Inspection on 11/07/05 for Lostock Lodge

This inspection was carried out on 11th July 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 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 01/02/06

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 PR5 5AP Lead Inspector Patrick Rooney Unannounced 11 July 2005 10:00am 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. Lostock Lodge F57 F09 S5884 Lostock Lodge V220826 110705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Lostock Lodge Address 34 Wateringpool Lane, Lostock Hall, Preston, Lancashire. PR5 5AP 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) 01772 626141 Lostock Lodge Limited Miss Christine Wilkes CRH Care Home 32 Category(ies) of OP Old Age 32 registration, with number of places Lostock Lodge F57 F09 S5884 Lostock Lodge V220826 110705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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) 2. The service should at all times employ a suitably qualified and experienced manager who is registerd 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 issed through the Commission for social Care Inspection regarding staffing levels in care homes. Date of last inspection 9th November 2004 Brief Description of the Service: Lostock Lodge is a residential care home providing 24 hour personal care and accomdodation 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. Accomodation is mainly on the groung floor and there is a passenger lift to the first floor accomodation. All rooms are single and have ensuite facilities. The home is furnished and decorated to a high standard. Assisted bathing facilities are provided. There are a number of lounge areas, a conservatory, dining areas. The front lounge is a designated smoking area. Lostock Lodge F57 F09 S5884 Lostock Lodge V220826 110705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit and took place over a period of four hours. The information contained in the report has been gathered by discussion with the owners, discussion with the manager, staff and discussion with residents and visitors. Questionnaires were distributed and completed by most residents. Completed questionnaires were also received from relatives. Positive feedback was received from all discussions and questionnaires. Residents told the inspector that they are well cared for and that staff are caring and approachable and meet their needs. One resident who had recently been readmitted to the home said that she was so pleased with her first stay that she requested a place again, and now considers Lostock Lodge to be her home. The inspector carried out a tour of the home and examined records, policies and procedures. The care records of five residents were examined and the care they receive was measured against these records. Lostock Lodge is managed by a registered manager and the owners are in dayto-day contact with the home. They purchased the home approximately one year ago from the previous owners who had operated the home for many years. The inspector found during the visit that the manager and owners demonstrated a good awareness of the needs of the residents and he observed good interaction between residents, management and staff. There has been one complaint received by the CSCI in April 2005. A report of this is available. The complaint concerned staffing levels and food. The owners felt this complaint was the result of uncertainties generated by the change of ownership. The current inspection found that staffing levels are adequate to meet the needs of residents. New menus have been produced and the inspector was told by residents that they are happy with the quality and variety of food provided. Alternatives are always available for those who require them. Lostock Lodge F57 F09 S5884 Lostock Lodge V220826 110705 Stage 4.doc Version 1.40 Page 6 What the service does well: 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 F57 F09 S5884 Lostock Lodge V220826 110705 Stage 4.doc Version 1.40 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 Lostock Lodge F57 F09 S5884 Lostock Lodge V220826 110705 Stage 4.doc Version 1.40 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) 1 and 3 The admission and assessment procedure were clear and ensure the care needs of residents are met. EVIDENCE: The inspector looked at the homes admission procedures and looked at the files of four residents. These showed that there are good assessment and admission procedures which ensure the care needs of residents are put into a care plan. The inspector spoke to the four residents whose files had been seen. They confirmed that they knew of the care plans and that the care they receive is what had been agreed. One resident who had been in the home on a previous occasion said “ I have been here before and have come back because it is good, I couldn’t wish for better, this is my home now” Staff spoken to demonstrate that they are aware of the care needs of residents and consult their assessments and care plans. Lostock Lodge F57 F09 S5884 Lostock Lodge V220826 110705 Stage 4.doc Version 1.40 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) 7,8 and 10 Residents have a care plan in which their health and personal needs are closely monitored. Staff provide the right levels of care, which takes into consideration respect, privacy and dignity. EVIDENCE: Records seen for four residents clearly describe their health and personal needs. There are risk assessments, which are clearly recorded. Residents and their families are consulted about care plans, this was confirmed in discussion with residents and visiting relatives. Staff spoken to demonstrated an awareness of the care plans and the policies and procedures related to them. The inspector was able to observe good interaction between residents and staff when carrying out their tasks. Questionnaires completed by residents and relatives said that residents are treated with dignity and respect and privacy is respected. Lostock Lodge F57 F09 S5884 Lostock Lodge V220826 110705 Stage 4.doc Version 1.40 Page 10 Residents spoken to felt the levels of care they receive are good and that staff do encourage them to do as much for them as possible. Lostock Lodge F57 F09 S5884 Lostock Lodge V220826 110705 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 and 13 Social activities are provided which are varied according to the needs of individual service users. The homes routines are flexible and welcoming to all individuals. Friends and relatives are made welcome when they visit the home. EVIDENCE: The inspector saw a good varied programme of activities for residents, which includes entertainment sessions, outings, and visiting shops. Residents told the inspector that there are always activities available to them if they wish to take part. The home employs two staff whose job is to promote and organise activities. The atmosphere in the home was observed to be relaxed, residents told the inspector they are able to rise and retire when they wish and that mealtimes are flexible according to their needs and wishes. Meals may be taken privately if residents wish. One resident told the inspector she was waiting for her friend to visit, she said that friends and family are made most welcome. She described the home as her home now and said she was very happy there. Another resident said that the night staff are like angels and nothing is too much for them. A relative said “All staff are helpful and friendly to both mum and me”. Lostock Lodge F57 F09 S5884 Lostock Lodge V220826 110705 Stage 4.doc Version 1.40 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 standard(s) 16 and 18 Arrangements for complaints are good, the management of the home respond quickly to complaints. There is an effective whistle blowing policy, which staff are aware of and which ensures protection of residents. EVIDENCE: The home has a detailed complaints procedure; this was seen by the inspector. In discussion with residents and visitors the inspector found that they were aware of what to do if they had a complaint. They said that they found the manager and staff of the home approachable if they were concerned about anything. Information about the complaints procedure is available in the service users guide. A record of internal complaints is kept and outcomes recorded. There has been one complaint made to the CSCI since the last inspection. This concerned issues regarding staffing and menus. The owners of the home felt that the complaint was a result of uncertainties for some residents as a result of the recent change of ownership of the home. The inspector saw evidence that the home has carried out a thorough investigation into the issues raised and has taken steps to ensure there is always the correct amount of staff on duty to meet resident’s needs. This was confirmed following discussion with residents and staff. Menus have also been reordered and contain a good variety of food with alternatives available at all times. Lostock Lodge F57 F09 S5884 Lostock Lodge V220826 110705 Stage 4.doc Version 1.40 Page 13 There is a procedure available to protect residents from abuse including a whistle blowing policy. Staff interviewed demonstrated an awareness and understanding of these policies. All staff on duty at the time of the inspection were interviewed separately, all felt that they could approach management if they were concerned about anything. Lostock Lodge F57 F09 S5884 Lostock Lodge V220826 110705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,25 and 26 The standard of furnishings and decoration are generally good and provide a homely environment, which is clean and warm. However carpets on the main corridor and in the front lounge are in need of replacement. There are pleasant exterior surroundings, which residents can use in good weather. EVIDENCE: The inspector carried out a tour of the dinning areas and saw residents in their own rooms. Standards of decoration and furnishings in residents rooms were good and comfortable. Residents told the inspector they felt are happy with the standard of their accommodation. The carpet in the front lounge, which is the smoking lounge is badly stained and in need of replacement. The corridor carpet, while it is cleaned is also stained. The owners were able to show the inspector evidence that plans are Lostock Lodge F57 F09 S5884 Lostock Lodge V220826 110705 Stage 4.doc Version 1.40 Page 15 in place for replacement of these carpets with a suitable floor covering. Samples were seen by the inspector during the inspection. The home was observed to be clean and tidy and the inspector examined the homes procedures regarding infection control, these were In order and ensure good standards are maintained at all times. Cleaners are employed during the day and ensure the home is kept clean. Lostock Lodge F57 F09 S5884 Lostock Lodge V220826 110705 Stage 4.doc Version 1.40 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 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) 27,28,29and 30 The number of staff on duty is sufficient to meet the needs of residents. Staff are given the opportunity to do the NVQ 2 qualification in care however at present there are less than 50 of staff trained to this level. There are procedures for the recruitment of staff, which offer protection to people living in the home however there is a need to ensure a full employment history is obtained in the initial application form. EVIDENCE: The inspector spoke to management, staff and consulted rotas and staff records. There is a stable staff group who have the experience and skills to provide care needed. Discussion with staff showed that they are receptive to looking at residents individual needs and showed they know them well. Records show that out of 35 care staff 15 currently have NVQ 2 and 8 are working towards this qualification. This falls below the 50 recommended by December 2005. However this target should be reached by the end of the year. The home has an on going training programme for staff and the inspector saw a training plan and evidence that staff take part in a variety of training courses to improve the work they do. Lostock Lodge F57 F09 S5884 Lostock Lodge V220826 110705 Stage 4.doc Version 1.40 Page 17 Questionnaires received from residents and relatives confirmed that staff provide good levels of support to residents. Rotas showed that there are sufficient numbers of staff on duty to meet the needs of residents. Residents said that staff are very friendly and approachable, they also told the inspector staff do their best for them. Staff files were viewed and showed that all necessary recruitment checks are made including Criminal Records Bureau checks. References are taken up and interviews held. Application forms seen did not have a full employment history. Lostock Lodge F57 F09 S5884 Lostock Lodge V220826 110705 Stage 4.doc Version 1.40 Page 18 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) 31,32 ,35and 36 The home is managed and run efficiently. There is leadership guidance and continuity. Staff and residents are aware of the management structure and know who to go to with any concerns. More efficient supervision systems need to be in place for staff. There are good systems in place to safeguard the interests of residents. EVIDENCE: The owners are experienced and have a manager who is experienced and qualified to run a care home. This was confirmed in discussion with the owners and manager. Both the owners and the manager are in the home every day and are well known to residents. Residents told the inspector they are able to approach the manager and the owner with any concerns they may have and that these are quickly acted on. Lostock Lodge F57 F09 S5884 Lostock Lodge V220826 110705 Stage 4.doc Version 1.40 Page 19 There were no completed records of staff supervision and some staff said they had not received regular supervision sessions. Lostock Lodge F57 F09 S5884 Lostock Lodge V220826 110705 Stage 4.doc Version 1.40 Page 20 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 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 2 x x x x x 3 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 x x 3 2 x x Lostock Lodge F57 F09 S5884 Lostock Lodge V220826 110705 Stage 4.doc Version 1.40 Page 21 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 19 Regulation 23(d) Requirement The home must replace warn and stained carpets in the front lounge and corridor areas Timescale for action 31/12/05 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 28 29 36 Good Practice Recommendations A minimum of 50 of care staff should be qualified to NVQ2 or equivalent by 31 December 2005 A full employment history should be obtained on the application form. Care staff should receive formal supervision at least six times a year. Lostock Lodge F57 F09 S5884 Lostock Lodge V220826 110705 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 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 F57 F09 S5884 Lostock Lodge V220826 110705 Stage 4.doc Version 1.40 Page 23 - 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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