Inspection on 14/10/05 for Thistleton Lodge Care Home

This inspection was carried out on 14th 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

Thistleton Lodge Care Home 19/04/07

Thistleton Lodge Care Home 25/10/06

Thistleton Lodge Care Home 26/04/05

Thistleton Lodge Care Home 01/02/05

Thistleton Lodge Care Home 02/06/04

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 Thistleton Lodge Care Home Fleetwood Road Thistleton Nr Kirkham Lancashire PR4 3YA Lead Inspector Mr Patrick Rooney Unannounced Inspection 14th 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 Thistleton Lodge Care Home DS0000006089.V257541.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. Thistleton Lodge Care Home DS0000006089.V257541.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Thistleton Lodge Care Home Address Fleetwood Road Thistleton Nr Kirkham Lancashire PR4 3YA 01995 671088 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) Thistleton Lodge Limited Care Home 57 Category(ies) of Dementia (19), Old age, not falling within any registration, with number other category (38) of places Thistleton Lodge Care Home DS0000006089.V257541.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The home may accommodate 38 service users in the category of old age (OP) and 19 service users in the dementia (DE) catergory. The maximum number of service users who can be accommodated at any one time must not exceed 57. 26th April 2005 Date of last inspection Brief Description of the Service: Thistleton Lodge care home is a large detached property in its own grounds situated on the main Fleetwood road near Kirkham. It is easily accessible and there is ample car parking space for visitors. The home provides care and accommodation for up to 57 residents and incorporates residential, respite and dementia care on the ground and first floor areas. Any nursing and medical requirements are provided by local general practitioners and district nurses. Accommodation is provided in single and double rooms, each bedroom complies with minimum space requirements. There are four lounge areas and a conservatory. The lounge areas incorporate dining space and there is a separate dining room on the ground floor. There is a passenger lift for access to the first floor. Thistleton Lodge Care Home DS0000006089.V257541.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place over a period of five hours. The inspection was carried out by two inspectors Mr P Rooney and Mrs F Lacey. Information contained in this report was gathered from a pre inspection questionnaire completed by management of the home, discussion with the manager, discussion with staff and private discussion with relatives and residents. Residents and relatives also completed questionnaires. The care of seven residents was case tracked, their assessments and care plans were seen and the inspector interviewed them regarding the care they receive. Residents were spoken to in the lounges areas. Questionnaires were received from residents and relatives and GPs serving the home. Letters were sent to social workers. A tour of the premises took place and documents were seen by the inspector. Staff records were examined. Comments received from residents were, “ they are absolutely super here, they couldn’t do better”. Another said “ its quite good here, I have no complaints, we play games and go out on trips.” Another said, “ they are very good and helpful, the place is spotlessly clean and the food is good.” What the service does well: The home has a well-established group of staff that provide care and support for residents. The inspector was able to confirm this from observation, discussion with residents and staff. The seven residents whose care was tracked confirmed they are provided with the care they need. Meals are varied and there are plenty of choices. The inspectors had lunch this was of good quality and there were choices available. Residents said that the food they receive is very good and they are able to ask for alternatives if they wish. Mealtimes are flexible according to the needs of residents. Meals may be taken their own rooms if residents wish. The home employs two divers ional therapists with specialist experience in providing activities. One resident whose care plan identified a like to be involved in helping around the home is encouraged in this. Thistleton Lodge Care Home DS0000006089.V257541.R01.S.doc Version 5.0 Page 6 The home places importance on providing training for staff. New staff complete the TOPPS induction course. Records of this were seen during the inspection. Staff have also received training in dementia care and challenging behaviour. The inspector saw an on going programme for the provision of this training. 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. Thistleton Lodge Care Home DS0000006089.V257541.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 Thistleton Lodge Care Home DS0000006089.V257541.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): None of the Standards in this section were assessed at this inspection as the key standards were met in the previous inspection. EVIDENCE: Thistleton Lodge Care Home DS0000006089.V257541.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 and 8 Promotion of health and personal care is taken seriously and resident’s welfare is monitored and health needs met. Care plans lacked detail in relation to personal information regarding past history, work life and hobbies. EVIDENCE: The inspector examined the care records for five residents; these residents were then seen individually by the inspector. The records described clearly their health needs and included risk assessments. All medical and nursing referrals are made and progress recorded in files. Residents spoken to said their needs are well met and that staff are kind and caring. One resident said, “ they are absolutely super here, they couldn’t do better”. Another said “ its quite good here, I have no complaints, we play games and go out on trips.” Another said, “ they are very good and helpful, the place is spotlessly clean and the food is good.” Thistleton Lodge Care Home DS0000006089.V257541.R01.S.doc Version 5.0 Page 10 The inspectors found on reading files that there was little information about the individuals past life and experience. This is of particular importance in the dementia unit if care is to be more person centred. Thistleton Lodge Care Home DS0000006089.V257541.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): 13 and 14 Residents are able to maintain their links with family and friends; the home actively promotes this in its policies and procedures. Choice is promoted and residents are enabled to decide what they wish to do during the day. EVIDENCE: Residents stated that visitors could visit at any reasonable time and a visitor on the day of the inspection confirmed that this was the case. They also said that they see visitors within their own rooms or in other available communal space. Residents are able to say who they wish to visit them. The statement of purpose and service users guide includes written information about the homes visitors’ policy and involvement of family and friends. At the time of the inspection there were no residents handling their own finances. These were mainly in the hands of families. The service users’ guide gives information on how to contact external agents, such as the local advocacy service, who will act in their interests, if they wish. Thistleton Lodge Care Home DS0000006089.V257541.R01.S.doc Version 5.0 Page 12 Information and leaflets regarding local advocacy services were also seen in the home, on notice boards and entrance table. Residents told the inspector that the homes routines are flexible and that they have choice throughout the day of what they wish to do. They rise and retire when they wish and meal times may be flexible according to individuals needs. It was noted that those residents who wish to eat in their own rooms have their meals brought to them. The inspectors observed that residents are entitled to bring personal possessions with them into the home. Resident’s rooms had items of furniture, pictures and ornaments belonging to them. A policy is in place at the home demonstrating service users’ access to personal records, in accordance with the Data Protection Act 1998. Thistleton Lodge Care Home DS0000006089.V257541.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): None of the Standards in this section were assessed at this inspection as the key standards were met in the previous inspection. EVIDENCE: Thistleton Lodge Care Home DS0000006089.V257541.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 The exterior of the home is in need of refurbishment. There is a noticeable difference in the environmental standards between the ground and first floor units. In the first floor dementia unit there is a need to provide a warmer more welcoming environment. EVIDENCE: The inspectors observed that the exterior of the building is in urgent need of refurbishment. Paintwork is pealing and some of the windows are rotten and need replacing. The dementia unit décor was observe to be rather uninviting and lacked warmth. Some of the furniture was broken and in need of replacement. Advice was given regarding the use of colours in a dementia unit. Thistleton Lodge Care Home DS0000006089.V257541.R01.S.doc Version 5.0 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): 28 and 30 There are insufficient staff qualified to at least NVQ 2 in care. Induction processes in the home are good and provide staff with the basic training to carry out their duties. EVIDENCE: Induction and training records were seen and showed all staff receive an induction and training in providing care. Most of the staff working on the dementia unit have received training in dementia care and further training is being made available. Records also showed that nine out of 24 care staff are trained to NVQ 2 and four are currently undertaking this training. At present there are 35 of care staff trained to NVQ level 2. To meet this Standard at least 50 should have this qualification. Five staff were interviewed and confirmed they receive induction and training in providing care to residents living at the home. This includes moving and handling, first aid, food hygiene, health and safety and fire training. Thistleton Lodge Care Home DS0000006089.V257541.R01.S.doc Version 5.0 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): None of the Standards in this section were assessed at this inspection as the key standards were met in the previous inspection. EVIDENCE: Thistleton Lodge Care Home DS0000006089.V257541.R01.S.doc Version 5.0 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X X X X X X X STAFFING Standard No Score 27 X 28 2 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Thistleton Lodge Care Home DS0000006089.V257541.R01.S.doc Version 5.0 Page 18 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. 1 Standard OP19 Regulation 23(1)(a) & (2)(a) 18(a) 23(2)(b) Requirement The registered provider must ensure the dementia unit is decorated and furnished to meet the needs of the residents The registered provider must ensure that at least 50 of care staff are trained to NVQ2 The registered provider must produce a plan to ensure that rotten windows are replaced and the exterior of the building is decorated. Timescale for action 30/04/06 2 3 OP28 OP19 31/10/06 31/01/06 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 Thistleton Lodge Care Home DS0000006089.V257541.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1 Tustin Court Port Way Preston PR2 2YQ 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 Thistleton Lodge Care Home DS0000006089.V257541.R01.S.doc Version 5.0 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. 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