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Inspection on 05/10/05 for Mostyn Lodge

Also see our care home review for Mostyn Lodge for more information

This inspection was carried out on 5th October 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home makes a good effort to create an environment in which residents feel that it is truly ` their home`. Staff when spoken too during this inspection had a real understanding that the needs of residents are the centre of life in the home. This was also confirmed in talking with residents "just like my own home" Care plans reflect this in the setting out of the health & social care needs of residents and the tasks required of care workers with good practice in reviewing of needs.

What has improved since the last inspection?

The home has continued to maintain a good level of care to residents with consistent quality care being provided.

What the care home could do better:

An area of concern identified during this inspection was about the practice of fire doors being wedged open and hooks fitted to residents room doors. This is a clear health & safety risk, which can be remedied by the fitting of door guards if any doors ideally should be kept open to assist residents. In addition there was no recording of fire drills for night staff.

CARE HOMES FOR OLDER PEOPLE Mostyn Lodge 2 Kelston Road Keynsham Bath & N E Somerset BS31 2JF Lead Inspector Jon Clarke Unannounced Inspection 5th October 2005 09:45 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 Mostyn Lodge DS0000008156.V256677.R01.S.doc Version 5.0 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. Mostyn Lodge DS0000008156.V256677.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Mostyn Lodge Address 2 Kelston Road Keynsham Bath & N E Somerset BS31 2JF 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) 0117 9864297 0117 9869473 Mr Arthur Gent Mrs Jill Clarke Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Mostyn Lodge DS0000008156.V256677.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 16 persons aged 65 years and over requiring personal care only. 26th April 2005 Date of last inspection Brief Description of the Service: Mostyn Lodge has been a registered care home since 1985 providing care and accommodation for up to 16 older people. It is an adapted property over two floors with stair lift to 1st floor. All rooms are for single occupancy and are of a good size some being over the minimum standard of 10 sq metres. None of the rooms offer en-suite facilities however all room are close to bathrooms and toilets. There are two lounge areas one being a quiet lounge overlooking the rear garden and patio area. There is a separate dining area. The home is situated close to the centre of Keysham but not within walking distance. Mostyn Lodge offers a small, homely environment described by one resident as “ lovely, couldnt find a happier place and another couldnt find a better home. “We at Mostyn Lodge wish to enhance our residents quality of life by making sure that they keep their independence. Privacy and dignity are of the uppermost importance”. Mostyn Lodge DS0000008156.V256677.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day. The last inspection took place during the current inspection year and this inspection was to look at the core standards not addressed on the previous inspection. Documents looked at included care plans, daily care record, staff training and records relating to Health & Safety practice in the home. A number of residents and staff were spoken with during the inspection. Some residents completed comment cards about the quality of care provided in the home. What the service does well: What has improved since the last inspection? The home has continued to maintain a good level of care to residents with consistent quality care being provided. Mostyn Lodge DS0000008156.V256677.R01.S.doc Version 5.0 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. Mostyn Lodge DS0000008156.V256677.R01.S.doc Version 5.0 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 Mostyn Lodge DS0000008156.V256677.R01.S.doc Version 5.0 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): Standard 3 was looked at on the previous inspection and this standard was met. EVIDENCE: Mostyn Lodge DS0000008156.V256677.R01.S.doc Version 5.0 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): 8,10 The home has good arrangements for making sure that the health needs of residents are met. The practice of care workers and policies of the home help to make sure that residents are treated with respect and their right to privacy is upheld. Standards 7,9,10 were all looked at on the previous inspection and were met. EVIDENCE: Residents can receive regular services such as chiropody, optician, dentist who visit the home. A district nurse visits the home if individuals require medical treatment or care from community health services. Residents can register with new G.P. or retain their existing G.P. if they are still within the doctor’s catchments area. The manager and staff have also sought advice from the district nurse with whom there is good relationship. Residents confirmed that they “are treated with respect” particularly when care staff are assisting with personal care. Staff were observed supporting and assisting residents in a sensitive and respectful way in one instance with a resident who is confused. When asked residents said that they felt their privacy was respected. Residents are always able to have visitors in their room and when being by a G.P. or nurse. Mostyn Lodge DS0000008156.V256677.R01.S.doc Version 5.0 Page 10 With regard to medication it was noted when looking at daily records that this is used to record when residents have had Paracetamol ie when not prescribed by GP. This should not be given on a regular basis unless individual receives through a prescription. Mostyn Lodge DS0000008156.V256677.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13 The home provides opportunities for the residents to undertake and meet their recreation, social and religious needs, to maintain contact with family/friends and the local community if they wish. Standards 14,15 were looked at on the previous inspection and were met. EVIDENCE: Recreational activities are on an informal basis organised by the staff. Included are quizzes, games and bingo. There are regular entertainers invited into the home. Events are also organised when family and friends are invited to the home such as “pink day” and recently a party to celebrate 25 years of providing care to older people. Monthly religious service is held in the home and where able residents are encouraged to attend local church and clubs. The home encourages family and relatives/friend to visit the home and appreciate the importance of these links being maintained. Residents spoke of how their visitors are always made to feel welcome. A visitor on the day of this inspection confirmed this. Mostyn Lodge DS0000008156.V256677.R01.S.doc Version 5.0 Page 12 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): Standards 16 & 18 were looked at on the previous inspection and both were met. EVIDENCE: Mostyn Lodge DS0000008156.V256677.R01.S.doc Version 5.0 Page 13 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): 26 Standard 19 was looked at on the previous inspection and was met. The home has good practices to help provides a clean and hygienic environment for residents. EVIDENCE: The home provides infection control training to staff the domestic member of staff has completed NVQ level 2. Residents spoke of the home “always being clean” At the time of this inspection the home was free from offensive odours. Mostyn Lodge DS0000008156.V256677.R01.S.doc Version 5.0 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): 28 The home has met the target of over 50 staff having NVQ qualification thereby evidencing their practice in providing care to older people. EVIDENCE: Staff have achieved the necessary level of training with regard to NVQ training with only 2 members of staff not undertaking this qualification. Mostyn Lodge DS0000008156.V256677.R01.S.doc Version 5.0 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): 38 The home’s arrangements with regard to health & safety are generally good, two areas of practice places residents at unnecessary risk to their safety and welfare. EVIDENCE: Records showed regular servicing of equipment: stair lift 21/04/04, gas safety inspection 9/11/04, fire equipment service 19/09/05. Weekly fire tests are undertaken as are monthly tests of emergency lighting. Whilst records of fire drill being held (last 12/04/05) these were of day staff. The home arranges a yearly Health & Safety inspection (from private company not local authority or governmental). The last being 31/08/05. It was noted in inspection of 10/03/04 that a High Priority recommendation was the use of automatic door closures because of fire doors being wedged open: “On no account should designated fire doors be wedged open, this nullifies the 30 minute fire protection and increases the risk of smoke spreading throughout the premises in event of fire breaking out”. Mostyn Lodge DS0000008156.V256677.R01.S.doc Version 5.0 Page 16 Mostyn Lodge DS0000008156.V256677.R01.S.doc Version 5.0 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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X 3 STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 2 Mostyn Lodge DS0000008156.V256677.R01.S.doc Version 5.0 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. 1 Standard OP38 Regulation 23 4a,ci. 4a,c.12 1a 23 (4d,e) 18 (1a,ci) Requirement Fire doors to be closed at all times and only kept open by use of fireguard or automatic door close device. Night staff to receive fire drill training as laid down by the fire service. Timescale for action 05/10/05 2 OP38 05/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Mostyn Lodge DS0000008156.V256677.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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 Mostyn Lodge DS0000008156.V256677.R01.S.doc Version 5.0 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. 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