Inspection on 04/10/07 for Meadowfield Lodge

This inspection was carried out on 4th October 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

Meadowfield Lodge 05/10/06

Meadowfield Lodge 01/02/06

Meadowfield Lodge 17/08/05

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 HOMES FOR OLDER PEOPLE Meadowfield Lodge 22 Meadowfield Road Bridlington East Yorkshire YO15 3LD Lead Inspector George Skinn Key Unannounced Inspection 4th October 2007 09:30 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 DS0000039795.V352194.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. DS0000039795.V352194.R01.S.doc Version 5.2 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 F/P01262 675214 Hexon Limited Vacant 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 DS0000039795.V352194.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th October 2006 Brief Description of the Service: Meadowfield Lodge is a care home offering personal care and accommodation for up to 24 elderly people. It is a three-storey building with passenger lift access to all floors. 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. The statement of purpose, that tells people about the services the home offers, is made available for all service users and their families. The range of the weekly fees charged at the date of this site visit were between £297.00 and £375.00. Additional charges are made for hairdressing, chiropody, newspapers and personal toiletries. DS0000039795.V352194.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection has used information from different sources to provide evidence. These sources include: • • • • Reviewing information that has been received about the home since the last inspection. Information provided by the registered person on a pre inspection questionnaire; Comment cards returned from service users, relatives and staff A visit to the home carried out by one inspector. A site visit was carried out which lasted 8 hours. Service users, relatives and staff were spoken with. Records relating to service users, staff and the management activities of the home were inspected. During the visit care practices were observed, where appropriate, and time was also spent watching the general activity within the home. The Deputy Manager was available to assist throughout the day. What the service does well: What has improved since the last inspection? What they could do better: The home need to make sure all staff are aware of the proper procedure to follow if they think any of the service users are at risk of being harmed. DS0000039795.V352194.R01.S.doc Version 5.2 Page 6 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. DS0000039795.V352194.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 DS0000039795.V352194.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): 3 People who use this service experience good quality outcomes in this area Service users needs are assessed prior to admission This judgement has been made using available evidence including a visit to this service. EVIDENCE: Records of service users showed that their care needs had been looked at in detail and information from other sources such as hospitals and care managers had also been considered. This means that staff are fully aware of these needs before a person comes to live at Meadowfield Lodge. DS0000039795.V352194.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use this service experience good quality outcomes in this area. All service users have a plan of care Service users have access to appropriate health care professionals Service users are protected by the homes handling of medication. Service users are treated with respect. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each service user has a written care plan in place that addresses their individual health and social care needs. There was evidence of appropriate risk assessments being undertaken around falls, tissue viability and pressure area care. The home makes appropriate referrals to dieticians community psychiatric nurses (CPN). District nurses visit when required. DS0000039795.V352194.R01.S.doc Version 5.2 Page 10 Staff spoken with were knowledgeable about the service users’ needs. There is evidence within the plans that service users have access to healthcare professionals and service users spoken with confirmed this. One commented, ‘We are all well looked after here’. Service users confirmed that staff always knock on their bedroom doors before entering. The care plans were reviewed at regular intervals to ensure that the plans addressed current care needs. Medications are handled stored and administered correctly ensuring that service users receive their medication safely. Service users are provided with lockable facilities in their bedrooms should they wish to keep and administer their own medication. DS0000039795.V352194.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use this service experience good quality outcome in this area. Service users experience a life style which matches their expectations. Service users are enabled to maintain contact with relatives and friends. Service users are helped to exercise choice and control over their lives Service users are provided with a well balanced diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the site visit service users were seen going about their own chosen pastimes. Those spoken with commented positively about the activities provided at the home. One service user said that she was able to pursue her interest in knitting; others were seen reading, watching TV or listening to music and chatting. The service users were able to use their own room when they wanted and many were seen to be doing this during the site visit. DS0000039795.V352194.R01.S.doc Version 5.2 Page 12 Frequent visitors were made welcome at the home, they commented on being satisfied with the service their relatives were receiving and confirmed they were made to feel welcome and could visit at any reasonable time. The food which is provided for the service users is well balanced and wholesome. All of those service users spoken with commented positively about the food provided. Comments included “the food is very good” “there is always plenty of choice”. DS0000039795.V352194.R01.S.doc Version 5.2 Page 13 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 People who use this service experience adequate quality outcomes in this area. Service users knew whom to complaint to and were confident their complaint would be dealt with. Service users are protected from harm, staff lack training and understanding of safeguarding adults procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users said they felt happy to approach the manager and confident she would address any concerns they had. One said, ‘If I had a complaint I would see the manager she comes to see me each day and I know she would sort things out for me’. The procedure is clearly displayed in the entrance hall and in the Service User Guide. Staff spoken with during the site visit were unclear about the procedure to use when reporting any Safeguarding Adults incidents. They all indicated that they would protect the service user from harm and report the incident to their DS0000039795.V352194.R01.S.doc Version 5.2 Page 14 senior manager; however some of the staff were not sure about who should take responsibility for the investigation and how this would be handled. DS0000039795.V352194.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 & 26 People who use this service experience good quality outcomes in this area. Service users live in safe well-maintained environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service users live in a safe well maintained environment. All areas both communal and private were clean tidy and welcoming. The home has had some redecoration since the last inspection and there is an ongoing programme of improvement. Following the last inspection the home were required to improve the smoking lounge. This has since been superseded by the new legislation on smoking in public places and alternatives have been provided for smokers. The lounge has been redecorated and the carpet replaced. DS0000039795.V352194.R01.S.doc Version 5.2 Page 16 Following the last inspection the home were required to make safe the still room. This has been done and a new structure and door has been built around the staircase leading to the basement. The door is always locked to ensure the safety of the service users. Service users had brought personal items with them when they moved into the home; this is encouraged as part of the admission policy. DS0000039795.V352194.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 & 30 People who use this service experience good quality outcomes in this area Service users needs are met by the number and skills mix of staff. Service users are protected by the homes policy on recruitment and selection of staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a programme of training in place to ensure that staff receive training to enable them to care for the residents efficiently and safely. Evidence was seen of induction training. Staff confirmed that they feel they receive sufficient training to equip them for their role. Rotas show that there are sufficient staff on duty and service users and staff spoken with felt that generally this was the case. All staff files looked at contained evidence of Criminal Records Bureau checks (CRB) and appropriate references being sought. DS0000039795.V352194.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 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 People who use this service experience good quality outcomes in this area The Home is run in the best interest of service users Service users financial interests are safeguarded Service users health and welfare is safeguarded. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There has been a change of manager since the last inspection and she has yet to make application tom the CSCI for registration. She was previously the manager of one of the other homes within the company and has experience of managing a care home of this type. DS0000039795.V352194.R01.S.doc Version 5.2 Page 19 Quality assurance within the service is carried out. This has been further developed to ensure that the views of all who have an interest can be taken into account when developing the service. All safety certificates were up to date. Service users’ monies are handled safely and receipts are kept for all transactions. The manager has developed risk assessment for the use of bedrails in line with current legislation and guidance. DS0000039795.V352194.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 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 2 3 X X X 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 3 X 3 X 3 X X 3 DS0000039795.V352194.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP18 Regulation 5, 13, 17, 18, 19, 20, 22 & 37 Requirement It is recommended that staff receive training around the use of the joint procedures for investigating any safeguarding adult referrals. Timescale for action 01/03/08 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 OP31 Good Practice Recommendations The acting manager should make application to the Commission for Social Care Inspection to become registered. DS0000039795.V352194.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 DS0000039795.V352194.R01.S.doc Version 5.2 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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