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Inspection on 09/06/05 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 9th June 2005.

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 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 care delivered to the residents is of a good standard. The environment is well maintained and clean. Residents enjoy a range of activities that are suitable for their dexterity and ability. Staff are trained in care practises and health & safety issues.

What has improved since the last inspection?

The home has continued to deliver and maintain a high standard of care to the residents residing in the home.

What the care home could do better:

The care records are not easy to read, as some handwriting is illegible, an appropriate person must sign and date the care plan after each entry. Residents care plans must reflect their needs and a plan in place that identifies the care that is to be implemented. Residents and or their relatives should also be included in planning care.

CARE HOMES FOR OLDER PEOPLE Stockton Lodge Care Home Harrogate Lane Stockton-on-Tees TS19 8HD Lead Inspector Lyn Burrell Unannounced 9 June 2005 10:00 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 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 B51-B01 S208 Stockton Lodge V231347 090605 Stage 4.doc Version 1.30 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 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 Highfield Home Properties Ltd Mrs Jay Sandra Friel Care Home 48 Category(ies) of PD(E) Physical disability - over 65 (0) registration, with number OP Old age (48) of places Stockton Lodge Care Home B51-B01 S208 Stockton Lodge V231347 090605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Ten residents under the age of 65 years can be admitted to the home with physical disability. Date of last inspection 03/08/04 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 B51-B01 S208 Stockton Lodge V231347 090605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A very positive inspection with the majority of the National Minimum Standards being met. The inspection lasted four hours and four residents and two relatives were interviewed. A tour of the home showed that it was clean, tidy and well decorated throughout. The homes management team have applied to CSCI to vary the homes registration by making some structural changes inside the home. On completion they plan to accommodate up to 10 younger disabled people and build a conservatory onto the side of the home. Four of the residents interviewed were very satisfied with the care they received. They and felt happy and well cared for. Two relatives who were visiting the home also confirmed the care delivered to the residents was very good. What the service does well: What has improved since the last inspection? What they could do better: The care records are not easy to read, as some handwriting is illegible, an appropriate person must sign and date the care plan after each entry. Residents care plans must reflect their needs and a plan in place that identifies the care that is to be implemented. Residents and or their relatives should also be included in planning care. Stockton Lodge Care Home B51-B01 S208 Stockton Lodge V231347 090605 Stage 4.doc Version 1.30 Page 6 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 B51-B01 S208 Stockton Lodge V231347 090605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Stockton Lodge Care Home B51-B01 S208 Stockton Lodge V231347 090605 Stage 4.doc Version 1.30 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 standard(s) 3 A clear assessment process is completed for each resident prior to admission. EVIDENCE: Four assessment records were viewed, they included a care manager assessment and the homes assessment. This ensured that the home could provide the care each resident needed. Stockton Lodge Care Home B51-B01 S208 Stockton Lodge V231347 090605 Stage 4.doc Version 1.30 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 standard(s) 7,8,9,10 All residents have a plan of care that is focussed on the person’s health status and omits social care needs. Registered nurses are on duty at all times to ensure the resident’s health care needs are fully met. There is a detailed policy in place for the safe handling and disposal of medication. Currently there are no residents who self medicate due to their physical incapacity, however if a resident wished to self medicate this would be afforded and a lockable container for the medication would be given. Residents said they were treated well and with respect. Privacy is afforded at all times. EVIDENCE: Although residents had a care plan in place there were omissions within them. In the four records looked at residents nor their relatives were included in the process or had signed agreeing to the plan of care. Some of the assessments used following admission to the home were incomplete and one member of staff’s handwriting was illegible. Stockton Lodge Care Home B51-B01 S208 Stockton Lodge V231347 090605 Stage 4.doc Version 1.30 Page 10 Residents continue to have their GP providing the practise is within the defined catchment area. Other healthcare professionals such as opticians’ dentists and chiropodists visit the home to attend to the resident. If the resident is able to go to the surgery they are encouraged to do so. The medicine policy is comprehensive and the home currently continues to return medicaments to the supplying pharmacy. Residents and relatives who were interviewed were happy with the care they received and said the staff were “marvellous” and their privacy & dignity was always maintained. Stockton Lodge Care Home B51-B01 S208 Stockton Lodge V231347 090605 Stage 4.doc Version 1.30 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 standard(s) 15 The menus were not appealing and no choice was available to the residents. The dining room is very attractive and tables are set with appropriate crockery, cutlery and tablecloths. EVIDENCE: It was identified at the last inspection that the menus required amendment. There were no alternative choices on the menu although the manager confirmed that residents could have alternatives if they wished to. The teatime menu is high in fats and ranges of quick cook foods were offered e.g. burgers, sausage rolls. The manager should ensure that all residents have at least 5 portions a day of fruit and vegetables in keeping with the Healthy Eating guidelines. The resident who were interviewed did not express dissatisfaction with the meals in the home and the majority of residents used the dining room for their meals. It is optional for residents to use the dining room and some took meals in their own rooms. Stockton Lodge Care Home B51-B01 S208 Stockton Lodge V231347 090605 Stage 4.doc Version 1.30 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 standard(s) 18 Staff have received training in Protection of Vulnerable Adults. EVIDENCE: There is a training plan available for 2005/2006 that shows dates available for training staff to identify forms of abuse. There is a protocol in place for staff to follow in the event of suspecting an abusive situation. Individual staff records show the staff have had training and this is also covered in the induction of all new staff. The staff confirmed they had received training in Adult Protection and discussed how they would implement the local guidance if it was required. Stockton Lodge Care Home B51-B01 S208 Stockton Lodge V231347 090605 Stage 4.doc Version 1.30 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 standard(s) 19,22,24,26 The home is well maintained and in good decorative order. Many residents require specialist equipment for their care, a range of equipment is available in the home. Resident’s bedrooms were personalised and showed their personal belongings were displayed. EVIDENCE: The home was bright and cheerful throughout and homely. Resident’s bedrooms had some of their own furniture from home, photographs and ornaments. Bathrooms and toilets were spacious and disabled people could easily access them. The home has suitable equipment to assist with mobility and bathing. It is a clean and pleasant home. Stockton Lodge Care Home B51-B01 S208 Stockton Lodge V231347 090605 Stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,30 The home is staffed as agreed with the responsible individual at the time of registration. Staff training is organised from the organisational central training department for the coming year. EVIDENCE: The staffing rotas showed there was a continuous workforce on duty at all times. The staff team is consistent and there are little changes within it. The manager is supernumerary to the rota and available to advise and supervise staff accordingly. The staff training records show the staff have had training in care practises and health and safety issues such as fire safety, food hygiene and control of infection. This is only a sample of the training that is given to the staff. All staff undergoes induction training in keeping with the Skills for Care programme and the manager is working towards 50 of the care staff achieving a minimum NVQ2 by the end of this year. Stockton Lodge Care Home B51-B01 S208 Stockton Lodge V231347 090605 Stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 The home has systems in place to ensure health and safety of the staff and residents. EVIDENCE: There were certificates of maintenance in place and up to date that showed the equipment used in the home was safe and in good working order. Policies are also available to advise staff of how to deal with a safety issue at any time. Regular fire drills take place that include staff and residents. Recent fire recommendations have been satisfactorily implemented and risks removed from the loft space of the home. Due to the good housekeeping of the home the safety of the residents well organised. Stockton Lodge Care Home B51-B01 S208 Stockton Lodge V231347 090605 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 2 COMPLAINTS AND PROTECTION 3 x x 3 x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x x x x x x 3 Stockton Lodge Care Home B51-B01 S208 Stockton Lodge V231347 090605 Stage 4.doc Version 1.30 Page 17 yes 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. 1. Standard 7 Regulation 4 Timescale for action Residents care plan must reflect 31 July the care they need that has been 2005 identified at the initial care assessment. All residents records must have 31 July legible entries and signed by the 2005 appropriate person. The menus must be amended to 31 July include a healthier approach to 2005 meals particularly at the evening meal Requirement 2. 3. 8 15 4 13 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 27 Good Practice Recommendations 50 of the care staff must achieve a minimum of NVQ2 in care by December 2005. Stockton Lodge Care Home B51-B01 S208 Stockton Lodge V231347 090605 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Unit B, 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. Extracts may not be used or reproduced without the express permission of CSCI Stockton Lodge Care Home B51-B01 S208 Stockton Lodge V231347 090605 Stage 4.doc Version 1.30 Page 19 - 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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