Inspection on 13/01/06 for Ruskin Lodge

This inspection was carried out on 13th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Ruskin Lodge 18/04/07

Ruskin Lodge 23/06/05

Ruskin Lodge 06/08/04

Ruskin Lodge 10/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Belvidere Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Ruskin Lodge Swinburne Road Dentons Green St Helens Merseyside WA10 6AW Lead Inspector Mrs Lynn Paterson Unannounced Inspection 3:00 13 January 2006 th 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 Ruskin Lodge DS0000022408.V278407.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. Ruskin Lodge DS0000022408.V278407.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ruskin Lodge Address Swinburne Road Dentons Green St Helens Merseyside WA10 6AW 01744 20010 01744 613081 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) Pilkington Family Trust Mrs Diane Swift Care Home 23 Category(ies) of Dementia (4), Old age, not falling within any registration, with number other category (13), Physical disability (6) of places Ruskin Lodge DS0000022408.V278407.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service Users to Include up to 13 (OP) and up to 4 (DE) and up to 6 (PD) Total to include up to 5 service users under pensionable age Date of last inspection Brief Description of the Service: Ruskin Lodge is owned and mangaged by Pilkington Family Trust, its purpose being to provide short periods of respite for Pilkington pensioners and their relatives. The premises are located in a quiet residential area of St.Helens, which is approximately one mile from St.Helens Town centre. Ruskin Lodge has 16 single and 3 twin rooms all with ensuite facility. Communal rooms include 2 lounge areas, a pleasant roomy dining room, conservatory and large reception hall. Visitors to the home are referred to as guests and the guest accommodation is situated on the ground and first floor with access provided from a passenger lift and main stair well. The home has ample parking areas to the front of the building and overlooks spacious, well-maintained grounds. Ruskin Lodge DS0000022408.V278407.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Ruskin Lodge was carried out during the afternoon of 13th January 2006 and was undertaken on an unannounced basis. The inspector met with the registered manager, the maintenance person, three care staff members and ten guests. Care plans and other documentation was looked at and the inspector toured the building. It should be noted the people who stay for respite periods at Ruskin Lodge are addressed as guests and will be referred to as such throughout this report. What the service does well: Staff of Ruskin lodge identified in discussion and observation of their practice that they strive for excellence. Staff identified they were well trained to carry out care practices to meet the assessed need of all the people who resided in the home and were totally committed to the provision of quality care. All documentation viewed was clear and well managed. The general hygiene of the premises was very good and the building was seen to be maintained to a high standard. Staff said the person who was generally responsible for health and safety maintenance was a credit to the company and carried out his duties very well. Health and safety training records and policies and procedures to ensure the health and safety of staff and guests of the home were exceptionally well managed. Staff advised that the managing director of Pilkington Welfare trust cascades his enthusiasm and good practices through to all the staff of Ruskin Lodge. They said the registered manager was very good at her job and led by example. Guests spoken with were high in their praise for the staff and service provision of the home and comments included “it is better than a five star hotel”, ”have you seen my room it looks as if its off ideal homes”, ”the staff are so kind they feel like family”,” the food, oh my goodness its so good and plentiful I just love coming here”,” we think this place is the best anyone could get and we feel very lucky to be able to come here, everyone is lovely”. Ruskin Lodge DS0000022408.V278407.R01.S.doc Version 5.1 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. Ruskin Lodge DS0000022408.V278407.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 Ruskin Lodge DS0000022408.V278407.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All key standards inspected and achieved compliance at previous inspection. EVIDENCE: Ruskin Lodge DS0000022408.V278407.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): 10. Guests of Ruskin Lodge are treated with respect and afforded privacy by staff who are trained and motivated to carry out their duties to ensure good quality care practices are carried out at all times. EVIDENCE: The home manager was able to provide documentation that showed care -staff are trained to carry out care practices in a respectful and sensitive manner. Perusal of documentation revealed that staff, receive a thorough induction prior to them commencing their caring role in the home and this includes training to make sure they treat all the people who visit the home with respect and ensure their privacy. Staff spoken with said that they were trained to knock on bedroom and bathroom doors before entering and if they knew that people were in their rooms they would wait for an instruction from them before opening the door. Staff also identified that they ensured that any person who needed medical treatment was seen by a general practitioner in the treatment room of the home to make sure of full privacy. Staff said that all guests were provided with keys to their rooms and all bathroom areas had full locking facility. Ruskin Lodge DS0000022408.V278407.R01.S.doc Version 5.1 Page 10 Policies and procedures in the home identified that guests mail was delivered to them un opened, all bedrooms had telephones to enable guests to make calls in private, meals could be served in rooms if the person wished this to happen and Guests advised that they were always treated with full respect by all staff of the home. Comments included “staff treat us with respect and are kind and caring”, ”what lovely people the care staff are, they treat us with respect and know when we need them or when we want to be by ourselves”. Feedback, discussions and observations identified that the home have exceeded the expectations of this standard, therefore a score of 4 has been achieved. Ruskin Lodge DS0000022408.V278407.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All key standards were `tested at the last inspection. EVIDENCE: Ruskin Lodge DS0000022408.V278407.R01.S.doc Version 5.1 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): 18. Staff are trained and knowledge in all aspects of adult protection and the policies and procedures maintained in the home ensure wherever possible that the guests are protected from abuse. EVIDENCE: The home manager was able to demonstrate her knowledge and understanding of adult protection issues and provide records to show that all staff had undertaken training in all aspects of adult protection. The home adult protection polices included a policy on elder abuse and records showed that staff training in adult protection was an ongoing process in the home. The homes policy included procedures to assist staff to identify and respond to any suspicions or allegations of abuse. The manager advised that staff are also trained in dementia care to make sure that they can provide care appropriate to need and ensure effective communication systems are in place at all times. It was noted that the training input for adult protection ensured that staff were able to communicate with people who may have diverse communication levels and this was seen to be commendable and has therefore achieved a score of 4. Ruskin Lodge DS0000022408.V278407.R01.S.doc Version 5.1 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): The key standards were inspected at the previous inspection. EVIDENCE: Ruskin Lodge DS0000022408.V278407.R01.S.doc Version 5.1 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): 29 The procedures for the recruitment of staff are robust and provide safeguards to offer protection to the people living in the home. EVIDENCE: Staff spoken with advised that the recruitment and selection processes of the home included applicants being asked to provide references and Criminal Records Bureau checks ( CRB) prior to an offer of employment. Records show that staff turnover is low and staff advised that all vacancies are advertised and a process is followed to make sure of equal opportunity. The manager provided information that identified the home strictly follows its recruitment and selection policy to include standard interview questions and a formal scoring system. Job offers are made on a conditional basis until medicals have been carried and all references and CRB checks have been obtained and verified. Ruskin Lodge DS0000022408.V278407.R01.S.doc Version 5.1 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): 33.35.38. The home has robust financial and accounting policies and procedures for safeguarding guests and uses quality assurance methods to make sure that the views of the guests as to the running of the home are recorded and addressed. The home employ maintenance staff and utilise clear health and safety policies and procedures which promote and safeguard the health, safety and welfare of the people using the service. EVIDENCE: Comments received from staff and guests reveal that the registered manager of Ruskin Lodge is admired and respected for her transparency in managing the home. Comments included “we always know what is going on”, ”we are` asked for our opinions on everything”, “the manager makes us feel we are part of this home”, “the home has a comments book for us to record what we feel about our stay here”, ”the manager give us forms to fill in to say what we think about the home”. ”the manager is always around to speak with and she Ruskin Lodge DS0000022408.V278407.R01.S.doc Version 5.1 Page 16 always asks us if we are all alright”. The manager advised that the managing director was proactive in his pursuits of quality and had developed quality assurance systems to make sure that all National Minimum Standards` were looked at and systems implemented to make sure that the home was run in the very best interests of all who used the service. Examination of the managing directors monthly reports revealed that he is totally committed to the provision of good quality care. The evidence for compliance in this standard is seen as commendable and a score of 4 has therefore been awarded for standard 33. Guests made positive comments about staff and said that they were always around to speak with them and provide assistance when required. The policy on safeguarding guest’s finances was clear and identified that choices were provided for the safekeeping of money/valuables. Guests spoken with said that they were happy with the choices provided and were sure that the home made every effort to safeguard their financial interests. The manager said that the home benefited from the services of a maintenance worker who held responsibility for promoting the health, safety and welfare of the staff and service users of the home. A meeting was held with this person who presented as most knowledgeable in all aspects of health and safety and effective in his role. He demonstrated a true commitment to ensuring the health, safety and wellbeing of all who entered the home. Records indicated that he was responsible for the health and safety induction process for staff and for the reviewing and updating of heath and safety protocols in the home. Further documentation revealed that he held responsibility for job risk assessment, building risk assessment, equipment testing and checking and all practical heath and safety aspects of the home. A tour of the premises and examination of health and safety records to include essential service maintenance demonstrated that the maintenance person was most knowledgeable and efficient in his role. Staff spoken with advised that he “excelled in all that he did in the home” and other comments from staff included “he is so committed to providing high quality services “,”the general maintenance of this home is a credit to him”. It was noted that the home had exceeded the expectation of this standard and a score of 4 has been awarded for standard 38. Ruskin Lodge DS0000022408.V278407.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X X X X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 4 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 4 X 3 X X 4 Ruskin Lodge DS0000022408.V278407.R01.S.doc Version 5.1 Page 18 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. Refer to Standard Good Practice Recommendations Ruskin Lodge DS0000022408.V278407.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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 Ruskin Lodge DS0000022408.V278407.R01.S.doc Version 5.1 Page 20 - 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!