Inspection on 03/07/06 for Stanley Lodge Residential Home

This inspection was carried out on 3rd July 2006.

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

Stanley Lodge Residential Home 14/04/09

Stanley Lodge Residential Home 16/10/08

Stanley Lodge Residential Home 10/06/08

Stanley Lodge Residential Home 31/07/07

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 Stanley Lodge Residential Home School Lane Bay Horse Lancaster Lancashire LA2 0HE Lead Inspector Mrs Gwen Miller Unannounced Inspection 10:00 3rd July 2006 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 Stanley Lodge Residential Home DS0000067072.V292076.R01.S.doc Version 5.2 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. Stanley Lodge Residential Home DS0000067072.V292076.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stanley Lodge Residential Home Address School Lane Bay Horse Lancaster Lancashire LA2 0HE 01524 791904 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) Unlimitedcare Limited Mrs Kim Dodd Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places Stanley Lodge Residential Home DS0000067072.V292076.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service is registered for a maximum of 23 service users in the category of OP (Older People) 17th January 2006 Date of last inspection Brief Description of the Service: Stanley Lodge is registered with the Commission for Social Care Inspection to accommodate 23 residents of either sex aged 65 years and above, who are in need of personal care. The home is situated in a rural area of Forton near Lancaster. Stanley Lodge is a detached property set in landscaped gardens and has uninterrupted views of the surrounding countryside. The majority of the residents have been admitted from the surrounding area. There are strong community links which the management and staff maintain. Residents are encouraged to continue to pursue outside interests and to invite visitors into the home as they wish. The accommodation comprises of 23 single rooms, four of which have en-suite facilities. There are two conservatories, a lounge, and a dining room, these communal areas provide residents with a choice of where to sit and who to sit with. All the personal needs of the residents are catered for by staff who receive training in all aspects of care of the older person. Any medical needs are managed by the residents general practitioners and district nursing staff. Chiropodist, dental and optical treatment is arranged for residents. A range of activities are arranged and trips are organised. At the time of visit (3rd July 2006) the information given to the Commission showed that the fees for care at the home are from £315 to £372 per week, with added expenses for hairdressing, chiropody and newspapers. Stanley Lodge Residential Home DS0000067072.V292076.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. On the day of inspection, 21 residents were accommodated at Stanley Lodge. The inspection was unannounced and took place over four and a half hours, this was carried out with Kim Dodd, the registered manager and Francesca Windsor, the Responsible Individual for Unlimitedcare Limited, the company who now owns Stanley Lodge. The inspector spoke with 11 residents, two relatives visiting the Home, two relatives in the community and five staff members. Seven comment cards were received from residents, two from relatives and six from resident’s G.P.’s Case tracking (whereby the inspector focuses on a small number of residents and examines their care, from admission to the present time) of three residents, was carried out. Part of the inspection was spent looking at daily notes and information about the home and residents. Time was spent observing the workings of the home and how staff members supported residents. A good lunch was sampled and eaten in the company of the manager, some staff members and Mrs Windsor. The inspection included a tour of the premises. What the service does well: Stanley Lodge continues to provide a friendly, informal atmosphere where dignity is acknowledged and independence is encouraged. The home has a staff group, many of whom have worked at the home for a long time, they are keen to provide residents with the individual care needed and build relationships with them. Again on this inspection all residents spoken with said they liked living at the home and felt well cared for. Comments included “Have you seen my room, its beautiful!” and “I am very happy with the home, its very clean”. Comments from G.P.’s were “I have always been very impressed by the standard of care given to the residents at Stanley Lodge” and “Both residents and relatives speak very highly of it”. Relatives also spoke well of the home, its friendliness and relaxed attitude, one written comment included “Living in the U.S.A. I am more than happy with the care shown to my Mother. Being a retired Residential Social Worker I am fully conversant with the work and time needed to run a happy and efficient establishment”. Stanley Lodge Residential Home DS0000067072.V292076.R01.S.doc Version 5.2 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. Stanley Lodge Residential Home DS0000067072.V292076.R01.S.doc Version 5.2 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 Stanley Lodge Residential Home DS0000067072.V292076.R01.S.doc Version 5.2 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): 1,2,3,5,6 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Good information is now in place which allows people to make informed choices whether or not the home will meet their needs. Full assessments of needs are carried out for all residents to ensure the home can look after them properly and give the right sort of care. EVIDENCE: The Home’s Statement of Purpose and Service User Guide contains all the relevant information needed for prospective residents to make an informed choice when they are considering Stanley Lodge as their home. These have been given to all residents. Comment cards received showed that many residents had also obtained information from friends who were already residents in the home. Residents spoken with, said they had heard good reports about the home, from others in the locality. Stanley Lodge Residential Home DS0000067072.V292076.R01.S.doc Version 5.2 Page 9 Residents case files seen during case tracking, held written contracts between themselves and the proprietor, stating clearly what was and was not included in the cost of staying there, contracts also explained their rights as residents of the Home. Again during case tracking, files seen, contained full assessments of resident’s needs, these had been completed prior to admission, to ensure that Stanley Lodge was the right place for that person to live, and that the Home could provide the right care for them. Through comment cards received from relatives and by speaking with them and residents, it was clear that prospective residents are offered periods of short stay and day visits, prior to any decision being made to reside at Stanley Lodge on a more permanent basis. Stanley Lodge does not offer intermediate care. Stanley Lodge Residential Home DS0000067072.V292076.R01.S.doc Version 5.2 Page 10 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): 7,8,9,10 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. The health needs of residents are well met and people are treated with dignity and respect. The systems for the administration of medication are clear and comprehensive arrangements are in place to ensure resident’s medication needs are met. EVIDENCE: Case tracking showed that good care plans are in place for each resident, these include individual’s likes and dislikes and are reviewed regularly. Residents spoken with, confirmed these were completed with their help and were agreed with them. Six comment cards were received from resident’s G.P.’s, all confirmed they were satisfied with the care given to their patients and that their medication was managed properly in the home. Resident’s may choose to administer their own medication, a locked facility is provided for this. Stanley Lodge Residential Home DS0000067072.V292076.R01.S.doc Version 5.2 Page 11 Visits by G.P. s, district nurses, dentists, opticians and chiropodists, are recorded and specialist advice from geriatricians, continence advisors and community psychiatric nurses, is sought when necessary, to meet the needs of the residents. Residents said they felt their privacy is respected and their care is provided in a dignified manner. Staff were noted to knock on bedroom doors and seek permission before entering. Residents said they are always asked how they wish to be addressed, although most use Christian names as the norm. Stanley Lodge Residential Home DS0000067072.V292076.R01.S.doc Version 5.2 Page 12 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): 12,13,14,15 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Links with the community are good and social activities are provided, these support and enrich resident’s chosen lifestyle. The meals in this home are good offering both choice and variety and catering for special needs. EVIDENCE: All residents spoken with said they were very happy with their lifestyle whilst living at Stanley Lodge. The pre inspection questionnaire evidenced that a good varied range of activities are offered on a regular basis. Events and general activities in the local community, are posted on the notice board. When asked about activities, comments cards included “I enjoy singalong and quizzies” and “I like to rest in my room”. Comment from relatives, both present at the time of the visit and by comment cards, all confirmed they are welcomed at the home at any time and always offered refreshments. They also added they are encouraged to spend as much time as possible with their relative / friend and encouraged to join in celebrations such as birthdays and festive activities. Stanley Lodge Residential Home DS0000067072.V292076.R01.S.doc Version 5.2 Page 13 Again on this inspection, it was clear that residents are asked to make choices in what to eat, when to rise and retire, how to spend their time, how to furnish their room, who they wish to keep company with and who they nominate to manage their affairs (if they do not want to manage them themselves). They are also asked if they wish to manage their own medication (as mentioned previously) and given a choice of locking their bedroom doors. All residents spoken with said they chose what to do with their time, although they were encouraged to join in activities in a communal setting, their choice to remain in their own rooms or go out into the community, was acknowledged. Menus provided in the home’s pre inspection information, showed a good variety of meals offered, both hot and cold, at breakfast, lunch and dinner. All resident’s spoke very highly of the quality of food provided. Observation at lunchtime showed that meals looked appetising and were served on matching crockery with table linens and napkins on all tables. Those who needed assistance were helped in a dignified manner and the diningroom is large enough for all residents to eat at one sitting. Stanley Lodge Residential Home DS0000067072.V292076.R01.S.doc Version 5.2 Page 14 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 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints system with evidence that residents feel their views are listened to and acted upon. The home needs to ensure that all staff members undertake accredited training in the protection of vulnerable adults to further protect residents from abuse. EVIDENCE: Information is clearly provided for residents in the event of them, or their relatives wanting to make a complaint about the home or its staff. Residents spoken with said they would tell the manager if they had any worries or concerns about their care or accommodation. Since the previous inspection, there have been no complaints received by the Commission for Social Care Inspection. All comment cards received from residents confirmed they knew who to speak to if they were not happy. Whereas some staff members have completed training, the management of the Home agreed to ensure that accredited training in the protection of vulnerable adults is undertaken by all staff to further protect residents from abuse. Mrs Windsor will address this as a priority. Stanley Lodge Residential Home DS0000067072.V292076.R01.S.doc Version 5.2 Page 15 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): 19,20,23,26 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. The residents are now provided with a clean and comfortable environment, where bedrooms are well personalised. This means that residents will feel at home with their belongings around them. EVIDENCE: Since the previous inspection, the Home is now under new ownership and as mentioned previously in this report, all rooms have been redecorated with new carpets being fitted throughout the home. New dining tables and chairs have been purchased, new lounge furniture is on order, new bedding and soft furnishings are in place. The interior of the home has also been altered to eliminate internal steps, making it easier for wheelchairs and walking frames access. The exterior garden areas have been improved and the car park is now completely resurfaced. All requirements made on previous inspections have now been addressed. Stanley Lodge Residential Home DS0000067072.V292076.R01.S.doc Version 5.2 Page 16 Case tracking showed that on an individual basis, aids and adaptations had been received to meet residents’ needs. A range of other aids and adaptations were seen in communal areas, such as grab rails, raised toilet seats and specialist baths for assisted bathing. There are two stair lifts, affording residents freedom of movement throughout the home. Records of checks made on all equipment are kept up to date. All the radiators throughout the home are fitted with touch cool surfaces, to protect residents from the risk of injury. Fail-safe devices are fitted to all hot water outlets used by residents to ensure water is delivered close to 43ºC. Regular checks of water temperatures are made by the manager and recorded to maintain safety. The manager keeps a comprehensive record of all work undertaken throughout the home. The premises were found to be clean and free from offensive odours. Both from comment cards received and by speaking to residents and relatives, it was clear that all are pleased with their accommodation, especially bedrooms. Stanley Lodge Residential Home DS0000067072.V292076.R01.S.doc Version 5.2 Page 17 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): 27,28,29,30 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. The numbers of staff on duty were satisfactory to meet the needs of the people living at the home. The policies and procedures for the recruitment of staff now provide safeguards for the protection of residents. EVIDENCE: Again on this inspection, all residents spoke highly of the staff, comments included “we like all the staff and hope they like us.” Residents said their call bells were answered promptly during the night and that staff were always pleasant to them. Staff rota was included in the pre inspection information where a consistency of staff members was noted. Many of the staff have been at the Home for a long time, there is very little turnover so both staff and residents get to know each other well. A good relationship was again noted between staff and residents and there was a relaxed atmosphere throughout the Home. Staff files contain information to ensure that persons employed are fit to work at Stanley Lodge and competent to do their jobs, training is set up and National Vocational Training (NVQ) is ongoing at present. All staff hold first aid Stanley Lodge Residential Home DS0000067072.V292076.R01.S.doc Version 5.2 Page 18 certificates. Further training is to be provided to ensure all staff are trained in issues relating to elder abuse, this is previously mentioned in this report. Criminal Records Bureau (CRB) clearances are on file for all employees, any new staff will need clearances before starting work at the home. Stanley Lodge Residential Home DS0000067072.V292076.R01.S.doc Version 5.2 Page 19 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): 31,33,35,38 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. The home reviews aspects of its performance through consultation, which includes seeking the views of residents, thereby ensuring the Home is run in their best interests. Good procedures are in place to safeguard the financial interest of residents. The management has addressed all maintenance requirements and now protects the health, safety and welfare of residents. EVIDENCE: The Home continues to be well managed and run on a daily basis by Kim Dodd who is well qualified and has good experience and knowledge of many of the problems that older people develop. Residents and staff respect and like her and find her approachable and friendly. Stanley Lodge Residential Home DS0000067072.V292076.R01.S.doc Version 5.2 Page 20 Mrs Windsor, the Responsible Individual for Stanley Lodge, completes monthly reports addressing the well being of the residents and relating to the National Minimum Standards, Care Homes Regulations 2000. Resident’ views are sought through their meetings which are held on a regular basis. The minutes from the last meeting on 1st May, showed a good attendance and included suggestions to future outings. Comments about the staff and general running of the home were very good and residents were in general happy with the menus and the “bar afternoons” which have been introduced. Ice cream cornets were also suggested, so these were provided the hot afternoon of the inspection day. Records showed that an inventory of personal goods and furniture brought into the home, is completed for each resident and that any financial transaction undertaken on behalf of their behalf is recorded, although the home does not act as appointee for anyone. Residents are encouraged to handle their own finances or elect family or a solicitor to do this for them. Stanley Lodge has comprehensive Health & Safety Policies, knowledge of these forms part of staff induction. Staff undertake mandatory training in Moving & Handling, Fire, Control of Hazardous Substances, First Aid, Infection Control and Food Hygiene. Fire drills are carried out, maintenance of equipment is completed and relevant certificates are held. Stanley Lodge Residential Home DS0000067072.V292076.R01.S.doc Version 5.2 Page 21 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 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 3 X X 3 X X 3 STAFFING Standard No Score 27 3 28 3 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 Stanley Lodge Residential Home DS0000067072.V292076.R01.S.doc Version 5.2 Page 22 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. 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 OP18 OP24 OP28 Good Practice Recommendations All staff to undertake accredited training in the protection of vulnerable adults. Approved types of locks must be fitted on bedroom doors when they become vacant A minimum ratio of 50 care staff achieve NVQ 2 or equivalent. Stanley Lodge Residential Home DS0000067072.V292076.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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. 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