Inspection on 26/06/07 for Lostock Lodge

This inspection was carried out on 26th June 2007.

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 31/08/06

Lostock Lodge 01/02/06

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 Unannounced Inspection 26th June 2007 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.V336188.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. Lostock Lodge DS0000005884.V336188.R01.S.doc Version 5.2 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.V336188.R01.S.doc Version 5.2 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. 31st August 2006 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 ground 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. Fees for the home range from £324 to £405 per week. Lostock Lodge DS0000005884.V336188.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced site visit and took place over a five hour period and was carried by two inspectors, Mr P Rooney and Mrs S Dale. A pre inspection questionnaire and an Annual Quality Assurance Assessment were completed by the manager. The inspectors consulted care records of four residents and spoke to them about t heir care. Other residents were spoken to in their rooms and in the lounge areas. Completed questionnaires were returned by three residents and four relatives. There were good comments received from residents and relatives. The inspectors toured the building, spoke to individual staff, had discussion with management and consulted records and policies and procedures. What the service does well: Lostock Lodge is a well established home, which continues to provide a warm and caring environment for its residents. The home is staffed by a team of staff, many of whom have worked at the home for some years and provide continuity and security for residents. The atmosphere is relaxed and residents are very much a part of how the home runs any concerns they have are sensitively and quickly dealt with. Resident’s views are promoted and taken seriously in the day-to-day running of the home. Residents and their relatives expressed satisfaction with care provided their comments include: “everyone is very helpful, carers are kind and come when needed, food is good and the home is warm clean and tidy”. “I find staff at Lostock Lodge to be very professional caring and friendly. My mother is happy there”. “ The home provides an efficient service to all residents in their care”. The home provides a comfortable homely environment, which is well maintained. Lostock Lodge DS0000005884.V336188.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Lostock Lodge DS0000005884.V336188.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 Lostock Lodge DS0000005884.V336188.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): 1 and 3 Quality in this outcome area is good. The admission and assessment procedures are clear and ensure the care needs of residents can be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The inspectors looked at the homes admission procedures and looked at the files of resident’s files and spoke to them about their care. These showed that there are good assessment and admission procedures which ensure the care needs of residents are put into a care plan. Staff in the home demonstrated that they are aware of the care needs of residents and consult the assessments and care plans. Prior to admission prospective residents and their representatives are provided with a brochure and service users guide. They are able to visit the home to Lostock Lodge DS0000005884.V336188.R01.S.doc Version 5.2 Page 9 look at the facilities and speak to staff. Following a full assessment and after looking at the homes terms and conditions they are able to decide on accepting a place at the home. Lostock Lodge DS0000005884.V336188.R01.S.doc Version 5.2 Page 10 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 and 10 Quality in this outcome area is good. The health and welfare of residents is promoted by the home’s care planning and record keeping. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care records of four residents were examined by the inspector these contained good detailed information regarding promoting their health and welfare. In one case where there have been a number of difficult issues to deal with, staff had recorded in detail how this is managed and the care plans were clear and informative. Staff are given good clear guidelines in the care plans as to how to deliver care. The inspectors interviewed these four residents privately. Three of these said that they receive good care and are well supported by staff one was not able to communicate at the time, with the inspector. Lostock Lodge DS0000005884.V336188.R01.S.doc Version 5.2 Page 11 Questionnaires received from residents and relatives said that there are good levels of care and support provided. Comments included: “everyone is very helpful, carers are kind and come when needed, food is good and the home is warm clean and tidy”. “I find staff at Lostock Lodge to be very professional caring and friendly. My mother is happy there”. “ The home provides an efficient service to all residents in their care”. Staff spoken to demonstrated a good awareness of the needs of individual residents and showed that the correct levels of care are provided while enabling residents to be as independent as possible. Privacy and dignity forms part of staff induction and training and staff were aware of hw to ensure this is promoted. Relatives spoken to during the inspection expressed satisfaction with care received. Both relatives and residents described management and staff as being kind caring and approachable. Policies and procedures for the administration of medication have been improved and ensure medication is administered correctly and safely. On admission the assessment considers residents ability to administer their own medication and those who can are enabled to do so. Records viewed were in order and are well kept. All staff administering medication receive training. Lostock Lodge DS0000005884.V336188.R01.S.doc Version 5.2 Page 12 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 and 15 Quality in this outcome area is good. The home provides residents with choice, and routines are flexible, this ensures they are able to exercise control in everyday life. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents and their families are consulted on admission regarding their finances. Those able to control their own finances are able to do so. Most resident’s finances are managed by their families. Personal allowances are kept in a safe by the home and made available to residents when they wish to pay for items. Records for this are maintained and transactions accounted for. Residents said that they are able to decide for themselves what they wish to do during the day and are assisted in this by two activity coordinators who are employed for twenty hours a week. They provide both individual and group activities for residents. Entertainers are booked to provide music and singing Lostock Lodge DS0000005884.V336188.R01.S.doc Version 5.2 Page 13 sessions. Resident’s interests and profiles are recorded on admission and help towards providing relevant activities. Visitors to the home are able to see their relatives/friends in private and there is a relaxed atmosphere in the home. One residents said they are happy with the home’s routines and confirmed they are able to see visitors in the privacy of their rooms. 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 inspectors had lunch during the inspection, this was of good quality and well presented. Residents spoken to say they had good food one residents said, discussion with residents and questionnaires received back confirmed this to be the case. Resident’s views are included when new menus are produced; the cook asks residents what they like and has a good knowledge of resident’s likes and dislikes. Lostock Lodge DS0000005884.V336188.R01.S.doc Version 5.2 Page 14 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 and 18 Quality in this outcome area is good. There are good arrangements in place for residents to raise concerns and the homes policies ensure residents are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure, which is accessible to residents and their families. Copies are on the homes notice board and are contained in the service users guide. Residents said that they are aware of the procedure and feel able to raise any concerns with the owner and manager who are always available in the home. Records of complaints records of two complaints received showed that they had been dealt with appropriately and in line with the homes procedures. The home has a protection of vulnerable adults procedure including a whistle blowing policy. Staff were able to tell the inspector the procedures to be taken if they had any concerns regarding care practice in the home. Protection of vulnerable adults is covered in the induction programme however none of the staff have received any further training in this. It is recommended that all staff should receive training in the protection of vulnerable adults. Lostock Lodge DS0000005884.V336188.R01.S.doc Version 5.2 Page 15 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 and 26 Quality in this outcome area is excellent. Lostock Lodge provides a well maintained, comfortable and the and clean environment for residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home was carried out and resident’s rooms were seen, all parts of the home are well maintained and improvements are always being made. There is a programme of maintenance and improvements in place to ensure standards are always maintained. Residents said they are happy with their accommodation and their rooms were comfortable and homely. Ensuit facilities are available in all bedrooms. Communal areas are well furnished and comfortable. The home has been designed with the input of an occupation Lostock Lodge DS0000005884.V336188.R01.S.doc Version 5.2 Page 16 therapist and there are adaptations and equipment to assist residents in their daily living. The home was clean and tidy, there are good infection control systems in place. Protective aprons and gloves are supplied to staff and they are trained, on induction, in good hand-washing procedures to follow in between dealing with residents. Domestic staff are employed to ensure all parts of the home are kept clean. There is a good laundry system in place, clothing and bedding can be cleaned and disinfected to good standards. Lostock Lodge DS0000005884.V336188.R01.S.doc Version 5.2 Page 17 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): 27,28,29 and 30 Quality in this outcome area is good. Arrangements for staffing the home ensure there are sufficient skilled staff on duty to meet the needs of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are currently 49.6 staff qualified to NVQ 2 in care and six more staff are undertaking this training. This mean that there will be 59.4 with this training. There are good induction and training programmes in place to ensure staff are equipped with knowledge to perform their duties. Twenty-six staff have been trained in first aid and there is always a member of staff on duty with this training. Staff rotas were looked at and showed that there are always sufficient skilled and trained staff on duty to meet the needs of residents. Since the has inspection deployment of staff throughout the home has been improved with the use of a radio intercom system to ensure better communication and availability of staff Recruitment procedures are good and ensure that appropriate staff are employed by the home. Lostock Lodge DS0000005884.V336188.R01.S.doc Version 5.2 Page 18 All new staff are required to have an enhanced Criminal Records Bureau clearance before taking up post. This was verified from staff records and ensures protection for residents. Lostock Lodge DS0000005884.V336188.R01.S.doc Version 5.2 Page 19 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 and 38 Quality in this outcome area is good. The home is well managed, which ensures residents interests are protected and health and safety issues are promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager many years experience in the management of residential care homes and has The Registered Managers Award. There is good support and communication with the owners of the home, who are always available. Monthly inspections are carried out by the owners. Lostock Lodge DS0000005884.V336188.R01.S.doc Version 5.2 Page 20 Risk assessment are carried out on the building and environment and records maintained of them. All safety certificates and risk assessments are carried out and are up to date. The home has an annual development plan in place. Health and safety is taken seriously and staff receive training in moving and handling, health and safety and first aid and fire safety. Records showed that none of the staff have up to date infection control training, while this is covered in induction it is recommended that all staff should receive this training. Five staff have training in food hygiene and it is recommended that more staff should receive this training. Residents and staff are happy with how the home is run and there are clear lines of accountability. Resident’s views are taken seriously and resident surveys have been carried out. Copies of the last resident/relatives survey were seen. Residents meetings are arranged and the manager is in daily contact with all the residents. Both residents and staff feel they are able to approach the manager with any ideas or issues they may have. The home is currently accredited with Investors in People. The home looks after resident’s personal allowances, these are kept in a safe and good records are maintained of any transactions. All the homes policies and procedures have been reviewed and updated. Lostock Lodge DS0000005884.V336188.R01.S.doc Version 5.2 Page 21 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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 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 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Lostock Lodge DS0000005884.V336188.R01.S.doc Version 5.2 Page 22 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. 1. 2. 3. Refer to Standard OP18 OP38 OP38 Good Practice Recommendations All staff should receive training in the Protection of Vulnerable adults All staff should have up to date infection control training More staff should receive food hygiene training. Lostock Lodge DS0000005884.V336188.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Lostock Lodge DS0000005884.V336188.R01.S.doc Version 5.2 Page 24 - 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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