Inspection on 12/01/06 for Palmtree Lodge

This inspection was carried out on 12th January 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

Palmtree Lodge 14/08/07

Palmtree Lodge 08/06/06

Palmtree Lodge 26/07/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Palmtree Lodge 20/28 Nutter Road Cleveleys Blackpool Lancashire FY5 1BG Lead Inspector Mr Patrick Rooney Announced Inspection 12th January 2006 10:00 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 Palmtree Lodge DS0000063455.V280384.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. Palmtree Lodge DS0000063455.V280384.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Palmtree Lodge Address 20/28 Nutter Road Cleveleys Blackpool Lancashire FY5 1BG 01253 852092 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) Mr Naveed Yousaf Muhammad Fayyaz Chauhdry Ms Linda Josephine Pratt Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (20), Physical disability (2) of places Palmtree Lodge DS0000063455.V280384.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service is registered to accommodate a maximum of 22 service users to include up to 20 service users in the category OP (older persons 65 and over ) and 2 service users in the category PD (physical disability) who must be 60 or over.. The registered manager must achieve the Registered Managers Award by April 2006 26th July 2005 3. Date of last inspection Brief Description of the Service: Palmtree Lodge care home is situated within Cleveleys town centre, only a short walk from shops and close to the sea front. The home provides residential care for twenty-two persons on ground and first floor levels. All bedrooms have ensuite facilities and comply with minimum space requirements. There are two lounges and a dining/lounge area. A passenger lift provides access to the first floor. There is a small front patio area with benches for residents to enjoy watching the daily comings and going in the town. New owners have recently taken over control of the home and have a registered manager to manage the home. Palmtree Lodge DS0000063455.V280384.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection and took place over a five hour period from 10.00 am. Care records were looked at and all the eleven residents living at the home at the time of the inspection were spoken to. Comments received from the residents are, “ I am extremely happy with the care I receive.” “The staff are helpful and kind and do a wonderful job. The care is excellent”. “Its very good here and I am very happy”. “If I want other food they will go out and buy it for me.” The inspector toured the building, spoke to individual staff, had discussion with management and consulted records and policies and procedures. Questionnaires were issued to residents and relatives. What the service does well: What has improved since the last inspection? There has been very good improvement in the homes environmental standards and there is an on going programme of repair and refurbishment. The home is more comfortable and homely. Staff receive regular supervision and support and told the inspector that it is a pleasure to work at the home. Meals have improved, the home now employs a qualified chef, and residents told the inspector that the food is good and that there are always choices. Palmtree Lodge DS0000063455.V280384.R01.S.doc Version 5.1 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. Palmtree Lodge DS0000063455.V280384.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 Palmtree Lodge DS0000063455.V280384.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): All the key Standards in this section were assessed in the last inspection and were met. EVIDENCE: Palmtree Lodge DS0000063455.V280384.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): 9 and 10 The Pharmacy inspector visited the home on 6th January 2006 and reported that the medication handling systems have improved over the previous months evidenced by the medication administration records and the general handling systems of the home. Staff are clearly more comfortable with medicines administration and the management continues to support the manager on making improvements. All outstanding requirements have been addressed with only minor improvement now needed, the manager is advised that the medication policy seen on the day of inspection requires further development to ensure it is fully reflective of medication handling practices within the home. Care given by staff respects the privacy and dignity of residents. EVIDENCE: The pharmacy inspector found that medicines administration and handling is now usually double-checked by another designated carer and this has resulted in clear, accurate and detailed records. Only minor inaccuracies were noted on the records. The receipt of medication was now accurately recorded for all Palmtree Lodge DS0000063455.V280384.R01.S.doc Version 5.1 Page 10 medication entering the home; this was an outstanding requirement from the last inspection that has now been fully met. Handwritten records and all general medication administration were now routinely double-checked this had resulted in an overall improvement in the accuracy of all the records. The medication policy had been updated from the last pharmacist inspection and it was recognised that it contained useful medicines handling information. However it was recognised and this was discussed at the time of inspection that some of the details within the policies were not relevant to the “residential” setting. Of particular note was the disposal of medicines policy which was not relevant as it detailed what is required in a nursing home which is clearly not relevant to this home. The manager is advised to review these policies and ensure they are detailed, relevant and staff are fully aware of their contents. This policy, once reviewed and re-written, should be sent to the pharmacy inspector as part of the “action plan”. All service users spoken to were very complimentary about how staff carry out their duties, they said personal care is provided in a dignified and private manner. One relative said that they are very happy with care given. Service users and staff said medical examinations and treatment are carried out in the privacy of service users rooms. The homes policies and procedures require staff to deal with service users at all times with respect and dignity, this is covered in staff induction and training. Individual discussion with staff also confirmed this to be the case. All staff on duty were spoken to separately and said that there is a marked improvement in the atmosphere in the home and they thoroughly enjoy working there. In a recent satisfaction survey carried out by the home one visitor said, “I enjoy coming to the home and I play the piano for residents, staff are always friendly and helpful.” Palmtree Lodge DS0000063455.V280384.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): 14 and 15 Those residents able to manage their own finances are encouraged to continue doing so. Appropriate records are maintained of the home’s involvement in holding monies for residents. The homes routines are flexible according to the needs and wishes of residents. The rooms of service users are furnished and fitted with personal items and possessions. Access to personal records and information is enabled in accordance with the Data Protection Act 1998 The home provides residents with a good varied diet with choices available. EVIDENCE: Residents assessments were seen, these include establishing whether a resident needs help with managing their finances, most residents families deal with their finances and the home looks after personal allowances. These are kept securely and good records are maintained of money going in and out. Residents always have access to their money for any items they require. This was confirmed in conversation with residents. Palmtree Lodge DS0000063455.V280384.R01.S.doc Version 5.1 Page 12 Residents said that they are able to get up and go to bed when they wish and arrangements may be made for different meal times if they go out. On being admitted to the home residents can bring items belonging to them in order to make their rooms personal. This was noted to be the case when going around resident’s rooms. Resident’s files showed that they or their representatives sign the assessments and care plans and that they have access to information kept on them. Residents said that there has been a marked improvement in meals provided by the home. The inspector was able to sample a meal; this was of good quality and nourishing. The home has employed a qualified chef to prepare meals. Records of meals provided show that there is a good variety of food available to residents with alternatives always available. One resident told the inspector, “If I want other food they will go out and get it for me”. Palmtree Lodge DS0000063455.V280384.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): All the key Standards in this section were assessed in the last inspection and were met. EVIDENCE: Palmtree Lodge DS0000063455.V280384.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): 19 There has been a big improvement in general maintenance of the home. EVIDENCE: Management of the home has carried out a full audit of maintenance in the home and has replaced or repaired broken items. There is a good reporting system in place to ensure repairs are carried out when necessary and records are kept of this. The inspector carried out a tour of the home and found that there has been a marked improvement in all rooms used by residents. In a recent satisfaction survey one visitor commented, “ There has been a big improvement in the environment, we are glad to see that refurbishment is taking place and that planned improvement will be accomplished.” Residents said they find the home is more homely and comfortable. Palmtree Lodge DS0000063455.V280384.R01.S.doc Version 5.1 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 and 30 All staff receive are trained to carry out their duties. The home places high importance in training staff. EVIDENCE: Staff records showed that all staff receive a full induction programme, which includes all aspects of the homes philosophy and training in the care of the elderly. The induction is in line with requirements of the Skills To Care (formally TOPPS) programme. Of the eleven staff employed by the home there are six qualified to NVQ2 in care and two are currently doing this. One member of staff has NVQ3 and two are doing this. Staff on duty were spoken to individually and confirmed that they receive a full induction and are provided with good training to carry out their duties. Palmtree Lodge DS0000063455.V280384.R01.S.doc Version 5.1 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 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): 35, 36 and 38 There are good systems in place to ensure resident’s monies are safely handled. All staff receive regular supervision sessions from senior staff. There are Health and Safety policies and procedures in place, which ensures residents and staff health and welfare is protected. EVIDENCE: The inspector looked at personal allowances held for residents, records were up to date and showed exactly what money is kept for individual residents. Residents said they have access to their allowances when they require to pay for items. All monies are kept securely in the office safe. Palmtree Lodge DS0000063455.V280384.R01.S.doc Version 5.1 Page 17 Records are kept of formal supervision sessions for staff, theses showed that there is support for staff in their training and development. Staff spoken to say they receive good support in to enable them to do their jobs. Staff receive have health and safety training, records showed this to be the case. Moving and handling training is given for all staff and records showed they have all completed this training. Staff have first aid, food hygiene, and infection control training. Records showed that all safety checks take place, including fire, electricity and hot water. Risk assessments are carried out to ensure safety in the home, records of these were seen Palmtree Lodge DS0000063455.V280384.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X X STAFFING Standard No Score 27 X 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 3 X 3 Palmtree Lodge DS0000063455.V280384.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 13(2) Requirement The manager must ensure the medication policy is reviewed to ensure all current procedures are reflected accurately. Timescale for action 15/02/06 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 Palmtree Lodge DS0000063455.V280384.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Palmtree Lodge DS0000063455.V280384.R01.S.doc Version 5.1 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. 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