Inspection on 31/01/06 for Moot Lodge

This inspection was carried out on 31st January 2006.

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 21/07/05

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 Mrs Margaret Drury Unannounced Inspection 31st January 2006 01:30 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 Moot Lodge DS0000036477.V277156.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. Moot Lodge DS0000036477.V277156.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Moot Lodge Address Market Place Brampton Cumbria CA8 1RW 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) 016977 2643 moot.lodge@cumbria.gov.uk www.cumbriacare.org.uk Cumbria Care Mrs Ann Pattinson Care Home 19 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (19) of places Moot Lodge DS0000036477.V277156.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The service must at all times employ a suitably qualified and experienced manager who is registered with the National Care Standards Commission. A maximum of nineteen older people (19(OP)) may be accommodated four of whom may have dementia (4(DE(E)) The staffing levels for the home must meet the Residential Forum Care Staffing Formula for Older Adults by 1st April 2004. 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. 21st July 2005 Date of last inspection Brief Description of the Service: Moot Lodge is a care home for older people operated by Cumbria Care, an internal 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, a bathroom, toilets and a lounge. The dining room is on the lower ground floor together with a toilet, hairdressing room and the main kitchen. On the first floor there are bedrooms, a 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 DS0000036477.V277156.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home that took place over one afternoon. It was the second inspection of the year and those standards not assessed on this occasion were inspected and met during the last visit on 21 July 2005. During the inspection, time was spent with the registered manager, the supervisor on duty and talking with residents, visitors and staff. Documentation to do with the running of the home and care of the residents was examined and some parts of the home were inspected. What the service does well: What has improved since the last inspection? There have been no changes within the home since the last inspection but the exterior of the building has been decorated. Work is due to start shortly on the internal decoration of the hall and two sluices are due to be redecorated in the near future. Moot Lodge DS0000036477.V277156.R01.S.doc Version 5.1 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 DS0000036477.V277156.R01.S.doc Version 5.1 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 Moot Lodge DS0000036477.V277156.R01.S.doc Version 5.1 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 the following standard(s): 1&4 The home’s statement of purpose and resident guide are good, providing prospective residents and their families with details of the services the home provides. This enables an informed decision can be made about admission to the home. EVIDENCE: When an enquiry is made for a place at Moot Lodge a brochure briefly outlining the facilities on offer is given to those making the enquiry. On admission a statement of purpose and resident guide and terms and conditions is given to the resident. All this information helps the resident to settle into the home knowing the home is able to meet the assessed needs. All those wishing to move in are invited and encouraged to visit the home to meet the staff and other residents and to enjoy a meal and/or refreshments. This also gives opportunity to view the accommodation provided. Moot Lodge DS0000036477.V277156.R01.S.doc Version 5.1 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 the following standard(s): 9 & 11 The healthcare needs of the residents are understood and well met. Medication and records are well maintained to ensure the protection of the residents. EVIDENCE: The organisation has produced an in-depth policy and procedure for the safe handling of residents’ medication. This involves a second signature shown on the medication records, which gives further protection to the residents. The inspector examined the records and found them to be neatly and correctly completed. The registered manage also checks the records on a regular basis, which helps to ensure the safety of those receiving the medication. Moot Lodge DS0000036477.V277156.R01.S.doc Version 5.1 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 the following standard(s): All these standards were assessed and met during the previous inspection EVIDENCE: Moot Lodge DS0000036477.V277156.R01.S.doc Version 5.1 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 the following standard(s): 17 Service users benefit from the availability of an advocacy service should this ever be required and the opportunity of taking part in the electoral process. EVIDENCE: At this time all the residents have family members or solicitors available to assist them with their personal/financial affairs. However, discussions with the manager evidenced that she was aware of the procedure for using an advocacy service and will ensure that details are available for anybody who wishes to use this service. All residents are given the opportunity to vote in the local/general elections either in person or via the postal vote system. Moot Lodge DS0000036477.V277156.R01.S.doc Version 5.1 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 the following standard(s): 22 & 24 The home offers comfortable and homely accommodation and all areas are reasonably well maintained. This contributes to a good quality of life for the residents. EVIDENCE: The home provides specialist equipment to assist any resident who may have a physical disability to retain their independence for as long as possible. The bathroom on the ground floor currently does not have a hoist but one has been ordered and is due to be fitted in the near future. This will mean that all the bathing facilities in the home are suitable to meet the assessed needs. There are handrails on the corridors to assist with movement around the home. The inspector was able to examine a number of the bedrooms during the visit and found them all to be suitable for their stated purpose. Some are a little on the small side but all were clean and provided the residents with their own Moot Lodge DS0000036477.V277156.R01.S.doc Version 5.1 Page 13 personal space. They were all personal to the residents with photographs, pictures and ornaments. Moot Lodge DS0000036477.V277156.R01.S.doc Version 5.1 Page 14 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): All these standards were assessed and met during the previous inspection. EVIDENCE: Moot Lodge DS0000036477.V277156.R01.S.doc Version 5.1 Page 15 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): 31, 32 & 38 The manager is supported well by the senior staff in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles within the home. EVIDENCE: The manager is highly motivated and it was obvious, from discussions with her that the home is run in the best interests of the residents and their families. Residents and visitors who spoke with the inspector were complementary of her caring attitude and said she was approachable and easy to talk to. She has completed the Registered Manager’s award and the NVQ level 4 in care and is a qualified NVQ assessor and internal verifier. The home has the required Health and Safety policies in place and there are two Health and safety audits completed each year, one internal to the organisation and the other by an external company. Moot Lodge DS0000036477.V277156.R01.S.doc Version 5.1 Page 16 The manager conducts a Health and Safety check each month noting anything that needs attention. Moving and handling training is up to date, which protects residents and staff. Moot Lodge DS0000036477.V277156.R01.S.doc Version 5.1 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X X 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X X X X 3 X 3 X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X X X 3 Moot Lodge DS0000036477.V277156.R01.S.doc Version 5.1 Page 18 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. Refer to Standard Good Practice Recommendations Moot Lodge DS0000036477.V277156.R01.S.doc Version 5.1 Page 19 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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