Inspection on 07/09/05 for Paddock Lodge

This inspection was carried out on 7th September 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.

Other inspections for this house

Paddock Lodge 13/12/06

Paddock Lodge 08/03/06

Paddock Lodge 30/03/05

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

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 Paddock Lodge 60 Church Street Paddock Huddersfield HD1 4UD Lead Inspector Jacinta Lockwood Paula McCloy Unannounced 7 September 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. Paddock Lodge 20050907 Paddock Lodge IR OP J51 s62361 v248306 .doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Paddock Lodge Address 60 Church Street Paddock Huddersfield HD1 4UD 01484 543759 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) Eagle Care Home Ltd Care home - personal care only 24 Category(ies) of 24 x Older people (over 65 years) registration, with number of places Paddock Lodge 20050907 Paddock Lodge IR OP J51 s62361 v248306 .doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Conditions of this registration are listed on the registration certificate displayed at the service. Date of last inspection 30 March 2005 Brief Description of the Service: Paddock Lodge is a care home registered to provide personal care for up to twenty four older people. It is situated on the main street of the Paddock area of Huddersfield, within close proximity to shops and community facilities. Huddersfield town centre is a short journey away on public transport.The property, a detached stone house, was formally a vicarage, which has been adapted and extended for its current use. It is set in its own grounds and there are car parking facilities in the grounds. There is ramped, level access to the home. The accommodation is on two levels and there is a passenger lift, which enables service users who have difficulty in managing stairs, to reach most of the first floor accommodation. There is a stair lift in place to the original part of the building on the first floor, where a minority of bedrooms are located, together with one bathroom, a lounge/diner and the manager’s office as this area cannot be accessed by the passenger lift. There are assisted bathing facilities on both floors. There are en-suite bedrooms on the ground floor, two lounges, a dining room and two communal toilets, both in fairly close proximity to the lounges and dining room. Smoking is not permitted in the home. Paddock Lodge 20050907 Paddock Lodge IR OP J51 s62361 v248306 .doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was carried out by two inspectors on 7 September 2005. The inspection started at 9.30am and ended at 2.30pm. Mr Jonathon Cooper, the care manager assisted throughout. Mr Cooper is in the process of registering with the Commission for Social Care Inspection. There were 20 service users in residence at the time of the inspection. The following inspection methods were used: discussion with service users, staff and management; a tour was made of the building and the majority of bedrooms seen; inspection of a sample of records including service user care plans, assessments, contracts/statement of terms and conditions, finances; visitors’ book, complaints documentation, some policies and procedures, service and maintenance records; staffing rota, staff training and recruitment records. The inspectors would like to thank service users, staff and management for their time and hospitality throughout the inspection. What the service does well: What has improved since the last inspection? Paddock Lodge 20050907 Paddock Lodge IR OP J51 s62361 v248306 .doc Version 1.40 Page 6 Since taking over the care home, the registered provider has made improvements over a number of areas and has also met the conditions of registration. Progress has also been made with regard to requirements and recommendations. Jonathon Cooper, the home’s manager, is in the process of registering with the Commission for Social Care Inspection (CSCI). Some health and safety works have been addressed to promote the safety of service users, for example, radiator covers have been installed to ensure low surface temperatures and to protect service users from the risk of burns. Some staff training has been provided and training is ongoing. POVA (Protection of Vulnerable Adults) and CRB (Criminal Record Bureau) checks are obtained before staff start working at the home to ensure they are safe to work with vulnerable people. The registered provider, who carries out monthly management visits to the home, supplies copies of these reports to the CSCI. Staff were observed to knock on service user’s bedroom doors before entering and service users confirmed that staff respect their privacy. 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. Paddock Lodge 20050907 Paddock Lodge IR OP J51 s62361 v248306 .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 Paddock Lodge 20050907 Paddock Lodge IR OP J51 s62361 v248306 .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, 6 Service users’ needs are assessed before they move into the home. Written confirmation is not provided to service users that the home can meet their needs. Not all service users receive a contract/statement of terms and conditions with the service provider. EVIDENCE: Paddock Lodge does not provide intermediate care. Service users needs are assessed before they are offered a place at the home. The regulations require the service provider to provide written confirmation to the service user that the home can meet their needs. This is not currently happening. Service users must also be given a contract/statement of terms and conditions with the service provider, but not all service users have yet received one. Paddock Lodge 20050907 Paddock Lodge IR OP J51 s62361 v248306 .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 Not all service users’ identified needs are included in the plan of care. A range of healthcare professionals meets service users’ healthcare needs. Service users are treated with respect and their right to privacy is upheld. Staff receive medication training and policies and procedures are in place to ensure service users are protected. EVIDENCE: Care plans are reviewed monthly and provide some useful information to staff so that they can meet the needs of service users. But care plans need further development and revision, so that information for staff is specific and so that all service users’ needs are included. Risks assessments including nutrition, pressure areas, oral health and falls, are completed but the findings of these assessments must also be included in the care plan. The service user or their representative should sign care plans to evidence their involvement. The daily report should be more specific so it’s possible to tell what care has been given to the service user and this should link to the care plan. Paddock Lodge 20050907 Paddock Lodge IR OP J51 s62361 v248306 .doc Version 1.40 Page 10 A range of professionals, including doctors, nurses, community psychiatric nurses and optician meet service users’ healthcare needs. Service users can register with a GP of their choosing, if the GP is in agreement. Service users looked well cared for and spoke positively about the staff and care provided at the home. Staff were respectful of service users’ privacy. Visitors are welcome at the home and can meet with their relative in private or communal areas. Staff receive training so that they can safely administer medication to service users. Medicines records were fully completed, but care should be taken when signing these records. Twelve signatures were recorded on one administration sheet, when only ten tablets had been delivered. The registered manager carries out regular audits of medication. Paddock Lodge 20050907 Paddock Lodge IR OP J51 s62361 v248306 .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 Service users have access to a range of activities and are supported to maintain contact with family, friends and the wider community. Service users receive a varied diet in pleasant surroundings. EVIDENCE: Service users who are able may move freely around the home. Activities take place in the dining room and service users can join in or not as they choose. A record is kept of when service users take part in activities and what they are interested in. Details of activities are on display in the foyer and include things like, bingo, artwork, sing-a-longs and letter writing. One service user who enjoys reading has a daily newspaper delivered. A minister of religion also visits the home. Staff spoke positively about having time to sit and talk with service users. There was a good rapport between them and one service user said that you could have “a bit of fun and a laugh” with staff. Meetings are held with service users and two of the topics discussed at a recent meeting were food and outings. The manager said that he was in the process of arranging a day trip for service users. Service users are able to maintain contact with the local community, family and friends who visit at various times throughout the day. Paddock Lodge 20050907 Paddock Lodge IR OP J51 s62361 v248306 .doc Version 1.40 Page 12 The dining room provides a comfortable environment in which to share meals and the dining tables are nicely set out. A menu board is there so service users can see what food choices there are, but this was blank on the day of the inspection. There is a two-weekly menu at present, but the home is looking to introduce a choice menu. There is a choice of food at breakfast and tea and home baking and supper is provided. Lunch is a set three-course meal, but an alternative can be provided. Special diets are catered for. The cook gets direct feedback from service users. Service users spoke positively about the food and one said she had “never been fed so well”. Paddock Lodge 20050907 Paddock Lodge IR OP J51 s62361 v248306 .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) 16, 18 Complaints made have been dealt with appropriately. Systems, such as staff training and relevant policies and procedures, are in place to ensure that service users are protected from abuse. EVIDENCE: The home’s complaints procedure is displayed in bedrooms and the foyer as well as the service user’s guide and statement of purpose. Service users are asked during meetings if they have any complaints about the home. A record of complaints is kept and they are dealt with promptly. Service users had no complaints about the care provided. The majority of staff have received adult protection training. Staff were able to give a good account of adult protection procedures and the home’s policies and procedures are available to staff. Paddock Lodge 20050907 Paddock Lodge IR OP J51 s62361 v248306 .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, 24, 26 Generally, the home provides a safe and well-maintained environment for service users. Service users’ bedrooms are comfortable with their own possessions around them. The home was generally clean, pleasant and hygienic. EVIDENCE: External grounds are well maintained and accessible by service users. A ramp provides level access to the home. Internally, the environment was bright and looked welcoming and homely with pictures throughout and new seating in the lounges. Generally, the home was clean, pleasant and hygienic although there were urine odours to two bedrooms and this should be addressed. The home was generally well maintained. The lounges and dining room were well furnished and looked comfortable. Radiators covers have been put in place to protect service users from the risk of burns. Some maintenance work is necessary throughout the home. Details of the work identified during the inspection were given to the manager at the time of the inspection. Some Paddock Lodge 20050907 Paddock Lodge IR OP J51 s62361 v248306 .doc Version 1.40 Page 15 works can be easily remedied, for example, a bedroom drawer front is broken and a light cover is missing. Some toilets and bathrooms need a mirror. Others involve more planning; for example, one of the double-glazing units has become porous and milky in appearance. There were some potential hazards such as the first floor landing carpet, which is very worn in places and a bathroom toilet, which was difficult to access because a hoist was stored there. Also, the basement staircase needs better lighting. Continence pads, walking frames and coats were being stored under the back stairs, which is a potential fire hazard. A payphone is located here for those wishing to make telephone calls in relative privacy. The laundry was clean and tidy. Bedroom doors are not fitted with privacy locks and not all rooms have bedside tables as recommended in the National Minimum Standards. One shared room does not have a second call bell and the bedroom door was not closing properly. These outstanding works should be included in the home’s maintenance and refurbishment programme. Action must be taken to ensure that the bedroom fire door fully closes to minimise any risk in the event of a fire. It appears that outstanding fire safety work has been completed. A copy of the document confirming that the fire alarm meets required standards has been supplied to the Commission. Service users’ rooms were clean and tidy. Fluorescent lighting is provided here. Following the last inspection, the provider explained that consultation would take place with future service users regarding the choice of light fittings in individual bedrooms. Bedrooms were individualised and some had lots of personal possessions reflecting service users’ tastes and interests. Where bedrooms are shared, separate provision should be made for service users’ personal hygiene equipment such as toothbrushes and paste. Some service users have had telephones installed in their bedrooms. Paddock Lodge 20050907 Paddock Lodge IR OP J51 s62361 v248306 .doc Version 1.40 Page 16 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 Sufficient staff are provided to meet the needs of current service users. Training is provided to ensure that staff are trained and competent to do their jobs and to ensure the safety of service users. Generally, service users are supported and protected by the home’s recruitment policy and practices. EVIDENCE: Staffing levels and the skill mix of staff were sufficient for the needs of current service users. Staff said they read service users’ care plans and talk to them so that they know what their preferences are when providing care and support. Service users looked well cared for and said that they like the staff. Staff confirmed that they received a job description and contract of employment and that relevant checks were undertaken before they started working at the home. Staff files contained pre-employment checks, but one did not include an up-to-date photograph. Not all files had a copy of the employment contract and signed job description as detailed in the home’s recruitment procedure, which should be followed when recruiting staff. Staff training is progressing and the home’s manager is in the process of identifying training received and required by staff. New staff receive induction training. Training has been provided in areas such as NVQ, adult protection, dementia care, first aid, fire safety and infection control. Five staff were receiving movement and handling training on the day of the inspection. Further training is being arranged. Paddock Lodge 20050907 Paddock Lodge IR OP J51 s62361 v248306 .doc Version 1.40 Page 17 Paddock Lodge 20050907 Paddock Lodge IR OP J51 s62361 v248306 .doc Version 1.40 Page 18 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) 35, 38 Service users’ financial interests are safeguarded. Systems are in place to promote the health, safety and welfare of service users and staff. EVIDENCE: Secure facilities are provided for the safe-keeping of money and valuables on behalf of service users. Written records and receipts are kept of all transactions. A random check was made of service users’ monies, which reconciled with the records. Staff should ensure that entries are double signed and that receipts are always dated. There is a written health and safety policy and risk assessments are in place regarding safe working practices. A new system, which includes the training of staff, is being introduced to ensure health and safety standards are maintained within the home. Paddock Lodge 20050907 Paddock Lodge IR OP J51 s62361 v248306 .doc Version 1.40 Page 19 Evidence of regular tests and servicing of equipment was seen. Staff fire safety training is ongoing, but some staff have yet to receive this training which must be delivered twice each year. New staff undergo fire safety awareness on induction. Paddock Lodge 20050907 Paddock Lodge IR OP J51 s62361 v248306 .doc Version 1.40 Page 20 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 2 1 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 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 1 x x x x 2 x 1 STAFFING Standard No Score 27 3 28 3 29 1 30 1 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 x x 2 x x 1 Paddock Lodge 20050907 Paddock Lodge IR OP J51 s62361 v248306 .doc Version 1.40 Page 21 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 3 Regulation 14(1)(d) Requirement Service users must be given written confirmation from the service provider that the home can meet their assessed needs. Where appropriate and in consultation with the service user or their representative, the service users plan must be revised to ensure that all identified needs are included. Fire doors must fully close into the rebate. An up-to-date photograph must be obtained for all staff employed to work at the home. All staff must receive suitable training in fire prevention. Timescale for action 10.10.05 2. 7 15 10.10.05 3. 4. 5. 19 29 38 24(4)(c)(i ) 19(1)(b)(i ) 23(4)(d) 10.10.05 10.10.05 30.11.05 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. Refer to Standard 2 7 Good Practice Recommendations Each service user should have a written contract/statement of terms and conditions with the home. (This recommendation is carried forward). Identified risks to service users should be included in their 20050907 Paddock Lodge IR OP J51 s62361 v248306 .doc Version 1.40 Page 22 Paddock Lodge 3. 4. 5. 6. 7. 8. 7 7 plan of care so that appropriate action can be taken by staff to manage any risk. (This recommendation is carried forward). Care plans should be signed by the service user or their representative to evidence their involvement and agreement. (This recommendation is carried forward). Daily records should be more specific, so its possible to tell what care has been given to the service user and this should link to the care plan outcomes. Maintenance and refurbishment issues identified during the inspection should be included in the homes maintenance and refurbishment plan and action taken to address these. Appropriate privacy locks should be installed on bedroom doors. (This recommendation is brought forward). The range of bedroom furnishings recommended in the National Minimum Standards for Older People should be provided in all rooms. (This recommendation is brought forward). If this is not possible, the reasons for this should be included in the homes statement of purpose and service users guide. Evidence that the homes services and facilities comply with the Water Supply (Water Fittings) Regulations 1999 should be obtained. (This recommendation is brought forward). The homes recruitment policy and procedure should be followed, therefore, staff files should include an employment contract and a signed job description. The arrangements in place to ensure that service users control their own money, except where they state that they do not wish to or they lack capacity, and the safeguards in place to protect the interest of the service user should be documented. (This recommendation is brought forward). Up-to-date training should be provided to staff in: infection control, food hygiene, movement and handling, health and safety. 19 24 24 9. 26 10. 11. 29 35 12. 38 Paddock Lodge 20050907 Paddock Lodge IR OP J51 s62361 v248306 .doc Version 1.40 Page 23 Commission for Social Care Inspection Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Paddock Lodge 20050907 Paddock Lodge IR OP J51 s62361 v248306 .doc Version 1.40 Page 24 - 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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