Inspection on 19/07/05 for Queens Lodge Nursing Home

This inspection was carried out on 19th July 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

Queens Lodge Nursing Home 11/04/07

Queens Lodge Nursing Home 16/11/05

Queens Lodge Nursing Home 11/01/05

Queens Lodge Nursing Home 15/06/04

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 Queens Lodge Nursing Home Haslingden Road Blackburn Lancashire BB2 3HQ Lead Inspector Graham Oldham Unannounced 19 and 20 July 2005 09:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Queens Lodge Nursing Home F57 F07 S22515 Queens Lodge V226461 July 19 20 2005 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Queens Lodge Nursing Home Address Haslingden Road Blackburn Lancashire BB2 3HQ 01254 681805 01254 697148 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Fern Holdings Limited Mrs Hilary Waters Care Home with Nursing 40 Category(ies) of Old age, not falling within any other category registration, with number (OP) 40 of places Physical disability (PD) 40 Queens Lodge Nursing Home F57 F07 S22515 Queens Lodge V226461 July 19 20 2005 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 A maximum of 40 service users requiring nursing or personal care who fall into the category of OP. Date of last inspection 11 January 2005 Brief Description of the Service: Queens Lodge is a pupose built detched home situated on the outskirts of Blackburn. The home is located in a semi-rural position with views over fields. The home can accommodate up to 40 elderly residents requiring nursing care, personal care or have a physical disability.Queens Lodge is family run and owned privately by Fern Holdings. The home is located on a bus route opposite from Queens Park Hospital. Car parking facilities are available at the front of the home and the extensive gardens have been designed to allow easy access for residents and their families. Accommodation comprises of a variety of communal rooms, 28 single bedrooms and 6 shared rooms. All bedrooms have en-suite facilities. The decor is pleasant and a passenger lift is available to access both floors. Queens Lodge Nursing Home F57 F07 S22515 Queens Lodge V226461 July 19 20 2005 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 20th July 2005. Much of the information gained was obtained from talking to residents and staff members. The views of residents were obtained on a variety of topics. Four residents were case tracked. Case tracking gave the inspector an overall view of the specific care for the individual resident by checking the plans of care, other documentation and talking to residents and staff. Three staff members were talked to about care issues. Some of the views have been reported collectively with specific comments contained within the body of the report. The inspector took detailed notes during the inspection, which have been retained as evidence. Staff were directly and indirectly observed carrying out their tasks and interacting with residents. Paperwork examined included plans of care, assessment documentation, policies and procedures or documents relevant to each standard. A tour of the building and grounds was conducted. What the service does well: Resident’s views of staff and the home were good. Comments included “its excellent”, “up to the mark – 5 star” and “staff are kind I have no complaints at all”. Two visitors were also complimentary to staff. The atmosphere at the home ensured residents were happy. The home was well maintained to provide a nice environment for residents. Personal support was given in a positive way with the inclusion of resident’s preferences. Staff training and supervision was ongoing to provide staff with better knowledge in caring for the resident group accommodated at the home. Residents were assessed prior to admission to ensure their needs were met. A contract was issued to inform residents and their families of the terms and conditions of the home. Residents were happy with the care provided. Both residents and staff gave details of the care provided which was matched against the plans of care. Care provided was as agreed and written in the plans. Queens Lodge Nursing Home F57 F07 S22515 Queens Lodge V226461 July 19 20 2005 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? 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. Queens Lodge Nursing Home F57 F07 S22515 Queens Lodge V226461 July 19 20 2005 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Queens Lodge Nursing Home F57 F07 S22515 Queens Lodge V226461 July 19 20 2005 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3 and 4 Each resident had been assessed to ensure their needs were met and this was then confirmed in writing. Residents and their families were aware of the terms and conditions for residing at the home. EVIDENCE: Four plans of care were examined during the inspection. Plans of care contained assessment documentation from social services and the homes own assessment. Information gained from assessment, residents, families and involved professionals ensured residents were correctly placed. A letter confirming resident’s needs were met was contained within the contract documentation. Each resident had contract documentation, which detailed the terms and conditions for residing at the home. Queens Lodge Nursing Home F57 F07 S22515 Queens Lodge V226461 July 19 20 2005 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9 and 10 Plans of care detailed resident’s needs. Access to specialists and attending routine appointments ensured health care needs were met at the home. Privacy, dignity and the respect of residents was maintained by staff. Medication policies and procedures were satisfactory. EVIDENCE: Four plans of care were examined during the case tracking process. Plans of care were good. Plans of care had been reviewed. Residents had the opportunity to be involved in the plans of care. One visitor said, “the care here is very good and mother is very happy. I would like to be informed sooner if there is any change in condition or an incident has occurred”. One resident said, “the care of the sick is absolutely terrific”. Residents spoken to described the care they received, which matched with the details written in the plans of care. Information gained from staff also confirmed care given was as planned. The details of resident’s wishes concerning death and dying had not been detailed in the plans of care for the four residents case tracked. The wishes of resident’s should be obtained for all aspects of health and welfare. Queens Lodge Nursing Home F57 F07 S22515 Queens Lodge V226461 July 19 20 2005 Stage 4.doc Version 1.30 Page 10 Equipment such as pressure relieving devices or hospital beds were observed during the inspection. Access to district nurses and dietary specialists was ongoing. Information taken from the plans of care and verified by residents confirmed residents attended health care specialists and routine appointments. The registered manager said medication had been reviewed in line with the Royal Pharmaceutical guidelines. The registered manager said other recommendations made at the last inspection had been completed. The inspector examined the medication record sheets and found them to be accurate. One recommendation made to secure the oxygen cylinders had not been completed. Medication policies, procedures and administration was sufficient to protect the health and welfare of staff. Residents said personal care was given privately. Comments included, “I am treated very privately, staff always attend me well” and “my privacy is maintained, the girls treat me well”. Staff were observed to protect the privacy and dignity of residents when attending to personal care. Queens Lodge Nursing Home F57 F07 S22515 Queens Lodge V226461 July 19 20 2005 Stage 4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14 and 15 Residents said they were satisfied their social, religious and recreational needs were met. Contact with family and friends was maintained. Meals provided were to the liking of residents and provided a well balanced diet. Residents had choices in their routines and retained some control of their lives. EVIDENCE: Four residents case tracked confirmed the routines at the home were unrestrictive and choice was offered in many aspects of routine. The information gained from residents about their routines demonstrated the home allowed choice in many aspects of life and allowed residents to retain some independence. Residents said visiting was allowed at any time and could be held in private if they wished. The inspector talked to two visitors during the inspection. One visitor said, “the care staff are wonderful, I visit at least once a day and they are always very pleasant”. The other visitor said visiting was unrestricted. Visiting at the home was encouraged. Residents described their outings and activities, which were varied and different for each person. One resident case tracked enjoyed “going into the garden” another resident said, “it’s music and movement today and I am going to join in”. Other residents said they enjoyed reading or watching television. Queens Lodge Nursing Home F57 F07 S22515 Queens Lodge V226461 July 19 20 2005 Stage 4.doc Version 1.30 Page 12 Activities and outings were satisfactory for the residents spoken to during the inspection. Residents questioned were satisfied with their meals. Meals were observed to be given in an unhurried way and any assistance staff gave was discreet and dignified. Residents said there was a choice of meal. Food was described as “good”, “very good”, “it isn’t bad but I have gone off my food” and “everything that comes goes here”. Specialist diets were provided. Necessary environmental health checks were completed. From the comments taken during the inspection the inspector was satisfied that choice and quality of food met resident’s expectations. Queens Lodge Nursing Home F57 F07 S22515 Queens Lodge V226461 July 19 20 2005 Stage 4.doc Version 1.30 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Systems were in place to protect residents from abuse. The complaints procedure was available for residents to access and met current Commission for Social Care Inspection (CSCI) Guidelines. EVIDENCE: Policies and procedures were available for staff to follow for abuse issues. The home used the Blackburn with Darwen adult abuse procedures to follow a local initiative. There was a whistle-blowing policy and a copy of the ‘No Secrets’ document. One member of staff questioned had taken an adult abuse course. Members of staff were aware of abuse issues. From the information gained from staff and documentation examined, resident’s protection from abuse was safe-guarded. Resident’s said they felt able to complain if they wished. Four residents case tracked said they had no complaints but would complain to a member of staff or the manager. One visitor was aware of the Commission to complain to. No complaints had been made to the service or the CSCI since the last inspection. The open atmosphere and complaints procedure gave residents an opportunity to complain. Queens Lodge Nursing Home F57 F07 S22515 Queens Lodge V226461 July 19 20 2005 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 - 26 The home was warm, clean and comfortable. Furnishings and equipment was domestic in style and met residents needs and individual tastes. Toilets and bathrooms were of a type that met residents needs. Shared space was provided to give a variety of activities and uses for residents. Equipment was provided for specialist needs. EVIDENCE: The inspector conducted a tour of the home during the inspection process. All communal areas and most bedrooms were inspected. All residents were satisfied with their personal and private space. Rooms had been personalised to residents tastes. Rooms were clean, tidy and contained sufficient equipment to provide residents with a stimulating environment. The laundry was well equipped to provide a good service to residents. Policies and procedures were in place for the control of infection and helped protect the health and welfare of residents. Queens Lodge Nursing Home F57 F07 S22515 Queens Lodge V226461 July 19 20 2005 Stage 4.doc Version 1.30 Page 15 Toilets, bathrooms and communal space had suitable adaptations for the residents accommodated at the home. Health and safety adaptations such as restricting the opening of windows, controlling water temperatures and covering radiators had been completed to protect residents from possible injury. Queens Lodge Nursing Home F57 F07 S22515 Queens Lodge V226461 July 19 20 2005 Stage 4.doc Version 1.30 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28 and 30 The numbers and training of staff ensured resident’s needs were met. Training, including NVQ training was provided for the benefit of staff and residents. 50 of staff had not achieved NVQ qualifications. EVIDENCE: Induction training was provided for new staff. Staff qualified to NVQ standard had not reached the 50 threshold, although this would be achieved soon. The responsible person had a training and development profile for staff members to highlight areas training was needed. Two staff members questioned during the inspection had undertaken training relevant to the resident group accommodated at the home. The training undertaken ensured staff had the knowledge to look after the resident group accommodated at the home. The inspector examined the staff rota and discussed staffing with the registered manager and was satisfied staff were employed at the home in sufficient numbers and skill to ensure residents needs were met. Queens Lodge Nursing Home F57 F07 S22515 Queens Lodge V226461 July 19 20 2005 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Residents controlled their own finances. EVIDENCE: The registered manager said it was policy for residents or their families to control their finances. Queens Lodge Nursing Home F57 F07 S22515 Queens Lodge V226461 July 19 20 2005 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 4 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x 3 x x x Queens Lodge Nursing Home F57 F07 S22515 Queens Lodge V226461 July 19 20 2005 Stage 4.doc Version 1.30 Page 19 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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. 1. 2. 3. Refer to Standard OP9 OP11 OP28 Good Practice Recommendations The registered manager should ensure oxygen cylinders be stored on a trolley or link chained. The registered manager should ensure a residents wishes regarding death and dying be recorded. The registered person should ensure NVQ levels for care staff meet current requirements. Queens Lodge Nursing Home F57 F07 S22515 Queens Lodge V226461 July 19 20 2005 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 1st Floor, Unit 4 Petre Road, Clayton-Le-Moors Accrington Lancashire. BB5 5JB 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 Queens Lodge Nursing Home F57 F07 S22515 Queens Lodge V226461 July 19 20 2005 Stage 4.doc Version 1.30 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. 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