Inspection on 08/02/07 for Lodge The

This inspection was carried out on 8th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 24/01/06

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 2SP Lead Inspector Mrs Rosalind Sanderson Key Unannounced Inspection 8th February 2007 09:30 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.V330183.R01.S.doc Version 5.2 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.V330183.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lodge The Address Westbourne Road Scarborough North Yorkshire YO11 2SP 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.V330183.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th January 2006 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. Information about what services the home provides is supplied to service users and their relatives in the form of a ‘Service User Guide’. The last Commission for Social Care Inspection report is also available in the home. The range of fees charged at the 8/2/07 were between £317 and £360 per week. Lodge The DS0000007827.V330183.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection has used information from different sources to provide evidence for this report. These sources include: • • • • Reviewing information that has been received about the home since the last inspection. Information provided by the registered person on a pre inspection questionnaire; Comment cards returned from 2 service users. A visit to the home carried out by one inspector that lasted for four hours. During the visit to the home ten service users, six staff and two visitors were spoken with. Records relating to four service users, four staff members and the management activities of the home were inspected. Care practices were observed, where appropriate, and time was also spent watching the general activity within the home. This enabled the inspector to gain an insight of what life is like at The Lodge for the people living there. The registered manager and her deputy were available to assist throughout the visit and for feedback at the close. What the service does well: The Lodge is a lovely place to live. It is set in beautiful grounds, well decorated, clean and well maintained. Comments received from service users include, ‘‘One of the best things about here is the cleanliness, it is spotless.’ Another said, ‘I agree, my room is always clean and tidy’ Service users’ needs are fully assessed prior to admission and this ensures that all the service users that live at The Lodge can be assured their needs will be met. The records that are kept about their care needs give good information to staff so that they are aware of these needs at all times. Service users said, ‘This place is excellent, the staff are so kind and extremely caring’ ‘All the staff make the home what it is’ ‘They help you as much as you need helping, but you never have to ask for this they just know’ The food provided at the home is exceptional with a choice at each mealtime and home baking provided for morning coffee, afternoon tea and supper. Service users enjoy the bar facility. Activities are provided in the home and are planned following discussions with service users. Relatives are welcome anytime in the home and are able to visit Lodge The DS0000007827.V330183.R01.S.doc Version 5.2 Page 6 in private if they wish in a private lounge. Facilities are available for service users to make refreshments and take a snack if they wish with their relatives. Comments received included, ‘The staff do an excellent job with activities, there’s always something going on.’ The manager arranges for ministers of different denominations to visit the home. Staff are well trained and treat people respectfully. Some staff have worked at the home for a long time and are very experienced. There are always plenty of staff around to meet individual and collective needs of service users. The manager is very experienced and well liked by service users and staff. She is approachable and always maintains a visible presence in the home. 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. The summary of this inspection report can be made available in other formats on request. Lodge The DS0000007827.V330183.R01.S.doc Version 5.2 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.V330183.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 6 is not applicable Quality in this outcome area is good. Service users can be assured that their health and social care needs will be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records showed that a thorough pre admission assessment is carried out for all prospective service users. Information about service user’s needs is gathered from varying sources. This includes from GP’s, healthcare professionals involved in the individual care of the service user and, where appropriate, social services. Where possible, all service users are visited prior to their admission and if possible they are encouraged to visit the home as well. This gives the service user an opportunity to get to know key members of staff prior to their admission and hopefully be greeted by a familiar face when they arrive at the home. All information that is gathered about the health and social needs of service users is used to formulate the plans of care for each service user. Lodge The DS0000007827.V330183.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is excellent. Service users receive health and personal care in a safe way that respects their privacy and promotes dignity and independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All service users have a written care plan that details how their health and social care will be delivered. The plans are based on information received during the pre admission assessment and reviewed and updated as needed. All activities that the service user may be involved in have been the subject of risk assessment and this ensures that service users are cared for safely whilst maintaining their independence and choice. All staff are aware of the care plans and were seen referring to them during the course of their duties. Staff were seen speaking respectfully to service users and giving them the opportunity to express their wishes. At each shift change all staff receive current and up to date information about the needs and wishes of service users. All staff are able to contribute to discussions about service user’s care. The records showed that all service user’s healthcare needs are kept under regular review and where indicated relevant healthcare professionals are involved. On the day of the inspection district nurses were visiting the home. Lodge The DS0000007827.V330183.R01.S.doc Version 5.2 Page 10 Service users comments include, ‘This place is excellent, the staff are so kind and extremely caring’ ‘All the staff make the home what it is’ ‘They help you as much as you need helping, but you never have to ask for this they just know’ The registered manager arranges for all staff to receive training vital to their role and to enable them to care for service user’s specific care needs. Staff are knowledgeable about each service user’s needs. A staff member confirmed that they receive sufficient training and are able to approach the manager if they feel they require more specific training. This is always provided. As well as the mandatory training, staff have received training in bereavement counselling. Policies and procedures relating to the administration of medication ensure that service users receive their medications promptly and in a safe way. Medication records that were looked at showed that this was the case. Staff responsible for handling medications have received training in this area. Lodge The DS0000007827.V330183.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is excellent. Service users are more than satisfied with their day-to-day lives. They appreciate the excellent food provided that meets individual and collective dietary needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Activities provided at the home have been devised following consultation with service users so ensuring that it meets their wishes and preferences. Recent activities include trips out to the theatre, seafront and restaurants. All the service users look forward to visits from musical entertainers. They have also enjoyed listening to local choirs. A service user said, ‘The staff do an excellent job with activities, there’s always something going on.’ The activities organiser works for sixteen hours each week. She makes sure that those service users who spend time in their rooms or choose not to join in any group activities are visited in their rooms to have a chat with. Service user’s are enabled to keep their faith and ministers from differing religions visit the home. These include Church of England, Roman Catholic and the Pentecostal Church. Lodge The DS0000007827.V330183.R01.S.doc Version 5.2 Page 12 In addition to the two main lounges there are three further lounges where service users may see their relatives and visitors in private. One of these lounges has a fridge and facilities to make snacks and drinks at all times of the day. Another one is dedicated to those service users that wish to smoke. A visitor said that this facility is appreciated. Another commented that they are always made to feel welcome at the home. Careful consideration is given to the dietary needs of service users. All service users have had a nutritional assessment carried out. There is a four-week menu provided. Fresh local produce is used at all times. At each mealtime there is a choice of food available. At breakfast time there are seven courses available should service users wish to have these. A bar facility is available and many service user’s enjoy a sherry with their Sunday Lunch. All service user’s enjoy a home baked cake on their birthdays as well as daily home baked cakes and biscuits. Special diets such as diabetics, low fat and high fibre are catered for. Any special diets are recorded in the individual care plans. All service users spoken with commented on the high quality of the food provided. Consideration is given to providing ‘enriched’ diets for those service users that require this. The cook is aware of his responsibilities in relation to safe handling and preparation of food and this ensures that all service user’s receive their food safely. Lodge The DS0000007827.V330183.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16&18 Quality in this outcome area is good. Service users are listened to and are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users and their representatives are aware of the complaints policy in the home and know whom to approach should they have a complaint. They feel confident that any complaint will be taken seriously and acted upon. One service user said, ‘I would talk to Julia (the manager) if there was anything worrying me. She calls to see us most days’ A relative said, ‘I would see the manager or Kath (deputy) straight away if I had any concerns’. Regular residents meetings are held. Details of how to access advocacy arrangements if needed are available in the home. The adult protection policy and procedure ensures that service users are fully protected. Staff are aware of the whistle blowing policy and their responsibilities. Staff were clear about reporting procedures following any disclosure Lodge The DS0000007827.V330183.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19&26 Quality in this outcome area is excellent. Service users live in a safe, clean and well-maintained environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users like their private accommodation. They explained that they are able to bring in items of furniture and possessions and described having a choice about which room to take when coming into the home where possible. Some rooms are larger and so service users are able to use these as bed sitting rooms and have a separate lounge area. There are four communal lounges including one that smokers can use if they wish. There is also a private room on the first floor that has facilities for making snacks and drinks. This is for the use of residents and their relatives and friends. Relatives can also use the still room area for making drinks if they wish. The lounge areas and dining room were furnished and decorated to a high standard. All areas of the home seen were well maintained. Lodge The DS0000007827.V330183.R01.S.doc Version 5.2 Page 15 One resident said ‘One of the best things about here is the cleanliness, it is spotless.’ Another said, ‘I agree, my room is always clean and tidy’ 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 and were within the accepted range. The laundry is sited away from food preparation areas and has the appropriate equipment to deal with all the laundry in the home. Service users clothes are all clearly labelled and laundered well. The laundry assistant has had appropriate training for her role and is provided with equipment to help her address infection control and health and safety. These include dissolva bags for soiled laundry and gloves and aprons for her and the staffs use. Lodge The DS0000007827.V330183.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Service users are cared for and protected by safe, well-trained staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home encourages staff to undertake training relevant to their roles and currently 65 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. 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 and that this was addressed during supervision. Recruitment procedures are robust and this means that service users are protected. Staff rotas showed that staff are deployed in sufficient numbers to ensure that service users’ needs are met at all times of the day. Two waking night care staff are on duty with a manager on call in case of emergency. Lodge The DS0000007827.V330183.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is excellent. This home is well managed. This judgement has been made using available evidence including a visit to this service. 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. The quality assurance system has been developed to ensure that service users are regularly asked what they think of the service and how things can be improved. One example of this is following admission a survey is sent to ask if they had been given sufficient information about the home and if there was Lodge The DS0000007827.V330183.R01.S.doc Version 5.2 Page 18 anything else that could have been done to make the move easier. The manager said that she is always looking at ways where the service users and others involved in the home can have their say. Service users confirmed they feel listened to. 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. Lodge The DS0000007827.V330183.R01.S.doc Version 5.2 Page 19 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 4 Lodge The DS0000007827.V330183.R01.S.doc Version 5.2 Page 20 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. Refer to Standard Good Practice Recommendations Lodge The DS0000007827.V330183.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 The DS0000007827.V330183.R01.S.doc Version 5.2 Page 22 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!