CARE HOMES FOR OLDER PEOPLE
Virginia Lodge Old Road Longtown Carlisle Cumbria CA6 5TL Lead Inspector
Paula Malaney Unannounced Inspection 27th February 2006 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 Virginia Lodge DS0000022698.V281062.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. Virginia Lodge DS0000022698.V281062.R01.S.doc Version 5.1 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 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) Mrs Julie Walsh Care Home 32 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (10), Learning disability over 65 years of age of places (1), Old age, not falling within any other category (32) Virginia Lodge DS0000022698.V281062.R01.S.doc Version 5.1 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 24th September 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. The home provides respite care when accommodation is available. Virginia Lodge DS0000022698.V281062.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced and was carried out on 27th February 2006. The inspection focussed on how well the services provided meet the needs of the people living in the home. This was assessed by speaking to residents, and their families about their view of the service, talking to the manager and care staff, observing activity in the home and examining the records held. What the service does well: What has improved since the last inspection?
The management team are committed to providing a high standard of care to residents. A number of areas of the home have been redecorated and refurbished to ensure Virginia Lodge continues to provide residents with comfortable and well maintained accommodation.
Virginia Lodge DS0000022698.V281062.R01.S.doc Version 5.1 Page 6 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. Virginia Lodge DS0000022698.V281062.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 Virginia Lodge DS0000022698.V281062.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): 3, 4 and 5. Admissions to the home are well managed and residents know their needs will be met in Virginia Lodge. EVIDENCE: Peoples’ needs are thoroughly assessed before they are offered accommodation in the home. The assessments include gathering background information from the prospective resident, their family and the health and social care agencies which support them. The information collected is used to gauge whether the care and facilities in Virginia Lodge are suitable to provide the support they need. People are not offered accommodation unless the home can meet their needs. Prospective residents and their families are invited to visit the home to see whether it is suitable for them. Appropriate action is taken when a resident’s needs change and Virginia Lodge can no longer provide the care they require. Residents and their families said they are “very happy” with the care provided. Virginia Lodge DS0000022698.V281062.R01.S.doc Version 5.1 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): 8 and 10. Residents receive good health care support which meets their needs and promotes their well-being. Residents are treated with respect and their privacy and dignity are protected. EVIDENCE: Residents’ receive routine health care from their own GPs, local District Nursing teams, chiropodists, opticians and dentists. Residents have specialist health care support as they require. Care staff take appropriate advice if they are concerned about a resident. Residents’ health and well-being are maintained by the support provided. Residents are treated with respect. Care staff have developed positive relationships with the residents in the home. Care staff ensure that residents’ privacy and dignity are protected. Virginia Lodge DS0000022698.V281062.R01.S.doc Version 5.1 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 the following standard(s): 12, 13 and 14. Residents make choices about their lives and the decisions they make are respected. Activities are well managed and residents are provided with opportunities for recreation. Visitors are made welcome in the home and residents maintain contact with their families and friends as they wish. EVIDENCE: Residents are given choices about their lives in the home and staff respect the decisions they make. Residents’ rights and independence are protected in Virginia Lodge. Visitors said they can visit the home as they choose and are made welcome. The home provides a separate sitting room where residents can receive visitors in private. Private accommodation is available for residents’ visitors to stay in the home. Restrictions on visitors are only made after consultation with appropriate agencies outside of the home and in order to protect residents. Virginia Lodge DS0000022698.V281062.R01.S.doc Version 5.1 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 the following standard(s): 16. Residents and their families know their complaints will be listened to and appropriate action taken to resolve their concerns. EVIDENCE: The home has a clear complaints procedure which is given to residents and their families. Residents and their relatives said they would be confident raising any concerns with the staff or management team in the home. A visitor said, “If you raise anything with Julie, she acts on it.” Virginia Lodge DS0000022698.V281062.R01.S.doc Version 5.1 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 the following standard(s): 19 and 26. Virginia Lodge provides clean, comfortable and safe accommodation for residents to live in. EVIDENCE: Virginia Lodge has been adapted for use as a care home for older people. The home has a range of adaptations and equipment to assist residents to maintain their independence and to meet their needs. The accommodation is well maintained and decorated to a high standard. A number of areas have been redecorated and refurbished to ensure residents continue to be provided with a comfortable environment to live in. Procedures are followed to ensure that the home provides clean and pleasant accommodation for residents. Virginia Lodge DS0000022698.V281062.R01.S.doc Version 5.1 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 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 29. Residents are protected by the home’s recruitment and training procedures. EVIDENCE: The home follows a recruitment procedure to ensure that new staff are suitable to work with residents and maintain their safety. The procedure includes asking for information about an applicant’s background and experience and taking up of references and Criminal Record Bureau and Protection of Vulnerable Adults list checks. These checks ensure that unsuitable persons are not employed in the home. Care staff are well trained and have the skills and experience to deliver a high standard of care. Care staff are knowledgeable about residents’ needs. Senior care staff have had training appropriate for the responsibilities of their role including Intermediate Level Safe Handling of Medication and National Vocational Qualification (NVQ) level 3 in Care. Care staff receive training in NVQ level 2 in Care. Virginia Lodge DS0000022698.V281062.R01.S.doc Version 5.1 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 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, 33 and 35. Residents benefit from living in a well managed home where their safety, rights and interests are protected. EVIDENCE: The home is well managed. Appropriate procedures are followed to protect residents’ rights and safety. The management team are committed to providing a high standard of care which meets residents’ needs. Residents and their families are comfortable raising concerns with the staff and manager. Residents are given choices and know they can maintain control over their lives and can affect how their care is provided. Money held on behalf of residents is stored securely. Virginia Lodge DS0000022698.V281062.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 2 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 X 3 X X X Virginia Lodge DS0000022698.V281062.R01.S.doc Version 5.1 Page 16 Are there any outstanding requirements from the last inspection? Not applicable 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 Virginia Lodge DS0000022698.V281062.R01.S.doc Version 5.1 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
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