Inspection on 28/12/05 for Preston Lodge

This inspection was carried out on 28th December 2005.

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

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

Other inspections for this house

Preston Lodge 08/09/06

Preston Lodge 02/08/05

Preston Lodge 07/01/05

Preston Lodge 09/06/04

Similar services:

Applegarth

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

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

CARE HOMES FOR OLDER PEOPLE Preston Lodge 20 Kingfisher Avenue Humbertone Road Leicester Leicestershire LE3 6QR Lead Inspector Rajshree Mistry Unannounced Inspection 28th December 2005 12:25 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 Preston Lodge DS0000037646.V275301.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. Preston Lodge DS0000037646.V275301.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Preston Lodge Address 20 Kingfisher Avenue Humbertone Road Leicester Leicestershire LE3 6QR 0116 2622159 0116 2629278 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) Leicester City Council Mrs Enid Mary Delaney Care Home 40 Category(ies) of Dementia - over 65 years of age (20), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (20), Old age, not falling within any other category (40), Physical disability over 65 years of age (5), Sensory Impairment over 65 years of age (10) Preston Lodge DS0000037646.V275301.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service User Numbers DE(E) or MD(E) No one falling within category DE(E) or MD(E) may be admitted into the home when 20 persons who fall within categories/combined categories DE(E) or MD(E) are already admitted into the home. Service User Numbers PD(E) No one falling within the category PD(E) may be admitted into the home where there are 5 persons of category PD(E) already accommodated within the home. Service User Numbers SI(E) No one falling within the category SI(E) may be admitted into the home where there are 10 persons of category SI(E) already accommodated within the home. 2nd August 2005 2. 3. Date of last inspection Brief Description of the Service: Preston Lodge is a care home registered to accommodate up to forty older people and is owned by Leicester City Social Care and Health Department. The home is situated in a residential area near to shops and other local amenities. The home is close to the main road and on the public transport route. City centre is a ten-minute bus journey. Car parking is available at the home. Preston Lodge is a large modern and purpose built care home. Accommodation is offered on the ground and first floor, which is accessible via the stairs or the passenger lift. There is a separate short-stay/respite unit within the home. Bath/shower and toilet facilities are located throughout the home, close to bedrooms and communal areas. There is a large dining room and a choice of lounges in the home. There is a large patio and garden to the front and the side of the home with seating for the residents. Entry to the home is level access. All areas in the home are accessible to residents using wheelchairs and other aids. Preston Lodge DS0000037646.V275301.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 of the service, which took place on the morning of 28th December 2005 and lasted 3 hours. This is the second regulatory inspection of the service addressing the remaining core standards. The focus of inspections undertaken by the Commission of Social Care Inspection is upon the outcomes for the resident and their views of the service provided. The primary method of inspection used was ‘case tracking’. Three residents including a new resident, were identified for case tracking and the quality of the care received was examined through reviewing their care records, discussion with the residents, the staff and observation of the care practices. The inspection included discussion relating to the changes in the home’s management team. What the service does well: What has improved since the last inspection? Since the last inspection, the requirements and recommendations identified have been addressed. Additionally the following improvements have taken place: • One carer has been appointed and commenced employment after satisfactory pre-employment checks. • Ten bedrooms have been decorated with new carpets, wallpapers, curtains and free-standing wardrobes and cupboards. • Toilets and radiators have been painted. Preston Lodge DS0000037646.V275301.R01.S.doc Version 5.1 Page 6 • The home’s Statement of Purpose has been updated to reflect the appointment of a new manager of the home following the retirement of the previous Registered Manager. 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. Preston Lodge DS0000037646.V275301.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 Preston Lodge DS0000037646.V275301.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): 1, 6. The home’s brochure sets out key the information about the provision of care to enable people to make a choice about moving to the home. EVIDENCE: The home’s statement of purpose contained in the home’s brochure sets out information about the home, the admission process, the services and facilities provided and staffing, which has been updated to reflect the appointment of a new manager of the home. All other key information about the home remains the same and available to potential residents and their family prior to moving into the home. Preston Lodge is not registered to provided intermediate care. Preston Lodge DS0000037646.V275301.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): 7, 8, 10. Residents are well looked after respecting their choice of lifestyle, whilst having their health and social care needs met. EVIDENCE: Residents spoken with including a new resident recently moved to the home confirmed their views are sought and how their individual care needs can be met. Three plans of care were viewed for the residents tracked and found to reflect the residents’ care required, preference in the way care is provided, diet, medication, interests and health care support provided by the District Nurse. All residents indicated that they have identified key-workers. Observation during the inspection showed that staff have a good awareness of residents ability and showed respect in the way they spoke and assisted the resident. Staff were seen to offer residents choice and encouraged to make decisions. Comments received from residents confirmed the care they received was acceptable and allowed the residents to continue live as they chose as far as possible. Other comments received included: “I’ve found the carers at the home helpful”, “No restriction to coming and going, as long as you tell someone when your going out”, “The girls help me to the bathroom, they know how to me”. Preston Lodge DS0000037646.V275301.R01.S.doc Version 5.1 Page 10 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): 15. Residents are offered a good choice of meals daily and caters for special dietary requirements. EVIDENCE: The menu on the day of inspection was viewed and showed a choice of nutritionally balanced meals accommodating special dietary requirements such as soft food and sugar-free meals. The lunch provided on the day was: pork steak, steamed cod, bacon quiche, vegetable soup, potatoes, peas, swede with a choice of deserts consisting of rice pudding, prunes, ice-cream or yoghurt. Residents spoken with were all satisfied with the variety and selection of meals offered with fresh vegetables and fruits available. Meals are served in the dining rooms or residents can choose to eat in their own rooms. Residents received had a full Christmas lunch on Christmas Day. Comments received from residents included: “the meals are excellent and you get a good portion”. Preston Lodge DS0000037646.V275301.R01.S.doc Version 5.1 Page 11 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): 16. Arrangements for receiving and responding to complaints are satisfactory, resulting in protection of residents’ rights. EVIDENCE: The ‘service users guide’, given to residents on or prior to admission sets out the complaints procedure and is also available in other formats. The contact details of the Advocacy Services are included and displayed on the notice board at the entrance to the home and in the corridor near to the lounge and dining room. Residents spoken with including the new resident indicated that they were aware of whom to contact in the home or would raise concerns with their family. Comments included “I can tell the girls if there’s a problem”. All were confident that concerns and complaints made would be addressed promptly. Records showed no complaints had been received since the last inspection. Preston Lodge DS0000037646.V275301.R01.S.doc Version 5.1 Page 12 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, 21, 26. Residents live in a safe, homely and with sufficient bathrooms and toilets facilities are well-maintained and are kept clean. EVIDENCE: On the day of the inspection the home was found to be clean, tidy and well maintained. The décor was homely and bedrooms viewed were personalised with pictures and personal items. Residents spoken with indicated they were happy with their bedrooms that are spacious, private with lockable facility. Ten bedrooms have been decorated since the last inspection. Bedrooms viewed had new carpets, curtains, wallpapers and free-standing wardrobe and cupboards to allow residents a choice in the layout of their bedroom. The bathrooms and toilets are close to residents’ bedrooms with a good supply of protective gloves and antibacterial wash. There are handrails with throughout the corridors and the lift that was clean and brightly lit. The home benefits from having domestic staff responsible for the cleanliness of the home and residents’ laundry. Preston Lodge DS0000037646.V275301.R01.S.doc Version 5.1 Page 13 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): 29. Residents are protected by the home’s robust recruitment procedures. EVIDENCE: The recruitment procedure is robust, which is managed by the Human Resource Team. Staff personnel files containing the application forms and preemployment checks are held at the Human Resource Office and the Acting Manager receives confirmation checks carried out are satisfactory. Since the last inspection one new carer has been appointed and commence employment after satisfactory pre-employment checks carried out. The Inspector spoke to the new carer who stated the recruitment process was good providing information about the job, the support and training. The carer described the induction training undertaken, which included the home’s policies, procedures, adult protection, health and safety and shadowing a senior carer. The carer demonstrated an awareness of the residents’ care needs, how to support and assist residents to maintain and continue living independently. Preston Lodge DS0000037646.V275301.R01.S.doc Version 5.1 Page 14 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): 38. Residents’ and staff’s health, safety and welfare are being promoted and protected through the home’s policies and procedures. EVIDENCE: The requirements identified at the last inspection were actioned. The home has a programme of maintenance and checks in place. The services of the Handy Person ensure the minor faults are repaired with the support of the Maintenance Team when required. Records relating to health and safety procedures such as regular fire drills and fire alarm tests are completed and were up to date. During the tour of the home fire exits were clearly marked and were not obstructed. Residents’ bedrooms viewed appeared to be safe with guarded radiators and shelving above the wash hand basin. The storage of hazardous and COSHH materials is secure. Residents spoken with indicated that they felt safe both in the home and with the staff. Preston Lodge DS0000037646.V275301.R01.S.doc Version 5.1 Page 15 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 X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X 3 X X X X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 3 Preston Lodge DS0000037646.V275301.R01.S.doc Version 5.1 Page 16 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. Standard Regulation Requirement Timescale for action 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 Preston Lodge DS0000037646.V275301.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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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