CARE HOMES FOR OLDER PEOPLE
Red Lodge Hawthorn Terrace New Earswick York YO32 4ZA Lead Inspector
Mrs Wendy Dixon Short notice Inspection 5th October 2005 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 Red Lodge DS0000015838.V264480.R01.S.doc Version 5.0 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. Red Lodge DS0000015838.V264480.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Red Lodge Address Hawthorn Terrace New Earswick York YO32 4ZA 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) 01904 762111 Joseph Rowntree Housing Trust Mrs Susan Veitch Care Home 42 Category(ies) of Old age, not falling within any other category registration, with number (42) of places Red Lodge DS0000015838.V264480.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 13th January 2005 Brief Description of the Service: Red Lodge is situated in the village of New Earswick, on the outskirts of York. The home is close to the local shops, post office and has good public transport links into York. Red Lodge is part of the Joseph Rowntree Housing Trust. Red Lodge is a large building that can accommodate up to 42 service users who require personal care. There are additional 36-sheltered housing flats, where residents may receive some domiciliary care from staff based at Red Lodge. Red Lodge DS0000015838.V264480.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This report relates to an inspection that took place on Wednesday 5h October 2005. Because of the shared staffing arrangements and polices and procedures the inspection of the care home was combined with the domiciliary care inspection. The inspection process lasted 6.0 hours (10.00pm to 4.00pm). There were 41 service users resident in the home, all receiving personal care. The inspection focused on a number of key standards. An inspection of the premises took place, including a number of bedrooms, the homes dining room and lounges. The care records of four service users were examined in detail and where possible these service users were spoken with about the care they receive. There were also discussions with members of staff on duty at the time of inspection. A visitor to the home. What the service does well:
Red Lodge provides a very good standard of care. The home had a lovely calm atmosphere and the building has been suitably adapted, access is good throughout so service users can use the lounges, gardens and dining room. Detailed plans of care are in place and this helps ensure that all the service users health and social care needs are identified and met. Service users were able to spend their day as they wished. Service users were in their rooms watching TV or reading, some were in one of the homes lounges chatting and socialising with other service users. Service users were relaxed and happy to chat about life in the home that they very much enjoyed, talking about the recent events and trips out. Staff were well informed about service users health and personal care needs and were observed talking and assisting service users in a kind friendly and professional manner. Visitors were welcomed by staff and able to see family/friends either in one of the homes lounges or their room. Red Lodge DS0000015838.V264480.R01.S.doc Version 5.0 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. Red Lodge DS0000015838.V264480.R01.S.doc Version 5.0 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 Red Lodge DS0000015838.V264480.R01.S.doc Version 5.0 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): 3 Service users needs are properly identified and assessed prior to admission EVIDENCE: The preadmission records of the newest service user admitted to the home were inspected. A member of the homes management team had assessed the service user prior to admission. Service users are able to visit the home prior to admission to meet with staff and see their prospective room before making a decision to come into the home. Information about service users health and personal care needs had been documented and information gathered from relatives and other health professionals giving a good picture of the care that needed to be provided. Red Lodge DS0000015838.V264480.R01.S.doc Version 5.0 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): 7,8,9 and 10 The health and personal care needs of service users are well met EVIDENCE: The care plans of four service users were inspected and found to be of good quality. These contained detailed information about how service users needed to be cared for and showed any health problems were quickly and appropriately dealt with, consulting with other professionals where necessary. These were up dated on a regular basis. Where these service users were spoken to they confirmed that the information recorded was correct and up to date. Medication is safely stored, stock balances checked were correct and administration records up to date showing service users were receiving medication as per the doctors instructions. Red Lodge DS0000015838.V264480.R01.S.doc Version 5.0 Page 10 It is recommended that two staff sign the administration record when a controlled drug is administered. Staff spoke with service users in a kind, friendly and respectful manner. Communal toilets and bathrooms all had privacy locks and signage in place and all room have en suite facilities. Red Lodge DS0000015838.V264480.R01.S.doc Version 5.0 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): 12 and 15 Service users can choose to spend their days as they wish, and there is a range of activities service users can participate in if they want to. EVIDENCE: The home had a relaxed atmosphere. Service users were at different points in their morning routine, some in their rooms listening to the radio and reading the newspapers. Others seeing family and friends, watching television and enjoying morning coffee together showing that support for service users is individual to them and not based on fixed routines. The meal served during the inspection was lunch; this was nicely presented and enjoyed by the service users who commented generally the food was very good at the home. Menus are displayed and service users can either eat in their rooms though the majority prefer to eat in one of the homes dining rooms, as meals are a social occasion. Red Lodge DS0000015838.V264480.R01.S.doc Version 5.0 Page 12 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 and 18 Services users and families are aware of how to complain and polices are place to deal with any abuse should it occur. EVIDENCE: One complaint has been received since the last inspection. This has been investigated by the Trust and appropriate action taken. The home has a clear complaints procedure, which is included in the information given to service users on admission that informs service users and their families how to complain if they are unhappy with the care or service at the home. The Home has policies regarding abuse copies of which were kept in the home and made available to staff members. Red Lodge DS0000015838.V264480.R01.S.doc Version 5.0 Page 13 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 and 26 The home offers good quality accommodation to all its service users and is a clean, comfortable and safe place for service users to live. EVIDENCE: Access is very good throughout the building. Decoration and maintenance is to a high standard. The home has secure well-maintained gardens for service users to enjoy. Service users rooms are very much their own and personalised with pictures, photographs and small items of furniture they have brought from home. The home was clean and fresh smelling t and gloves and aprons were in good supply, to help prevent the spread of infection. Red Lodge DS0000015838.V264480.R01.S.doc Version 5.0 Page 14 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): 27,29 and 30 Enough properly trained and qualified staff are on duty to meet the needs of the service users EVIDENCE: Enough staff are on duty to meet the needs of the service users. The employment and training files of two members of staff were inspected. These contained the necessary checks and references to help ensure service users are cared for by trustworthy staff who have appropriate experience. Staff had recently attended fire, moving and handling training and medication training and when spoken to were knowledgeable and up to date about care and treatment service users required. Red Lodge DS0000015838.V264480.R01.S.doc Version 5.0 Page 15 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): 33,35 and 38 The home is well managed and provides a safe place for service users to live and staff to work. EVIDENCE: The registered manager has obtained the NVQ4 in care management in addition to over 10 years experience in managing the home. The registered manager and or the deputy are available in the home on a daily basis to deal with issues as they arise. Regular meetings/ consultations are held with service users to enable everybody who lives and works in the home to have a say as to how it is run. The home is well maintained. Staff have received statutory health and safety training. Red Lodge DS0000015838.V264480.R01.S.doc Version 5.0 Page 16 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 3 X 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 4 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Red Lodge DS0000015838.V264480.R01.S.doc Version 5.0 Page 17 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. 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. Refer to Standard OP9 Good Practice Recommendations Two staff should sign the medication record when controlled drugs are administered Red Lodge DS0000015838.V264480.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Red Lodge DS0000015838.V264480.R01.S.doc Version 5.0 Page 19 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
