Inspection on 22/08/07 for Maple Lodge

This inspection was carried out on 22nd August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Maple Lodge 24/06/08

Maple Lodge 21/03/06

Maple Lodge 07/09/05

Maple Lodge 01/12/04

Maple Lodge 07/06/04

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 Maple Lodge Arncliffe Road Halewood Liverpool Merseyside L25 9PA Lead Inspector Mrs Lynn Paterson Key Unannounced Inspection 22nd August 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 Maple Lodge DS0000005463.V348210.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. Maple Lodge DS0000005463.V348210.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Maple Lodge Address Arncliffe Road Halewood Liverpool Merseyside L25 9PA 0151 448 1621 0151 448 0713 maple.lodge@schealthcare.co.uk The.willows@ashbourne.co.uk Exceler Healthcare Services Limited 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) Miss Lorraine Sharpe Care Home 45 Category(ies) of Dementia (24), Dementia - over 65 years of age registration, with number (20), Old age, not falling within any other of places category (25) Maple Lodge DS0000005463.V348210.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Service users to include up to 25 OP, and up to 24 DE and up to 20 DE(E). Service Users in the DE category can only be in the age range 55 years and over. A maximum of 45 service users may be accommodated. The Service should employ a suitably qualified and experienced manager who is registered with the CSCI. The service may admit one named service user under pensionable age. 4th October 2006 Date of last inspection Brief Description of the Service: Maple Lodge is a large, single storey building located in the Halewood area of Liverpool. It is close to local shops and has good links to motorways and buses. The home is approximately 3 miles from the city centre. The home is registered for 24 people with dementia and 25 people who are elderly. Within the home, there are two units, each looking after people with different care needs. The units have security locks to ensure the safety of those who live there. The home is easily accessible from the front and back of the building and has plenty of car parking spaces. There is suitable access for people using wheelchairs. Garden areas are located to the front and rear of the home and a small communal garden in a central courtyard and accessed from the main building. Fees are currently charged between £300 -£500 per week. Maple Lodge DS0000005463.V348210.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Maple Lodge care home was carried out on 22nd August 2007 and was undertaken on an unannounced basis. The inspector met with the home manager 2 senior carers; four care staff domiciliary staff, 20 people living in the home and 3 of their representatives. Care plans, daily records, policies and procedures and other documentations was viewed and a tour of the premises undertaken to gain insight into the services provided for the people living in the home. What the service does well: The Manager sees the residents of the home regularly for discussions and has an open door policy. Many Relatives visit the home and say they are encouraged to make informal comments to let the manager and staffs know their perceptions of the services provided by the home. Customer surveys are carried out yearly by external sources and outcomes are examined to enable the services to be fine tuned to suit the needs of the current residents of the home. Comprehensive Care plans are drawn up for all people who live in the home and issues relating to equality and diversity, such as residents age, disability, gender, race, religion or belief and sexuality can be explicitly addressed to ensure a holistic package of care is provided. Residents Reviews are held on a maximum of a 6 monthly basis to ensure any changing needs are quickly addressed. Residents and Relatives meetings are held on a regular basis and the Manager holds evening surgeries to ensure that the views of the people living in the home and their representatives are listened to and acted upon where necessary. Detailed pre admission assessments underpin the individualized comprehensive care plan. Maple Lodge DS0000005463.V348210.R01.S.doc Version 5.2 Page 6 Privacy and dignity is promoted in the home at all times. The needs of the people living in the home are communicated to all staff and staff training and development is implemented where necessary to ensure that staff can meet all assessed need. 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. Maple Lodge DS0000005463.V348210.R01.S.doc Version 5.2 Page 7 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. Maple Lodge DS0000005463.V348210.R01.S.doc Version 5.2 Page 8 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 Maple Lodge DS0000005463.V348210.R01.S.doc Version 5.2 Page 9 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): 1.3. Quality in this outcome area is good, Residents are only provided with a placement after they their needs are assessed and they have been given full details of the services provided by the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff said that the Service user guide and statement of purpose is available to all people who enquire about living in the home and their representatives. The manager advised that a positive response is given to all enquiries for care. Maple Lodge DS0000005463.V348210.R01.S.doc Version 5.2 Page 10 Staff said that people who have made enquires about the possibility of moving into the home are encouraged to visit the home at any time and without appointment. Pre admission assessments are carried out prior to people moving into the home and care plans implemented upon admission. Records show that Residents are admitted on a 4-week trial to ensure they have chosen the right home for them. Risk assessments were on file to show they have been completed to ensure the safety of people living in the home and records show they are reviewed and updated as appropriate. The manager advised that admissions to the home only take place if staff, are able to meet assessed needs and the home environment seen to be suitable. Maple Lodge DS0000005463.V348210.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7.8.9.10. Quality in this outcome area is good. Care plans hold full details of personal care and social and health care needs and all these needs are monitored and met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff revealed that upon admission assessments of the people accommodated in the home are followed by detailed comprehensive care plans and they are under continuous review. A documented plan of support is provided for each person living in the home, which gives staff clear guidance and information on individual care needs. Maple Lodge DS0000005463.V348210.R01.S.doc Version 5.2 Page 12 Care plans show that people who live in the home are fully involved in the planning of their care and all support that affects them lifestyle and life quality wherever possible. Staff said where this is not possible then family, friends and other people who act, as the resident’s representatives would be fully consulted to enable a person centered care plan to be drawn up. Records show the needs of people who use the service are regularly reviewed involving the person and their representatives. Comprehensive medication policies are in place and all medications examined were safely stored and records and observations revealed they were administered correctly. The registered manager acknowledged that a full range of issues relating to equality and diversity, such as age, disability gender, race, religion or belief are addressed during the care planning process to ensure all needs are met. Records show that health needs are monitored with a daily record being in place. Discussions with people living in the home identified that all their personal, social and health care needs were met. Comments included: “The staff recorded everything about me when I came here and so they know what I need. If I am poorly they get the doctor to see me and I get other things like see the dentist and get my feet sorted” “ The staff understand my needs and make sure that I get all the treatment to make me feel alright”. The resident’s general comments confirmed that staff treats them with respect and their privacy and dignity is upheld. Staff said they have received training to raise staff awareness of Resident welfare and understanding dementia training has been provided for staffs that work with EMI residents. Maple Lodge DS0000005463.V348210.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12.13.14.15. Quality in this outcome area is good, The homes routines are flexible and enables resident’s to exercise choice in all aspects of daily life. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff and residents say the home provide a safe and homely environment promoting a general feel of a family unit in both the EMI and residential units. Records show the home have a range of social activities for both units which are arranged on a flexible basis to enable the needs, choices, capabilities and moods of the residents to be taken into consideration as to what happens each day. Staff revealed that people living in the home are encouraged to decide what they want to do in a day and discussions with people living in the home and their representatives confirmed they could go about their day as they wish with Maple Lodge DS0000005463.V348210.R01.S.doc Version 5.2 Page 14 little restriction in place. Visitors to the home confirmed they could visit at any time of the day and were always welcomed by staff on arrival and said they were encouraged to participate in home events. Staff said that mealtimes are made as pleasant as possible and they ensure dining rooms are nicely presented. Menus showed a varied choice of menu is provided and people spoken with said they enjoyed their meals and always had plenty to eat and drink. Both dining area were viewed during lunchtime and the following observations were made: *The dining areas were clean and welcoming and had homely touches, for example pictures on the walls and pleasant place settings. *Residents were encouraged / assisted to enjoy their meals with staff providing discreet assistance where necessary. *Liquidized meals were provided as required. *Meals were generally well presented. Residents spoken with said they enjoyed their mealtimes and were provided with good food, which was plentiful and well cooked. Visitors to the home advised that they thought the food provision was good and they were always offered a drink when they entered the home. Maple Lodge DS0000005463.V348210.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16.18. Quality in this outcome area is good, The home has robust systems in place for the protection of residents from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Documentations shows that the home promote and encourage regular feedback by way of questionnaires and audits and residents representative say they always feel they are listened to. Records show the home provides regular training and development to staff on resident’s welfare, which includes the protection of vulnerable adults. The complaints procedures are displayed in the reception area of the home and residents and their representatives said they had been provided with a copy of the complaints policy, however no body spoken with had any cause to use it. The complaints book was viewed and no complaints were outstanding. Maple Lodge DS0000005463.V348210.R01.S.doc Version 5.2 Page 16 The manager said the home had developed a very much open door policy allowing people to discuss concerns as and when they arise. She said that this has resulted in minimal complaints being received. Records show that all staff receives training on protecting vulnerable adults form abuse. During discussions staff demonstrated a full understanding of the differing types of abuse that can occur and the action they should take in the event of them suspecting or knowing an incident of abuse had occurred. The manager said that adult protection training was provided as an ongoing process in the home and a whistle blowing policy was also in place to ensure that staff could disclose in confidence any concerns they may have about the manner in which care was provided in the home. Maple Lodge DS0000005463.V348210.R01.S.doc Version 5.2 Page 17 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): 19.22.26. Quality in this outcome area is good, The standards of décor in the home make it a comfortable and homely environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager said the home provide a safe and homely environment and respond to maintenance issues and safety issues with urgency. Records how that maintenance contracts are in place and active for all equipment in the home. Maple Lodge DS0000005463.V348210.R01.S.doc Version 5.2 Page 18 Observation of equipment in the home and examination of records show the home provide effective systems to provide early alarms to major incidents i.e. Fire Systems. Hoists / stand aid equipment is provided to those who need assistance to transfer. Bath hoists are in place and records show these are serviced and maintained for safety. Bedrooms are individualized. Communal areas well maintained. Safe Garden areas have been developed and maintained for resident’s enjoyment. A Nurse call system is in place and the home provides full wheelchair access. The manager said she carries out a weekly Visual inspection of the home and relies on feedback from staff residents and their representatives to ensure any areas of the home that are not well maintained are quickly dealt with Maple Lodge DS0000005463.V348210.R01.S.doc Version 5.2 Page 19 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): 27.28.29.30. Quality in this outcome area is good, The staff recruitment process ensures suitably qualified and competent staff are employed in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager said the home are very good at retaining staff. She revealed that when a vacancy occurs, the home instigate effective recruitment procedures which include full standardized interview to meet equality issues, the provision of proof of identify, references and Criminal Records Bureau (CRB) checks prior to any offer of employment being made. Records show the home maintain appropriate staffing levels and staff spoken with said they felt valued by the manager and the people living in the home. Staff training records reveals that in excess of 60 of staff achieved between level NVQ2 - NVQ 4. Staff receives mandatory training and also are offered specialist training to include dementia care training, equality and diversity. Maple Lodge DS0000005463.V348210.R01.S.doc Version 5.2 Page 20 Staff rota’s show that the 2 units are staffed separately and most of the staff working on the EMI unit have been provided with Dementia care training. However it was noted that staff from the residential unit were sometimes needed to cover for staff absence and it would be suggested that the dementia training be provided to all staff employed at Maple Lodge to enable them to utilize transferable skills. Maple Lodge DS0000005463.V348210.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31.33.35.38. Quality in this outcome area is good The home is managed in a way that ensures the comfort and welfare of the people living therein. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Records show the Home Manager has many years experience working in care homes and has also undertaken her Registered Managers Award. She presents as a very capable manager and staff said they respect her for her open attitude and her ability to create an environment in which staff and residents feel comfortable. Maple Lodge DS0000005463.V348210.R01.S.doc Version 5.2 Page 22 Discussion with staff and observation al practice revealed that there is effective communication throughout the care home with regular resident, family and staff meetings. The manager said there are clear lines of accountability within the home and staff said they knew whom they needed to be responsible to. Record show that a range of policies and procedures relating to the care of the people, who live in the home and the home management, have been reviewed and updated this year. Systems are in place to ensure the ongoing monitoring of the service. Records show staff are supervised and monitored in their role. The manager advised that the registered provider visits the home on a regular basis to carry out a quality audit. Records show Personal allowances are reconciled every week to ensure accuracy and residents funds managed accurately and balanced on a weekly basis. Residents and their representatives say residents are provided with access to their financial and other records at any time. Health and safety meetings are held quarterly and staffs say any issues are dealt with on a daily basis. Policies and procedures are in place to give guidance to best practice in the home in all aspects of health and safety. Minutes from Heads of department meetings; staff meetings and service user meetings and Manager weekly surgeries were examined and confirm that the home is managed in the best interests of all who live there. Maple Lodge DS0000005463.V348210.R01.S.doc Version 5.2 Page 23 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X 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 3 X X 3 X X X 3 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 4 X 4 X 3 X X 3 Maple Lodge DS0000005463.V348210.R01.S.doc Version 5.2 Page 24 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 Refer to Standard OP30 Good Practice Recommendations It is suggested that dementia training is provided to all staff of the home to ensure that they when necessary they can provide suitable care to all the people living in the home. Maple Lodge DS0000005463.V348210.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Maple Lodge DS0000005463.V348210.R01.S.doc Version 5.2 Page 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. 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