Inspection on 08/03/06 for Paddock Lodge

This inspection was carried out on 8th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Paddock Lodge 13/12/06

Paddock Lodge 07/09/05

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 West Yorkshire HD1 4UD Lead Inspector Michael O’Neil Unannounced Inspection 8th March 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Paddock Lodge DS0000062361.V266479.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Paddock Lodge DS0000062361.V266479.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Paddock Lodge Address 60 Church Street Paddock Huddersfield West Yorkshire HD1 4UD 01484 543759 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) None Eagle Care Homes Ltd Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places Paddock Lodge DS0000062361.V266479.R01.S.doc Version 5.1 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 7th September 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 managers 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 DS0000062361.V266479.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out by Michael O’Neil, regulation inspector. The inspection took place from 09:30 to 13:30. Mandy Dhaliwal , manager, awaiting registration with the CSCI, and Jonathon Cooper, operations manager of Eagle Care homes Ltd were present during the inspection. Opportunity was taken to make a partial tour of the premises, inspect a sample of records and policies and talk to 5 staff, a visiting relative and 7 residents. The inspector wishes to thank the staff, relatives and residents for their time, friendliness and co-operation throughout the inspection process. What the service does well: What has improved since the last inspection? Residents’ contracts now contained the information required under the Care Home Regulations. The standard of the care plans had improved since the last inspection and the staff had clearly made an effort to meet the requirements made at the last inspection. Paddock Lodge DS0000062361.V266479.R01.S.doc Version 5.1 Page 6 Further refurbishment of the home has taken place. Some areas of the home have been redecorated and new carpets have been fitted to the communal rooms and corridors. There had been an improvement in recruitment practices. Staff had now received up to date training on the following topics fire safety, moving and handling, infection control, food hygiene and health and safety training. 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 DS0000062361.V266479.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Paddock Lodge DS0000062361.V266479.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 2,3 and 4. Residents’ contracts contained the information required under the Care Home Regulations. Residents’ needs had been assessed. Specialist medical and nursing staff were regularly consulting with the staff at the home and advising good practice. EVIDENCE: Two resident contracts were checked. The information in the contracts informed residents or their relatives about the fees charged by the home and other information required under regulation 5 and 17 of the Care Home Regulations. Three resident files were checked and each contained a copy of their full needs assessments. The information from the full needs assessment had been incorporated into the resident care plans. Details of medical/nurse specialists who had been consulted with regard to the residents care were recorded in the care plans. This will assist in ensuring residents needs are met. Paddock Lodge DS0000062361.V266479.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8 and 10. The residents’ health, social and personal care needs were generally well documented in the care plans; however, the relatives and residents were not adequately consulted when the care plans were drawn up or evaluated. A range of health care professionals visited the home to assist in maintaining the health care needs of residents. Residents themselves said that the care they were receiving was very good and that the staff were very nice. Relatives said that the staff delivered a good standard of care. EVIDENCE: Three resident care plans were checked. The standard of the care plans had improved since the last inspection and the staff had clearly made an effort to meet the requirements made at the last inspection. The care plans set out in detail the residents needs and the action to be taken by the care staff of the home to ensure all these could be met. The care plans had been regularly reviewed by the staff. Risks assessments were included in the care plans. Some of the daily reports need to be more specific and actually link to the care plan produced. Staff must record the time when they document any Paddock Lodge DS0000062361.V266479.R01.S.doc Version 5.1 Page 10 information on the residents’ daily entry sheet. A relative said they were not aware of the information in their relatives care plan and although there was some evidence in the care plans of relative consultation this was not particularly linked to the actual care plan of the resident. The care plans identified that a range of health professionals visited the home to assist in maintaining the residents health care needs. Residents said that they were happy and that the staff were very nice. Relatives said that the care given by staff was good. Residents were well dressed in clean clothes and had received a good standard of personal care. Staff assisted residents in a positive and friendly manner; doors were closed where staff were helping with personal care. Paddock Lodge DS0000062361.V266479.R01.S.doc Version 5.1 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): Standards 12,13, 14 and 15. Residents had a choice of lifestyle within the home and they were able to maintain contact with family and friends. Meals served at the home were of a good quality and offered choice. EVIDENCE: A friendly, lively and welcoming feel was evident in Paddock Lodge. Residents said that they were able to maintain contact with their family and friends. Relatives said they were always made to feel welcome when they visited. Activities were advertised around the home. Some activities that residents had participated in were recorded in the residents care plans. Residents said that activities were available. Residents said that they had enjoyed concerts, which had been recently performed by local school children. The manager said that she was trying to forge stronger links with the local community. Residents said they chose when they got up and went to bed. Residents said that they had a choice of food and that the quality of food served was good. Paddock Lodge DS0000062361.V266479.R01.S.doc Version 5.1 Page 12 The cook was aware of residents individual food likes and dislikes and said she tried to provide suitable individual diets for each resident. Lunch was served in a pleasant relaxed manner and the residents said that they enjoyed their lunch. Paddock Lodge DS0000062361.V266479.R01.S.doc Version 5.1 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 the following standard(s): None of these standards were checked as the key standards were checked and met at the last inspection. EVIDENCE: Paddock Lodge DS0000062361.V266479.R01.S.doc Version 5.1 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 the following standard(s): Standards 19,24 and 26. The environment within the home was well maintained and clean providing a comfortable, safe environment for residents. EVIDENCE: Since the last inspection further refurbishment of the home has taken place. Some areas of the home have been redecorated and new carpets have been fitted to the communal rooms and corridors. There are still some areas in the home that need refurbishment but the home was found to be clean and tidy. The lounge and dining areas were domestically furnished. Relatives and residents said that the home was always kept clean. Three bedrooms were checked in detail and many others seen, all were comfortable and homely. Residents said their beds were comfortable. Bed linen checked was clean, however some of the bed linen was worn and needs replacing. The home was warm in all areas. Paddock Lodge DS0000062361.V266479.R01.S.doc Version 5.1 Page 15 Fire doors that were checked closed fully onto the door rebates. Window restrictors were fitted to all windows checked. This will assist in maintaining resident safety. Four recommendations made at the last inspection, relating to environmental standards were not checked at this inspection. Paddock Lodge DS0000062361.V266479.R01.S.doc Version 5.1 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 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): Standards 27,29 and 30. Staff were employed in sufficient numbers. Full recruitment checks on new staff were carried out. New and existing staff had undertaken training in various subjects. EVIDENCE: The manager stated that agreed staffing levels were being maintained. Residents said there was always a member of staff available when they needed them. Staff said staffing levels were adequate. The recruitment information obtained for new staff was sufficient to adequately protect the welfare of residents who lived at the home. Two staff files were checked. The staff files contained references from the staff’s last employer, information to verify identity including an up to date photograph, and a Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) check. Previous requirements and recommendations relating to staff recruitment had been met. Staff said that there were good training opportunities available to them. A sample of three staff files checked identified that staff had received up to date training on the following topics fire safety, moving and handling, infection control, food hygiene and health and safety training. A previous recommendation relating to staff training had been met. Paddock Lodge DS0000062361.V266479.R01.S.doc Version 5.1 Page 17 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): Standards 31,33 and 38. There was a positive style of management in the home. In the main the homes policies and procedures promoted the health, safety and welfare of residents and staff. EVIDENCE: Residents said that they met regularly with the manager and spoke positively about her approachability and helpfulness. The home did have a very in depth and active quality assurance system, which included the internal auditing of the homes environment, services and records. Recorded visits by the registered provider had been carried out. The inspector saw minutes of resident meetings that had recently been held. Questionnaires had been sent to the relatives to ask for their views of the home. These had been returned and contained very positive comments about Paddock Lodge. Paddock Lodge DS0000062361.V266479.R01.S.doc Version 5.1 Page 18 This quality assurance monitoring will assist in ensuring that the home is run in the best interests of the residents. One recommendation made at the last inspection, relating to resident finances was not checked at this inspection. The health and welfare of residents could not be fully protected, as practice fire drills had not been conducted in the home in the last 6 months. The drills must be frequently conducted and the records following the drills must identify the length of the drill, staff involved, any corrective action needed after the drill and the drills must be conducted at different times of the day. Several packs of paper continence products were found to be stored under a wooden staircase. These products provided a fire risk on an identified fire escape route. An immediate instruction to store these products safely was issued. The pads were removed and stored in a storeroom within 10 minutes of the requirement being issued. At the time of inspection window restraints were in situ at first floor windows checked to prevent falls. Hazardous products were safely stored in the home. The hot water temperature in one bathroom measured a safe temperature of 42.3 degrees centigrade. Fire records identified that weekly testing of the fire alarm system had occurred. This will promote the safety and welfare of the service users. Paddock Lodge DS0000062361.V266479.R01.S.doc Version 5.1 Page 19 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 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 X 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 X 17 X 18 X 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 2 Paddock Lodge DS0000062361.V266479.R01.S.doc Version 5.1 Page 20 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. 2. Standard OP7 OP38 Regulation 17 23 Requirement The actual time care plan and daily evaluation records are written must be recorded. Fire Drills must be conducted at different times of the day/night so as to ensure that all staff working at the home are aware of the procedures to follow in the event of fire.Fire Drills records must indicate the time of the drill and any corrective action taken after the drill. Equipment must be safely stored to ensure that adequate precautions are taken against the risk of fire. (Addressed at the time of Inspection) Timescale for action 01/04/06 01/05/06 3. OP38 23 08/03/06 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 Paddock Lodge DS0000062361.V266479.R01.S.doc Version 5.1 Page 21 1. OP7 2. OP7 3. OP19 4. OP24 5. OP24 6. 7. OP24 OP26 8. OP35 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. (This recommendation is carried forward). Maintenance and refurbishment issues identified during the inspection should be included in the homes maintenance and refurbishment plan and action taken to address these. (This recommendation is carried forward, however it was not checked at this inspection) Appropriate privacy locks should be installed on bedroom doors. (This recommendation is carried forward, however it was not checked at this inspection) The range of bedroom furnishings recommended in the National Minimum Standards for Older People should be provided in all rooms. If this is not possible, the reasons for this should be included in the homes statement of purpose and service users guide. (This recommendation is carried forward, however it was not checked at this inspection) Some of the bed linen, which is becoming worn, should be replaced. Evidence that the homes services and facilities comply with the Water Supply (Water Fittings) Regulations 1999 should be obtained. (This recommendation is carried forward, however it was not checked at this inspection) 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 carried forward, however it was not checked at this inspection) Paddock Lodge DS0000062361.V266479.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Brighouse Area Office 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. 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