Inspection on 25/07/05 for Thornton Lodge

This inspection was carried out on 25th July 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

Thornton Lodge 14/06/07

Thornton Lodge 05/01/06

Thornton Lodge 10/02/05

Thornton Lodge 15/11/04

Thornton Lodge 10/02/04

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

CARE HOMES FOR OLDER PEOPLE Thornton Lodge 23 Trunnah Road Thornton Cleveleys Lancashire FY5 4HF Lead Inspector Chris Bond Unannounced 25th July 2005 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 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. Thornton Lodge F57 F09 S9703 Thornton Lodge V206046 250705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Thornton Lodge Address 23 Trunnah Road Thornton Cleveleys Lancashire FY5 4HF 01253 856001 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Lindsay Wylie Mrs Janette Brickman Care home only 14 Category(ies) of DE Dementia (14) registration, with number of places Thornton Lodge F57 F09 S9703 Thornton Lodge V206046 250705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th February 2005 Brief Description of the Service: Thornton Lodge is a care home specialising in Dementia, situated on Trunnah Road in Thornton, near Blackpool. The home is registered for 14 people and was full at the time of the inspection. The service is situated close to a bus route into Blackpool and Cleveleys and there are local shops within walking distance from the home. The home has a regular social programme both within and outside of the establishment and visitors are welcome at all times. Thornton Lodge also has a ‘sensory’ room where service users can develop sensory awareness. There are a number of shared rooms within the home; these have good screening to maintain the privacy and dignity of the service users who share. All other rooms are single and of good size. Thornton Lodge F57 F09 S9703 Thornton Lodge V206046 250705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which started at 10.00am and took place over two hours. The registered manager was not on duty at the time of the inspection and the senior carer was able to assist with the inspection. Three care staff were spoken to and a tour of the home was undertaken. Staff and care records were also examined. 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. Thornton Lodge F57 F09 S9703 Thornton Lodge V206046 250705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Thornton Lodge F57 F09 S9703 Thornton Lodge V206046 250705 Stage 4.doc Version 1.40 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 standard(s) 1, 3 and 4 All new residents have a full assessment completed prior to moving into the home, ensuring that the home can meet their needs. EVIDENCE: Four residents’ personal files were looked at which included all of the people who had most recently been admitted to the home. It was clear that the manager of the home was carrying out detailed needs assessments prior to new residents being admitted. This would clearly help when planning what care the resident would need within the home. The senior carer confirmed that good assessment was a priority to ensure that the home would be able to care for the residents successfully. Information about the home is given to residents before they come to live there. This information clearly states the purpose of the home, and explains that it is a home for elderly people with Dementia. Thornton Lodge F57 F09 S9703 Thornton Lodge V206046 250705 Stage 4.doc Version 1.40 Page 8 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 standard(s) 7, 8, 9 and 10. Promotion of health was taken seriously. Resident’s welfare was closely monitored and health needs were met. EVIDENCE: Individual records were kept for each resident with a plan of care setting out in detail the action that needed to be taken by care staff to ensure all aspects of health, personal and social care needs of the residents were met. Significant events had been recorded and daily entries made setting out the care given. Each plan of care was reviewed on a monthly basis. The records of four residents were looked at and these clearly described their healthcare needs. Discussion with the staff member on duty confirmed they were fully aware of the healthcare needs of residents and these were monitored and kept under review. None of the residents were responsible for their own medication. Medication practices observed were safe and good records had been maintained. Only senior staff gave out medication. Thornton Lodge F57 F09 S9703 Thornton Lodge V206046 250705 Stage 4.doc Version 1.40 Page 9 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 standard(s) 12,13 and 15 Social activities and were well -managed, creative and provided daily variation and interest for the people living in the home. Activities for those who had dementia were good which improved the delivery of their care. Meals were well managed and varied. Family and friend were encouraged to visit therefore ensuring personal relationships are maintained. EVIDENCE: The home had an activities coordinator who worked between Thornton Lodge and another home owned by the registered person. It was clear that appropriate activities had been arranged to ensure that the residents with Dementia were stimulated and kept active. A monthly news -letter was sent to relatives and was available within the home for service users to read. A Priest was invited to the home on a weekly basis to give communion. Service users were also offered music and movement sessions on a regular basis. Outside entertainers were brought into the home several times a year. Other activities included art sessions, knitting, and dominoes (these were large in size and used colour instead of numbers). There had recently been a Garden Party And some of the residents had attended. The meal being prepared for lunch looked appealing and wholesome and fresh vegetables were being delivered during the inspection. The menus confirmed that a balanced choice was offered and there was information in the care plans about special diets that people had. Thornton Lodge F57 F09 S9703 Thornton Lodge V206046 250705 Stage 4.doc Version 1.40 Page 10 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 standard(s) 16 and 18 Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. Procedures for dealing with and reporting abuse were satisfactory ensuring people are adequately protected. EVIDENCE: The complaints procedure was available in the Service User Guide and Statement of Purpose and the procedure was available to residents and visitors in the main part of the home. The carers on duty were aware of the procedure regarding helping residents and their relatives to complain. Training had been accessed regarding the recognition of abuse, and staff were aware of what action to take should abuse be suspected. The home had good procedures and guidance for staff, as well as a ‘whistle blowing’ policy that protected staff when voicing their worries. There were no concerns regarding care practices within the home. Thornton Lodge F57 F09 S9703 Thornton Lodge V206046 250705 Stage 4.doc Version 1.40 Page 11 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 standard(s) 19,20, 24 and 26 Residents live in a clean, well-maintained home. Residents’ bedrooms are attractive and homely. EVIDENCE: The inspector was given a tour of the home by the senior carer. The communal rooms looked comfortable and furniture was appropriate to meet the needs of the residents. There were two lounges and a dining area. The residents’ bedrooms were all individual, reflecting their preferences and contained lots of personal possessions. Those who shared rooms had good screening in place to protect their dignity when care staff were giving personal care. The whole home was tastefully decorated and looked comfortable and homely. The home was very clean throughout. There were no unpleasant smells. There were places to sit out in the garden and privacy was maintained even though there were houses close by. Thornton Lodge F57 F09 S9703 Thornton Lodge V206046 250705 Stage 4.doc Version 1.40 Page 12 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 and 28 Staffing levels are appropriate to meet the needs of the people accommodated. Staff are well trained to ensure they have the competencies to meet residents needs. EVIDENCE: The staffing rotas for the home were looked at and there were no concerns regarding the amount of care staff on duty. It was clear to see that the needs of the residents were being attended to and that people were being treated with respect and dignity. There was an awareness of the need to ensure that 50 of care staff were qualified up to NVQ level 2 by December 2005. All care staff that had either achieved this, or had been enrolled, had commenced at level 3 of the qualification. There was evidence to show that care staff had received training in Dementia awareness and how to deal with challenging behaviour. There had also been recent training in moving and handling to help ensure that residents and care staff are safe when moving takes place. Thornton Lodge F57 F09 S9703 Thornton Lodge V206046 250705 Stage 4.doc Version 1.40 Page 13 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 and 32 Service users benefit from a well run home. EVIDENCE: The Registered Manager was competent, respected and experienced in her running of Thornton Lodge. There were clear lines of responsibility within the home. The Registered Manager will need to complete the Management and Care elements of NVQ 4, or equivalent, by 2005. Thornton Lodge F57 F09 S9703 Thornton Lodge V206046 250705 Stage 4.doc Version 1.40 Page 14 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 x x x 3 x 3 STAFFING Standard No Score 27 3 28 2 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 2 3 x x x x x x Thornton Lodge F57 F09 S9703 Thornton Lodge V206046 250705 Stage 4.doc Version 1.40 Page 15 no 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 28 Regulation 18 (1) (a)` 9 Requirement The Registered Manager should ensure that 50 of staff should be trained up to NVQ level 2 or equivalent by 2005. The Registered Manager should complete the Management and Care elements of NVQ 4, or equivalent, by 2005. Timescale for action 31-12-05 2. 31 31-12-05 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 Good Practice Recommendations Thornton Lodge F57 F09 S9703 Thornton Lodge V206046 250705 Stage 4.doc Version 1.40 Page 16 Commission for Social Care Inspection Unit 1, Tustin Court Portway 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 Thornton Lodge F57 F09 S9703 Thornton Lodge V206046 250705 Stage 4.doc Version 1.40 Page 17 - 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!