Inspection on 05/05/05 for Stoneacre Lodge

This inspection was carried out on 5th May 2005.

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 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

Stoneacre Lodge 11/02/09

Stoneacre Lodge 17/10/06

Stoneacre Lodge 18/01/05

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE STONEACRE LODGE High Street Dunsville Doncaster DN7 4BS Lead Inspector Robert Curr Unannounced 05 May 2005 09:00. 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. STONEACRE LODGE CS0000062320.V201845.R01.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Stoneacre Lodge Address High Street Dunsville Doncaster DN7 4BS 01302 882148 01302 882178 enquiries@stoneacrelodge.com Website: www.stoneacrelodge.com Seth Homes Ltd Ms Linda England CRH Care Home 31 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) Category(ies) of Old Age 31 registration, with number of places STONEACRE LODGE CS0000062320.V201845.R01.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 18.01.05 Brief Description of the Service: Stoneacre Lodge is a Care Home registered to provide accommodation and care for up to 31 service users. The home is owned by Seth Homes Ltd, and it is managed by a Home Manager, Mrs. L. England. It is situated in the village of Dunsville village, which is approximately 5 miles from Doncaster town centre. The building consists of a large detached house that has been extended. The accommodation is provided on two floors and there is a stair lift to facilitate access between the floors.The communal areas are located on the ground floor and consist of 3 lounges, one of which is a ‘sun lounge’ and a dining room. The kitchen, laundry facilities and the office are also on the ground floor. There is car parking to the front and a garden at the rear of the building. STONEACRE LODGE CS0000062320.V201845.R01.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between the hours of 9.00 am and 3:00 pm. Paula Gardiner was present during the inspection and was in charge in the absence of the manager. The inspector was escorted on a partial tour of the home. A variety of policies, procedures, and records were checked. The residents were very helpful during the inspection process, offering ample opportunity to talk about what life was like at the home. In all – 6 residents, 3 staff members, 2 visiting relatives and the district nurse were spoken to. What the service does well: Service users said that the food at Stone Acre was very good and there was a good variety of food to choose from. Several residents said that “nothing was too much trouble” for the cook. Cleanliness and hygiene standards in the home and kitchen area were very good. The domestic team are to be commended for the cleanliness of the environment. Relatives said that they were always made to feel welcome and that they could approach ‘all’ the staff if they wanted anything. Residents said that the staff were very caring. One resident said that all her needs were met and that she “wanted for nothing”. The residents said they liked their bedrooms and were able to bring in some items of furniture and pictures to help them feel at home. Service users said they “enjoyed sitting in the garden in the summer”. The recommendation that 50 of the care staff team are qualified to National Vocational Qualifications (NVQ) level 2 in care had almost been achieved. There was a friendly and cheerful atmosphere promoted by the staff. STONEACRE LODGE CS0000062320.V201845.R01.doc Version 1.20 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. STONEACRE LODGE CS0000062320.V201845.R01.doc Version 1.20 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 STONEACRE LODGE CS0000062320.V201845.R01.doc Version 1.20 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) 3,4 and 5 standard 6 was not applicable at the home Resident’s records included a detailed assessment of their needs which ensured that staff were aware of the residents’ care needs. EVIDENCE: Three care plans included assessments carried out by staff at the home, and information from the placing authority. One relative stated that she had been asked for information prior to her mother’s admission. STONEACRE LODGE CS0000062320.V201845.R01.doc Version 1.20 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 and 11 Residents had a plan of care reflecting their identified assessed needs, however these plans were not up to date and so therefore staff may not have had all the relevant information to enable them to meet the care needs of the residents. Resident’s health care needs were seen to be met. Medication was in the main managed safely, however there were some difficulties around the storage and management of the medication system. Poor medication storage systems do not guarantee safe storage and protection for staff and residents. EVIDENCE: The information within the care plans was not very clear. Health care was monitored but the care plans were not reviewed regularly. This did not ensure the well-being of the residents. A range of health care professionals visited the home to assist in meeting the needs of the residents. The district nurse stated that the staff were “very STONEACRE LODGE CS0000062320.V201845.R01.doc Version 1.20 Page 10 competent”. She also said that the residents that were diabetic were well cared for and their diets were well balanced. Residents could choose their GP and could see them in private so that their privacy and dignity was respected. There was a medication policy. The medication and records were stored in a cupboard on the ground floor corridor. This was in a very dark and shaded area. It was also a thoroughfare for residents. The staff were observed working in this area. It was not possible for staff to sit and concentrate on the tasks they had to undertake. Each time anyone needed to pass by on the corridor, the cupboard had to be closed so that people could pass. This practice could present a risk to the residents’ health and welfare. Residents wishes regarding dying and death were recorded. STONEACRE LODGE CS0000062320.V201845.R01.doc Version 1.20 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) 12,13,14 and 15. Residents were given choice in various aspects of their lives, allowing them to maintain their independence. Residents were not happy with the activities and outings on offer and so social needs were not always met. Relatives and friends were encouraged to visit. Residents received a choice of food, which was of good quality ensuring that they had a balanced diet. EVIDENCE: Residents and staff stated that residents could choose when they get up and go to bed and could spend time in their room when they want to. Staff stated that if residents did not like the food on the menu they could have an alternative, maintaining choice and independence. Staff were observed spending time and interacting with residents. STONEACRE LODGE CS0000062320.V201845.R01.doc Version 1.20 Page 12 There was a list of weekly activities on display. The staff and residents said that this list was out of date and these activities do not take place. This does not meet with the resident’s expectations, nor does it meet their social and recreational needs. Residents receive support from other people visiting the home, e.g. hairdresser, optician, chiropodist, and representatives from the local church, maintaining contact with the local community. Resident’s choice and comfort is maximised by their rooms being personalised One relative stated that she had brought in furniture and ornaments to personalise her mothers room. Lunch was observed being served in the dining room in two sittings. The main course was served hot and was of good quality. Meals were served in an unhurried way, giving residents time to eat; staff regularly prompted residents who were not eating. Residents were asked if they would like a pudding. Resident’s comments on meals included “lunch was very nice” and “nothing is too much trouble for the cook”. Staff assisting residents to eat did so in a discreet and sensitive way, sitting at the table and interacting with residents. STONEACRE LODGE CS0000062320.V201845.R01.doc Version 1.20 Page 13 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) 16,17 and 18 Service users are provided with information to enable them the raise concerns about the home and their care. Adult protection Policies, procedures, and training of staff ensure the protection of service users from abuse. EVIDENCE: The home has a complaints procedure that is available to service users and visitors that is kept in the entrance. The procedure is also referred to in the service users guide, identifying the stages to follow; this includes the time scales to respond to complaints. The address and telephone number of the Commission for Social Care Inspection is included in the procedure. One service user told the inspector that he had used the complaints procedure and was satisfied with the outcome. Several other service users said they would “tell the manager if they were upset about something”. The inspector examined the complaints records. There had been no complaints since the last inspection. Two residents told the inspector that they were given a choice when making decision about how to exercise their right to vote. A number of residents had used the postal voting system. The general election was taking place on the day of the inspection. The home had an adult abuse and whistle blowing policy. The manager investigates fully any allegations of abuse and would follow the necessary procedures if any were substantiated. The home holds discussions with staff to talk over issues and how to recognise different forms of abuse. STONEACRE LODGE CS0000062320.V201845.R01.doc Version 1.20 Page 14 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) 19,20,21,22,23,24,25 and 26. The registered provider continues to improve the décor and furnishings at the home creating comfortable and safe environments for service users. Some further replacement of furniture and decoration is still needed, although this did not pose a risk to the residents. The home was clean and generally well maintained. Communal areas were homely and comfortable. Sufficient bathing facilities were provided. The bedrooms seen were personalised by residents and their relatives. The home was free of any offensive odours. Systems for the control of infection were in place. A lack of storage space was evident. A call system was available in all rooms used by the residents so that they could summon assistance at all times. STONEACRE LODGE CS0000062320.V201845.R01.doc Version 1.20 Page 15 EVIDENCE: The inspector carried out at tour of the home. All of the residents spoken with were happy with their bedrooms and the furniture provided to provide a comfortable environment for the residents. The communal bathrooms were being used for the storage of incontinence products, spare wheelchairs and items of furniture. This does not create a comfortable indoor environment. The hot water temperature in one bathroom measured a safe temperature of 43 degrees centigrade. On the outside of the building there was a large hole that had been created by the rotten woodwork around a window and the soffit board. This hole was large enough for birds and other pests to gain access to the roof. This could compromise the comfort and well being of the residents. STONEACRE LODGE CS0000062320.V201845.R01.doc Version 1.20 Page 16 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) 27,28,29 and 30. Sufficient staff were provided to meet the needs of the residents. The recommendation that 50 of the care staff team are qualified to National Vocational Qualifications (NVQ) level 2 in care had almost been achieved. The manager could identify the training needs of the staff group. There were no staff vacancies at the time of the inspection. This assists in maintaining the well being of the residents. Recruitment policies are followed ensuring the safety and protection of the residents. EVIDENCE: Staff rotas examined showed sufficient staff to meet the needs of service users. Staff had adequate skills to meet the needs of service users, although they do not yet meet the recommendation of 50 NVQ qualified care staff. Six care staff have completed their NVQ and a number of staff continue to work towards the award. A number of staff recruitment files were examined and discussed with the person in charge, and there was evidence that all the required employment checks had been undertaken prior to commencing work at the home. STONEACRE LODGE CS0000062320.V201845.R01.doc Version 1.20 Page 17 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) 31, 33, 36, 37 and 38 The registered manager has the required skills and competencies to ensure the safety and protection of the residents and is undertaking a management qualification required to carry out her role and responsibilities. Staff are not provided with formal supervision therefore not enabling them to discus care practices and their future development needs. Health and Safety policies are in place for the health, safety, and welfare of those individuals who work and live at the home although the accidents records were not monitored. EVIDENCE: The registered manager has been in post for a number of years. She is currently undertaking an NVQ level 4 in Management. It is envisaged that this will be completed soon. STONEACRE LODGE CS0000062320.V201845.R01.doc Version 1.20 Page 18 Staff supervision has not taken place at the recommended frequency, although this has not been detrimental to the care of service users. A new performance appraisal form has been developed and the manager is about to put this into practice. Servicing of essential equipment takes place within the recommended timescale and records examined provided evidence of this. Of the accident records checked, it was noted that an accident had occurred whilst a resident was being assisted with a lifting aid. There was no risk assessment in place for this practice. This could compromise the safety of the residents. STONEACRE LODGE CS0000062320.V201845.R01.doc Version 1.20 Page 19 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 2 3 3 3 2 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 2 x 3 x x 2 3 2 STONEACRE LODGE CS0000062320.V201845.R01.doc Version 1.20 Page 20 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. 1. 2. Standard 7 12 Regulation 15 16 Requirement Care plans must be reviewed regularly Residents must be consulted over their recreational and social needs. Bathrooms must not be used for the storage of spare equipment. The damaged soffit board must be repaired. Staff must receive supervision at least 6 times a year. All accidents must be monitored. A risk assessment must be produced for the use of liftind aids and hoists. Timescale for action 6.7.05 6.7.05 3. 4. 5. 6. 7. 21 25 36 38 38 23 23 18 37 13 6.7.05 6.7.05 6.7.05 6.7.05 13.6.05 STONEACRE LODGE CS0000062320.V201845.R01.doc Version 1.20 Page 21 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. 4. 5. Refer to Standard 9 28 31 36 Good Practice Recommendations Consideration should be given to providing a safe room for the safe storage and management of the medication system. The registered provider must ensure that 50 of care staff are trained to NVQ level 2 or equivalent. The registered manager should hold a recognised management qualification. The newly deveised proforma for the development and appraisal of the staff should be implemented STONEACRE LODGE CS0000062320.V201845.R01.doc Version 1.20 Page 22 Commission for Social Care Inspection 1st Floor, Barclay Court Heavens Walk Doncaster DN4 5HZ 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 STONEACRE LODGE CS0000062320.V201845.R01.doc Version 1.20 Page 23 - 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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