Inspection on 24/01/06 for Lodge The

This inspection was carried out on 24th January 2006.

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

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

Other inspections for this house

Lodge The 08/02/07

Lodge The 07/06/05

Lodge The 27/10/04

Lodge The 26/05/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

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 Lodge The Westbourne Road Scarborough North Yorkshire YO11 2SR Lead Inspector Mrs Rosalind Sanderson Unannounced Inspection 24th January 2006 09:00 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 The DS0000007827.V280223.R01.S.doc Version 5.1 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 The DS0000007827.V280223.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Lodge The Address Westbourne Road Scarborough North Yorkshire YO11 2SR 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) 01723 374800 01723 507343 Hamilton Care Limited Mrs Julia Anderson Care Home 38 Category(ies) of Old age, not falling within any other category registration, with number (38) of places Lodge The DS0000007827.V280223.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th June 2005 Brief Description of the Service: The Lodge is a large detached property situated in a pleasant residential area of Scarborough close to local shops with easy access to public transport. The building stands in spacious partly wooded grounds with large landscaped gardens to the rear and front of the home. The Lodge offers personal care and accommodation for a maximum of 38 older people. Nursing care or specialist care is not provided. The accommodation consists of 36 single and one shared room. A passenger lift provides access to all floors. Respite and holiday stays are offered if accommodation is available and a day care service if this can be accommodated within the homes registered capacity. All the bedrooms are equipped with emergency call alarms and washing facilities and the majority of the rooms have en-suite toilets. The communal areas in the home comprise of the following: a sun lounge looking out onto the rear garden which has a direct ramp access to assist mobility, a lounge with a large screen television/video, an organ and a stereo music system; a second lounge where service users can socialise or quietly read from the range of books available and a third lounge where service users can meet with relatives and friends. The home provides a full laundry service, personal care and all meals. Lodge The DS0000007827.V280223.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection lasted for three hours with a previous one and a half hours preparation having taken place the day prior to the inspection. The registered manager and the head of care were available to assist throughout the inspection. The inspection focused on the key requirements remaining for this inspection year and following up of the recommendations made at the last inspection in June 2005. Service users , their relatives and staff were spoken with and their comments and views are included in the summary and body of this report. The home continues to operate at a very high standard, and offers comfortable accommodation in a beautiful setting. What the service does well: Service users enjoy their lives at The Lodge. They feel their privacy is respected and they are free to make choices. Comments received include: ‘It’s rather nice to be able to have a bath, I get helped in and out but am left alone to wash myself. I have a bell and the carer is only outside if I need her’ ‘We are able to have a telephone in our rooms if we like but there is a public phone as well’ ‘If people have to live away from home then living here is the next best thing’ Relatives are also impressed with the home and one commented, ‘It is a smashing place here. …….gets well looked after and we are always made to feel welcome, even staying for meals if we like. Staff always knock on ….door and wait for them to say it’s ok to come in.’ Service users are provided with a kitchenette where they and their relatives are able to sit ain private and make a cup of tea. It was obvious from staff comments that service users are free to follow their own routines. One said, ‘….enjoys a snack at times so we always make sure there is something available in the residents kitchenette so he can help his self’ Service users enjoy activities on offer at the home and choose what they are going to do. Lodge The DS0000007827.V280223.R01.S.doc Version 5.1 Page 6 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. Lodge The DS0000007827.V280223.R01.S.doc Version 5.1 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 The DS0000007827.V280223.R01.S.doc Version 5.1 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): Not assessed at this inspection. EVIDENCE: Lodge The DS0000007827.V280223.R01.S.doc Version 5.1 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): 9,10 Service users have their care needs fully and safely met. EVIDENCE: There is a monitored dosage system in place and policies and procedures to ensure the safe handling and administration of medicines for service users. To further promote safety for service users staff that are responsible for handling, storing and administering medication have received training in this area. Service users spoken with felt that they were treated with respect and their privacy upheld. Comments received included, ‘ It’s rather nice to be able to have a bath, I get helped in and out but am left alone to wash myself. I have a bell and the carer is only outside if I need her’ ‘The carer sits beside me when I have a bath, I feel safe’ ‘We are able to have a telephone in our rooms if we like but there is a public phone as well’ Lodge The DS0000007827.V280223.R01.S.doc Version 5.1 Page 10 A relative commented, ‘It is a smashing place here. …….gets well looked after and we are always made to feel welcome, even staying for meals if we like.’ Staff always knock on ….door and wait for them to say it’s ok to come in.’ There is a small kitchenette on the first floor that is available for service users and their relatives to use. A member of staff explained that they could sit in there in private and makes a drink or snack if they wish. The fridge and cupboards were stocked with milk and snacks. Lodge The DS0000007827.V280223.R01.S.doc Version 5.1 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 the following standard(s): 12,13,14 Service users are helped by staff to maintain their interests and keep contact with friends. EVIDENCE: The atmosphere in the home is relaxed and happy, service users were seen to follow their own routines. A staff member said, ‘….enjoys a snack at times so we always make sure there is something available in the residents kitchenette so he can help his self’ There is a trolley shop available in the home so that service users can buy toiletries of their choice. Service users were observed interacting with the activities organiser and planning future activities together. They were looking forward to lunch out at a local pub. One service user said the she was going up to the hospital to visit a friend and her key worker was going with her as she would be unable to go alone. Service users have access to local clergy of differing denominations who visit regularly and some service users go out to church and attend church functions. Comments received from those spoken with included, ‘If people have to live away from home then living here is the next best thing’ ‘The best thing about living here is the company and the friends you make. The owners are really lovely too’ Lodge The DS0000007827.V280223.R01.S.doc Version 5.1 Page 12 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): 16&18 Service users feel confident that they will be listened to, although they are not supported and protected by the policy in place for adult protection EVIDENCE: The home has a complaints policy that is available to all service users and their relatives so that they are aware of the procedure to follow if they had a complaint. Service users commented, ‘I would see the manager if I had a complaint but I have not had to. Any problems I have are usually not that serious. They always listen, no matter how small the problem.’ Another said, ‘I have had reason to complain and it was sorted out very quickly and to my satisfaction. I am very confident about the whole procedure’ The home does not have a copy of the Local Authority Multi Agency Policy for Adult Protection although they do hold a copy of the ‘No Secrets’ document. Staff spoken with were unclear about who acts as the lead in any investigation of adult abuse, although all were clear about signs and indicators of abuse. The policy that the home has was not clear about reporting procedures. This could lead to a delay in reporting and investigating any allegation and has the potential to place service users at unnecessary risk. Lodge The DS0000007827.V280223.R01.S.doc Version 5.1 Page 13 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): Not assessed at this inspection. EVIDENCE: Lodge The DS0000007827.V280223.R01.S.doc Version 5.1 Page 14 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): 28,29 Service users are cared for and protected by safe, well trained staff. EVIDENCE: The home encourages staff to undertake training relevant to their roles and currently 50 of care staff hold an NVQ qualification at level 2 or above. This ensures that staff are competent and confident in their roles. The core group of staff employed at the home have been in post for many years and this means they are familiar with the homes routines and service users benefit from continuity of care from experienced staff. Recruitment procedures are robust and this means that service users are protected. Lodge The DS0000007827.V280223.R01.S.doc Version 5.1 Page 15 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): 31,33,35,38 This home is well managed. To make sure that this continues the requirements made in this report must be met. EVIDENCE: The manager has many years experience in care and holds a qualification in Advanced Management in Care and a level 5 qualification in Operational Management. Service users are encouraged to manage their own finances where possible and are provided with a lockable facility to enable them to do so. There is no formal quality assurance system in place although service users, staff and relatives are consulted regularly on an informal basis. Lodge The DS0000007827.V280223.R01.S.doc Version 5.1 Page 16 The manager ensures that staff receive mandatory training as required. There is a training programme to address this and each member of staffs training needs are identified. All certificates relating to health and safety were seen and were current. The following issues were highlighted during the inspection: • • Fire doors to rooms 33,35 &36 were held open inappropriately Water temperatures in bedrooms 21,22 &23 were well in excess of the recommended 43°c. These points were discussed with the manager and she has since conformed in writing that they have been addressed satisfactorily. Lodge The DS0000007827.V280223.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 1 X X X X X X X X STAFFING Standard No Score 27 X 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X X 1 Lodge The DS0000007827.V280223.R01.S.doc Version 5.1 Page 18 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. 1 Standard OP18 Regulation 13(6) Requirement The registered manager must: • Obtain a copy of the Local Authority Multi Agency Policy for the Protection of Vulnerable Adults in order that the staff and management are aware of what procedures to follow in this area. Amend the adult protection procedure so that lines of responsibility are clear in the event of a disclosure 24/01/06 Timescale for action 24/02/06 • 2 OP38 13(4) The registered manager must: • Carry out risk assessments on the hot water outlets where the hot water temperature exceeded 43°. (Bedrooms 21,22,23). Put in place control measures to reduce identified risks. • Lodge The DS0000007827.V280223.R01.S.doc Version 5.1 Page 19 3 OP38 23(4) The registered manager must 24/01/06 make sure that fire doors are not held open by unauthorised means. (Rooms 33,35&36) 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 OP33 Good Practice Recommendations It is recommended that the quality assurance system is further developed to take into account the views of all stakeholders in the business. Lodge The DS0000007827.V280223.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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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