Inspection on 04/10/05 for Olive Lodge

This inspection was carried out on 4th October 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

Olive Lodge 15/10/08

Olive Lodge 17/10/06

Olive Lodge 14/04/05

Olive Lodge 04/11/04

Olive Lodge 11/05/04

Similar services:

Abbey The

Snydale Care Home

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 Olive Lodge Bedford Court Broadgate Lane Horsforth LEEDS, LS18 4EJ Lead Inspector Sue Dunn Announced 4 October 2005 09:30 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. Olive Lodge 20051004 Olive Lodge UN Stage 4 S56917 V244113 J52.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Olive Lodge Address Bedford Court Broadgate Lane Horsforth LEEDS LS18 4EJ 0113 259 3800 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) Joseph Rowntree Housing Trust Mrs Margaret Anne Rhodes Care Home 35 Category(ies) of Old Age (34) registration, with number of places Olive Lodge 20051004 Olive Lodge UN Stage 4 S56917 V244113 J52.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The four apartments in the home are not registered for care. Date of last inspection 14 April 2005 Brief Description of the Service: Olive Lodge is a 34 bedded purpose built care home close to Horsforth Town Street and its amenities. The home has been built by the Joseph Rowntree Tryst to a high standard. All rooms have en suite bathrooms with shower and are above the minimum size requirements. There are 4 unregistered apartments in the main building and several bungalows on site, which also share the homes facilities. The home has several communal areas for social and recreational activities. People are encouraged to organise the social calendar which includes craft activities, coffee mornings, musical appreciation and painting. The surrounding area is landscaped, there is an allotment and all rooms have a patio or small balcony. All staff go through a programme of induction training followed by further training relvant to the work they carry out. Olive Lodge 20051004 Olive Lodge UN Stage 4 S56917 V244113 J52.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection, which was announced, was undertaken by one inspector. The inspection started at 11.00am and finished at 6.30pm. The purpose of the inspection was to ensure the home was operating and being managed for the benefit and well being of the residents. A pre inspection questionnaire and comment cards were sent to the home and responses to these received before the inspection. The inspector spoke to residents, staff members, and the manager. Records were inspected, including resident’s care plans and daily occurrence sheets, staff recruitment and training files, and service records. What the service does well: What has improved since the last inspection? The pre admission assessment had improved since the last inspection to provide a more detailed picture of each individual’s needs. 71 of the staff have achieved the NVQ award. A sign has been erected in the entrance area directing visitors to the room numbers on each floor. This was in response to suggestions by residents. Olive Lodge 20051004 Olive Lodge UN Stage 4 S56917 V244113 J52.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. Olive Lodge 20051004 Olive Lodge UN Stage 4 S56917 V244113 J52.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 Olive Lodge 20051004 Olive Lodge UN Stage 4 S56917 V244113 J52.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) 3,4 People are able to make an informed decision about the home from the written information they receive and what they see when they visit the home. However, the pre admission assessment should include enough information to develop an initial care plan, which gives people assurances that their needs can be met. EVIDENCE: The pre admission assessment is based on an American computer generated system which looks at levels of dependency and calculates funding bands based on staffing requirements. This system does not identify details of abilities, skills and personal preferences therefore the home completes a more detailed assessment in order to prepare for admission. This had improved since the last inspection but more detailed information is needed. In the file inspected a statement had been made about an allergy to dust but there was nothing to give guidance on the care of the room or the bedding to avoid an allergic reaction. Olive Lodge 20051004 Olive Lodge UN Stage 4 S56917 V244113 J52.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) 7,8,9,10 The home is able to meet the health and personal care needs of service users. The health care needs are identified and monitored. However, there should be closer monitoring of the way continence programmes are being followed. EVIDENCE: The health centre and a pharmacy is next door to the home. Care files gave a good picture of the care plan and contained a record of all visits by health care professionals. Staff should avoid using the term ‘etc’ and be specific when detailing preferences in the care plan. One person felt that assistance with continence was not sufficient and some staff overlooked toileting needs at mealtimes. There is a safe storage cabinet for medication in every room. Six people were managing their own medication at the time of the inspection. All staff do a distanced learning intermediate certificate in the Safe Handling of Medicines, which involves 5 units. The deputy manager marks the workbooks before they are sent to York for verification. Olive Lodge 20051004 Olive Lodge UN Stage 4 S56917 V244113 J52.doc Version 1.40 Page 10 A concern was raised about a person who consistently refuses medication. The GP has been consulted. The medication sheets showed the occasions when medication had been refused. Controlled medication was satisfactorily recorded and the home has a safe system for the return and disposal of any unused medication Olive Lodge 20051004 Olive Lodge UN Stage 4 S56917 V244113 J52.doc Version 1.40 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 standard(s) 12,13,14,15 Residents have the opportunity to be part of the decision making process and make choices about their lifestyle. Contact with family, friends and visitors is welcomed. A varied and nutritious diet takes into account individual choices However, the manager should find out why a significant number of people are not entirely satisfied with the food. Care staff should inform the catering staff if they observe residents having difficulty with the way some food is presented. EVIDENCE: The home has a monthly programme of varied activities. Comment cards completed by relatives showed them to be pleased with the programme. However, some of the residents who organised the programme of activities were disappointed that more people didn’t participate and felt the staff could be more pro active in the way people were encouraged to attend as community participation is a part of the Quaker ethos. One person who liked to observe activities and relied on staff to take her said the staff didn’t always take her to the activity and would prefer to be woken if she was asleep. Such information should be included in a care plan to give all staff guidance on each person’s preferences. There were mixed views about the food from comment cards and from speaking to residents. Some felt the food had improved since the cook changed. The food sampled on the day included a home-made soup followed by fish pie. Some felt there was not enough filling in the pie. The menu does Olive Lodge 20051004 Olive Lodge UN Stage 4 S56917 V244113 J52.doc Version 1.40 Page 12 offer choice and an alternative each day. One person in bed was given sandwiches at teatime. These were cut in triangles and contained a grated cheese filling which was spilling out as he was trying to eat. Staff should be mindful of such difficulties and advise the catering staff accordingly. An agency chef was cooking as the usual cook was on holiday. He stated the kitchen was well equipped and the food purchased of a good quality. Olive Lodge 20051004 Olive Lodge UN Stage 4 S56917 V244113 J52.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 17,18 Residents are a part of the Civic process and their rights are protected. The level of staff understanding gives assurance that staff will be observant and service users will be protected from abuse. The organisation should look at putting systems in place to support staff who are subjected to abuse from residents or their families. EVIDENCE: The manager said several people went to the nearby polling station to register their votes at the last election. A member of staff showed a good level of understanding about abuse and described how this can include the withdrawal of possessions or one person imposing their will on another more vulnerable person. One person felt that some people living in the home were abusive and aggressive towards staff and treated some staff in an ‘appalling manner’. There are no formal systems in place to support staff who are being abused. Olive Lodge 20051004 Olive Lodge UN Stage 4 S56917 V244113 J52.doc Version 1.40 Page 14 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) 19,20,21,22,23,24,25,26 The home has been built to a high standard, offers a safe, well-maintained environment for the residents and provides appropriate bathing and toilet facilities which exceed the minimum standards. EVIDENCE: The home has good indoor and outdoor communal facilities and is well located for easy access to the local amenities. Relatives commented on the well kept environment. Residents’ rooms offer privacy and ample space for people to furnish them to their own tastes. One person commented that a resident had on several occasions had a long wait when she had called for staff attention. Each member of staff carries a phone but it has been found that if several phones are being used in the same area it can block the call system. Staff are now aware of this and try to avoid the situation arising. Olive Lodge 20051004 Olive Lodge UN Stage 4 S56917 V244113 J52.doc Version 1.40 Page 15 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 The numbers and skill mix of staff were sufficient to meet the needs of the service users. The home has a good training programme and staff are trained and competent to do their jobs. EVIDENCE: The home had, at the time of the inspection, residents with a range of low to medium care needs. The rotas showed the home aims for 6 staff on an early shift and 5 on a late shift. Numbers had fallen to 4 on some shifts. The home employs a group of bank staff. It was apparent that they had been used on several occasions during September to maintain staffing levels. Some of the residents and a visitor did not feel there were enough staff for all residents needs to be met and commented on the number of ‘agency staff’ being used.. It was felt that some of the delays in response to residents call systems was due to the distances staff had to walk between rooms. Inspection of a staff file showed that Criminal Record Bureau checks and two written references were obtained before the person was employed. There was no evidence to show the quality of the interview and selection process as the information, which should have been available for inspection had been transferred to York. The home has a formal programme of induction training for new staff which is linked to the TOPPS and NVQ programmes. Fire training, moving and handling, Health and safety and first aid are all carried out in the home By people competent to do the training. The home has exceeded the minimum standard for staff with the NVQ award by having 71 of care staff with the award. Olive Lodge 20051004 Olive Lodge UN Stage 4 S56917 V244113 J52.doc Version 1.40 Page 16 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) 31,32,33,34,35,36,37,38 The home is well managed and the manager is well able to discharge her responsibilities. She offers good leadership to the staff and ensures the residents are protected and cared for in a correct manner. EVIDENCE: The manager was described as ‘approachable’. Staff have regular formal supervision. Residents and visitors were able to speak openly during the inspection and express their views. Residents are able to take an active part in the way the home operates. The organisation is currently applying to set up and be registered as a domiciliary care agency as staff in the home cannot provide personal care for people living in the unregistered apartments or bungalows. Olive Lodge 20051004 Olive Lodge UN Stage 4 S56917 V244113 J52.doc Version 1.40 Page 17 The pre inspection questionnaire completed by the manager shows that regular maintenance and safety checks are carried out and recorded. The home operates under the terms of a trust which is managed by the Joseph Rowntree Foundation. Personal finances are managed by residents or their families. Olive Lodge 20051004 Olive Lodge UN Stage 4 S56917 V244113 J52.doc Version 1.40 Page 18 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 x 3 3 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 4 4 4 3 3 4 4 4 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 x x x 3 3 3 3 3 3 2 3 Olive Lodge 20051004 Olive Lodge UN Stage 4 S56917 V244113 J52.doc Version 1.40 Page 19 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 OP29,OP37 Regulation 17 Requirement The home must ensure that records are at all times available for inspection Timescale for action 31.12.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. Refer to Standard OP4 OP15 OP18 OP10 Good Practice Recommendations Pre admission assessments should include enough detail to agree an initial care plan with each person The manager should find out why some people are dissatisfied with the food. Staff should ensure residents are presented with food which they can manage to eat The organisation should have a code of practice to provide clear guidance for staff on how to work with abusive residents The standard and level of care to maintain continence should be more closely monitored by senior staff Olive Lodge 20051004 Olive Lodge UN Stage 4 S56917 V244113 J52.doc Version 1.40 Page 20 Commission for Social Care Inspection Aire House Town Street Rodley LEEDS, LS13 1HP 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 Olive Lodge 20051004 Olive Lodge UN Stage 4 S56917 V244113 J52.doc Version 1.40 Page 21 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!