banked could be separated so that there is more clarity regarding whom the money belongs to. 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 Nursing Home DS0000005155.V259995.R01.S.doc Version 5.0 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 Lodge Lane Nursing Home DS0000005155.V259995.R01.S.doc Version 5.0 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 the following standard(s): 1 All the core standards were assessed at the previous inspection. Residents are provided with a range of information in order to make a choice about where they live. EVIDENCE: Residents have access to a range of information at Lodge Lane. This is in the form of notice boards and leaflets. The Service User Guide contains all required information, although this could be presented in a more user-friendly way. See Recommendation 1. Lodge Lane Nursing Home DS0000005155.V259995.R01.S.doc Version 5.0 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 the following standard(s): 11 All the core standards were assessed at the previous inspection. Residents are treated with sensitivity and respect at the time of their death. EVIDENCE: There have not been any recent deaths at Lodge Lane. There is a clear and comprehensive policy with regard to death and dying, and this assures residents that Lodge Lane could be their home for life, as long as it continued to meet individual needs. This information does need to be given to residents in an easily understood format. Individual wishes regarding dying and funerals are discussed with individual residents and their wishes documented. Staff stated that they inform residents when a death occurs and they support residents through the grieving process. Some staff have attended palliative care training and specialist ‘end of life’ training given by Macmillan nurses. Staff felt they were supported when a resident dies. See Recommendation 2. Lodge Lane Nursing Home DS0000005155.V259995.R01.S.doc Version 5.0 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 the following standard(s): 13 Residents are encouraged and enabled to maintain contact with family, friends and the local community. EVIDENCE: Lodge Lane does not have any restrictions on visiting. Residents who have family are enabled to maintain contact through visiting, phone calls and letter writing. Staff described how one resident dictated letters to a family member to staff who then arranged for the letter to be sent. Residents are encouraged to make use of the local community; the back of Lodge Lane has access to local shops and a café. Residents also visit the local pub regularly with staff members. One resident said that he enjoyed going out with staff to the pub and for meals. The local college provides Lodge Lane with activities for residents, including a health and beauty session, music and art therapy. Lodge Lane Nursing Home DS0000005155.V259995.R01.S.doc Version 5.0 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 the following standard(s): 18 Residents are protected from abuse through staff training and information. EVIDENCE: Lodge Lane has a clear policy regarding protecting vulnerable adults. This policy links appropriately to that of the local authority. Staff are trained by the local authority and are knowledgeable about the issue of abuse and protection. There have been no incidents of allegations of abuse. Lodge Lane Nursing Home DS0000005155.V259995.R01.S.doc Version 5.0 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 the following standard(s): 20 All the core standards were assessed at the previous inspection. Both the indoor and outdoor communal facilities at Lodge Lane are safe and accessible. EVIDENCE: The communal facilities at Lodge Lane were safe, accessible and pleasantly decorated. Residents said that they liked the home and felt safe there. They were able to use the communal lounges and one resident said that he enjoyed the garden when the weather was warmer. Lodge Lane has a large communal lounge on the ground floor and this can be divided so that events can take place in one half and residents who do not wish to join in can use the other half. A conservatory is available to residents and this is used as a smoking area, it has an extractor in place for cleaning the air. On the first floor there is a quiet room and a coffee lounge. The coffee lounge is used as a second smoking area. Lodge Lane Nursing Home DS0000005155.V259995.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30 Staff at Lodge Lane have access to and participate in a range of relevant training opportunities. EVIDENCE: Records of staff training at Lodge Lane were clear and in good order. Staff have access to both regular mandatory training and specialist training. Staff are also encouraged and assisted to complete NVQ qualifications. The provider offers a range of training courses, and Lodge Lane also access training from the local authority and local hospital. Praise is given to the innovative ways of procuring staff training, for example asking visiting rheumatology nurses to present a workshop to staff. Other examples of specialist training are: oral health; de-escalation; Last Days of Life; and Behaviour Therapy. Mandatory training includes; food hygiene; fire safety; moving and handling; equal opportunities; and infection control. Evidence of the good training offered to staff is shown in that the provider has been awarded Investors in People status. Lodge Lane Nursing Home DS0000005155.V259995.R01.S.doc Version 5.0 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 and 36 Lodge Lane has an adequate quality assurance system. The resident’s monies are safeguarded appropriately. Staff are supervised regularly. EVIDENCE: Lodge Lane gathers a range of information in order to check the quality of the service. Residents are asked to comment regularly about the service, both through questionnaires and feedback from resident meetings. The provider inspects the home and produces regular reports. Staff are given opportunities to contribute to the quality checks through supervision and staff meetings. Lodge Lane has it’s own plan which sets goals and objectives in order to improve the service. It is recommended that the quality assurance process is reviewed, a way of capturing all information gathered through the quality assurance process, including positive comments and pieces of work, and publishing it is found. Lodge Lane Nursing Home DS0000005155.V259995.R01.S.doc Version 5.0 Page 15 The provider employs a care co-ordinator whose responsibility it is to deal with individual benefits and finances. Clear records are kept of individual income and expenditure. Residents are assisted to set up individual bank accounts. Both bank books for individuals and pocket monies are kept securely in the safe at Lodge Lane. It is recommended that monies being transferred back into individual bank accounts be kept separately for individuals rather than being placed into one envelope. Staff at Lodge Lane are supervised regularly and appropriately. Supervisions are linked to appraisals and staff are actively involved in their own progression. See Recommendations 3 and 4. Lodge Lane Nursing Home DS0000005155.V259995.R01.S.doc Version 5.0 Page 16 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 3 X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X 3 X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 4 X X Lodge Lane Nursing Home DS0000005155.V259995.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 3 Refer to Standard OP1 OP11 OP33 Good Practice Recommendations It is recommended that the Service User Guide is reviewed and made more user-friendly. It is recommended that residents be informed that Lodge Lane is a ‘home for life’ only as long as it continues to meet their individual needs. It is recommended that the quality assurance process is reviewed, a way of capturing all information gathered through the quality assurance process, including positive comments and pieces of work, and publishing it is found. It is recommended that monies being transferred back into individual bank accounts be kept separately for individuals rather than being placed into one envelope. 4 OP35 Lodge Lane Nursing Home DS0000005155.V259995.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich 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. 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