Inspection on 05/01/06 for Thornton Lodge

This inspection was carried out on 5th January 2006.

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 25/07/05

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 Christopher Bond Announced Inspection 5th January 2006 09:30 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 Thornton Lodge DS0000009703.V256404.R01.S.doc Version 5.1 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. Thornton Lodge DS0000009703.V256404.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Thornton Lodge Address 23 Trunnah Road Thornton Cleveleys Lancashire FY5 4HF 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) 01253 856001 01253 804016 Thorntoncare@aol.co.uk Mrs Lindsay Margaret Wylie Mrs Janette Brickman Care Home 14 Category(ies) of Dementia (14) registration, with number of places Thornton Lodge DS0000009703.V256404.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th July 2005 Brief Description of the Service: Thornton Lodge is a care home that specialises in providing a service for older people who have Dementia. The home is registered for fourteen residents of both sexes, however traditionally the home cares mainly for females. There are a number of local shops that are close to the home. The village of Thornton provides lots of amenities such as Doctors surgeries, places of worship and libraries. There are good transport links to Blackpool and Fleetwood and bus services run to other parts of the Fylde. Some of the bedrooms within the home are shared rooms. These are well screened and provide maximum privacy when people are receiving personal care. None of the bedrooms are en-suite but there are large bathrooms on both floors. There are plans to fit a stair-lift in the near future. The home has an excellent programme of activities that is specifically designed to provide daily stimulation to those with dementia. Thornton Lodge DS0000009703.V256404.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that took place over four hours. The inspector spoke to the manager of the home and three staff members. Four visitors to the home were also spoken to, and one resident was interviewed. Care and medication records were looked at. Staff records were also examined. What the service does well: This home provides a specialised service for older people who have dementia. Good training, good management and excellent activities (that are specifically aimed at those with dementia), help to illustrate that the home is giving a very good service. Care records were clear, precise and well written. The care planning process showed that people were being well looked after. Care staff were enthusiastic and motivated. They worked well as a team and were fully aware of each residents assessed needs. There were some excellent examples of good care seen during the inspection. Residents were treated with respect and dignity. The home was very clean, well maintained and free from any unpleasant odours. The layout and atmosphere of the house was very homely. Care had been taken to ensure that those with dementia had their needs addressed appropriately, considerately and professionally. The food was nicely cooked and presented. A choice was available and the menu changed regularly. Fresh local produce was mainly used. The home also had a dining area where meals could be eaten in pleasant surroundings. Visitors to the home were very complementary about the way their relatives and friends were cared for. One visitor said, “ My friend has recently passed away and she couldn’t have been better looked after. It’s great that she could have been here, the manager and staff are so caring.” The home had a comprehensive and well-researched activities programme. The activities coordinator was enthusiastic and professional in her role. Thornton Lodge DS0000009703.V256404.R01.S.doc Version 5.1 Page 6 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 DS0000009703.V256404.R01.S.doc Version 5.1 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 Thornton Lodge DS0000009703.V256404.R01.S.doc Version 5.1 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): 1, 2, 3, 4 and 5 Good admittance procedures and excellent assessment helped to ensure that residents’ needs would be fully met. EVIDENCE: Information about the home is given to residents and their families 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. Visitors who were at the home during the inspection confirmed that they were encouraged to look round the home prior to their relative being admitted. One visitor commented, “ We were treated very well during our first visit, the staff were lovely and we made up our minds that this was the care home that was right for us.” The rooms were individually prepared prior to residents being admitted. Fresh flowers were placed in the room along with a welcome pack to the home. Part of the assessment process includes a detailed section about the person’s life and achievements. This information would be invaluable to care staff when Thornton Lodge DS0000009703.V256404.R01.S.doc Version 5.1 Page 9 conversing with residents and when the home was planning what level of care would be appropriate for each resident. Assessments in general were very detailed and comprehensive and all of the residents had contracts to help ensure that their rights as residents were respected. Thornton Lodge DS0000009703.V256404.R01.S.doc Version 5.1 Page 10 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 and 11. Health and care needs were addressed correctly through good care planning, ensuring that the residents were looked after properly. Residents were treated with respect and their dignity was well maintained by understanding care staff. EVIDENCE: Each resident had a plan of care that was developed to ensure that health and care needs were addressed properly and appropriately. The plans were detailed and comprehensive and provided lots of information without being over complicated. The residents also had ‘Lifestyle Improvement Plan’ which identified the likes and dislikes of each resident and helped care staff build on the aspects of life that residents found enjoyable. Each resident had a ‘keyworker’ who encouraged the resident to keep these interests up and ensured that interests were continued and recorded when they weren’t there. This system helped to make the care offered more individual. There was lots of information within the care plans to show what the residents health needs were and how the care staff within the home were addressing these needs. The plans also showed when doctors and other health professionals had visited the home to deliver specialised care. Thornton Lodge DS0000009703.V256404.R01.S.doc Version 5.1 Page 11 None of the residents within the home were able to handle their own medication. There were good procedures and policies for the staff to follow when they were administering prescriptions and the medication was stored safely and appropriately. This helped to ensure that residents were not put at any risk when medication was being given out. There were lots of good examples seen by the inspector of care staff being polite, courteous and caring when attending to residents’ needs. The visitors that were spoken to during the inspection also said that they were really pleased with the way that the staff cared for their relatives and friends. Because of their complex needs, many of the residents were unable to speak about the quality of care that they received. One lady who did pass comment said that she was very happy about the care being given by the cared staff and that she felt well looked after. One of the visitors to the home commented on the excellent support and care that was given to a lady that had recently passed away. She said, “My friend could not have been better looked after and the respect and support that was given after her death was excellent.” Thornton Lodge DS0000009703.V256404.R01.S.doc Version 5.1 Page 12 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 and 15. Residents are motivated by regular and stimulating activities. Visitors are welcome at any time ensuring personal relationships are maintained. EVIDENCE: There was a comprehensive programme of activities and events for the residents of the home. The quality and nature of the activities showed that this was a care home that truly specialised in the care and support of elderly people who had dementia. The home had an enthusiastic and positive activities coordinator who researched activities well to ensure that they were appropriate and fulfilling. Activities took place both inside the home and within the local community, ensuring that the residents went out as often as possible. The manager also produced a newsletter that went out to residents and their families. There were numerous visitors to the home during the inspection and those visitors who were spoken to said that they were always made to feel welcome and valued. Lunch was being served during the inspection. The meal was appealing and wholesome and there was plenty of choice should a resident dislike what was being prepared. The menu’s confirmed that a nutritious and healthy diet was Thornton Lodge DS0000009703.V256404.R01.S.doc Version 5.1 Page 13 being offered. The care plans also had details of what the residents’ likes and dislikes were regarding food. There were also details of special diets in the care plans. The home had a dining room with new furniture where the ladies spent mealtimes and had drinks. Thornton Lodge DS0000009703.V256404.R01.S.doc Version 5.1 Page 14 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): EVIDENCE: This section was not assessed during this inspection. Thornton Lodge DS0000009703.V256404.R01.S.doc Version 5.1 Page 15 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): EVIDENCE: This section was not assessed during this inspection. Thornton Lodge DS0000009703.V256404.R01.S.doc Version 5.1 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, 29 and 30. Good training and proper recruitment ensures that the home provides quality care. This also helps to ensure that residents are safer. EVIDENCE: Three of the staff members were spoken to during the inspection. One of these was a member of the care team who described the training she had undertaken in the four months since she commenced her post. This included a comprehensive induction programme. Other training events included ‘Dementia Care’ and ensuring that care staff had the skills to move residents correctly. Staff meetings took place every month and a specific subject was covered at every meeting. This included diabetes, choking, Parkinson’s disease, strokes, skin condition and abuse awareness. The home had a training plan for the coming year, which covered all of the relevant subjects. Over 50 of the care staff had now achieved a nationally recognised care qualification (National Vocational Qualification level 2 or 3). Care staff files showed that proper checks were being done when new care staff were employed. This ensured that residents were not put at risk. These included a Criminal Records check Thornton Lodge DS0000009703.V256404.R01.S.doc Version 5.1 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, 32, 36 and 38. Service users benefit from a well run home. EVIDENCE: The manager was well respected by the staff employed within the home. Visitors to the home were very complementary regarding her skills and her style of management. She was close to completing her Registered Managers Award, a qualification that added to her skills regarding the running of a care home. Records showed that care staff were being supervised regularly. Records showed that the residents were safe and secure within the home and that their health, safety and welfare were being promoted and protected. Thornton Lodge DS0000009703.V256404.R01.S.doc Version 5.1 Page 18 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 3 3 4 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 X X X 3 X 3 Thornton Lodge DS0000009703.V256404.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? No 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. 1 Refer to Standard OP31 Good Practice Recommendations The manager should complete the National Vocational Qualification level 4 in management and care. Thornton Lodge DS0000009703.V256404.R01.S.doc Version 5.1 Page 20 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 Thornton Lodge DS0000009703.V256404.R01.S.doc Version 5.1 Page 21 - 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. 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