Inspection on 17/08/05 for Meadowfield Lodge

This inspection was carried out on 17th August 2005.

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

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

Other inspections for this house

Meadowfield Lodge 04/10/07

Meadowfield Lodge 05/10/06

Meadowfield Lodge 01/02/06

Meadowfield Lodge 16/02/05

Meadowfield Lodge 12/10/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Meadowfield Lodge 22 Meadowfield Road Bridlington East Yorkshire YO15 3LD Lead Inspector Karen Ritson Unannounced 17 August 2005 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 and Care Homes for Adults 18 – 65*. 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 J53-J04 S39795 Meadowfield Lodge V242739 170805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Meadowfield Lodge Address 22 Meadowfield Road Bridlington East Yorkshire YO15 3LD 01262 675214 01262 675214 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) Hexon Limited Susan Bennett 24 Category(ies) of Dementia over 65 registration, with number older people mixed of places Meadowfield Lodge J53-J04 S39795 Meadowfield Lodge V242739 170805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23/08/05 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 high standard and the service users benefit from a choice of lounges and a dining room all of which are comfortably furnished. Meadowfield Lodge J53-J04 S39795 Meadowfield Lodge V242739 170805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 23/08/05 and took eight hours to complete which includes time for preparation and writing the report. A cheerful atmosphere amongst staff and service users was apparent throughout the day. Four service users were spoken to, two visitors and three members of staff. The manager was available throughout the inspection. Whilst particular comments by service users are described in more detail in the main body of the report, there were mixed comments from individuals. Some were very positive about the care received, one made a comment that he was not always satisfied with how quickly staff attended to his needs, visitors also had a mixed response, with some being very happy with the care offered and others less so. Only seven of the standards were assessed at this inspection. 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 J53-J04 S39795 Meadowfield Lodge V242739 170805 Stage 4.doc Version 1.40 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Standards Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Meadowfield Lodge J53-J04 S39795 Meadowfield Lodge V242739 170805 Stage 4.doc Version 1.40 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 6 Service users health care needs are assessed and service users are assured that these will be met. EVIDENCE: Assessment documentation was seen which contained all required areas of care. Service users said that the staff knew what was required to attend their care needs. The home does not provide intermediate care. Meadowfield Lodge J53-J04 S39795 Meadowfield Lodge V242739 170805 Stage 4.doc Version 1.40 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for standard(s) 7 and 9 Service users’ health care needs are met. EVIDENCE: The home produces a comprehensive care plan, with separate detailed sheets for each area of care need. Risk assessments are in place and special care sheets for those service users who are particularly dependant. Service users are regularly weighed and the home has recently purchased a chair scale. The care plans are regularly reviewed and service users said they were aware a written plan was in place and that they were involved in reviews. One service user said that he had to wait a long time before being attended to at times. Meadowfield Lodge J53-J04 S39795 Meadowfield Lodge V242739 170805 Stage 4.doc Version 1.40 Page 9 Another service user said that the staff were very kind, attentive and couldn’t do enough to help. Written evidence was seen of a policy and procedure on the handling of medication. All staff have completed a distance-learning course on the safe handling of medication. A Boots blister system is used. Medication is administered and signed for immediately after administration. All controlled drugs are kept in a metal container within a metal cabinet and is double signed. All returned medication is recorded. Records were examined and all were accurate and up to date. Service users said they were happy for staff to take care of medication although they knew they could request to self medicate should they so wish. Meadowfield Lodge J53-J04 S39795 Meadowfield Lodge V242739 170805 Stage 4.doc Version 1.40 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with asssistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards were assessed. EVIDENCE: Meadowfield Lodge J53-J04 S39795 Meadowfield Lodge V242739 170805 Stage 4.doc Version 1.40 Page 11 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) 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 Service users are protected from abuse. Service users are not unanimously confident that their complaints would be taken seriously or acted upon. EVIDENCE: Complaints are logged in detail with outcomes recorded. A service user commented that should she need to complain she felt sure it would be taken seriously and immediately dealt with. Staff said that service users are encouraged to voice any complaint at any time or in service user meetings. One service user said that the staff did not respond well to complaints. A couple were resident in the home having a respite stay. The wife commented that care staff were very patient and helpful when looking after her husband who had high dependency. This gave her peace of mind to go out shopping or engage in other activities without worrying about him and any comments she made about his care were listened to and acted upon. A service user said that staff worked hard to make sure the environment remained safe. All staff have had abuse awareness training and staff displayed a thorough awareness of abuse awareness principles. Meadowfield Lodge J53-J04 S39795 Meadowfield Lodge V242739 170805 Stage 4.doc Version 1.40 Page 12 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 The service users live in a safe well- maintained environment. EVIDENCE: The home is safe and well maintained. It complies with the local environmental health department. The last fire service report required that the main door lock be changed which has been done. The home is decorated to a good standard and all service users spoken to said it was pleasant to live there. One visitor said that it occasionally did not smell pleasant in the home. The garden Meadowfield Lodge J53-J04 S39795 Meadowfield Lodge V242739 170805 Stage 4.doc Version 1.40 Page 13 provides a comfortable environment to sit in during the warmer months and there is a paved area to the front of the home which can also be used. The laundry is suitable, with a washing machine complying with water regulations and a dryer. Service users said their clothes were always clean and carefully handled. Meadowfield Lodge J53-J04 S39795 Meadowfield Lodge V242739 170805 Stage 4.doc Version 1.40 Page 14 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 29 and 30 (Older People) and Standards 34 and 35 (Adults 18-65) the key standards to be inspected at leat once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 Service users’ welfare is protected by adequate staffing and thorough recruitment, it is not adequately protected by staff training. EVIDENCE: The staff rota showed that sufficient staff are on duty at all times. The manager also covers occasional shifts. There are two waking night staff on duty and three staff on duty during the day. Staff said they felt that staffing was adequate in general although occasionally there were difficulties covering shifts when there were holidays or sickness and that the staffing had increased over time as the home is caring for more dependant service users than a few years ago. One member of staff felt that four on a day shift would be better at times. Staff recruitment is carried out according to policy and procedure with all new staff being CRB and POVA checked prior to commencing employment. Those whose CRB checks are delayed are supervised. Staff have begun a training programme to TOPSS specifications but the records had not been kept up to date. Meadowfield Lodge J53-J04 S39795 Meadowfield Lodge V242739 170805 Stage 4.doc Version 1.40 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s polies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 33, 35 and 38 (Older People) and Standards 23, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards were assessed. EVIDENCE: Meadowfield Lodge J53-J04 S39795 Meadowfield Lodge V242739 170805 Stage 4.doc Version 1.40 Page 16 Meadowfield Lodge J53-J04 S39795 Meadowfield Lodge V242739 170805 Stage 4.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 x 3 3 4 x 5 x 6 N/A HEALTH AND PERSONAL CARE ENVIRONMENT Standard No 19 20 21 22 23 24 25 26 STAFFING Score 3 x x x x x x 3 Score Standard No 7 8 9 10 11 Score 3 3 x x x Standard No 27 28 29 30 3 x 3 1 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No 16 17 18 Score 2 x 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 x 32 x 33 x 34 x 35 x 36 x 37 x 38 x Meadowfield Lodge J53-J04 S39795 Meadowfield Lodge V242739 170805 Stage 4.doc Version 1.40 Page 18 No 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 30 Regulation 18 Requirement Staff must have recorded training in line with TOPSS guidelines. Timescale for action 30/11/05 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. Refer to Standard 16 Good Practice Recommendations Recommend that service users are consulted over the homes attitude to complaints and that this forms a part of the next quality assurance audit. Meadowfield Lodge J53-J04 S39795 Meadowfield Lodge V242739 170805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross YO32 9GZ 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. Meadowfield Lodge J53-J04 S39795 Meadowfield Lodge V242739 170805 Stage 4.doc Version 1.40 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!