Inspection on 25/10/05 for Stonedale Lodge

This inspection was carried out on 25th October 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.

Other inspections for this house

Stonedale Lodge 30/05/06

Stonedale Lodge 17/01/06

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 25th October 2005 10:00 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.V261138.R01.S.doc Version 5.0 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.V261138.R01.S.doc Version 5.0 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 Care First Care Homes Limited (BUPA Care Services) 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.V261138.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 29 OP (N - Townley) and 1 named male under 65 years (N - Townley) 27 OP (N incl 5 palliative care - Blundell) 3 named females under 65 years of age (N - Blundell) 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) 22nd November 2004 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.V261138.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over 8 hours. The lead inspector was accompanied by a second inspector, Miss J King. The inspectors spoke to residents, family members, staff and the manager. They toured the home, examined documentation, 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.V261138.R01.S.doc Version 5.0 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.V261138.R01.S.doc Version 5.0 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, 2, 3, 4, 5, 6 Residents are only admitted following full assessment of their needs, this ensures the residents safety and interests are protected. EVIDENCE: The Statement of Purpose contained information that was concise and easy to read. It is displayed in the entrance area and also available to anyone upon request. The Service User Guide is contained within each Welcome Pack, copies are also available on request. It is clearly written and contains adequate information for all potential and current residents. 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 requested stay for a period within the day to ensure they have made the right choice. Stonedale Lodge DS0000025178.V261138.R01.S.doc Version 5.0 Page 8 Individual records are maintained, four records were examined of residents who had most recently entered the home. Assessments of needs was available, they are then re-assessed regularly. The home does not provide intermediate care. Stonedale Lodge DS0000025178.V261138.R01.S.doc Version 5.0 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 the following standard(s): 7, 8, 9, 10, 11 Care plans and risk assessments are well documented therefore safe guarding the residents. However, hand written entries must contain a second signature to protect the resident from potential abuse. EVIDENCE: Individual care plans are in place, all aspects of personal care, health and social care are included. Evidence was seen that care plans on all units were being reviewed at least monthly. There was detailed and well described, care plans especially pressure area care which was well documented. Risk assessments were in place and these are reviewed monthly. Evidence of other healthcare professionals visits was recorded appropriately. Discussion with residents and families confirmed that they were included in the care planning process if they wished. Both residents and families stated that they felt they were treated well and wishes/preferences were accommodated. Privacy was maintained at all times. It was found in all treatment rooms daily recording of room temperatures. Fridge temperatures were also recorded. Medication is supplied through the Stonedale Lodge DS0000025178.V261138.R01.S.doc Version 5.0 Page 10 Nomad system, drug sheets were well maintained and all medication administered was accounted for. Medications to be returned to pharmacy was recorded in the units returns book. There were several handwritten entries on the drug sheets that did not have a countersignature documented. The home has 3 palliative care beds, the Sister in charge holds the 931(ENB) Care of the Dying Certificate. McMillan support is sort as necessary along with other health care specialists. Additional training for other staff is also being sort in the near future. The home has a self contained flat available to resident’s relatives if required. Stonedale Lodge DS0000025178.V261138.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 14, 15 Social activities were organised and personalised. Meals are well balanced and offer healthy varied options. EVIDENCE: The home employs two activity organisers who work on all units. They provide a varied programme incorporating both group and individualised social interaction. The home encourages groups from the local community to visit, visits from the local churches are available. The home has an open visiting policy for visitors. Residents stated they were able to choose if they wished to participate in activities and their choice was respected. Several residents stated they had enjoyed the recent visit from an outside entertainer. The kitchen is well managed, menus seen were well balanced and offered several choices. Residents spoken to commented that the food was good, and the chef accommodated their individual preferences if necessary. The daily menu was displayed on each unit’s notice board. The dining areas were clean and inviting. The evening meal was observed being served, staff Stonedale Lodge DS0000025178.V261138.R01.S.doc Version 5.0 Page 12 assisted those residents where necessary, mealtimes were witnessed as being an enjoyable time and unhurried. Stonedale Lodge DS0000025178.V261138.R01.S.doc Version 5.0 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 the following standard(s): 16, 17, 18 The home has a good complaints procedure, which is fully audited. All staff through induction are aware of the adult protection policy thus ensuring residents safety and protection. EVIDENCE: The home has a complaints procedure that includes details of how to contact the Commission for Social Care Inspection. There is a clear audit trail of all complaints received in the home. The manager responds in writing to all concerns raised. Residents are supported if they wish to vote, those able are assisted to attend, and those who are not are given the opportunity through postal vote. Where it is necessary relatives or an appointed advocate is involved to ensure residents legal rights are protected. The home has recently held POVA (Protection of Vulnerable Adults) training for nursing and care staff. The manager plans to provide training in the near future for ancillary staff. The Company’s induction programme for all staff gives advice and raises awareness regarding adult protection. Stonedale Lodge DS0000025178.V261138.R01.S.doc Version 5.0 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 the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 There has been some improvements to the decoration, but this must continue to ensure the environment remains safe and comfortable to all residents. EVIDENCE: There has been some improvement to the decoration on the units. There are plans for this to continue through to next year. The manager advised there are new corridor carpets ordered along with new chairs for the Clifton Unit. Re-decoration is planned on a room by room basis. Each unit was found to be clean and free from any unpleasant odours. Several residents’ rooms were viewed, they were found to be personalised, families are encouraged to bring in residents personal belongings. The communal areas on each unit are hazardous free, there are adequate number of bathrooms and all baths have a hoist facility. Stonedale Lodge DS0000025178.V261138.R01.S.doc Version 5.0 Page 15 The gardens are well maintained with most containing a water feature as a focal point. Stonedale Lodge DS0000025178.V261138.R01.S.doc Version 5.0 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 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, 28, 29, 30 The procedure for recruitment is satisfactory and ensures all clients living in the home are safe and protected. EVIDENCE: The home is well staffed, two qualified staff have commenced employment, one being employed as the unit manager on Clifton. Rotas were examined and it was noted that all shifts were appropriately covered with little need for agency staff. It was noted that some shifts were staffed above the minimum staffing levels set previously. Where it has been necessary 1:1cover has been provided on the EMI units to ensure residents and staff remain safe. 62 of care staff have completed their NVQ2 training, and a further course is planned for the near future. The manager identifies the importance of training and a clear training matrix is maintained on each unit. All training is advertised to staff, additional training needs can be sourced centrally through BUPA training team. A selection of staff personnel files were examined, a robust recruitment policy was being followed, evidence that staff were being appropriately checked and screened prior to employment being offered. All staff members were given a copy of their job descriptions at time of the job being offered. Stonedale Lodge DS0000025178.V261138.R01.S.doc Version 5.0 Page 17 Residents and families who spoke with inspectors identified that staff were both professional and helpful. Stonedale Lodge DS0000025178.V261138.R01.S.doc Version 5.0 Page 18 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, 34, 35, 36, 37, 38 The home is well managed, there is a strong sense of leadership, ensuring that staff are well directed to deliver high quality care to residents. Health and Safety is maintained and documentation supports this. EVIDENCE: The Registered Manager is an experienced manager who has completed the Registered Managers Award. Staff spoken to stated that the manager was approachable and felt they had confidence in her. Residents and families also stated they were happy with the home and how it was managed. There are regular meetings held both relating to day to day running of the home as well as meeting to address any Health & Safety issues. Care plans and medication audits are regularly completed at home level. The Company internal audit system has just been completed. Stonedale Lodge DS0000025178.V261138.R01.S.doc Version 5.0 Page 19 Residents’ finances are managed and a clear audit trail can be made. Residents are encouraged where possible to retain their independence but where this is no longer possible an appointeeship is applied for. All residents’ accounts are managed independently. All staff are in regular receipt of supervision, Appraisals are planned for next April (2006). Evidence was seen of the induction programme, a staff member who was currently completing his induction felt the programme was comprehensive. Annual service contracts were up to date. Evidence was seen to prove that staff were in receipt of regular fire drills/evacuation. Food hygiene and Moving & Handling training were also up to date, the home has two Moving and Handling trainers on site. Stonedale Lodge DS0000025178.V261138.R01.S.doc Version 5.0 Page 20 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 3 3 3 3 3 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 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 4 3 3 3 Stonedale Lodge DS0000025178.V261138.R01.S.doc Version 5.0 Page 21 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) Requirement The Registered Person shall make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. The Registered person must ensure the premises to be used as a care home are of sound construction and kept in a good state of repair internally Timescale for action 30/11/05 2 OP19 23(2) 30/11/05 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 ancillary staff also receive POVA training. Stonedale Lodge DS0000025178.V261138.R01.S.doc Version 5.0 Page 22 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.V261138.R01.S.doc Version 5.0 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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