Inspection on 05/07/07 for Pickering Lodge Care Centre

This inspection was carried out on 5th July 2007.

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

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

Other inspections for this house

Pickering Lodge Care Centre 08/07/09

Pickering Lodge Care Centre 03/07/08

Pickering Lodge Care Centre 11/05/06

Pickering Lodge Care Centre 05/10/05

Pickering Lodge Care Centre 06/07/05

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Pickering Lodge Care Centre Pickering Nook Burnopfield Newcastle Upon Tyne NE16 6AX Lead Inspector Mrs Sue Lowther Key Unannounced Inspection 5th July 2007 09:00 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 Pickering Lodge Care Centre DS0000063766.V343271.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Pickering Lodge Care Centre DS0000063766.V343271.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pickering Lodge Care Centre Address Pickering Nook Burnopfield Newcastle Upon Tyne NE16 6AX 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) 01207 271900 01207 270966 Pleuropeancare@aol.com www.europeancare.co.uk European Care (England) Ltd Mr Paul Roper Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability (30) of places Pickering Lodge Care Centre DS0000063766.V343271.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th February 2007 Brief Description of the Service: Pickering Lodge is owned by European Care (England) Limited and is registered to provide residential and nursing care for up to thirty older people. The home is a converted village school on the outskirts of Stanley. The original building has been extended to provide accommodation over two floors. Inside, the home has a range of different size lounge areas and dining spaces. Bedrooms are currently used to provide single room accommodation but some bedrooms are large enough to provide double room accommodation should it be required. One set of first floor bedrooms can be reached via a passenger lift. A stair lift takes you to first floor bedrooms that are on the opposite side of the building. Some of the bedrooms within the home have en-suite facilities. Outside, the home has a small front garden and a medium size back garden and these are reasonably well maintained. The home overlooks the main road that runs through the village and is close to all local amenities and residential housing. The fees charged at the time of this inspection were between £364:50p and £421 a week to live in this home. Additional charges are made for personal items and services for example toiletries, hairdressing, newspapers etc. Pickering Lodge Care Centre DS0000063766.V343271.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of Pickering Lodge took place on the 5th July 2007. Records were examined and a tour of the building took place. Time was spent talking to people who live in the homes, staff and relatives. The company supplied some written information about the home to the CSCI before the inspection took place. The inspection focussed on key standard outcomes for the people who live in the home and to check whether the requirements made in the previous report had been met. Since the last published report a random inspection of the home has taken place to check on progress made. One requirement and three recommendations were still outstanding as a result of that inspection. These were reviewed during this inspection. The requirement was with regard to the need to review the ‘Service User Guide’. This has been achieved. One recommendation with regard to the provision of social stimulation for the people who live in the home has been achieved. An activities coordinator has been appointed. The remaining two recommendations were with regard to furnishings which needed updating throughout the home. Some areas have been refurbished and this is an ongoing process. What the service does well: What has improved since the last inspection? The manager confirmed that the Statement of Purpose has been reviewed and now contains all of the information required by regulation. The administrator said that all of the people who live in the home now have a contract. The activities organiser speaks to people on an individual basis and tailors the activities to individual need as far as possible. Pickering Lodge Care Centre DS0000063766.V343271.R01.S.doc Version 5.2 Page 6 All staff have now been trained in adult protection. All of the bedrooms have been redecorated since the last inspection, providing a homely environment for the people who live there. A new parker bath has been fitted providing more suitable bathing facilities for the people who live in the home. The company have developed the quality assurance system so that people have a better say about how the home is run. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Pickering Lodge Care Centre DS0000063766.V343271.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Pickering Lodge Care Centre DS0000063766.V343271.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3. The home does not provide intermediate care and therefore assessment of Standard 6 is not required. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good assessment procedures are in place to ensure that the home can meet all of the needs of the people who go to live there. EVIDENCE: The manager confirmed that the Statement of Purpose has been reviewed and now contains all of the information required by regulation. The administrator said that all of the people who live in the home now have a contract. Pickering Lodge Care Centre DS0000063766.V343271.R01.S.doc Version 5.2 Page 9 Everyone is assessed prior to living in the home. In addition to social service care manager assessments the manager normally visits the person in their current place of residence. If he were on holiday this would be done by one of the nurses. The file of one person recently admitted to the home was found to contain comprehensive information. The family confirmed that they had looked around the home and had been supplied with all of the information they needed to make a decision about whether or not their relative would like to live there. One person said, “ I came for a couple of weeks from hospital and then went home. When my relative could not manage and I knew I needed care I was quite happy to come back here. It is a nice place”. Pickering Lodge Care Centre DS0000063766.V343271.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Adequate systems are in place to ensure that health care needs of the people who live in the home are met. However care plans need to be available to cover all of the needs of the people who live in the home. People cannot always be confident that their privacy and dignity is protected and that they are treated with respect. EVIDENCE: The manager said that all of the people who live in the home have care plans so that staff know how to look after people on an individual basis. Some of the plans seen had not been evaluated on a monthly basis. This is needed so that any changing needs are identified. This will ensure that people always have plans to cover all of their needs. One care plan also contained as assessment that identified that the person was potentially at risk of developing a pressure sore. There was no care plan available to tell staff what they needed to do to make sure this does not happen. However people spoken to felt that they were Pickering Lodge Care Centre DS0000063766.V343271.R01.S.doc Version 5.2 Page 11 well looked after. One said, “The staff are nice. You just have to ask and they will get you anything you need. Another said, “The staff know when I am not well and call the doctor straight away”. One relative said, “The staff are really good. They call me straight away when they think there is a change I need to know about. Evidence was seen in files of involvement with other people for example district nurses, doctors, and care managers to confirm that other professionals are involved. One health care professional visiting on the day of inspection confirmed that staff consult her on a regular basis. She said, “ I have no problems with this home. They consult me when needed and always listen to any advice I give them”. The medications of four people were checked. They were found to be in order. Procedures are in place for people to control their own medication should they wish to do so. A risk assessment will be made first to ensure this is safe. People said that staff treat them with dignity and respect. They said that staff always knock on bedroom doors and call them by their preferred name. One person said, “It is really lovely here and the staff are nice. They asked me when I came in what I would like to be called and they always use the name I prefer”. However the inspector saw one incident with regard to the mealtime where assistance with feeding was not being carried out in a dignified manner. Pickering Lodge Care Centre DS0000063766.V343271.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The activities are varied and provide recreation for some of the people living in the home. Family and friends can visit the home at any time and are made to feel welcome. The meals are of a good standard. Menus are varied and people are given a choice. However some people are not being assisted to eat in a dignified manner. EVIDENCE: Most of the people said that activities are suitable. One member of staff said, “The activities coordinator is good. She asks the people what they want to do and they are really enjoying them”. One person who lives in the home said, “I can go out on my own. I just have to tell the staff where I am going and when I will be back”. Another said, “They don’t ask you what you want to do”. The inspector spent time talking to the coordinator, who had only recently started to work at the home. She was very enthusiastic and talked about her plans. She has been training with some external organisations to make sure she has the skills to do the job. The inspector saw her discussing future events with some of the people who live in the home. In addition to in house events such Pickering Lodge Care Centre DS0000063766.V343271.R01.S.doc Version 5.2 Page 13 as bingo and board games, she also plans to arrange for outside entertainers to come into the home. Trips are planned to local attractions such as museums, Durham Cathedral and the seaside. Relatives said that they could visit at any time and that they are always made welcome. One said, “Staff here are really good. They are polite, friendly and always keep me advised about any changes I need to know about”. People said that they have a choice about how they like to spend their day. They can also choose what time to get up and go to bed and when they would like to have a shower or bath. The lunch looked nice. People are give two choices and the menu rotates over four weeks. There is also a winter and summer option. Some staff who were helping people to eat appeared to be rushed. One member of staff was standing between two people, feeding them at at the same time. This task should be carried out in a discreet manner to make sure people are helped in a dignified way and that they enjoy the food and the social experience. The registered manager said that he is currently looking at ways of making liquidised diets and finger foods more attractive. One person who lives in the home said, “The food is good. We get a choice and there is plenty of it”. One visitor said, “The food looks good. I could not eat the amount people are given”. Evidence was seen in care plans that nutritional needs are assessed and other professionals consulted if required. Pickering Lodge Care Centre DS0000063766.V343271.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live in the home can be confident that their concerns and complaints are dealt with appropriately and that safeguards are in place to protect them from abuse. EVIDENCE: Information about complaints, how and who to make them to, is made available to the people who live in the home and their families through information displayed in the entrance to the home and in the ‘Service Users Guide’. One person said, “If I had a problem I would tell the manager, but I have never had to”. One relative said “I would approach any member of staff at any time and feel that problems would be addressed”. There were four complaints recorded in the home since the last inspection. They have been appropriately addressed using the procedure available within the home. The home has detailed adult protection procedures. Copies of these were seen to be available for staff use. Staff interviewed voiced a commitment to the people they work with and to upholding the rights of the people who live in the home. All staff have now been trained in adult protection. Pickering Lodge Care Centre DS0000063766.V343271.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is clean and reasonably well maintained. It is decorated and furnished to an adequate standard and provides a homely environment for the people who live there. EVIDENCE: During the tour of the building and whilst talking to people in their bedrooms, the inspector saw that people could bring in their own furniture and belongings should they wish to do so. One person said, “I really like it here, especially my room. I brought in some of my own things. That was really important to me”. The manager said that since the last inspection all of the bedrooms have been refurbished. Plans are in place to continue the refurbishment throughout the home. Some of the extractor fans in the toilet facilities were noisy and dirty. These require attention to make sure they are working properly. Pickering Lodge Care Centre DS0000063766.V343271.R01.S.doc Version 5.2 Page 16 On the day of the inspection the bedpan disinfector was out of action. This must be repaired to make sure the home has appropriate equipment in place to reduce the risk of cross infection. The conservatory appeared to be very hot. The temperature needs to be monitored to make sure that people are comfortable and are sitting in a safe environment. A new parker bath has been fitted providing more suitable bathing facilities for the people who live in the home. There was a range of specialist equipment seen around the home. This helps the people who live in the home maintain a level of independence. It also provides staff with a safe method of helping people who need assistance with mobility. During the tour of the building, the inspector found the building to be clean, tidy and free from offensive odours. Pickering Lodge Care Centre DS0000063766.V343271.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a settled and well-led staff team, in sufficient numbers to meet the needs of the people who currently live in the home. EVIDENCE: Examination of the duty rota confirmed that there is always at least one qualified nurse on duty at all times. People said that the number of staff on duty is adequate. One person who lives in the home said,” The staff here are marvellous. They go over and above the call of duty. Another said, “There are enough staff most of the time. I sometimes have to wait a while for attention if they are busy. This tends to be during the morning time”. The home had staff files in place, which provided evidence that the appointment of a new staff member is made through proper recruitment processes. This includes the vetting of staff through the use of references, POVA first checks and Criminal Record Bureau (CRB) checks. There is a commitment at the home to having a trained workforce. Over 50 of care staff have now completed NVQ level 2 or 3 training in care. Pickering Lodge Care Centre DS0000063766.V343271.R01.S.doc Version 5.2 Page 18 Recent training has taken place in protection of vulnerable adults, moving and handling, fire safety, first aid, infection control, pressure area care and dementia care. Staff spoken to said that they found that dementia care training particularly useful in improving the way in which they look after people. Pickering Lodge Care Centre DS0000063766.V343271.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a registered manager who provides support and guidance to staff and residents. EVIDENCE: There was an open and friendly culture between the management team and the staff at the home. Staff said that they felt well supported in their work and the manager said that regular supervision and appraisal of staff takes place. People who live in the home and their relatives confirmed that the manager is approachable and that they would go to him if they had any concerns. One relative said, “The manager is really good, you can go to him and he gets Pickering Lodge Care Centre DS0000063766.V343271.R01.S.doc Version 5.2 Page 20 things done”. Since the last inspection the manager has completed an appropriate management course. The company have a number of systems in place to consult the people who live in the home. The manager confirmed that the company carries out monthly audits. This covers all aspects of care and environmental issues. Views are obtained through regular contact and an ‘open door policy’. Resident meeting stake place and their relatives are welcome to attend. This gives people the opportunity to discuss any general problems they may have. Satisfaction surveys are also carried out. The home has produced financial care plans for each person that identifies who is responsible for managing service user finances. Where money is held on behalf of the service user, written records are maintained. These records were checked and were generally found to be satisfactory. The home has a safe for the keeping of valuables. The manager confirmed that all equipment in the home is regularly checked. The maintenance certificates that were checked at this inspection were found to be in order. Pickering Lodge Care Centre DS0000063766.V343271.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 2 3 X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Pickering Lodge Care Centre DS0000063766.V343271.R01.S.doc Version 5.2 Page 22 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 OP7 Regulation 13. Requirement Care plans must be evaluated on a monthly basis. This is required so that any changing needs are identified. This will ensure that people always have plans to cover all of their needs. Where an assessment indicates that a person is at risk of developing a pressure sore, a care plan must be formulated to make sure staff know what action to take. The bedpan disinfector must be repaired to make sure the home has appropriate equipment in place to reduce the risk of cross infection. Timescale for action 31/08/07 2. OP7 13. 31/08/07 3. OP26 16. 30/09/07 Pickering Lodge Care Centre DS0000063766.V343271.R01.S.doc Version 5.2 Page 23 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. Refer to Standard OP15 Good Practice Recommendations Staff should be allocated on a one to one basis where people require assistance with feeding. This is to make sure that people hare treated in a dignified manner and enjoy the mealtime. The refurbishment programme needs to continue to make sure a good standard is provided throughout the home. The temperature in the conservatory needs to be monitored to make sure that people are comfortable and are sitting in a safe environment. Some of the extractor fans in the toilet facilities were noisy and dirty. These require attention to make sure they are working properly. 2. 2. 3. OP19 OP26 OP26 Pickering Lodge Care Centre DS0000063766.V343271.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Pickering Lodge Care Centre DS0000063766.V343271.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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