Inspection on 02/05/07 for North Lodge Care Home

This inspection was carried out on 2nd May 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

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

CARE HOMES FOR OLDER PEOPLE North Lodge 47 St Peters Road Margate Kent CT9 1TJ Lead Inspector Tina Thomas Key Unannounced Inspection 12.00 2 and 3rd May 2007 nd 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 North Lodge DS0000067827.V336893.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. North Lodge DS0000067827.V336893.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service North Lodge Address 47 St Peters Road Margate Kent CT9 1TJ 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) 01843 229390 01843 230423 northlodge@purelakehealthcare.co.uk Purelake Healthcare Limited Jacqueline Philbrick Care Home 21 Category(ies) of Dementia (21) registration, with number of places North Lodge DS0000067827.V336893.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection New service Brief Description of the Service: The Home is a large detached property providing care for up 21 older persons with dementia. The Home is situated on a busy road, a short distance from the local town and amenities, but is very close to the local hospital. There are a number of shared bedrooms available as well as single. There is no shaft lift to access the upper levels, although the home has a chair lift . People with restricted mobility may find some difficulty accessing these floors. The Home employs a manager, a team of carers and ancillary staff. Fees at this home range from £303.25-£475 North Lodge DS0000067827.V336893.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first key unannounced inspection since the home has been under new ownership. The inspection process took place over a period of time, information was gathered, and it concluded with a site visit conducted over a 4 hr period. Judgements were made by taking into account evidence from a range of documentation including a pre inspection questionnaire completed by the manager, a tour of the home, views of service users, staff, relatives and the manager. What the service does well: What has improved since the last inspection? There has been on going improvements in the decoration of the home. Some bedrooms have been redecorated. The home has employed an activities person to explore which activities will best meet peoples needs and to engage people in the home in meaningful activities. The home has purchased a new industrial washing machine to ensure that the home complies with infection control procedures and has also purchased a new tumble dryer. North Lodge DS0000067827.V336893.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. North Lodge DS0000067827.V336893.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 North Lodge DS0000067827.V336893.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): 1,3 and 6 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Prospective service users have sufficient information about the home so as to be able to make an informed choice. Prospective service users needs are fully assessed before they move into the home so as to ensure that they can be met. The home does not offer intermediate care. EVIDENCE: North Lodge DS0000067827.V336893.R01.S.doc Version 5.2 Page 9 The home has a well-documented statement of purpose and service user guide, which clearly reflects what the home has to offer and describes day-today life at the home. The manager or deputy manager conduct all the pre-admission assessments. The assessments are holistic in nature. They are well documented. This ensures that the home can meet all of the needs of the people that come to live at the home. The home does not offer intermediate care as described in Std 6 National Minimum Standards (Homes for older people). North Lodge DS0000067827.V336893.R01.S.doc Version 5.2 Page 10 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The planning of care is very good. Service users health care needs are met. Practices regarding medication are safe. The home adopts practices that ensure that the privacy and dignity of service users is protected. EVIDENCE: North Lodge DS0000067827.V336893.R01.S.doc Version 5.2 Page 11 The home develops a plan of care for each person living at the home. Records are organised and easy to follow. Each person’s needs are assessed and a plan developed stating how staff are to support these needs, and how each person likes to have their care needs delivered. The plans are regularly reviewed. Entries in care plans showed that service users had access to G.P’s and other specialist services. The home has equipment for the comfort of service users for example: air beds and pressure relieving cushions. Procedures regarding the ordering, administration, storage, and safe disposal of medication was audited and found to be sound. Staff receive suitable medication training. Staff who administer medication have their competency regularly reviewed by the manager. Service users and relatives expressed that the care staff observed their privacy. Care staff knocked on doors before entering private rooms. North Lodge DS0000067827.V336893.R01.S.doc Version 5.2 Page 12 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): 12-15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a programme of activities, which considers the preferences of service users. Service users are encouraged to maintain contact with family, friends and the community. Service users are encouraged to exercise choice and control over their lives Meals are wholesome and plentiful. EVIDENCE: North Lodge DS0000067827.V336893.R01.S.doc Version 5.2 Page 13 People that live in the home expressed that they were happy at the home and how for some life at the home met their expectations. People retire to their room when they choose, and get up and go to bed when they choose to. Staff agreed that the home had a developing programme of activities. The home has an activities lady five days a week. People also enjoy each other’s company and their was a lot of interaction between each other and between the people who live at the home and staff. Relatives expressed that they were made welcome during visits. They agreed that their visitors were welcome at all times without appointment. The manager also produces a newsletter monthly for residents and their visitors. Service users are encouraged to exercise choice and control over their own lives. Staff were observed to offer people choices. People living at the home are encouraged to retain their identities and are encouraged to make choices regarding their clothing and accessories. Many bring items from their own homes to personalise their own rooms. People living at the home, relatives and staff agreed that meals are wholesome and plentiful. People felt comfortable in asking for what they wanted. Hot and cold drinks together with snacks are offered regularly. Some people get involved in food preparation and cake making. North Lodge DS0000067827.V336893.R01.S.doc Version 5.2 Page 14 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 and 18 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has a suitable complaints procedure. The home has suitable procedures, and training in place to ensure that service users are protected from abuse. EVIDENCE: A complaints procedure was available to all service users and this was included in the service user guide. Service users spoken with all felt safe, listened to, and able to speak to the Provider or manager if they were not happy about anything to do with their care. The home has a complaints policy and complaints have been suitably investigated. They also have compliments, which include thank you letters from relatives. North Lodge DS0000067827.V336893.R01.S.doc Version 5.2 Page 15 The home has a whistle-blowing policy. Staff expressed that they would be confident to speak out if they were unhappy with others care practices, and expressed poor practice would not be tolerated at the home. Staff have adult protection awareness in their NVQ Level 2 training, plus additional training, so as to ensure the ongoing safety of service users. The policy and procedures of the home ensure service users finances are protected. North Lodge DS0000067827.V336893.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean, well maintained and homely. EVIDENCE: The home is clean and odourless throughout. The home is suitable for its purpose. The home has a selection of communal rooms. The home has a garden area that is enjoyed by service users for various activities and has raised flowerbeds. The home has an on-going programme of routine maintenance. North Lodge DS0000067827.V336893.R01.S.doc Version 5.2 Page 17 The home is furnished in a homely and domestic manner. Service users own bedrooms are personalised with their own items. Some are newly decorated. Staff have had fire training, the home has regular fire alarm practice. The home has a fire risk assessment. This promotes service user safety in the event of a fire. The home has a small laundry and has purchased a new industrial washing machine and tumble dryer. North Lodge DS0000067827.V336893.R01.S.doc Version 5.2 Page 18 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are sufficient care staff to meet service users holistic needs. The homes practice regarding the recruitment of staff ensures as far as reasonably practicable the safety of those living at the home. Staff receive suitable induction and foundation training. EVIDENCE: The home has a stable staff group. Staff, people living at the home and relatives agreed that there are adequate numbers of staff on duty at all times. Three surveys returned to the Commission from relatives all reflected how well staff cared for their relatives and highly praised the staff. At least 50 of care staff have been trained to NVQ Level 2 or above in care. The home has an induction which staff undertake when they first work at the home, which is in- line with Skills for Care. North Lodge DS0000067827.V336893.R01.S.doc Version 5.2 Page 19 Staff files were seen and contained all the information required for regulation. North Lodge DS0000067827.V336893.R01.S.doc Version 5.2 Page 20 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is generally run in the best interests of the service users. EVIDENCE: The home is owned by Purelake Healthcare Ltd. The registered manager is Jacqueline Philbrick. Jacqueline has a background of caring for people with dementia. She is qualified to NVQ Level 4 in care and has achieved the registered managers award. North Lodge DS0000067827.V336893.R01.S.doc Version 5.2 Page 21 The manager has started a process of quality assurance. Surveys have been sent out to people who live in the home and their relatives. The manager has recently conducted a residents meeting so that people can express their views and affect the way in which the home is conducted. The manager produces a monthly newsletter to inform people of events and plans for the home. Policies and procedures within the home have all been reviewed. Questionnaires received by the Commission from relatives indicated that people were very happy at the home. The home is developing a business and development plan so as to continue planning for the future and evaluating the systems they have put into place this year. People’s financial interests are safeguarded. Written records are maintained of all transactions. The home has secure facilities for the save keeping of money and valuables. The health, safety and welfare of service users and staff are promoted and protected. Staff receive suitable mandatory training to ensure service user safety. Gas, electrical, hoist, fire and other servicing were up to date so as to ensure health and safety within the home. North Lodge DS0000067827.V336893.R01.S.doc Version 5.2 Page 22 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 3 x x N/A 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 3 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 North Lodge DS0000067827.V336893.R01.S.doc Version 5.2 Page 23 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 North Lodge DS0000067827.V336893.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 North Lodge DS0000067827.V336893.R01.S.doc Version 5.2 Page 25 - 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. 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