Inspection on 04/07/06 for Virginia Lodge

This inspection was carried out on 4th July 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

Virginia Lodge 04/03/08

Virginia Lodge 27/02/06

Virginia Lodge 24/09/05

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 Malaney Unannounced Inspection 4th July 2006 11:30 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 Virginia Lodge DS0000022698.V303142.R01.S.doc Version 5.2 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.V303142.R01.S.doc Version 5.2 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.V303142.R01.S.doc Version 5.2 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 27th February 2006 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. Fees charged to residents include care, accommodation, meals and laundry. Fees are charged weekly and for the financial year 2006 to 2007 range from £363.00 - £422.00 per week, depending on the level of care a resident requires. Residents pay separately for their own toiletries, newspapers and hairdressing. Information about the services provided and fees charged is included in the home’s statement of purpose and service users’ guide which are given to prospective residents and which are displayed in the home. Copies of recent Commission for Social Care Inspection inspection reports are displayed in the home and are provided to prospective residents on request. Virginia Lodge DS0000022698.V303142.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection included an unannounced visit to the home on 4th July 2006. The inspection focussed on how well the services provided in the home meet the needs of the people living there. This was assessed by speaking to residents and their families, speaking to care staff and the manager, observing activity in the home and examining the records which care homes are required to keep. What the service does well: What has improved since the last inspection? What they could do better: Virginia Lodge is a good home. All of the standards assessed were met and there were no areas identified as needing action Virginia Lodge DS0000022698.V303142.R01.S.doc Version 5.2 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 DS0000022698.V303142.R01.S.doc Version 5.2 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.V303142.R01.S.doc Version 5.2 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, 5 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good admissions procedures which ensure that residents’ needs are identified and are met by the services provided. EVIDENCE: The home’s admissions procedure includes residents’ needs being assessed to ensure that they can be met by the services provided. Residents and their families are able to visit the home before making a decision about moving there. Residents and their families know that the care and facilities provided are suitable to meet their needs. Residents said the care provided is “very good”. Intermediate care is not provided in Virginia Lodge. Virginia Lodge DS0000022698.V303142.R01.S.doc Version 5.2 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, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are known to the staff who support them and they receive the care they need to maintain their health and well being. Residents are treated with respect and their privacy and dignity are protected. EVIDENCE: Residents’ needs are recorded in their individual plans of care. Care staff are knowledgeable about the needs and preferences of each individual in the home and people receive the care they need in the way they prefer. Residents receive health care from local health services, including specialist services and their health and well being are maintained. Medication is handled safely in the home. Residents are treated with respect and care staff take appropriate actions to protect their privacy and dignity. Virginia Lodge DS0000022698.V303142.R01.S.doc Version 5.2 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, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from having a choice of activities which take into account their preferences and abilities. Residents make choices about their lives and the decisions they make are respected. Meals are of a high standard and residents receive a varied and nutritious diet. EVIDENCE: The home provides a range of activities including group and individual activities. Individuals’ preferences and abilities are taken into account when activities are planned. Residents are provided with recreational interests which offer variety and meet individual needs. Visitors are made welcome and residents know they can maintain contact with their friends and families as they choose. Residents have a choice of nutritious and appealing meals and have drinks and snacks as they want them. Residents receive the assistance they need with meals in a discreet and patient manner. Virginia Lodge DS0000022698.V303142.R01.S.doc Version 5.2 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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a clear procedure for handling complaints and residents know that complaints will be listened to and actions taken to resolve them. Residents are safe living in the home. EVIDENCE: The home has a clear complaints procedure, a copy of which is included in the information given to residents when they move into Virginia Lodge. The home’s management team aim to identify and resolve residents’ concerns before a formal complaint is needed. The home has received no complaints since the previous inspection. Residents made many positive comments about the home, the staff and the standard of care provided and said, “You’ll not find anything to complain about in here”. Care staff are knowledgeable about the action to take if they are concerned that a resident may be at risk of harm. The procedures in the home protect residents’ rights and interests. Virginia Lodge DS0000022698.V303142.R01.S.doc Version 5.2 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, 20, 22, 23 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable, clean and safe environment which is suitable to meet their needs. EVIDENCE: The home is well-maintained and decorated to a high standard and provides comfortable and pleasant accommodation for residents. Residents have their own possessions in their bedrooms and have personalised their accommodation as they wish. Residents said the accommodation provided is “lovely” and said, “I have a very nice room”. Residents chose whether to spend time with other people or on their own. The home has a range of equipment to assist residents to stay independent including specialised equipment provided for individual residents. There are appropriate toilet and washing facilities close to all accommodation used by residents. Virginia Lodge DS0000022698.V303142.R01.S.doc Version 5.2 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): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care staff are trained and skilled and provide a high standard of care. Residents’ safety is protected by the home’s recruitment procedures. EVIDENCE: Care staff are knowledgeable about residents’ needs. Residents receive the support they need in a manner which respects their preferences and maintains their dignity. Residents said care staff “are always there when you need them”. Care staff support residents to self-care as far as they are able and their independence is maintained. Care staff have received a range of training to update their skills and knowledge. The home provides a high standard of care which meets the needs of the people living there. The home has a procedure for checking new employees are suitable to work with residents. The procedure includes rigorous checks on an applicant’s background and character to ensure residents’ safety is protected. Residents benefit from receiving care from staff whom they know and with whom they have developed positive relationships. Virginia Lodge DS0000022698.V303142.R01.S.doc Version 5.2 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, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a well managed home where their health, welfare and financial interests are protected. EVIDENCE: The home is well run and has good procedures for promoting residents’ rights, safety and welfare. The management team are committed to providing a high standard of care and to the continuous improvement of the services and facilities provided to residents. The atmosphere in the home is welcoming and inclusive and residents know that they can affect how the home is run. Residents said they would be comfortable raising concerns with the owners or care staff and were confident appropriate action would be taken to resolve any problems. Money held on behalf of residents is stored securely and procedures are in place to ensure their financial interests are protected. Virginia Lodge DS0000022698.V303142.R01.S.doc Version 5.2 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 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X 3 3 X X 3 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 3 X 3 X X 3 Virginia Lodge DS0000022698.V303142.R01.S.doc Version 5.2 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.V303142.R01.S.doc Version 5.2 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. 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