Inspection on 01/02/06 for Lostock Lodge

This inspection was carried out on 1st February 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

Lostock Lodge 26/06/07

Lostock Lodge 31/08/06

Lostock Lodge 11/07/05

Lostock Lodge 09/11/04

Lostock Lodge 29/06/04

Lostock Lodge 02/03/04

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Lostock Lodge 34 Wateringpool Lane Lostock Hall Preston Lancashire PR5 5AP Lead Inspector Mr Patrick Rooney Announced Inspection 1st February 2006 10:00 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 Lostock Lodge DS0000005884.V260525.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Lostock Lodge DS0000005884.V260525.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Lostock Lodge Address 34 Wateringpool Lane Lostock Hall Preston Lancashire PR5 5AP 01772 626141 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) care@lostocklodge.com Lostock Lodge Limited Miss Christine Wilkes Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places Lostock Lodge DS0000005884.V260525.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home is registered for a maximum of 32 service users of the category OP - Old Age not falling within any other category (aged over 65 years). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidelines which may be issued through the Commission for Social Care Inspection regarding staffing levels in care homes. 11th July 2005 Date of last inspection Brief Description of the Service: Lostock Lodge is a residential care home providing 24 hour personal care and accommodation for up to 32 older persons aged 65 and above. The home is situated close to the centre of Lostock Hall, near to shops, pubs, a post office and other amenities. It is a large detached property with a purpose built extension set in its own gardens. Accommodation is mainly on the groung floor and there is a passenger lift to the first floor accommodation. All rooms are single and have ensuite facilities. The home is furnished and decorated to a high standard. facilities are provided. Assisted bathing There are a number of lounge areas, a conservatory, dining areas. The front lounge is a designated smoking area. Lostock Lodge DS0000005884.V260525.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection; the homes manager completed a pre inspection questionnaire. The inspection took place over a six-hour period starting at 10:00 am. Care records were seen and most of the residents were spoken to either in the lounge areas or in their own rooms. Comments received from residents and relatives were positive and were complementary about the care they receive. Comments seen during the inspection are as follows: “I’m quite happy here, the food is very good.” “Very good here, staff are very good”, “It’s a happy place”. “I came back here because I like it, I wouldn’t go anywhere else, staff are very helpful and kind.” “Staff are good I have no complaints”. One relative in a questionnaire said, “Lostock Lodge is a well run friendly home, with residents every need taken care of and a very good choice of meals, which our relative enjoys very much”. What the service does well: Many of the staff have worked at Lostock Lodge for a long time and provide continuity and security for residents. The home provides very good rooms and facilities for residents. Residents describe staff as friendly and helpful. The management actively seek staff feedback on issues regarding the home. Lostock Lodge has achieved the Investor In People Award. Lostock Lodge DS0000005884.V260525.R01.S.doc Version 5.0 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. Lostock Lodge DS0000005884.V260525.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lostock Lodge DS0000005884.V260525.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All the key Standards in this section were assessed and met in the previous inspection. EVIDENCE: Lostock Lodge DS0000005884.V260525.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9 There are good policies and procedures in place for the receipt and administration of drugs however not all drugs dispensed were recorded properly. EVIDENCE: Policies and procedure seen were good, only staff that are trained administer and dispense medication. A list of names of those able to dispense were available in the drugs records. It was noticed that one resident whose drug dosage had been increased had not had this fact properly recorded on the dispensing sheet. A resident who was receiving respite care did not have a drugs sheet, which reflected the amount of tablets which had been brought in on admission. The home had controlled drugs recorded in a note book, however a controlled drugs register needs to be obtained which more clearly shows incoming and outgoing controlled drugs. Lostock Lodge DS0000005884.V260525.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14 and 15 Those residents able to manage their own finances are encouraged to continue doing so. Appropriate records are maintained of the home’s involvement in holding monies for residents. The rooms of service users are furnished and fitted with personal items and possessions. Access to personal records and information is enabled in accordance with the Data Protection Act 1998 The home provides residents with a good varied diet with choices available. EVIDENCE: It was noted that residents and their families are consulted on admission regarding their finances. Those able to control their own finances are able to do so. Currently two residents do this and most others finances are managed by their families. The home only administers one resident’s finances and there were records available detailing this. Personal allowances are kept in a safe by Lostock Lodge DS0000005884.V260525.R01.S.doc Version 5.0 Page 11 the home and made available to residents when they wish to pay for items. Records for this were seen and are well kept. Care records and reviews showed that either relatives or residents sign the care plan and have access to records kept on them. Leaflets and information is available in the home to enable resident’s access to independent advocacy services if required. Menus showed that residents are offered a good variety of food with choices always available. The inspector had lunch during the inspection, this was of good quality and well presented. Residents spoken to say they had good food one residents said, “I’m quite happy here, the food is very good.” Another said, “We have good food and are always asked what we want.” New menus have recently been produced and resident’s views were included in this, the cook asks residents what they like and has a good knowledge of resident’s likes and dislikes. Lostock Lodge DS0000005884.V260525.R01.S.doc Version 5.0 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): All the key Standards in this section were assessed and met in the previous inspection. EVIDENCE: Lostock Lodge DS0000005884.V260525.R01.S.doc Version 5.0 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): 19 The home provides a comfortable safe environment for residents. EVIDENCE: Since the last inspection the home has had new flooring fitted in the main corridor and the smoking lounge. Residents are pleased with the improvements, which provide a more pleasant environment. There is a programme of maintenance and improvements in place to ensure the home is always well maintained. Lostock Lodge DS0000005884.V260525.R01.S.doc Version 5.0 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 and 29 Care staff are given the opportunity to achieve qualifications in care. The home needs to ensure its recruitment procedures are improved. EVIDENCE: There are currently 53 of staff qualified to NVQ 2 in care and more staff are undertaking this training. The manager still needs to ensure new applicants applying for posts working at the home provide a full previous work history as application forms seen did not contain this information. All new staff are required to obtain an enhanced Criminal Records Bureau clearance before taking up post. This was verified from staff records. Lostock Lodge DS0000005884.V260525.R01.S.doc Version 5.0 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): 33 and 38 There are good quality assurance systems in place to ensure the home meets its aims and objectives. The health and safety of staff and residents is taken seriously and measures in place to ensure this. EVIDENCE: Lostock Lodge is accredited with Investors in People and has an annual assessment to keep this. Immediately prior to the inspection the home had carried out a survey of its resident’s comments from residents were positive and included, “Very good here, staff are very good”, “It’s a happy place”. Comments made by residents to the inspector during the visit are, “I came back here because I like it, I wouldn’t go anywhere else, staff are very helpful Lostock Lodge DS0000005884.V260525.R01.S.doc Version 5.0 Page 16 and kind.” “Staff are good I have no complaints”. One relative in a questionnaire said, “Lostock Lodge is a well run friendly home, with residents every need taken care of and a very good choice of meals, which our relative enjoys very much”. The owners of the home are in daily contact with the home and make themselves available to residents. They deal with any complaints arising. Staff have health and safety training and records showed this to be the case. Moving and handling training is given for all staff and records showed they have all completed this training. Staff have first aid, food hygiene, and infection control training. Records showed that all safety checks take place, including fire, electricity and hot water. Risk assessments are carried out to ensure safety in the home, records of these were seen. Lostock Lodge DS0000005884.V260525.R01.S.doc Version 5.0 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 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X X STAFFING Standard No Score 27 X 28 3 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X 3 Lostock Lodge DS0000005884.V260525.R01.S.doc Version 5.0 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 OP9 Regulation 13(2) Requirement The manager must ensure all medications are recorded accurately. Timescale for action 15/02/06 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 OP29 Good Practice Recommendations The manager should ensure that a full employment history is obtained for all new applicants for a post in the home. Lostock Lodge DS0000005884.V260525.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Lostock Lodge DS0000005884.V260525.R01.S.doc Version 5.0 Page 20 - 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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