Inspection on 21/07/05 for Moot Lodge

This inspection was carried out on 21st July 2005.

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

Moot Lodge 21/08/07

Moot Lodge 09/10/06

Moot Lodge 31/01/06

Moot Lodge 03/02/05

Moot Lodge 13/05/04

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 Moot Lodge Market Place Brampton Cumbria CA8 1RW Lead Inspector Margaret Drury Unannounced 21 July 2005 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. 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. Moot Lodge F58 F10 s36477 moot lodge v238238 210705 ui stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Moot Lodge Address Market Place Brampton Cumbria CA8 1RW 016977 2643 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) Cumbria Care Ann Pattinson Care Home 19 Category(ies) of OP - Old Age registration, with number DE(E) - Dementia, over 65 of places Moot Lodge F58 F10 s36477 moot lodge v238238 210705 ui stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service must at all times employ a suitably qualified and experienced manager who is registered with the Ntional Care Standards Commission. 2. A maximum of nineteen older people (19(OP)) may be accommodated four of whom may have dementia (4(DE(E)) 3. The staffing levels for the home must meet the Residential Forum Care Staffing Formula for Older Adults by 1st April 2004. 4. When single rooms of less than 12 sqm usable floor space become available they must not be used to accommodate wheelchair users, and where existing wheelchair users are in bedrooms of less than 12 sqm they must be given the opportunity to move to a larger room when one becomes available. Date of last inspection 03 February 2005 Brief Description of the Service: Moot Lodge is a care home for older people operated by Cumbria Care, a business unit of Cumbria County council. The home is situated in the market square of Brampton, a market town some 9 miles from Carlisle, and is close to all the local amenities and services. The home has four floors with the accommodation for service users situated on three. There is a passenger lift between the floors, and level access from the rear of the home on the lower ground floor. The home is divided into two separate living areas. On the ground floor there are bedrooms, bathroom, toilets and a lounge, the dining room is on the lower ground floor along with a toilet, hairdressing room and the main kitchen. On the first floor there are bedrooms, bathroom, toilets, a lounge/dining room with small kitchen area and a separate small, quiet lounge. There is a range of equipment in the home to assist people with a physical disability. There is a small sheltered patio area with seating accessed through the dining room on the lower ground floor, and a small parking area to the rear of the home Moot Lodge F58 F10 s36477 moot lodge v238238 210705 ui stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home, and took place over one morning. During the inspection, time was spent talking with the supervisor, care staff on duty and the cook. Records to do with the day-to-day running of the home and the care of residents were examined. Time was spent with the residents individually and in a small group and much of the home was looked at during the visit. What the service does well: What has improved since the last inspection? There were no statutory requirements or recommendations made at the last inspection and the home continues to deliver a good standard of care to the residents. Moot Lodge F58 F10 s36477 moot lodge v238238 210705 ui stage 4.doc Version 1.40 Page 6 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. Moot Lodge F58 F10 s36477 moot lodge v238238 210705 ui stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Moot Lodge F58 F10 s36477 moot lodge v238238 210705 ui stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3 & 5 Residents benefit from a thorough admission process that includes an assessment of need. Residents and families benefit from the opportunity to visit Moot Lodge prior to admission in order to assess the facilities offered and the suitability of the home. EVIDENCE: All residents are given a contract and terms and conditions when they are admitted to Moot lodge. There is a clear admission procedure, which includes a full assessment of needs and capabilities being completed, to ensure the home can adequately meet the person’s needs. Residents are families are invited to visit the home prior to admission in order to assess the suitability and whether or not the home can deliver the correct level of care. Moot Lodge F58 F10 s36477 moot lodge v238238 210705 ui stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 & 10 The home has a, clear and consistent care planning system, which ensures residents’ health, and social care needs are met in a way that promotes their privacy and dignity. EVIDENCE: The home has a very detailed care planning system that was examined during the inspection. The care plans contain information about residents care needs, including moving and handling assessments. They are regularly reviewed and updated with the resident, wherever possible. The plans provide the staff with the information needed to deliver the correct level of care required to meet the assessed needs. Details of healthcare needs and professional visits are recorded on the daily record sheets and in the diary and residents said that they only have to request a G.P. visit and the appointment is made. District nurses visit the home daily. The care staff speak to the residents in a courteous and polite manner and always knock before entering bedrooms. Residents said that the staff always give personal care in a way that preserves their privacy and dignity, whilst encouraging independence. Moot Lodge F58 F10 s36477 moot lodge v238238 210705 ui stage 4.doc Version 1.40 Page 10 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 standard(s) 12, 13, 14 & 15 Social activities and meals are varied and provide residents with a range of choices and opportunities on a daily basis. Residents benefit from being able to follow their religious beliefs. EVIDENCE: The residents who spoke with the inspector all said they enjoyed living at Moot Lodge. This included one who has a scheduled programme of respite care every 8 weeks. He particularly enjoys the company of friends he has made during his stays. Activities are available for those wishing to join in, although the residents did say that the choice whether or not to participate is entirely theirs. There is an activities diary in place outlining what is arranged. The manager encourages visitors from the community to come into the home as often as possible. Residents who are not able go to church are invited to join in a Communion service that takes place monthly. Residents’ meetings are organised for those wishing to voice their opinions about the running of the home. There is very little restriction on visiting and families and friends are welcome anytime. This was evidenced by the visitors’ book in the hall. There is a five-weekly menu and discussions with the cook showed how much he cared about providing an attractive and wholesome diet. Diabetic meals are available where necessary. Moot Lodge F58 F10 s36477 moot lodge v238238 210705 ui stage 4.doc Version 1.40 Page 11 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 standard(s) 16 & 18 The home has a satisfactory complaints system with evidence that residents feel that their views are listened to and acted upon. Staff understood adult protection issues, which safeguarded the residents. EVIDENCE: Residents are given information about how to complain when moving into the home, and said that if they raised any issues. they are dealt with promptly. Information about making a complaint is displayed in the entrance area of the home. The home has a full abuse policy in place and staff have access to Cumbria’s policy for “Protection of Vulnerable Adults”. Discussions with staff evidenced their knowledge of adult protection and their appreciation of the support they would receive if they had any abuse issue to raise. Moot Lodge F58 F10 s36477 moot lodge v238238 210705 ui stage 4.doc Version 1.40 Page 12 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 standard(s) 19, 20, 21, 23, 25 & 26 Residents benefit from a warm, comfortable and safe environment in which to live. EVIDENCE: Although there is an annual maintenance programme authorised by staff at Head Office the home is now looking “very tired” in parts and some internal redecoration would benefit the residents. Access for residents is good, with a passenger lift servicing all floors. There is assisted bathing, with one assisted bath and a shower that is suitable for residents with a physical disability. It would be beneficial if the bath on the ground floor could be fully assisted as this presently has very limited use. All the bedrooms are for single occupancy and although some are a little on the small side, the residents said they were quite happy with them. Domestic arrangements in the home ensure it is clean, pleasant and hygienic. Moot Lodge F58 F10 s36477 moot lodge v238238 210705 ui stage 4.doc Version 1.40 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 & 30 A skilled staff group, who are appointed following a robust and thorough recruitment procedure, cares for the residents. This ensures maximum protection for residents. EVIDENCE: The manager uses her allocation of staff hours well to ensure the home is adequately staffed at all times. There are 3 carers plus a supervisor on duty every day, with the manager working Monday to Friday. There are two members of waking staff on duty through the night. This staffing ratio ensures a good level of care can be provided. The organisation has a corporate recruitment policy that ensures the appropriate process is followed prior to the staff being appointed. There is an annual training programme covering external and internal training and most of the staff are already qualified to NVQ level 2. Residents said the care staff were helpful, kind and friendly, and that they didn’t have to wait too long when needing help with anything. Moot Lodge F58 F10 s36477 moot lodge v238238 210705 ui stage 4.doc Version 1.40 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34, 35, 36 & 37 Although the manager was not on duty on the day of the inspection there was an indication of clear leadership, guidance and direction to staff to ensure residents receive consistent good quality care. EVIDENCE: The manager was not available on the day of the inspection but the supervisor on duty was able to assist the inspector. The staff that were interviewed said they found the manager supportive and approachable, which motivated them to improve their knowledge and skills and so continue providing good care to the residents. There was a system that was followed when looking after money on behalf of residents, which safeguarded people’s financial affairs. The organisation has policies and procedures in place and these, together with the home’s record keeping safeguard the residents and contribute to their welfare. Moot Lodge F58 F10 s36477 moot lodge v238238 210705 ui stage 4.doc Version 1.40 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 x 3 x 3 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 Standard No 16 17 18 Score 3 x 3 x x 3 3 3 3 3 x Moot Lodge F58 F10 s36477 moot lodge v238238 210705 ui stage 4.doc Version 1.40 Page 16 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 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 Good Practice Recommendations Moot Lodge F58 F10 s36477 moot lodge v238238 210705 ui stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith, Cumbria CA11 9BP 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. 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