Inspection on 10/11/08 for Stokeleigh Lodge

This inspection was carried out on 10th November 2008.

CSCI found this care home to be providing an Good service.

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

Stokeleigh Lodge 26/01/10

Stokeleigh Lodge 28/11/06

Stokeleigh Lodge 03/03/06

Stokeleigh Lodge 27/07/05

Stokeleigh Lodge 20/03/05

Stokeleigh Lodge 28/09/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 30/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Stokeleigh Lodge Stokeleigh Lodge 3 Downs Park West Westbury Park Bristol BS6 7QQ     The quality rating for this care home is:   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. Lead inspector: Kath Houson     Date: 1 0 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Stokeleigh Lodge 3 Downs Park West Stokeleigh Lodge Westbury Park Bristol BS6 7QQ 01179624065 01179624065 dianehanney50@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Dawn Sherwood Type of registration: Number of places registered: Mrs Lyn R Farrall-Miles care home 17 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: May accommodate 17 persons aged 65 years and over requiring personal care Date of last inspection Brief description of the care home Stokeleigh Lodge is a large semi detached house which has been extended and adapted over the years to provide accommodaion for the elderly. The home can be found in Bristol close to Durdham Downs which has extensive facilities to offer. There are a number of bedrooms each vary in size; some bedrooms have en-suite toilet facilities. All the rooms are accessible via a stair lift. The main objective of the home is to have strong commitment and dedication towards residents in all aspects of their well-being and to make changes according to feedback from residents. The staff team provide care on a 24 hour basis which includes 1 wake-in and 1 sleep in member of staff. The home can be found to have access to Cribbs Causeway, Clifton, Westbury and its surrounding neighbourhood such as Henleaze and Redland for example. A small Care Homes for Older People Page 4 of 26 Over 65 17 0 Brief description of the care home community exist in the area of Westbuy which consists of church groups, local shops and supermarkets, Bristol Zoo can also be found close by. The fees charged are based on individual assessments of £375.00-£535.00 per week. Items not covered by the fees are: chiropody, hairdressing, daily newspapers and the dental hygenist. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We looked at information we have received since the last inspection visit: How the service dealt with any complaints & concerns since the last visit. Any changes to how the home is managed the providers view of how well they care for people living at the home. The visit: An announced visit was made on the Monday 10th November 2008. During the visit we: Care Homes for Older People Page 6 of 26 Talked to people who use the service, the staff team, the manager and the provider. Looked at information about the people who use the service and how well their needs are being met. Looked at other records such as their policies and procedures, staff rotas, and their medication procedure. Discussed with the staff team their skills and knowledge and training to meet the needs of the people living at the home. A tour of the premises to make sure that the home is clean, safe and comfortable. What the care home does well: What has improved since the last inspection? What they could do better: 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Comprehensive assessments are carried out prior to admission into the service this ensures that people whose needs can be met are admitted into the home. Evidence: Potential residents who wish to consider this service as their place of residence have enough information to help them decide about where they wish to live. The Statement of Purpose and the homes recent completed Annual Quality Assurance Assessment contains the information and provides prospective residents with the homes aims and objective, which are to have strong commitment and dedication towards residents in all aspects of their wellbeing and to make changes according to feedback from residents. There has been two new admissions into the home since the last inspection and their admissions process were assessed. Management states we follow a detailed policy for Care Homes for Older People Page 10 of 26 Evidence: admission. Admission into the home only takes place if the service can demonstrate they can meet the needs of the prospective residents. For example, assessments are carried out prior to admission in their own homes or in hospital; a visit is arranged by the manager and senior member of staff. This informs management of needs and how those needs can be met. The assessment of needs ensures that peoples needs which can be met by the service are admitted into the home. One person said in their survey I already knew Stokeleigh well as I had been visiting a resident there over a period of years and was friendly with many members of staff. Other residents also said I received enough information about the home which helped me decide about my place of residence. Another resident said I tried the home for respite care and liked it I then decided with my family to stay. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples care plans are developed with good recording of their needs. Risk assessments promote an independent lifestyle and medication procedures maintain peoples safety when administering their medicines. Evidence: The health professionals who submitted their completed questionnaires stated when asked are individuals health care needs met by the care service? the response was always. The General Practitioner (GPs) also said Stokeleigh Lodge provides good individual personal care for the residents. The care plans involves the people who use the service in the planning of their care. This was evident in the selected care plans that were seen and found to be well documented and up to date. Management also ensure that the care plans are accessible to the people who use the service. Peoples signatures were seen to confirm their involvement in their care and when exercising their choice. Care Homes for Older People Page 12 of 26 Evidence: Visits from health care professionals are recorded in the care plans of people who use the service. GPs were complimentary about the service and said the care staff seeks advice appropriately. Risk assessments were individualized and help people with their chosen activities and pastimes. This ensures that peoples independence and choice is promoted. At the time of the inspection people were taking part in keep fit session in the lounge. A response in a recent survey states I enjoy going out on trips, going on my own dates and having coffee with my friends. The home has a good medication procedure and staff maintain good recording of peoples medicines. All medication charts were looked at and found to be up to date with no omissions noted. Good relations exist with the pharmacy which results in any medication needed is delivered in a prompt and timely manner which limits any delay in peoples treatment. For example, medication prescribed in the morning would be delivered by the pharmacy within the hour of the request being made. The staff team were observed speaking respectfully to people who use the service and their dignity and respect is maintained. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are involved in meaningful activities and are encouraged to maintain and form important family and social relationships. People have a wide and varied menu which contains healthy options for those with specialist diets. Evidence: People who use the service have the opportunity to exercise their choice in leisure activities and pastimes; daily living, personal and social relationships, religious preference and meals. A number of activities were available which are recorded in their care plans. These activities include; bingo, quiz time, keep fit, outings to a number of landmarks in Bristol and unplanned trips are arranged; floor board games such as snakes and ladders form part of the activities plan. An activities programme was seen to be individualised and person centered. In the evening people like to watch a number of television favorites. Peoples daily routines are flexible, person centered and are identified in their care plans; for instance people have a variety of options to choose about areas of their life. People are encouraged to maintain personal and social relationships with their family and friends. This was evident in peoples care files. For instance, files looked at Care Homes for Older People Page 14 of 26 Evidence: contained entries of a number of outings with family members. The manager had identified that a number of friendships within the home have developed and are changing the layout of the lounge area to have clusters of coffee tables for friends to sit together. People who enjoyed attending a church service for example are encouraged to continue and steps are made to ensure that religious preferences are maintained. Arrangements are also made for the clergy to perform a religious mass in the home. People have the choice of a well balanced and varied diet which has been planned with input from people who use the service and the staff team and the dietitian. Specialist diets are also catered for with alternative food choices available which enhances dietary preferences. People said in their recent surveys Food is of high quality with regular fresh fruit and vegetables. This was confirmed during the inspection and it was observed the food cupboard was well stocked with good quality foodstuff available. Peoples choice sheets show preferences and alternative options. People said A good variety of dishes, I enjoy the variety of food choices. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A comprehensive complaints procedure exist which encourage people and their relatives to voice their concerns. People are protected by safeguarding measures which ensures they are free from abuse and neglect. Evidence: A comprehensive complaints procedure exits and people commented in their recent survey when asked do you know how to make a complaint? the majority of responses were always. Another response to the same question states I would discuss concerns with my family and the manager and expect my family to follow up. Many of the relatives had sent in numerous thank you cards containing heartfelt complementary comments such as, Thank you for looking after my relative so superbly. These few lines to say a very big thank you to all concerned in the caring of a dear friend. Thank you so much for having my relative to stay recently for some respite care she enjoyed her visit. A big thank you to all you special people who took so much extra care of all your residents, my relative was looked after so well at Stokeleigh Lodge. The staff showed real concern always did more than necessary. The homes complaints book was made available and showed one complaint for this year. The complaints log contained details of the concerns made but does not inform Care Homes for Older People Page 16 of 26 Evidence: of the outcome and whether the complaint was dealt with in a timely manner. It would be useful to have the information regarding the conclusion to the complaint in the complaints log to ensure that peoples concerns have been addressed satisfactorily. At the time of the inspection no complaints have been received about this service. The staff and management team understand when to apply safeguarding measures. The staff training for the Protection of Vulnerable Adults (POVA) were found to be up to date which keeps people who use the service free from potential harm and abuse. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is comfortable homely and safe place for people to live the atmosphere is pleasant and welcoming which accommodate peoples needs. Evidence: Stokeleigh Lodge is a large house which can be found in the residential area of Westbury in Bristol. The home can be found close to Durdham Downs with access to Westbury Village, Henleaze, Clifton, Redland, Cribbs Causeway. The area of Westbury has many facilities to offer such as local church groups, a supermarket and small shops. Bus routes into central Bristol shopping area means that people have access to other parts of Bristol. The house has 21 bedrooms each vary in size and some have en-suite toilet facilities. The home has been modified over the years and is due for another refurbishment particularly the lounge. In the very near future the lounge is being redecorated to provide an improved homely area. The home provides a physical environment which meets the needs of the people who use the service. For instance, there is a three phase stair lift which has been safety checked on a regular basis. The stair lift provides additional assistance to those who have difficulty with managing the stairs. All the bedrooms far exceeds the national minimum standards in terms of space peoples Care Homes for Older People Page 18 of 26 Evidence: bedrooms are roomy, spacious and personalised. The home is homely which encourages clusters of people to live together in a non-institutional environment. The communal areas are; the lounge, a large conservatory and a large garden. The shared area provide space for people to meet friends and relatives in private if they so wish. People were complimentary about their place of residence and said the home always has lovely flowers about, the home is always clean and fresh. However one resident said my bedroom carpet sometimes needs hoovering more often. During the time of the inspection the home was found to be clean and fresh with no offensive smells. There were fresh cut flowers in the hallway which added to the pleasant atmosphere of the house. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staffing levels reflect the needs of the people living in the home, the rotas are flexible to fit around individual lifestyles. Effective communication among the staff ensure that peoples needs are consistently met. The long standing staff team provides regular care and stability for those people living in the home. Evidence: This service provides 24 hour care which entails of a team of staff during the day shift and 1 sleep in and 1 waking member of staff during the night. The staff team support each other and enjoy working at the home. This was evident with the number of long standing staff team this means that the staff turn over is low which is positive for people who use the service as this maintains consistency of the staff team. The completed staff survey which was sent into the Commission show that the staff and health professionals were complimentary about the service. For instance, staff said given up to date information about people we support. other staff said care plans are up to date. Handover is given at the beginning of each shift. Health professionals said the staff make a great effort to stimulate the mind and body with music, trips and excersie. People were having exercise to music at the time of the inspection, peoples feedback were most enjoyable. Information obtained from the staff files show people are in safe hands at all times. Care Homes for Older People Page 20 of 26 Evidence: The staff team are diverse in terms of age group and are able to meet peoples needs. The staff spoken with understand the needs of the people who use the service and able to meet those needs in an individual manner. For instance, staff said the residents have a choice of what to wear eat drink and choice of games to play; walks andwhen they wish to go shopping, they are well cared for here. The local GP said there are no need for improvement for this home. The staff training document showed that training was up to date. Staff confirmed that an induction training equips them with the skills they need to provide care for people living in the home. Staff spoke knowledgeable about peoples care and showed a good understanding about their roles and responsibilities. The staffing levels reflect the need of the people living in the home, the rotas are flexible to fit around individual lifestyles. Effective communication among the staff ensure that peoples needs are consistently met. The long standing staff team provides regular care and stability for those people living in the home. A training programme confirmed that staff training updates are identified and maintained. Staff spoken with said I have access to training and regular updates. Other comments staff made were I think that Stokeleigh Lodge has a unique cosy atmosphere. We take care of details like flowers, serving meals, greeting visitors which makes our place a nice home for residents. All carers get an opportunity for training regularly. By caring i.e helping the elderly to live normally on day to day basis they have choice on how they wish to live. The homes recruitment practices protect people living in the home. Appropriate references, Criminal Records Bureau (CRB) and other checks are made before new appointments are confirmed. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a service that is managed well effective communication and use of their policies ensures that people living in the service continue to have good quality of life. Evidence: The current manager has been in the care industry for several years and has demonstrated to the provider that she has the ability to manage the home well. The provider has said she has shown continuous dedication to both staff and residents. This was evident during the inspection, the manager was able to provide all documentation on request, was able to demonstrate how she manages the staff and the home and include the night staff on a daily basis. For instance the manager takes a handover from the night staff every morning and is available when the night staff are completing their shift. The responses from people living in the home and the staff were equally complimentary about how the home is managed. The atmosphere of the home during the inspection was one of calm and steady, unrushed at a gentle pace which is Care Homes for Older People Page 22 of 26 Evidence: in keeping with the people who use the service. Health professionals said This is a well run home providing a good home environment and care for residents, seeks advice appropriately very well run service. Sound policies and procedures exist which underpin the practices within the home. For instance, regular health and safety checks are carried out according their protocol this ensures that the home is a safe place to live and work for people living in the service and the staff team who work in the home. Safeguarding is given high priority and the home provides a range of policies and guidance which encourage good practice. For instance management are aware of their limitations and find people alternative accommodation if their needs can no longer be met. The manager has a positive rapport with the relatives and health professionals who maintains regular communication. the open culture e of the service ensures that the quality of the service remains at a good standard for people who use the service. The home has consistent record of meeting their health and safety requirements. The health and safety documents were shown on request and found to be up to date. A maintenance programme also exists and was seen during the inspection this ensures that the home is maintained to a good standard and is a safe place for both people who use the service and the staff team that provide the care. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 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 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 Care Homes for Older People Page 25 of 26 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 © (2008) 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 26 of 26 - 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!