This inspection was carried out on 7th January 2009.
CSCI found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.
Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Stallingborough Lodge Care Home Station Road Stallingborough Grimsby North East Lincs DN41 8AF The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Theresa Bryson Date: 0 7 0 1 2 0 0 9 Information about the care home
Name of care home: Address: Stallingborough Lodge Care Home Station Road Stallingborough Grimsby North East Lincs DN41 8AF 01472280210 F/P01472280210 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Shire Care (Nursing and Residential Homes) Ltd care home 44 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability 0 20 Over 65 44 20 Conditions of registration: The registered person may provide the following category of service only: Care home with nursing - Code N, to service users of the following gender: Either, whose primary care needs on admssion to the home are within the following categories: Old age, not falling within any other category - Code OP, Physical disability - Code PD and PD(E) The maximum number of service users who can be accommodated is: 44 Date of last inspection Brief description of the care home Stallingborough Lodge Care Home is a purpose built establishment that is registered for 44 service users with problems of old age, physical disability over 65 years of age and under and also has a nursing registration for service users. The accommodation is set on the outskirts of a small village, near the larger town of Grimsby. It has some Care Homes for Older People
Page 2 of 9 local amenities for service users to visit and the home is near a regular bus route into the town. The home is set in enclosed gardens, which are all accessible to wheelchair users. The home is part of a small group of homes, Shire Care Ltd, and is supported by a head office team and a visiting Director of Operations. It has the benefit of also having service users visiting from other local homes. The home has several groups of staff employed including; - professionally trained nurses, care assistants, domestic and laundry staff, kitchen staff, administrator, handyman and activities organiser. The weekly fees are reviewed annaully .Extra charges are made for hairdressing and chiropody depending on treatments. This is also reviewed annually. The provider makes available to all prospective service users and current service users, the service user guide, which is also available and on display in the main entrance hall. Care Homes for Older People Page 3 of 9 What we found:
Since the last inspection all of the people living in the home had had their needs reassessed to ensure they fell within the category the home is registered for and only one persons needs could not be met by the home. With the family and local agencies support this person was offered alternative accommodation suited to their current needs. The documentation kept on each individual had improved and their was a more comprehensive format for recording the delivery of care in place and clearer evidence of a persons current needs. A more through auditing system was in place. Health and social care professionals spoken to prior to the visit and during the site visit expressed more confidence in the current staff group and said the management team had worked hard in achieving the present results. Staff who were spoken to also expressed their satisfaction in receiving better support from senior staff and felt the recent weeks had been time well spent on being better trained and organized. The Company is still working to wards the goals set by the local Environmental Health Officer as at their last visit this went down to a 0 star rating. At the time of the site visit there was still an on going safe guarding investigation at the home, which had not concluded. Recruitment practices have improved and newly appointed staff all had sufficient evidence in their files to ensure safety checks had been completed prior to their commencement of employment at the home. The remainder of the staff files were being sifted by administration and management staff to ensure no further checks needed to be completed. Due to the change in management and review of dependency levels of all the people in the home the staffing rotas had changed and staff stated they felt there was sufficient people on duty to meet the needs of individuals. A check had been made by the home into the Comfort fund, kept for social events. All records appeared to be correct and a more throughout auditing system put in place. What the care home does well: What they could do better:
Care Homes for Older People
Page 4 of 9 Some work still needs to be undertaken to ensure peoples social, cultural and religious expectations can be met. Better contact needs to be made with the local community to ensure people are not isolated. Some training had been undertaken to ensure the immediate needs of people living in the home could be met by staff trained in basic care practices. More work needs to be undertaken to ensure staff are fully updated in their training program. Staff must also receive more supervision to ensure they are doing the job they are recruited to do. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 12 16.2.m. The registered person must 24/01/2009 ensure that all aspects of service users recreational, social, cultural, religious and other needs can be met. And that the activities organiser has received training in caring for those with memory loss. (This time scale has been adjusted, as this aspect was not checked on this occasion of 16/04/07. Now the original time scale of 16/05/07 has not been met). Care Homes for Older People Page 6 of 9 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 3 18 Assessments in people prior to them coming into the home msut be accurate A failure to make the correct assessments on people will result in them being resident in the home when the home cannot meet their needs. 30/03/2009 2 12 16 Arrqangements msut be made to ensure peoples social, cultrual and religiosu needs are met. A failure to ensure peoples expecations are being met will result in them becoming isolated. 30/03/2009 3 13 16 People msut be allowed to have contact with the local commnutiy and maintian contact with family and friends. A failure to meet peoples expecations will result in them becoming isoalted and unfulfilled. 30/03/2009 4 30 18 Staff must have sufficient 30/03/2009 training to enable them to do their jobs.
Page 7 of 9 Care Homes for Older People Staff must have sufficient training to understand the needs of people they are looking after and not put them at risk. 5 36 18 Staff must be supervised to ensure they can do their jobs. A failure to monitor staff could result in people being put at risk from unsafe practice being used. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 30/03/2009 1 2 3 7 9 15 A system shopuld be in place to monitor the progress of each persons care plan and ensure it is kept up to date. Staff should use a safe system of adminstering medication and be supervsied to ensure they are safe practioners. Staff msut be aware of the requirements set out by other statyutory bodies and ensure relevant information about people living in the home is passed to the correct staff. Staff should be trained to respond to safe guarding needs and concerns rasied by people living in the home and do so promtply and wothout fear of reprisal of those people. A full maintenance programme should be in place to ensure the home is safe and comfortbalr to live in. All staff recruited should be able to have a sufficient command of the English language to have themselves understood and be able to understand others. And where it is valid for their job role to be able to read English. A good auditing system should be in place to ensure the home is run to meet the needs of people living there. 4 18 5 6 19 29 7 33 Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
