Inspection on 07/09/06 for Sutton Hall & Sutton Lodge
Also see our care home review for Sutton Hall & Sutton Lodge for more information
This inspection was carried out on 7th September 2006.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
During the site visit staff displayed good attitudes and were keen to put the interests of residents first. This helps the home to improve the quality of the care provided to residents. The home is well equipped and will provide residents with the adaptations and equipment they need for their physical care. This improves the quality of their lives. Relatives are welcomed into the home by staff, this enables the relatives and residents to build up a good relationship which will improve the care provided to the resident. A relative commented `I think the care is good for a new unit it is very impressive thank the staff.` The home has operates a robust recruitment procedure, this ensures the protection of residents.
What has improved since the last inspection?
This is the homes first inspection following registration.
What the care home could do better:
The information provided to prospective residents, their families and other representatives must be up to date and accurate in order to be sure that they can make an informed decision about moving into the home. The home must have a better and clearer understanding of the individual needs of their residents with dementia to enable them meet the social, health, and welfare needs of these residents. Residents must have a care plan that has been agreed with them or their representative. It should be written in plain English, easy to understand and consider all areas of the individual`s life including health, personal, cultural and social care needs. The plan must include the support that staff have to provide to meet the needs of residents whilst maintaining their ability to retain some independence. Areas should be identified where staff are willing to support residents to take some risks in order for them to live interesting and fulfilling lives. A key worker system would help this process allowing staff to build up special relationships with residents and work on a one to one basis with them. Plans must be properly reviewed and where needs have changed, action taken and the plan amended accordingly. Good care planning means that residents receive a service that is specifically designed to meet their diverse care needs. All residents must have access to a dentist and a chiropodist if needed, so that their healthcare needs can be met. Information about residents` medicines collected before and following admission needs to be recorded correctly in the residents` files, correct recording of medication and any changes that may occur ensures residents are receiving the correct dose and are aware of why any changes have been made to their medications. Locking residents bedrooms routinely in the Lodge without their permission, does not promote the resident right to respect and privacy. Residents need to be able to access their own rooms when receiving medical or personal support, or when they wish to use their own toilet facilities unless there is a recognised risk to the resident. The procedure of the head office in Leeds planning activities programmes, which are carried out by the care staff, on a weekly cycle does not promote good practice in Sutton Lodge. Activities for people who have dementia need to maintain their life skills, and suit their individual needs and capabilities. To enable this to happen activities often need to be on an individual basis, where interests and life histories are sought, recorded and acted upon. The key worker system would enable closer resident staff relationships where likes dislikes and needs are shared, Key workers can then plan the activities that residents enjoy. All residents should be given a choice about the food they prefer, lunch times should be treated as an occasion something the residents can look forward to atime when staff listen to and talk with the residents. Time spent communicating over meal times can contribute towards the maintaining the residents life skills. The complaints procedure needs to be robustly followed by management. Complaints need to be properly recorded in a manner that informs residents and their representative that issues are followed up speedily and the information is used to improve the quality of the service provided to residents. To protect residents the management need to ensure staff are trained to recognise abuse and are able to follow the procedure. Sufficient staff resources must be made available to ensure the home is able to protect the residents and meet their health, personal and welfare needs fully. To enable staff to communicate well with residents who are who have dementia extra time is often needed for them to respond. The pressure on the staff to work quickly and complete tasks means they are not able to give residents time to communicate their needs fully, more time would improve the quality of the care provided to residents. Staff need to be provided with appropriate training to ensure the resident receives both the up to date, appropriate and best quality of care available. Further communal space should be available for residents to either meet with their relatives in private or for recreational activity. On the first floor of Sutton Lodge, there is only one space available, for twenty residents. This means any recreational activities that take place disturb the other resident using the room. There is insufficient storage space, bathrooms and bedrooms are being used to house equipment, this prevents residents from using the facilities and may cause a health and safety risk. The home needs to have clear and effective leadership and management during the first six months, without this the quality of the service provided for residents may not improve.