Inspection on 26/01/06 for St Lawrence`s Lodge

This inspection was carried out on 26th January 2006.

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

St Lawrence`s Lodge 12/09/07

St Lawrence`s Lodge 27/11/06

St Lawrence`s Lodge 31/08/05

St Lawrence`s Lodge 06/01/05

St Lawrence`s Lodge 14/07/04

St Lawrence`s Lodge 11/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

SignHealth

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

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

CARE HOMES FOR OLDER PEOPLE St Lawrence`s Lodge 275 Stockport Road Denton Tameside M34 6AX Lead Inspector Janet Ranson Unannounced Inspection 26th January 2006 09:30 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 St Lawrence`s Lodge DS0000005578.V274878.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. St Lawrence`s Lodge DS0000005578.V274878.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Lawrence`s Lodge Address 275 Stockport Road Denton Tameside M34 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) 0161 336 2783 0161 336 2783 Mrs Janet Elvin Miss Helen Goodman Care Home 20 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (20), of places Physical disability over 65 years of age (7), Sensory Impairment over 65 years of age (1) St Lawrence`s Lodge DS0000005578.V274878.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 20 OP, up to 20 DE (E), up to 7 PD (E) and up to 1 SI (E). 31st August 2005 Date of last inspection Brief Description of the Service: St Lawrence Lodge is a residential care home adapted to meet the needs of 20 service users. Previously a Victorian vicarage, the adaptations now provide accommodation on two floors. In total there are 18 single rooms, three of which have en-suite facilities, and one shared room. The communal area is on the ground floor. The home is open plan in nature, having a large lounge and smaller dining area to the rear of the room. The dining area opens onto the small garden that is well used in the better weather. Adapted baths and toilets are located throughout the home. Car parking is available to the side of the building.The home is situated in a residential area, close to the centre of Denton. There is a shopping centre and market within walking distance. The adjacent towns of Ashton and Stockport are accessible by public transport. The service users who live at St Lawrence Lodge have been assessed as requiring residential care. The Commission for Social Care Inspection has registered the home to provide care for older people who may have dementia or a physical disability. St Lawrence`s Lodge DS0000005578.V274878.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 carried out over five hours. St. Lawrence Lodge provides personal care for up to 20 people over 65 years of age. It is privately owned. The manager is registered with the Commission for Social Care Inspection and was present during the inspection. In addition to teams of carers the home employs domestic, catering and maintenance personnel. In total six residents assisted the inspector with their comments and experiences of life at the home. Their comments in general were positive and it was obvious they had made friends and felt relaxed and comfortable. One resident invited the inspector to look at her room of which she was justifiable proud. The inspector also observed care practices, the serving of the main meal and medication administration. The requirements made at the previous inspection were also assessed for compliance. Comment cards were left for the residents and visitors to complete. What the service does well: St Lawrence Lodge provides a good service for vulnerable residents in a pleasant and secure environment. The resident’s are consulted in the day-to-day issues concerning the running of the home. The home cares for the resident’s families and encourages them to remain involved in their relative’s care. There is a stable enthusiastic work force that works well as a team. The carers are respectful towards the residents, their families and also towards each other. The manager is committed to the National Vocational Qualification system. The majority of carers have achieved level two and seniors level three. St Lawrence`s Lodge DS0000005578.V274878.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. St Lawrence`s Lodge DS0000005578.V274878.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 St Lawrence`s Lodge DS0000005578.V274878.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): 2 The residents have a copy of the written terms and conditions and complaints policy on admission to the home. Standard 3 was inspected at the previous unannounced inspection (August 2005) when it was judged to meet fully with the intended outcome. Intermediate care (Standard 6) is not provided at St Lawrence Lodge. EVIDENCE: At the previous inspection carried out in August 2005 there was a requirement for the wording in the terms and conditions and accompanying complaints procedure to be amended and brought up to date. The registered manager has now satisfactorily amended the document. St Lawrence`s Lodge DS0000005578.V274878.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 & 10 The resident’s health and personal care needs are in general well met but not always reflected in the documentation, which could result in staff being inconsistent in their approach. The residents are treated in a dignified manner and their privacy is respected. Standards 8 and 9 were inspected at the previous unannounced inspection where they were judged to meet fully with the intended outcomes. EVIDENCE: A resident who spoke with the inspector stated that he was considering moving into sheltered accommodation. He described how he was being assisted by the staff to regain previous life skills. It was apparent that the home was working very hard (in conjunction with the Social Services Department) to ensure the resident achieved his full potential in order that he could return to the community. This is considered to be very good practice but it was disappointing to note the individual care plan failed to reflect the action the care staff need to take in order to meet specific needs. St Lawrence`s Lodge DS0000005578.V274878.R01.S.doc Version 5.1 Page 10 Six residents spoke at length with the inspector, three of whom had been recently admitted to the home. They clearly described their experiences of life at St Lawrence Lodge and their satisfaction with the service. The residents were certain their privacy was respected. They had made friends at the home and stated they felt safe and secure. A member of staff was observed to provide emotional support and guidance in a quiet but effective manner to a distressed resident. On another occasion a carer was observed to provide unobtrusive assistance during the mealtime. St Lawrence`s Lodge DS0000005578.V274878.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): 14 The residents are enabled to influence their day-to-day life and decisions taken by them are respected and upheld. Standards 12,13,14 and 15 were inspected at the previous unannounced inspection (August 2005) where they were judged to meet fully with the intended outcomes. EVIDENCE: At the last inspection the main meal of the day had been changed to the evening, for a trial period. This situation was reviewed during a residents meeting where it was unanimously agreed to revert to the previous timing of the main meal to lunchtime. The inspector observed this meal. It was served by the carers and apparent that the residents had made a choice from the menu displayed within the home. The meal was a social occasion with the residents chatting one to another and with the carers. Several residents commented on their enjoyment of the meal and thanked the staff. One resident requested not to have his meal at this time but would like it later in the day. This was acknowledged and presented no problem to the staff. The meal was unhurried and assistance was provided in a discreet and considered manner. St Lawrence`s Lodge DS0000005578.V274878.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): 16 & 18 Systems are in place to protect the residents from abuse and ensure complaints are investigated. EVIDENCE: At the previous unannounced inspection (August 2005) there were requirements for the complaints procedure (contained within the terms and conditions) to be amended and the terminology brought up to date. This has now been completed and the registered manger was advised to remove the old copies and replace them with the corrected document. Protection of vulnerable adults training has been arranged through the Stockport Social Services for the senior staff. This will enable them to “cascade” the training to the other staff members. It is understood that all carers who have achieved the National Vocational Qualification (NVQ) at level 2 have also received training in abuse awareness. St Lawrence`s Lodge DS0000005578.V274878.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): 19 & 23 With minor exceptions the resident’s live in a safe and well-maintained environment and the service users rooms’ suit their individual needs. Standards 25 and 26 were inspected at the previous unannounced inspection (August 2005) where they were judged to meet fully with the intended outcomes. EVIDENCE: The home employs a maintenance man to carry out the day-to-day repairs and redecoration. He carries out the repairs at the request of the senior staff but does not complete a record of the jobs he has completed. An officer of the Greater Manchester Fire Authority also observed this during a recent inspection of the home. In order to comply with the fire officer’s comments concerning doors failing to close completely to the rebates the maintenance person had made certain repairs and adjustments. It was observed that the door from the lounge into St Lawrence`s Lodge DS0000005578.V274878.R01.S.doc Version 5.1 Page 14 the bedroom area and the door to the laundry remain as the fire office had observed. The registered manager was advised accordingly. The registered manager stated there are plans to redecorate and recarpet the main communal areas of the home as it was agreed that these areas were beginning to look a little shabby. A resident invited the inspector into her room. The room had been nicely personalised and the resident was obviously very proud of it. The room had been redecorated and new carpet laid to her personal choice. St Lawrence`s Lodge DS0000005578.V274878.R01.S.doc Version 5.1 Page 15 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 The home employs staff in numbers to meet the assessed needs of the residents. Standards 28, 29 and 30 were inspected at the previous unannounced inspection (August 2005) where they were judged to meet fully with the intended outcomes. EVIDENCE: The manager was required to review the cooks’ hours to provide cover for all meal times at the previous inspection. The inspector was advised that this had now been achieved thereby releasing the senior staff from catering duties, as had previously been the case. The manager continues to support carers to complete the National Vocational Qualification at levels two and three. She is very skilful in seeking out further and specific training for all levels of staff. During the afternoon of the inspection a large group of staff were involved in fire awareness training carried out by an external trainer. This is a very stable workforce, which serves to provide a continuity of care to the residents. From observation the carers were attentive and responded to the residents in a respectful manner. St Lawrence`s Lodge DS0000005578.V274878.R01.S.doc Version 5.1 Page 16 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 Whilst the health, safety and welfare of the residents, staff and visitors is promoted and protected, none compliance with the Greater Manchester fire officers requirements have the potential to put them at risk. Standards 31,33 and 35 and were inspected at the previous unannounced inspection (August 2005) where they were judged to meet fully with the intended outcomes. EVIDENCE: An officer of the Greater Manchester Fire and Rescue Service recently inspected fire precautions at the home. He made observations and submitted his written report concerning the precautions. Included with the report were details of certain doors that required maintenance in order that they closed fully to the rebate. St Lawrence`s Lodge DS0000005578.V274878.R01.S.doc Version 5.1 Page 17 It was noted during this inspection that certain maintenance had been carried out however despite this, the doors remained as observed by the fire officer. The manager was advised concerning this issue. St Lawrence`s Lodge DS0000005578.V274878.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 4 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X 3 X X X STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 2 St Lawrence`s Lodge DS0000005578.V274878.R01.S.doc Version 5.1 Page 19 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 15(1) Requirement Timescale for action 01/04/06 2 OP19 The registered person must ensure individual care plans accurately reflect assessed needs. 13(4)(a)(c The registered person must ) ensure the doors identified in the 23(4) report close fully to the rebate. 01/03/06 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 OP19 Good Practice Recommendations The registered person should maintain a record of all repairs and maintenance carried out at the home. St Lawrence`s Lodge DS0000005578.V274878.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 St Lawrence`s Lodge DS0000005578.V274878.R01.S.doc Version 5.1 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. 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. 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