Inspection on 05/10/05 for The Lodge Residential Home

This inspection was carried out on 5th 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 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

The Lodge Residential Home 13/06/06

The Lodge Residential Home 14/07/05

The Lodge Residential Home 15/11/04

The Lodge Residential Home 10/06/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE The Lodge Residential Home Grange Lane Thurnby Leicestershire LE7 9PH Lead Inspector Linda Clarke Unannounced Inspection 4th October 2005 10:30 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.V252628.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. The Lodge Residential Home DS0000045008.V252628.R01.S.doc Version 5.0 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 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.V252628.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 14th July 2005 Brief Description of the Service: The Lodge is a care home providing personal care and accommodation for thirty-two older persons. The Lodge provides thirty two single rooms, some of which have en-suite facilities. The Lodge provides communal rooms, which includes a lounge, dining room, library and a snug. The Lodge is owned and managed by Bliss Family Care Limited and 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. 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. The Lodge Residential Home DS0000045008.V252628.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took place between 10.30am and 3.00pm. Opportunity was taken to look around parts of the home, talk with residents, visiting relatives and the visiting District Nurse and view records, which included viewing the care plans of four residents. Information recorded on the pre-inspection questionnaire has been incorporated into the Inspection Report, in conjunction with resident and relative comment cards. The Residential Manager facilitated the Inspection. What the service does well: What has improved since the last inspection? Since the last Inspection, the format for the recording of resident needs has been reviewed; all care plans are now being reviewed consistent with the new format, which now incorporates their views with regards to recreational pursuits. Staff have received training in moving and handling, food hygiene, fire awareness and infection control. A significant number of staff have also enrolled on various ASET courses. Infection control audit procedures have now been adopted, to ensure that all surfaces are cleaned; any omissions in these tasks are discussed with The Lodge Residential Home DS0000045008.V252628.R01.S.doc Version 5.0 Page 6 individual members of staff in supervision. Risk assessments have also been updated on all cleaning products. Consistent with Quality Assurance all residents have had the opportunity to comment on a variety of aspects with regards to the care they receive, this information has been collated and any actions necessary taken. 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. The Lodge Residential Home DS0000045008.V252628.R01.S.doc Version 5.0 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.V252628.R01.S.doc Version 5.0 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): EVIDENCE: Standards within this section were not inspected on this occasion. The Lodge Residential Home DS0000045008.V252628.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, 10 and 11. Residents are looked after well in respect of their health and personal care. EVIDENCE: The care plans of four residents were viewed, all contained detailed information as to the individuals needs. Daily reports are written as appropriate, which reflect the care of the individual, these are summarised on a weekly basis, with a weekly report produced. The design of care plans has changed since the last Inspection, which ensures that a more detailed account of residents care needs; residents care plans are currently being updated using the new format. Risk assessments and the wishes and views of residents, including their views of illness and dying are incorporated into resident’s records; this enables staff to deliver care which reflects individual belief, with any risks being identified consistent with the promotion of independence and resident rights. Risk assessments identify the level of risk by the use of a colour-coded system. Contact with medical personnel is recorded within resident records, records viewed evidenced that residents are supported to access health care. The Lodge Residential Home DS0000045008.V252628.R01.S.doc Version 5.0 Page 10 All records, including care plans, risk assessments, access to health care professionals, has a colour coded system, which enables staff to reference with ease the appropriate information. The Inspector received four completed resident comment cards, issued by the Commission for Social Care Inspection, which form part of the Inspection process. Of the four comment cards received three indicated that they liked living at The Lodge, whilst one resident indicated that they sometimes did. All indicated that they were well cared for, and were treated well by staff and their privacy respected. The Inspector received eight completed relative/visitor comment cards, issued by the Commission for Social Care Inspection, which form part of the Inspection process. All comment cards reflected that they were satisfied with the overall care provided and that they were kept informed of important matters affecting their relative where appropriate, and that they could visit their relative/friend in private. Three relative/visitor comment cards contained an additional comment. “This residential home is excellent. The staff are very caring and friendly. I feel my mother has the best care possible.” “An excellent well run home. Mum is very happy here. The staff are all lovely and we are always welcome.” The Inspector spoke with four residents; all spoke very favourably of the care they receive and the staff. Stating that nothing was too much trouble. The Inspector spoke with two relatives, who were visiting at the time of the Inspection, both spoke very favourably of the home including the care their relative received. The Inspector spoke with the District Nurse as part of the Inspection process. The District Nurse was positive as to the care residents receive, and confirmed that any concerns that care staff or the Management team have are swiftly brought to her attention. The Lodge Residential Home DS0000045008.V252628.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 and 15. Residents experience a homely life style and visitors are encouraged to visit. Various formal and informal activities are made available to residents. EVIDENCE: The new format for the recording of resident care needs now incorporate their views on social and recreational activities, and the participation of these is now recorded within daily reports. The daily reports of four residents were viewed, these evidenced that residents receive regular visits from relatives, participate in bingo, enjoyed the Garden Party, and went out with relatives for a meal. Holy Communion takes place within the home every month. The document ‘Residents Guide to the home’, details the activities available to residents. The Lodge Residential Home DS0000045008.V252628.R01.S.doc Version 5.0 Page 12 On the day of the Inspection the choir from the local Primary School visited, to sing to residents as part of Harvest Festival celebrations. The children then spoke with residents, asking for their experiences of World War II, as part of their project work. The four resident completed comment cards, issued by the Commission of Social Care Inspection detailed they were happy with the activities provided and the food provided. The Inspector partook of the lunchtime meal, which included three vegetables, and two potato dishes, served with pork casserole, followed by a desert. Residents serve themselves from serving dishes placed on the dining tables; choices are offered for all courses and all meals. The Lodge Residential Home DS0000045008.V252628.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): Complaints are handled objectively and residents are confident that their concerns would be listened to, taken seriously and acted upon. EVIDENCE: The Lodge has received one minor complaint, which was viewed by the Inspector; the Registered Manager had provided a written response to the complainant. The Commission for Social Care Inspection has not received any complaints pertaining to The Lodge. The eight relative/visitor cards, completed indicated that no one had ever made a complaint. Policies and procedures are in place which detail how staff should respond to the suspicion of abuse, staff also receive training on abuse from the Registered Manager, in addition this also forms part of the National Vocational Qualification. The Lodge Residential Home DS0000045008.V252628.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, 24 and 26. A comfortable and safe standard of accommodation is provided for the resident’s including a garden area, which meets the individual and collective needs of residents. EVIDENCE: The Lodge is decorated and furnished to a very high standard, communal areas include a library, sun lounge, additional lounge, dining room and snug. The sun lounge overlooks the garden and has access to the patio and garden. Resident bedrooms are decorated and furnished to a very high standard, with twenty-five of the thirty-two bedrooms having an en-suite facility consisting of a toilet and wash hand basin. Residents who so choose have a telephone installed in their room, to enable them to maintain independent contact with relatives and friends, alternatively there is a pay phone located in the library. The Lodge Residential Home DS0000045008.V252628.R01.S.doc Version 5.0 Page 15 The Registered Manager has implemented a robust cleaning programme consistent with infection control; all bedrooms have a storage facility for disposable aprons and gloves, which in addition to infection control measures promotes the dignity of residents. Records are kept of all surfaces which require cleaning, including the frequency and who performed the task, this is then audited any duties not performed are then discussed within individual staff supervisions. The Registered Manager has updated all risk assessments pertaining to cleaning products, consistent with COSHH guidelines. The Lodge Residential Home DS0000045008.V252628.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 and 30. Staff at the home are well trained and supported, and employed in sufficient numbers to meet the needs of residents. EVIDENCE: Staffing levels currently employed by The Lodge are that there are four carers on duty between the hours of 7.45am and 2pm, in the afternoon there are three carers on duty between the hours of 1.45 and 6pm, for the evening there are four carers on duty between the hours of 5.45 and 10pm. During the night there are two carers. In addition to the care staff, between the hours of 7.30am and 6pm there is a Manager and Assistant Manager on duty. Currently there are twenty three care staff employed, of which four have attained a level 2 and two have attained a level 3 National Vocational Qualification. Nine members of staff are currently working towards a National Vocational Qualification in Care. Since the last Inspection staff have accessed training in food hygiene, moving and handling and fire awareness. Nine members of staff have now commenced an ASET course in the Safe Handling of Medicines whilst four have commenced an ASET course in Dementia Care. The Lodge Residential Home DS0000045008.V252628.R01.S.doc Version 5.0 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 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 and 37. The Registered Manager offers clear sense of leadership and records within the home are organised and well maintained. EVIDENCE: The Registered Manager has worked at The Lodge since 1992, and became the Registered Manager in July 2003. The Registered Manager has attained a level 4 National Vocational Qualification in Care and the Registered Managers Award. The Home Manager and Care Manager support the Registered Manager. The Care Manager is currently working towards a level 3 National Vocational Qualification in Care Management. The management team have delegated areas of responsibility, which include staff selection, training and supervision along with the development of resident records. The Lodge Residential Home DS0000045008.V252628.R01.S.doc Version 5.0 Page 18 The Responsible Individual and the Registered Manager maintain a very high level of record keeping, for all aspects relating to the home, this ensures the health and safety of residents and staff. Information pertaining to residents and personnel are stored consistent with Data Protection. Consistent with Quality Assurance the Registered Manager in July of 2005 gave all residents a questionnaire to ascertain their views on various topics. The topics included the quality of care, staff, the ability of residents to make decisions within the home, the upholding of their independence, and access to health care, meals, environmental factors and activities. The results of the resident’s questionnaire have been collated and have been published in ‘The Residents Guide to the home.’ The Lodge Residential Home DS0000045008.V252628.R01.S.doc Version 5.0 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. 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 X 10 3 11 3 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 4 X X X 4 X 4 STAFFING Standard No Score 27 4 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X 4 X The Lodge Residential Home DS0000045008.V252628.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? 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.V252628.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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. 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