Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 13/06/06 for The Lodge Residential Home

Also see our care home review for The Lodge Residential Home for more information

This inspection was carried out on 13th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

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

Care is focussed on the needs of the individual. Excellent record keeping and care planning ensure that residents personal, leisure and health needs are met. The building is very well appointed and residents are able to personalise their rooms. A committed, experienced and capable staff team coupled with a robust monitoring process ensure that service provision is consistent and high standards are maintained.

What has improved since the last inspection?

No requirements or recommendations were made at the last inspection.

CARE HOMES FOR OLDER PEOPLE The Lodge Residential Home Grange Lane Thurnby Leicestershire LE7 9PH Lead Inspector Mr Steve Hunnybun Unannounced Inspection 13th June 2006 09:30a 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 The Lodge Residential Home DS0000045008.V299736.R01.S.doc Version 5.2 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. The Lodge Residential Home DS0000045008.V299736.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Lodge Residential Home Address Grange Lane Thurnby Leicestershire LE7 9PH 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) 0116 2419333 0116 2419752 care@thelodgethurnby.co.uk Bliss Family Care Ltd Mrs Nicola Bliss Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32) of places The Lodge Residential Home DS0000045008.V299736.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 5th October 2005 Brief Description of the Service: The Lodge is a care home providing personal care and accommodation for thirty-two older people. All bedrooms are single and some have en-suite facilities. The bedrooms are accommodated on the ground floor, and first floor, access to which is via the stairs or by 2 passenger lifts. The Home has a large and attractive garden, which can be seen from the sun lounge and many of the bedrooms. Communal areas include a lounge, dining room, library and snug. The Lodge is situated in the village of Thurnby, close to the main A47 to Leicester. There are local facilities close by, church, shop, pub and regular bus routes. Charges are from £389 to £550 with extra charges made for activities, day care and facilities such as the hairdresser. This information was obtained on 14th June 2006. The Lodge Residential Home DS0000045008.V299736.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The primary method of inspection used was ‘case tracking’ which involved selecting two residents and tracking the care they receive through review of their records, discussions with them and with the care staff and observations of care practices. A plan was made prior to the visit in which available information from the previous inspection report and service history was summarised. The inspection was positive indicating good outcomes for residents. No requirements or recommendations were made. Comments from residents were very positive: ‘Its lovely’ ‘You’ll not find better’ ‘My friends can visit’ ‘The staff are very helpful’ ‘The food is smashing’. What the service does well: What has improved since the last inspection? What they could do better: The home continues to maintain the very high standards of care identified at the last inspection. The Lodge Residential Home DS0000045008.V299736.R01.S.doc Version 5.2 Page 6 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. The Lodge Residential Home DS0000045008.V299736.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection The Lodge Residential Home DS0000045008.V299736.R01.S.doc Version 5.2 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 the following standard(s): 3,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed in order to inform the care planning process. EVIDENCE: All files tracked contained very useful pre-admission forms and a range of assessment documents including needs assessments and risk assessments. Residents who spoke with the inspector stated that they were able to visit the home and stay for a trial week prior to moving in. A family were visiting the home on the day of the inspection. The Lodge Residential Home DS0000045008.V299736.R01.S.doc Version 5.2 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ personal and healthcare needs are met and they are protected by medication policies. EVIDENCE: All files tracked contained very useful care plans that were individually focussed, comprehensive and regularly reviewed. Comprehensive risk assessments form part of the care planning process and enable staff to maximise residents’ independence without taking unnecessary risks. Daily records are summarised weekly and the summaries form part of the review process. Records regarding healthcare were equally comprehensive; appointments are recorded along with any advice or outcomes. All residents who spoke with the inspector stated that staff meet their needs. They all felt that they would be enabled to access appropriate medical services if necessary. Medication provision was examined. A manager at the home is responsible for medication and procedures for the ordering, storage, administration, recording and return of medication are very robust. All medication records had been completed appropriately. One resident who spoke with the inspector has recently stopped keeping his own medication due to a change in his risk assessment. He asked the inspector if staff are The Lodge Residential Home DS0000045008.V299736.R01.S.doc Version 5.2 Page 10 appropriately trained to give medication. The inspector replied that he has absolute confidence in all the home’s procedures regarding medicines. The resident stated that this was reassuring. All residents who spoke with the inspector stated that staff treat them with dignity at all times. The Lodge Residential Home DS0000045008.V299736.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ rights, activities within the local community, contact with families and the quality of the food all contribute to a positive lifestyle. EVIDENCE: The home offers a range of activities for residents including a recent trip to the theatre. Residents’ meetings are held regularly, in which venues for trips are discussed. The provider is considering a request for a trip to the coast requested at a recent meeting. Residents who spoke with the inspector stated that they enjoy the activities but that no pressure is made and it is possible to opt out. All residents stated that they can maintain contact with family and friends, files contained useful information about contact arrangements. Residents stated that they are able to exercise choice and control over their lives where appropriate. Menu records indicated a varied, nutritious diet. Residents who spoke with the inspector confirmed this. The Lodge Residential Home DS0000045008.V299736.R01.S.doc Version 5.2 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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse and their concerns and complaints are listened to and acted upon. EVIDENCE: The home has robust complaints and protection procedures. All complaints received are recorded. No complaints had been received since the last inspection. Older records observed indicated that complaints are dealt with appropriately. Residents who spoke with the inspector stated that they know who to talk to in the event of a complaint and feel confident that it will be listened to and dealt with. Records regarding residents’ monies are thorough and comprehensive. Two signatures are required for any money issued. All staff receive training regarding adult protection, both internally and as part of their NVQ awards. The Lodge Residential Home DS0000045008.V299736.R01.S.doc Version 5.2 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): 19,26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The property is homely, comfortable and safe. EVIDENCE: The registered manager showed the inspector round the home. The property is very well appointed, in good decorative repair and very homely. Residents are able to personalise their rooms and all stated that they welcome this. Communal areas are equally homely and pleasant. Residents have a choice of lounge, library and snug to sit in or they can use their bedrooms. The grounds are extensive and pleasant. Several residents walk round the grounds daily for exercise. The Lodge Residential Home DS0000045008.V299736.R01.S.doc Version 5.2 Page 14 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met and they are protected by the recruitment and retention of a well-trained, experienced staff team. EVIDENCE: Staff levels were discussed with the registered manager and are appropriate to meet residents’ needs. All residents spoke positively about the staff describing them as ‘lovely’, ‘very helpful’ and ‘super’. Ten staff are currently working towards a National Vocational Qualification at level two, two are working towards level three, four have completed level two and two have completed level three. All staff files examined contained relevant recruitment documents. The home has a robust procedure regarding recruitment that is designed to ensure residents are kept safe. Files also contained extensive records of staff training. The home has adopted the Skills for Care (formerly TOPPS) induction programme and staff are engaged in a programme of training in medication, food hygiene, first aid and several other topics. Staff have to undergo a rigorous assessment process, overseen by a manager, before they are able to administer medication to residents. The Lodge Residential Home DS0000045008.V299736.R01.S.doc Version 5.2 Page 15 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): 31,33,35,38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed. EVIDENCE: The manager has been registered since 2003 she is supported in her role by a senior team. Management tasks are delegated to members of the team, which results in a clear expectation of roles. Residents who spoke with the inspector stated that they find the registered manager approachable and likeable. She was observed interacting positively with residents and staff. The home has an excellent programme of quality assurance. Questionnaires are sent to residents and stakeholders annually, the results being published in the residents’ guide. The registered manager furthermore has a sophisticated monitoring programme that ensures that National Minimum Standards are met and in many cases exceeded. This covers all areas of the operation of the home and is commendable. Residents’ money is recorded appropriately. The The Lodge Residential Home DS0000045008.V299736.R01.S.doc Version 5.2 Page 16 inspector examined health and safety records and found a robust programme of risk assessment, regular checks and hazard analysis. All fire records were up to date and accurate as were records of hazardous substances and checks of electrical equipment. The Lodge Residential Home DS0000045008.V299736.R01.S.doc Version 5.2 Page 17 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 X X 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 4 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 4 The Lodge Residential Home DS0000045008.V299736.R01.S.doc Version 5.2 Page 18 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Lodge Residential Home DS0000045008.V299736.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 The Lodge Residential Home DS0000045008.V299736.R01.S.doc Version 5.2 Page 20 - 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!