CARE HOMES FOR OLDER PEOPLE
Meadowfield Lodge 22 Meadowfield Road Bridlington East Yorkshire YO15 3LD Lead Inspector
Karen Ritson Unannounced Inspection 1st February 2006 10:00a 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 Meadowfield Lodge DS0000039795.V275377.R01.S.doc Version 5.1 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. Meadowfield Lodge DS0000039795.V275377.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Meadowfield Lodge Address 22 Meadowfield Road Bridlington East Yorkshire YO15 3LD 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) 01262 675214 01262 675214 Hexon Limited Stephen Paul Hepworth, Mr Trevor David Cruxon Susan Bennett Care Home 24 Category(ies) of Dementia - over 65 years of age (24), Old age, registration, with number not falling within any other category (24) of places Meadowfield Lodge DS0000039795.V275377.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 17th August 2005 Brief Description of the Service: Meadowfield Lodge is a care home offering personal care and accommodation for up to 24 elderly people. The home is situated near the centre of the seaside town of Bridlington and has good access to the shops, transport and social and recreational activities of the local community. The award winning south beach is a 5-minute walk from the home. Accommodation is available in a choice of single or twin rooms, the majority having en-suite facilities. Décor is to a good standard and the service users benefit from a choice of lounges and a dining room all of which are comfortably furnished. Meadowfield Lodge DS0000039795.V275377.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place on 1st February 2006 and was unannounced. There was a relaxed and friendly atmosphere during the morning with staff and service users chatting with one another. The manager was available throughout the inspection. Two service users were spoken to at more length and several others in passing. Their comments are detailed in the main report, however, all comments made were positive regarding the care offered. This is the second of two annual inspections. The first inspection covered most of the core standards. This inspection covers the remainder and should be read in conjunction with the first. 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. Meadowfield Lodge DS0000039795.V275377.R01.S.doc Version 5.1 Page 6 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 Meadowfield Lodge DS0000039795.V275377.R01.S.doc Version 5.1 Page 7 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): None of the standards were assessed. EVIDENCE: Meadowfield Lodge DS0000039795.V275377.R01.S.doc Version 5.1 Page 8 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): 8 and 9 Service users health care needs are met. EVIDENCE: Several new admissions have taken place since the last inspection. Four new files were examined. All access to health care professionals was recorded on file. Pressure area monitoring, continence, opportunities for exercise and attendance at any outpatient clinics were recorded also. Medication is suitably kept and administered. Staff have received accredited training through Selby college and certificates were seen. Service users said they felt well cared for and that they had confidence in the way staff handled their medication. Meadowfield Lodge DS0000039795.V275377.R01.S.doc Version 5.1 Page 9 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): 12,13,14 and 15 Service users have choice and control over their lives; they have opportunities for fulfilling activities and are offered appetising meals. EVIDENCE: The home produces a list of activities available. The interests of service users are also recorded and staff made available to assist with these wherever possible. Service users said there was often something going on, and mentioned quizzes, games, exercise to music and outings in the warmer months. Visitors are welcome at any time and several visitors called during the course of the inspection. Service users bring any personal items they wish into the home, provided the home can accommodate them. All said they were encouraged to get up or go to bed when it suited them. All said the food was good. The cook said the menus were devised with healthy eating in mind and supplies were purchased from local sources where possible. Although the cooks have to work to a budget, he did not feel this compromised choice or quality of meals in any way. Service users said they particularly enjoyed the home baking and that the staff asked for their meal preference at midmorning each day. The home can offer specialist diets where necessary. Meadowfield Lodge DS0000039795.V275377.R01.S.doc Version 5.1 Page 10 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): 16 Service users complaints are listened to and acted upon. EVIDENCE: The last inspection produced a recommendation that service users should be consulted over the homes attitude to complaints and that this should form a part of the next quality assurance audit. The manager said plans for this had been incorporated into the next quality audit. Meadowfield Lodge DS0000039795.V275377.R01.S.doc Version 5.1 Page 11 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): None of the standards were assessed. EVIDENCE: Meadowfield Lodge DS0000039795.V275377.R01.S.doc Version 5.1 Page 12 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): 30 Service users welfare is protected by the improved induction training for staff. EVIDENCE: The last inspection report generated a requirement that staff must have recorded training in line with TOPSS guidelines. Topps induction for new staff was examined. The training manager has adapted the original Topss wording and created induction packs specific to the home. Staff had begun to complete these. Meadowfield Lodge DS0000039795.V275377.R01.S.doc Version 5.1 Page 13 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): 33,35 and 38 Service users welfare is safeguarded through its quality assurance system, and through health and safety policy and procedure. EVIDENCE: The home carries out a thorough quality assurance monitoring system based on planning action and review. Questionnaires are produced for service users and all other interested parties the results of which are compiled into a report. These, together with the regular internal audits inform future practice. Service users are informed of the outcome of audits through meetings and the annual report is made available to any person wishing to see it. The home keeps personal allowances for a number of service users. The recording for this was examined and no discrepancies were found. The home assures the health and safety of service users is promoted through its policies and procedures, a thorough programme of staff training, the regular maintenance of electrical systems and appliances and risk assessments.
Meadowfield Lodge DS0000039795.V275377.R01.S.doc Version 5.1 Page 14 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 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 3 10 X 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 X X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Meadowfield Lodge DS0000039795.V275377.R01.S.doc Version 5.1 Page 15 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 30 Good Practice Recommendations Recording of staff induction to Topps specification should be completed Meadowfield Lodge DS0000039795.V275377.R01.S.doc Version 5.1 Page 16 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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