Inspection on 17/01/06 for Stonedale Lodge

This inspection was carried out on 17th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Stonedale Lodge 30/05/06

Stonedale Lodge 25/10/05

Stonedale Lodge 22/11/04

Stonedale Lodge 25/06/04

Stonedale Lodge 11/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Stonedale Lodge 200 Stonedale Crescent Liverpool Merseyside L11 9DJ Lead Inspector Andrea Morris Unannounced Inspection 17th January 2006 09:00 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 Stonedale Lodge DS0000025178.V279052.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. Stonedale Lodge DS0000025178.V279052.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Stonedale Lodge Address 200 Stonedale Crescent Liverpool Merseyside L11 9DJ 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) 0151 549 2020 www.bupa.com BUPA Care Homes (CFHCare) Limited Judith Aileen Howells Care Home 180 Category(ies) of Dementia - over 65 years of age (90), Old age, registration, with number not falling within any other category (90) of places Stonedale Lodge DS0000025178.V279052.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 27 OP (N incl 5 palliative care - Blundell) 3 named females under 65 years of age (N - Blundell) 29 OP (N - Townley) and 1 named male under 65 years (N - Townley) 30 DE/E (N -Dalton) 30 DE/E (N- Clifton) 29 DE/E (PC - Anderton) and 1 named female under the age of 65 years with dementia (DE) 29 OP (PC - Sherbourne) and 1 named male under 65 years of age (PC - Sherbourne) 25th October 2005 Date of last inspection Brief Description of the Service: Stonedale Lodge offers personal and nursing care to 180 residents, and is situated in the Croxteth area of Liverpool. Local amenities are a short walk away, as are numerous bus routes and shops. Stonedale Lodge comprises six separate houses, each with 30 beds. Five of the houses offer nursing and personal care and one offers EMI nursing care. The houses are set in the large landscaped garden, with conservatories and patios, there is also a sensory garden for all to enjoy. All the rooms are single and have an assistance alarm fitted. Stonedale benefits from having in-house activities organisers, who arrange entertainment and regular trips out. A hairdressing salon is also on site. Stonedale Lodge DS0000025178.V279052.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over 8 hours. The inspector spoke to residents, staff and the manager. A tour was made of the home, documentation was examined including residents’ files, staff files, policies and procedures, certificates relating to Health and Safety and fire safety records. 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. Stonedale Lodge DS0000025178.V279052.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 Stonedale Lodge DS0000025178.V279052.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): 1, 3, 5, 6 Residents are only admitted following a full assessment of their needs, this promotes the residents’ safety and ensures the service is able to meet identified needs. EVIDENCE: There has been no change to the Statement of Purpose; it is concise and easy to read. A copy is displayed in the entrance area and also available upon request. The manager or suitable designated person carries out a pre-admission assessment to ensure the needs of each individual can be met. Potential residents are encouraged to visit the home prior to admission; they can if they wish stay for a couple of hours or stay for a meal at no extra cost. The home does not provide intermediate care. Stonedale Lodge DS0000025178.V279052.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): 7, 8, 9, 10, 11 Care plans and risk assessments are well-documented, thus promoting safe practice. However the management of medication does not protect all residents from harm. EVIDENCE: Individual care plans are in place, all aspects of personal, social and health care are included. Evidence was seen that all care plans and risk assessments on all units were being reviewed on a monthly basis. Care plans are detailed and well-described, specific care needs are recorded in detail. Discussion with residents identified they were involved in planning their care as they chose to participate. Evidence was seen of other health professionals visits or recordings of advise received. The home accesses advise from professionals such as Dietician, Continence and Tissue Viability specialists. Residents confirmed that they felt their privacy was maintained to a high standard by staff. Stonedale Lodge DS0000025178.V279052.R01.S.doc Version 5.1 Page 9 All treatment rooms were visited. All had evidence of daily fridge and room temperatures recordings. All treatment rooms are well ventilated. It was found on some drug sheets that hand written entries did not contain two signatures – (Anderton Unit) Medication sheets were not kept accurately to clearly define who had had medication on which day – (Townley Unit) Medication was changed by a GP from morning to evening had not been given – (Dalton Unit). The Medicines on Blundell Unit was recorded correctly. Fridge medication was found not be have dates of opening recorded and old stock was still evident – (Sherbourne Unit) Fridge medication was also found not to have dates of opening recorded – (Clifton Unit). The home provides palliative care; the unit manager holds the certificate in care of the dying. Staff receive training in care of the dying through the in house training system. Stonedale Lodge DS0000025178.V279052.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Meals are well balanced and offer a wide variety of choice. This helps ensure residents’ nutritional status is maintained and residents’ health is promoted. EVIDENCE: The home employs four activities co-ordinators covering a total of 90 hours per week. All residents are encouraged to participate in activities that they are able to enjoy. Records are maintained to provide an auditing tool to monitor effectiveness of activities. There is photographic evidence on all units of activities that have taken place in the home. The home also encourages residents to participate in social events, such as visiting entertainers. Links with the local community are maintained through monthly communion visits from both the Catholic Church and the Church of England. The local school visits on occasions to entertain the residents. The home operates an open visiting policy. Stonedale Lodge DS0000025178.V279052.R01.S.doc Version 5.1 Page 11 Residents commented to the inspector that staff respected their wishes and preferences; evidence was seen of staff offering choice to residents in all aspects of care. The homes kitchen is run to a high standard. Menus are on a four weekly rota. Residents are able to request an alternative to the options available if they wish to. Food appeared to be wholesome and appetising. Daily menus were found to be displayed on all units. Stonedale Lodge DS0000025178.V279052.R01.S.doc Version 5.1 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 the following standard(s): 16, 17, 18 The home has an adequate and accessible complaints procedure. Complaints are taken seriously and action taken as appropriate. EVIDENCE: The complaints procedure is displayed in the main entrance of each unit. It contains details of how to contact the Commission for Social Care Inspection. There is a clear audit trail of all complaints received in the home. All residents are registered on the Electoral role, residents are able to maintain their right to vote by either the postal vote system or by residents being taken to the local polling station. The home has an adequate Adult Protection policy; all staff receive training during the induction process on adult protection. Plans are in place for all staff to receive further adult protection training through in house training system. Stonedale Lodge DS0000025178.V279052.R01.S.doc Version 5.1 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 the following standard(s): 19, 22, 24, 25, 26 Further decoration has been carried out, however this must continue to ensure the environment remains safe and comfortable for all residents. EVIDENCE: The decoration on Townley, Sherbourne and Anderton is of a good standard. Clifton Unit has been redecorated and is much improved. Dalton and Blundell require re-decoration of the lounge area, new carpet has been put down on Blundell but new carpet is required in the lounge area of Dalton unit. All residents’ rooms that were seen during the inspection were found to be personalised. Many residents who spoke with the inspector stated they enjoyed living in the home. All units were free from odours. All units are cleaned to a good standard. The home has ample number of hoists and stand aids on each unit. Equipment is maintained to a good standard. Stonedale Lodge DS0000025178.V279052.R01.S.doc Version 5.1 Page 14 The gardens are kept in good condition and all have a water feature. Stonedale Lodge DS0000025178.V279052.R01.S.doc Version 5.1 Page 15 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, 30 The procedure for recruitment is satisfactory; and helps to ensure residents are protected from harm. EVIDENCE: The home is well staffed. Rotas were examined and it was noted that all shifts were covered appropriately; some agency staff have been required recently to cover staff sickness. It was also noted that some shifts were staffed above minimum numbers, this is for areas were some residents need more intensive care. 60 of care staff has completed their NVQ2 training. Further staff are due to start their NVQ training in the near future. The manager is keen to ensure staff receive training in all aspect of care. Training is carried out by the in house training system. Other sources of training are also accessed from e.g. dietician, Tissue viability and Diabetic Nurse. A selection of staff personal files were examined, a robust recruitment policy is followed, evidence was seen that staff were being appropriately checked and screened prior to employment being offered. Residents stated they were happy with the staff and felt they treated them well and acted professionally. Stonedale Lodge DS0000025178.V279052.R01.S.doc Version 5.1 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 36, 37, 38 The home is well managed, there is a strong sense of leadership, which ensures residents’ care is maintained to a high standard. EVIDENCE: The manager is registered with the Commission for Social Care Inspection; the manager has completed the Registered Managers’ Award. Both staff and residents who spoke with the inspector stated they were happy with the manager and felt she supported the care being delivered. The home holds regular meetings, both for residents and staff. There is also a Health and Safety committee for the home, who meet on a three monthly basis. Stonedale Lodge DS0000025178.V279052.R01.S.doc Version 5.1 Page 17 The manager audits on a regular basis both the residents’ care plans and medication. Staff receive regular supervision sessions. Appraisals are also held to assist with the development of each staff member. Certificates relating to Health and Safety were seen and found to be in date and relevant. The fire logbook was checked and it was evident that all staff receive regular fire training. Stonedale Lodge DS0000025178.V279052.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 N/a 3 N/a 3 N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 N/a N/a 3 N/a 3 N/a 3 STAFFING Standard No Score 27 3 28 N/a 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 N/a N/a 3 3 3 Stonedale Lodge DS0000025178.V279052.R01.S.doc Version 5.1 Page 19 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. 1 Standard OP9 Regulation 13(2) Timescale for action The registered person shall make 15/02/06 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the home. The registered person must 15/02/06 ensure the home is kept in a good state of repair, by redecorating the lounges on Blundell and Dalton, including also replacing the carpet on Dalton. Requirement 2 OP19 23(2) 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 OP18 Good Practice Recommendations It is strongly recommended that all staff receive additional training in adult protection training. Stonedale Lodge DS0000025178.V279052.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Stonedale Lodge DS0000025178.V279052.R01.S.doc Version 5.1 Page 21 - 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. 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