Inspection on 07/06/05 for Lodge The

This inspection was carried out on 7th June 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

Lodge The 08/02/07

Lodge The 24/01/06

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 The Lodge Westbourne Road Scarborough North Yorkshire YO11 2SR Lead Inspector Gill Sample Unannounced 7 June 2005 at 11.45 am th 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. The Lodge J53_J04_S7827_The Lodge_V229346_070605_stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Lodge Address Westbourne Road Scarborough North Yorkshire YO11 2SR 01723 374800 01723 507343 julia.anderson@btconnect.com Hamilton Care Limited 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) Julia Anderson Care Home 38 Category(ies) of Old age, not falling within any other category registration, with number (38) of places The Lodge J53_J04_S7827_The Lodge_V229346_070605_stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 27th October 2004 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. The Lodge J53_J04_S7827_The Lodge_V229346_070605_stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report gives the findings of an unannounced inspection which was made on 7th June 2005. The inspection focussed on a number of the key standards and those requirements and recommendations made at the last inspection. There were thirty three residents living at the home. Some of the premises were inspected including a number of bedrooms, bathrooms and living areas. A number of written records were also examined. Users of the service at The Lodge were spoken with and four service users’ records were examined. Discussions were held with one of the owners of the home who is the registered manager and staff on duty while the inspection was being done. What the service does well: What has improved since the last inspection? What they could do better: The hot water being delivered to some hand basins in residents’ rooms is at too low a temperature to suit the needs of residents, for instance when washing or shaving. The home has a high standard in cleanliness but one practice was seen which may cause a risk of cross infection. The Lodge J53_J04_S7827_The Lodge_V229346_070605_stage4.doc Version 1.30 Page 6 A written record of the training staff have received and require would enable the registered manager and senior staff to identify and budget training needs. 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 Lodge J53_J04_S7827_The Lodge_V229346_070605_stage4.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 The Lodge J53_J04_S7827_The Lodge_V229346_070605_stage4.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. Standard 6 does not apply. Prospective residents are provided with information about the home which includes the services and facilities offered by the home and how their needs would be met. Details of needs are gathered and recorded prior to any person being admitted to the home so that they can be assured these can be met. EVIDENCE: Four records of service users were examined, one of which was of a resident who was at the home on a trial basis. These records showed that comprehensive information is obtained about the background, physical, health and social care needs of service users prior to their admission. Where care had been arranged by a local authority care manager, the care plan supplied by them was present on file. Using this information a full care plan is developed with each service user including information for staff on the help required in response to individual need. One service user spoken with said that she had come to live at The Lodge from a rehabilitation unit. She had the assistance and support of her daughter to help her make the decision to move into the home. The Lodge J53_J04_S7827_The Lodge_V229346_070605_stage4.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 and 8 The physical and health care needs of service users were assessed, recorded and acted upon by staff. EVIDENCE: The four care records examined showed one example of the ongoing monitoring of a resident’s health problems and communication between care staff and the resident’s doctor and specialist hospital personnel. Care records showed the specific dietary needs of service users with medical conditions, e.g. gluten free and liquidised food. Records noted when residents had been attended by their doctor or a community nurse. Staff were observed showing support and giving assistance to a service user who was to have a medical procedure on the day of inspection. One service user spoken with administered their own medication and had been provided with a lockable box in which to keep it. The Lodge J53_J04_S7827_The Lodge_V229346_070605_stage4.doc Version 1.30 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 standard(s) 15 A variety of food is available to residents who were very complimentary about meals served at the home. The dietary needs of residents were being met with a varied menu offered at flexible times to suit individual needs and choices. EVIDENCE: Residents said that they enjoyed their meals. One said “food is very good indeed”. The menu was examined which is served on a four weekly cycle. This showed a balanced plan to ensure that residents received good nutrition and the chef demonstrated his awareness of the dietary needs of individual service users for low fat or gluten free food and the alternatives available for these service users. He described the arrangements for service users who may be out of the home at lunchtime or if food is required overnight. A choice of hot meals is available three times per day with “standing” alternatives should residents prefer something different. The home’s dining room is pleasantly decorated and furnished and was a congenial setting in which to eat meals. Some residents take meals in their own rooms and their meals are served on trays. Staff were seen consulting residents about their choice for their teatime meal. The Lodge J53_J04_S7827_The Lodge_V229346_070605_stage4.doc Version 1.30 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 standard(s) None of these standards were assessed. EVIDENCE: The Lodge J53_J04_S7827_The Lodge_V229346_070605_stage4.doc Version 1.30 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 standard(s) 19, 24 and 26 The people using this service live in a generally safe, clean and well maintained environment, although cleaning practices need to be improved. EVIDENCE: Several bedrooms were seen, one accompanied by the resident. They explained what items of furniture and possessions they had brought with them into the home and described having a choice about which room to take when coming into the home. The lounge areas and dining room were seen which were furnished and decorated to a high standard. All areas of the home seen were well maintained and were very clean. One resident said “cleanliness is tops” and another said “I endorse that, it’s always beautiful”. When making a tour of the premises the inspector saw a member of staff using a mop to clean both the floor and toilet seat. This was discussed at the time with the registered manager who said she would deal with the matter as the practice witnessed did not comply with her expectations of staff. The Lodge J53_J04_S7827_The Lodge_V229346_070605_stage4.doc Version 1.30 Page 13 The home was well decorated and furnished and appeared very clean in all areas seen. Maintenance staff are employed to ensure that repairs and maintenance are carried out and the registered manager notes issues for attention in relation to the building. Hot water temperatures were checked in two baths and three hand basins. The hot water temperatures in two hand basins were well below the recommended 43 degrees Celsius, measuring 29 and 31 degrees. Although this meant service users are safe from scalding risk, the water temperature is not suitable to the needs of service users. This was raised with the registered manager who intended to refer the problem to maintenance staff for attention. The Lodge J53_J04_S7827_The Lodge_V229346_070605_stage4.doc Version 1.30 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 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 30 Staffing levels and their skills mix are at a sufficient level to ensure the needs of service users are met. EVIDENCE: Based on 38 service users being resident at The Lodge, day staffing hours required are 492 per week, the standard set by the registering authority. This figure does not take into account additional hours for service users with mental frailty. Four weeks of staff rotas were supplied by the registered manager at inspection. These were analysed and showed that the staffing levels exceeded the standard and that staff are deployed in sufficient numbers to ensure that service users’ needs are met at times of the day when they are most required. Laundry and kitchen staff are employed and were seen to contribute to the care and wellbeing of service users. Two waking night care staff are on duty with a manager on call in case of emergency. Of the fifteen care staff, five have NVQ Level 3 and three have NVQ Level 2 in care. This means that the service is on target to meet the standard of 50 of care staff being qualified to at least NVQ Level 2 by 2005. Staff records showed that staff had undertaken mandatory training in health and safety topics. The training undertaken was recorded on individual staff files and the registered manager said she was aware of the staff training needs of individual staff. There was no overall record of training across the staff group. The Lodge J53_J04_S7827_The Lodge_V229346_070605_stage4.doc Version 1.30 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 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) None of these standards were assessed. EVIDENCE: The Lodge J53_J04_S7827_The Lodge_V229346_070605_stage4.doc Version 1.30 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 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 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x x 3 x 2 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x x x x x x x The Lodge J53_J04_S7827_The Lodge_V229346_070605_stage4.doc Version 1.30 Page 17 Yes 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. 2. 3. Refer to Standard 19 26 30 Good Practice Recommendations Hot water temperatures should be maintained in the region of 43 degrees Celsius to ensure that hot water temperatures suit the needs of service users. Cleaning practices need to be reviewed to ensure that hygiene standards are maintained. An overall training programme should be developed to enable the registered manager and senior staff to identify the overall training needs of staff at the home. The Lodge J53_J04_S7827_The Lodge_V229346_070605_stage4.doc Version 1.30 Page 18 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI The Lodge J53_J04_S7827_The Lodge_V229346_070605_stage4.doc Version 1.30 Page 19 - 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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