Inspection on 24/09/05 for Virginia Lodge

This inspection was carried out on 24th September 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

Virginia Lodge 04/03/08

Virginia Lodge 04/07/06

Virginia Lodge 27/02/06

Virginia Lodge 24/02/05

Virginia Lodge 27/09/04

Virginia Lodge 04/03/04

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 Virginia Lodge Old Road Longtown Carlisle Cumbria CA6 5TL Lead Inspector Paula Banham Unannounced 24th September 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. Virginia Lodge F58 F10 s22698 virginia lodge v234447 240905 ui stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Virginia Lodge Address Old Road Longtown Carlisle Cumbria CA6 5TL 01228 791986 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 Julie Walsh Care Home 32 Category(ies) of OP - Old Age registration, with number DE(E) - Dementia, over 65 of places LD(E) - Learning Disability, over 65 DE - Dementia, under 65 years of age Virginia Lodge F58 F10 s22698 virginia lodge v234447 240905 ui stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 32 service users to include: up to 32 service users in the category of OP (Old age, not falling within any other category) up to 10 service users in the category of DE(E) (Dementia over 65 years of age) up to 1 service user in the category of LD(E) (Learning disability over 65 years of age) up to 1 service user in the category of DE (Dementia under 65 years of age) Date of last inspection 24 February 2005 Brief Description of the Service: Virginia Lodge is a residential care home registered with the Commission for Social Care Inspection to provide personal care and accommodation for up to thirty-two residents. The home is owned and managed by Mrs Julie Walsh. Virginia Lodge is located approximately one mile from Longtown and is in a rural setting. Longtown has a range of amenities including a post office, GP surgeries, local shops and banks. Accommodation for residents is provided by twenty-eight single bedrooms and two double rooms which two people can choose to share. Ten single bedrooms and one double room have ensuite toilet facilities and there are accessible toilet and bathing facilities close to all the accommodation used by residents. The home is set in pleasant grounds which are accessible to the people living there. Virginia Lodge F58 F10 s22698 virginia lodge v234447 240905 ui stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced carried out on Saturday 24th September 2005. The inspection focussed on how well the services provided in the home meet the needs of the residents living there. This was assessed by speaking to residents, visitors and staff, observing activity in the home and examining the records which care homes are required to hold. What the service does well: What has improved since the last inspection? What they could do better: All of the standards assessed at this inspection were met and there were no areas identified as requiring action. Virginia Lodge F58 F10 s22698 virginia lodge v234447 240905 ui stage 4.doc Version 1.40 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. Virginia Lodge F58 F10 s22698 virginia lodge v234447 240905 ui stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Virginia Lodge F58 F10 s22698 virginia lodge v234447 240905 ui stage 4.doc Version 1.40 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 standard(s) 3, 4 and 6. Residents’ needs are assessed and known to the staff in the home and people receive the support they require. EVIDENCE: Residents’ needs are thoroughly assessed before they are offered accommodation in the home to ensure that the services provided are suitable to provide the support they need. The assessments are updated as peoples’ needs change and they continue to receive the care they require. Virginia Lodge does not provide intermediate care and Standard 6 is not applicable. Virginia Lodge F58 F10 s22698 virginia lodge v234447 240905 ui stage 4.doc Version 1.40 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 standard(s) 7, 8, 9 and 10. Residents receive the personal and health care they require in a manner which respects their rights, privacy and dignity. EVIDENCE: Residents’ needs are recorded in their personal files and care staff are knowledgeable about the support individuals need. The care plans have been reviewed regularly and as residents’ needs change to ensure that they receive a high standard of care. Residents receive health care support from local GP practices and specialist services as they need. The standard of care is high and is provided in a manner which respects residents’ rights and protects their privacy and dignity. Medication is handled safely in the home and residents’ welfare is maintained. Virginia Lodge F58 F10 s22698 virginia lodge v234447 240905 ui stage 4.doc Version 1.40 Page 10 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) 14 and 15. Residents are supported to maintain control of their lives and the decisions they make are respected. EVIDENCE: Residents make choices about their lives in the home including where to spend their time, whether to take part in the activities provided and where to eat their meals. Meals are varied and provide a nutritious diet. Residents said the meals are “jolly good” and “there’s always plenty to eat”. Residents have a choice of meals and support is provided with eating as people require. Virginia Lodge F58 F10 s22698 virginia lodge v234447 240905 ui stage 4.doc Version 1.40 Page 11 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) 18. Residents are protected from harm in Virginia Lodge. EVIDENCE: Care staff are aware of the actions to take if they are concerned about the safety or welfare of a resident. Residents’ rights are respected and appropriate advice is taken if there are concerns about an individual’s well being. Virginia Lodge F58 F10 s22698 virginia lodge v234447 240905 ui stage 4.doc Version 1.40 Page 12 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, 22, 24 and 26. Accommodation is clean and comfortable and is suitable to meet the needs of the people living in the home. EVIDENCE: Virginia Lodge provides safe and well-maintained accommodation for residents to live in. The standard of decoration and furnishing is high and the environment is comfortable, pleasant and hygienic. The home has two lounges and residents choose where to spend their time, in their own rooms or with other people. The home has a separate sitting room where residents can receive visitors in private. Residents are able to bring their own possessions into their rooms and have personalised their rooms as they wish. The home has a range of equipment to assist residents to maintain their independence including specialist equipment provided for individual residents. All areas of the home are cleaned thoroughly and the environment is clean and hygienic. Virginia Lodge F58 F10 s22698 virginia lodge v234447 240905 ui stage 4.doc Version 1.40 Page 13 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 30. Residents receive a high standard of care from staff who are trained and competent and whom they know. EVIDENCE: Care staff have received a range of training to give them the skills and knowledge to provide the care residents need and to carry out their duties safely. Care staff have developed positive relationships with the residents in the home and residents said, “The staff are all lovely, you can have a good chat with them”. The standard of care is high and residents receive the support they need in a relaxed and friendly manner which promotes their independence and takes into account their personal preferences. Virginia Lodge F58 F10 s22698 virginia lodge v234447 240905 ui stage 4.doc Version 1.40 Page 14 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) 37 and 38. Residents’ rights, safety and welfare are protected in the home. EVIDENCE: The home has clear policies and procedures to ensure residents’ safety and welfare. Records are clearly written, up to date and are held securely. Care staff have access to the information they need to carry out their duties safely and to provide the support individuals need. Virginia Lodge F58 F10 s22698 virginia lodge v234447 240905 ui stage 4.doc Version 1.40 Page 15 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 x x 3 3 x N/A 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 x 13 x 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x 3 x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x x x x x 3 3 Virginia Lodge F58 F10 s22698 virginia lodge v234447 240905 ui stage 4.doc Version 1.40 Page 16 NA 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 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 Good Practice Recommendations Virginia Lodge F58 F10 s22698 virginia lodge v234447 240905 ui stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith, Cumbria CA11 9BP 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 Virginia Lodge F58 F10 s22698 virginia lodge v234447 240905 ui stage 4.doc Version 1.40 Page 18 - 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!