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Inspection on 14/02/06 for Stockton Lodge Care Home

Also see our care home review for Stockton Lodge Care Home for more information

This inspection was carried out on 14th February 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The staff and management work hard to deliver a good service to residents in a safe, well maintained environment. There is a good range of activities available both inside and outside the home to occupy and entertain the residents.

What has improved since the last inspection?

The home continues to deliver a high standard of care to the residents at Stockton lodge.

What the care home could do better:

The home must address the issues identified at the back of the report including, the review of staffing levels and the reviews undertaken on menu`s must be implemented. The quality assurance system must be strengthened with the identified improvement to complaints, residents meetings and quality survey.

CARE HOMES FOR OLDER PEOPLE Stockton Lodge Care Home Harrowgate Lane Stockton-on-Tees TS19 8HD Lead Inspector Derek Stow Unannounced Inspection 14th February 2006 10:30 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 Stockton Lodge Care Home DS0000000208.V258949.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. Stockton Lodge Care Home DS0000000208.V258949.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Stockton Lodge Care Home Address Harrowgate Lane Stockton-on-Tees TS19 8HD 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) 01642 617335 01642 617323 stocktonlodge@highfield-care.com Southern Cross Home Properties Limited Mrs Jay Sandra Friel Care Home 48 Category(ies) of Old age, not falling within any other category registration, with number (48), Physical disability over 65 years of age (0) of places Stockton Lodge Care Home DS0000000208.V258949.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. A maximum number of 48 service users aged 65 years and above (OP) can be accommodated within the home. A maximum number of 10 service users aged 55 years and above with PD can be accommodated within the 48 registered places. Four named individuals who are under the registered age category of the home are able to reside in the home for as long as they require and providing that their needs can be met by the home. 9th June 2005 Date of last inspection Brief Description of the Service: Stockton Lodge Nursing Home is a purpose built facility providing personal and nursing care to 48 older people. The home is owned as part of the Highfield group. Stockton Lodge is a single storey facility with 4 lounges, a dining room and appropriate toilet and bathing facilities. 46 bedrooms are single all with ensuite facilities comprising of a WC and hand basin.1 bedroom is a double facility again with an en-suite. Externally there is a pleasant courtyard where service users and their families can sit and enjoy the wide range of plants and flowers. Stockton Lodge Care Home DS0000000208.V258949.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four and a half hours, with the inspector looking around the building, examining a number of records, speaking to three residents, two relatives, the manager and two members of the Care staff. This inspection looked at those key standards, which were not examined at the last inspection in June 2005. Any issues identified as requiring action are to be found at the back of this report. Direct quotes from residents and relatives include the following; “ I like it here and I’m free to do anything.” “ I really like the specially designed baths.” “ The activities worker gets me doing exercises.” “ Whenever I visit staff are really lovely and make me welcome.” What the service does well: 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. Stockton Lodge Care Home DS0000000208.V258949.R01.S.doc Version 5.1 Page 6 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 Stockton Lodge Care Home DS0000000208.V258949.R01.S.doc Version 5.1 Page 7 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): This section was not looked at during this inspection as the key Standards were examined at the last inspection in June 2005. EVIDENCE: Stockton Lodge Care Home DS0000000208.V258949.R01.S.doc Version 5.1 Page 8 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): This section was not looked at during this inspection as the key Standards were examined at the last inspection in June 2005. EVIDENCE: Stockton Lodge Care Home DS0000000208.V258949.R01.S.doc Version 5.1 Page 9 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 and 14. There is clearly a great deal of effort, which goes in to fund raising as well as providing a number of varied activities and trips out. This must be strengthened to include a published programme of outside trips and improve links between assessment information and care planning in relation to meeting the personal interests, spiritual and leisure needs of residents. Residents are enabled to have contact with family, friends and the local community. This is encouraged and supported by staff. Residents are encouraged to exercise choice and control over their lives. EVIDENCE: One resident’s assessment and care plan was looked at in detail with the manager and this showed for that resident, that although physical and medical issues were clearly identified and acted upon the care plan needs to be strengthened to include social, spiritual and leisure issues. The information from the assessment and social profile should link to the care plan, the key worker and the activities organiser in order to ensure that identified interests are planned for and acted upon for particular residents. The activities organiser was spoken with and the activity records were examined. Programmes of in house activities were clearly posted around the home. The Catholic Church visits weekly for a communion service. Stockton Lodge Care Home DS0000000208.V258949.R01.S.doc Version 5.1 Page 10 The inspector observed many relatives visiting during the day of the inspection; two who were interviewed confirmed that they are always made very welcome by staff and the manager said that they have an open visiting policy. Observation of two of the resident’s bedrooms confirmed that personal possessions and individualised rooms are encouraged. Two residents spoken with confirmed that they feel that they have exercise choice and control over their lives. Stockton Lodge Care Home DS0000000208.V258949.R01.S.doc Version 5.1 Page 11 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 Residents and relatives are confident that their views and concerns are listened to and acted upon by staff and managers, however the complaints policy and procedure must be strengthened to include information to inform residents/relatives of their right to complain to commissioning agencies such as social Services and Primary Care Trusts. EVIDENCE: The Manager stated that the current Complaint policy and procedure in the Service user guide is under review. Residents and relatives interviewed were confident that if there was anything that they were not happy with they could go to staff and managers where issues would be dealt with. Stockton Lodge Care Home DS0000000208.V258949.R01.S.doc Version 5.1 Page 12 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): This section was not looked at during this inspection as the key Standards were examined at the last inspection in June 2005. EVIDENCE: Stockton Lodge Care Home DS0000000208.V258949.R01.S.doc Version 5.1 Page 13 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. Having regard to the dependency needs of the residents, managers should review the staffing requirements of the home, with particular regard to evening and overnight periods in order to ensure that that personal care needs of residents are met at all times. Safe recruitment policies and procedures are in place, however all staff files must contain a current photograph and passport. EVIDENCE: Some of the residents spoken to mentioned that they often have to wait unreasonably long periods in getting help with personal care. The dependency needs of residents must be reviewed together with staffing requirements to meet those needs. The manager said that the equal opportunities policy was in place and gave a verbal good practice account of the recruitment process. Two staff files were examined and one was found to be without a photograph. Copies of passports must also be on file if a member of staff has a passport. Stockton Lodge Care Home DS0000000208.V258949.R01.S.doc Version 5.1 Page 14 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. Stockton Lodge is run in the best interests of service users, however the homes quality assurance systems need to be strengthened by annual survey and consult residents on a regular basis. Procedures are in place for the safe keeping of residents’ money held at Stockton lodge. EVIDENCE: There are a number of quality assurance systems in place including residents/relatives meetings, six monthly and annual care plan reviews, an internal audit programme and regulation 26 visits by another manager. The last resident meeting held was in the summer of 2005 and the annual survey is overdue. Stockton Lodge Care Home DS0000000208.V258949.R01.S.doc Version 5.1 Page 15 These systems must be strengthened to include resident surveys, feedback from other stakeholders and be analysed with the results being published and made available to residents/relatives and other stakeholders including CSCI. The manager explained that the Home has a pocket money account for each resident with monies being held in a tin in the safe. A separate account is held on computer with receipts kept on an individual basis. Each resident has a lockable cabinet in their own rooms for the safe keeping of valuables. Stockton Lodge Care Home DS0000000208.V258949.R01.S.doc Version 5.1 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 X X X Stockton Lodge Care Home DS0000000208.V258949.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? Yes 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 1. OP7 4 Residents care plan must reflect the care they need that has been identified at the initial care 31/03/06 assessment and address identified social, spiritual and leisure issues. Outstanding from last inspection. The menus must be amended to include a healthier approach to meals particularly at the evening meal. Outstanding from last inspection. There must be a programme published relating to outside activities. A clear, simple, accessible complaints procedure must be given to each resident and displayed on notice boards around the home. It must inform residents/relatives of their right to complain to commissioning agencies of Social Services and Primary Care Trusts. 2. OP15 13 31/03/06 3. OP12 16 31/03/06 4. OP16 22 31/03/06 Stockton Lodge Care Home DS0000000208.V258949.R01.S.doc Version 5.1 Page 18 5. OP27 18 Having regard to the dependency needs of the residents, managers should review the staffing requirements of the 31/03/06 home, with particular regard to evening and overnight periods in order to ensure that that personal care needs of residents are met at all times. All staff files must contain a photograph and a copy of the staff member’s passport if they have one. A service user satisfaction questionnaire survey must be carried out at least yearly and the results published and made available to interested parties including CSCI. 31/03/06 6. OP29 19 7. OP33 24 31/03/06 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. 2. Refer to Standard OP27 OP33 Good Practice Recommendations 50 of the care staff must achieve a minimum of NVQ2 in care by December 2005. It is recommended to hold regular meetings of residents. This will help to inform the managers regarding the quality of service user experience in the home. Stockton Lodge Care Home DS0000000208.V258949.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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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