Inspection on 06/01/09 for Longridge Hall and Lodge

This inspection was carried out on 6th January 2009.

CSCI found this care home to be providing an Good service.

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

Longridge Hall and Lodge 10/08/09

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 27/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Longridge Hall and Lodge 4 Barnacre Road Longridge Preston PR3 2PD     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Jacqueline Riley     Date: 0 6 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Longridge Hall and Lodge 4 Barnacre Road Longridge Preston PR3 2PD 08452710798 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Orchard Care Homes.Com Limited Name of registered manager (if applicable) Ms Lynne Walsh Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC To people of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE The maximum number of people who can be accommodated is: 60. Date of last inspection Brief description of the care home This is a new build home, situated on the outskirts of Longridge. It is within a residential area of the town and there is good access to the local transport network. A large car park enables visitors to park easily and off road. The home is set on two floors. The ground floor being secure due to the dementia conditions of residents occupying this floor. Both floors mirror each other by way of Care Homes for Older People Page 4 of 26 care home 60 Over 65 0 60 60 0 Brief description of the care home layout and design. The home is registered to accomodate up to sixty residents. There are no shared rooms. The corridors are spacious with good handrail support and residents rooms lead off from the corridors. All residents rooms have their own lock and residents have their own key. They can be overidden by staff in case of emergency. Residents rooms are spacious. All residents rooms have large en-suite facilities which include, a wet shower facility and vivid blue toilet seats for the visually impaired. There is a communal lounge as well as two other lounges available on both floors, and an open plan dining area off the communal lounges, which are spacious and light. The first floor has large panoramic views of the open countryside around the town. The ground floor has access from the communal areas to a well landscaped garden, with seating points and good paths for residents to use. The area is secure so that people are safe. The decoration and furnishings throughout the home are to a very high standard. There is written information made available to all users of the service so that residents, family and advocates know what the home is going to provide, who the staff team are and what services are available to them. At the time of the inspection the fees ranged from £400 to £560 for care of residents with Dementia conditions and £390 to £520 for older persons residential care. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced inspection and took place over a five hour period, on 6th January 2009. It was the first inspection since registration of this service in August 2008. We spoke to the registered manager,five staff members, and a number of residents. We spent time in two lounge and dining areas on both floors of the home making general observations to get a flavour of how the home operates on a daily basis. As part of the inspection process we talked to people using the service and asked staff about those peoples needs. We also looked at their rooms, care plans, records and daily notes this is called case tracking. We also invite others using the service to pass Care Homes for Older People Page 6 of 26 on their opinions if they wish. We had good responses from questionnaires sent to people who use the service for their views on how they experience the service. Comment were positive and some are included in this report. Every year the person in charge or manager is asked to provide us with written information about the quality of the service they provide, and to make an assessment of the quality of the service. We use this information, in part, to focus upon our inspection activity. We looked at recruitment and training records of two staff members. We walked around the building and watched people living and working in the home to see how everyone supported and talked to each other. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The admission and assessment procedures are clear and precise to ensure the needs of residents are being met. Evidence: We looked at the records of four residents, they had assessment information recorded in detail, so that staff know what the individual needs are. Included in the assessment information were assessments by other professionals as well as the homes own pre assessment prior to residents being admitted to the home. We talked to the registered manager and Senior staff who said pre assessments are always undertaken so that the home knows if the home can meet the needs of the resident. There was also evidence of the home communicating with family or advocates so that they felt confident the home can meet their relatives needs. Comments included, the manager always talks to us about my relatives needs and Care Homes for Older People Page 10 of 26 Evidence: tells me if there are any changes, they came to see me before I came here and talked to me about it, I came and had a look round and had a meal before I came in, they made me feel really comfortable. Staff members we spoke to and surveys we received told us that staff feel part of the assessment programme, by use of the key worker system, so that they get to know the resident and their specific needs. Comments included, the key worker system is good because we get to know the resident and they get to know you. We saw evidence on files looked at of residents being involved in the assessment process and also in some instances family members were involved. We were told by family members that they were made to feel part of the process in identifying the care needs of their relative and they said they liked the fact that they had been involved. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Promotion of health is taken seriously. Residents welfare is closely monitored and health needs are identified and met. Evidence: The records of four residents who were case tracked as part of the inspection process were up to date and complete. The information was up to date with evidence of residents being involved in the care planning process. One resident said, the key worker talks with me about what I need and I know its written down so the staff know what I need specifically. We found the care plans are well structured with evidence of regular reviews taking place on a monthly basis so that changes can be made accordingly. Care staff are involved in the care planning process and those spoken to said, We are responsible for recording events, so that other staff can see if the needs of the residents have changed or specific things need to be looked at. Care Homes for Older People Page 12 of 26 Evidence: The care plans have individual sections including health care. In this section the specific medical and healthcare needs of the residents are recorded. We saw there are good links with doctors district nurses and social workers as well as specialists so that residents are not disadvantaged in any way and their individual health needs are being met. Records showed there are individual risk assessments on all files looked at. They identify the risks to the resident living at the home and what action should be taken to manage the level of risk. Staff told us they regularly update this information as changes can occur on a regular basis, especially in the unit for residents with dementia conditions. Medication practices we observed during the morning and at lunchtime were seen to be safe and good records are being maintained so that the practices meet current good practice guidelines. We spoke to staff responsible for medication administration, they told us they have all received training and this was further evidenced by looking at individual training files. Staff were familiar with the homes policies and procedures and also showed us good practice guidelines being used by the home which follow national department of health guidance. Staff told us they find this information useful and keeps them up to date.Other staff comments included, I feel confident with the systems we use here, I feel supported by the manager and the training we get is good. We looked at how residents dignity and privacy are protected and we found staff treated people with respect at all times. We spent time in communal areas throughout the inspection and saw staff talked to residents in a sensitive way, they assisted residents in a dignified way and all residents were seen to be comfortable with the staff teams on duty. We saw staff always knocked on residents doors and waited for a response before entering so that their privacy was protected. Comments we received said, the staff have always got time for you and they are so patient, they are always around for you. Staff said, we always respect residents privacy as I would expect mine to be respected. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Social activities are being developed to create daily variation and interest for residents living in the home. Meals are well presented and provide choice for residents. Evidence: We spoke to a number of residents who told us they can get up and go to bed when they choose. They said they thought they can make decisions about how they choose to live and staff told us they respect how individual residents choose to live. Comments included, everybody has their own way and we respect that, I like to do my own thing and use my room when I want to. We saw there are no restrictions on when visitors come to the home and we saw a number of visitors came to see their relatives at various time of the day. Visitors spoken to and comments we received in surveys told us, they were very happy with the way the home is run. I come and visit regularly and at different times and the staff never find this a problem, they are always welcoming. We observed that whilst televisions were on in both lounges they were not to loud and Care Homes for Older People Page 14 of 26 Evidence: did not detract from residents having their own conversations. Staff told us that they liked to spend time with residents as they had interesting tales to tell, and it helps the staff team to get to know residents interests and previous pastimes they liked to participate in. The manager told us the home is currently networking with a local community social group to organize bowling for residents during the summer months. One resident was seen to enjoy going into the garden as they liked to attend to their own garden prior to coming to live at the home. We saw the way meals are served take into account detail in how tables are set, glass wear is used for drinks and attention is given to using serviettes on individual place settings. Comments included, they take such time in making sure the tables look nice, the tables always look nice. Residents have the choice to eat in their own together as this is seen as a social event and together. We saw residents enjoyed the time with each other. The dining experience is not sitting together over a drink after their meal. rooms but are encouraged to eat a time when residents can spend time spent at the table and communicated hurried and residents spent some time The choice of meals and the way they are presented is good, comments included, the meals are always nice and served in a nice way, the staff know what I like and dont like. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Arrangements for dealing with complaints are handled well and taken seriously ensuring people are listened to. Procedures for reporting and dealing with abuse were satisfactory so that people are protected. Evidence: We saw that the home has a complaints procedure which is made available to residents and all users of the service. The complaints procedure is clear and guides people to use the documentation if they are not satisfied with any area of the service. Comments in surveys told us people knew about the procedure and felt comfortable to use it should they find it necessary. We spoke to some residents about the complaints procedure and they told us they knew about it. We saw there have been tow complaints made to the home by an external complainant and a resident. In both instances the areas of concern were looked at and changes made so that the complaints were resolved within the homes own timescales. There have been no complaints made to the Commission since registration in August 2008. We saw the home has procedures in place for dealing with allegations of abuse. The manager and staff spoken to had a good understanding of the procedures to be used should abuse be suspected. The manager told us that staff received initial training in this area during the induction programme as well as having access to formal training, Care Homes for Older People Page 16 of 26 Evidence: so that people are protected. There have been no reports of abuse made to the Commission. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment is safe clean and designed to an excellent standard for the comfort of residents living there. Evidence: This is a new purpose built home, designed to meet the needs of the residents living there. Comments we received from surveys and by talking to people using the service said, this is the nicest home I looked at, its has everything you might need, I couldnt think of anywhere nicer to live, I like the fact I have my own key and feel my room is my own space, its great working in such a nice environment. We looked around the home and found it to be of a very high standard. Attention has been given to all aspects of living in residential care. The corridors are wide as well as access to doors, so that mobility aids would be able to move freely around the home. Hand rails throughout the corridors are designed so there are no breaks which could cause problems for people moving around the home. The choice of communal space means that residents and their families and friends have a wide choice of seating areas. The range of furniture and fittings are deigned to make the living experience a positive one. There is a range of seating in the lounges including settees, individual chairs of Care Homes for Older People Page 18 of 26 Evidence: various heights and styles. All residents rooms have fitted wardrobes and drawers as well as providing residents with a fridge in all rooms, a flat screen television and DVD player. All residents rooms have a lockable bedside cabinet for residents to place items they choose to lock away, and all residents have a touch pad bedside lamp for their convenience. All resident have en-suite facilities including a wet shower facility and all toilets have vivid blue seats so that residents who may be visually impaired are assisted. Residents told us they were more than satisfied with their rooms, which they felt had everything they need. Comments included, I like to keep my drinks and chocolates in the fridge, I like to spend time in my room in the afternoon. Residents living on the ground floor unit have access to the well landscaped garden area, which is accessible from the communal areas. There is a range of seating in this area, which was being used by a number of residents during the inspection process. Comments included, mum loved gardening and likes to spend time in the garden, we are looking forward to the warmer months when I think it will be used a lot more. There is a maintenance plan in place and areas for attention are completed by staff. There are specific timescales in place for carrying out maintenance jobs based upon the level of need.A resident had found the heating in their room was not adequate, this issue was being addressed by supplying a larger radiator, which the resident was very satisfied with. We found the home to be very clean and hygienic with designated domestic staff working daily. There are designated laundry staff to ensure the laundering of residents clothes is carried out in a way which makes sure clothes are returned to the said resident. The decoration and colour schemes are subtle and varied so that the environment is pleasant to use. Comments included, its very restful and the colours all blend well. There is varied lighting throughout the home so that it suitable to meet the needs of residents whilst providing a choice of lighting in all areas of the home. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The procedures for the recruitment of staff are good ensuring the safety and protection of residents. Training for staff is good which enables staff to have the skills and competences to carry out their roles. Evidence: We looked at the recruitment system the home has in place. By looking at three staff files it showed us staff are recruited safely using procedures which take into account full information about them including application records, references which have been checked, Criminal Record Bureau (CRB). Protection of Vulnerable Adults (POVA)checks to make sure they are safe to work with people who may be vulnerable. The home is being staff at a level which meets the needs of residents accommodated. The home has used agency staff on occasions when staffing levels might have been impeded, however the recruitment of suitable staff is ongoing and staff spoken to said the development of the staff teams is ongoing but is now settling down and the teams are using their mix of skills to work together for the benefit of residents living there. Surveys we received and staff spoken to told us they feel supported by the management team, and they have attended a staff meeting since the home opened with more planned, so that their views can be used for the development of the staff Care Homes for Older People Page 20 of 26 Evidence: teams in conjunction with the management team for a positive outcome for people using the service. We spent time in various areas of the home throughout the inspection process and found the staff team are available in all areas of the home at any one time, so that residents have access to staff whenever they feel they need them. Call bells were responded to in a short time span so that people felt supported. Comments included, If I have to call for staff they are there is a jiffy. We looked at what training is available to staff. In all instances a formal induction programme is taking place for all staff who come to work at the home this is overseen by the manager or senior staff. In addition staff have access to mandatory training using the companies trainers, as well as accessing national training at various levels in care practices. Training in dementia care has been attended by most staff working with residents with dementia and this is ongoing training so that all staff are developing their skills in this area for the benefit of residents needing specialist dementia care. Staff we spoke to and surveys we received told us staff felt supported by the management team, and they felt motivated in working practices at the home. In general they felt they liked working at the home. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed well with systems and policies in place for the safety and protection of residents. Evidence: We saw the manager has the necessary skills and experience required to support staff and residents on a day to day basis. Comments included, I feel the manager supports us, the manager is always available if you need her, the management team are supportive. There is evidence the regional manager works closely with the registered manager to develop the service further. This is being carried out by continually reviewing the systems in place and making changes where necessary. We were told the home requests the views of users of the service and there is an open door policy by which staff residents and residents or advocates can make comments. The quality monitoring Care Homes for Older People Page 22 of 26 Evidence: of the home is being developed and includes more staff and resident meetings so that people have the opportunity to provide comments about the service and its development. We found that all records and systems in the home have a review system in place so that changes can be identified and met on a regular basis.Staff were confident in using the systems available to them to make sure residents needs are being met, and that these systems are being reviewed by the manager so that they are effective. The information we were provided with told us the home checks all appliances regularly for the health and safety of all users of the service. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 25 of 26 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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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