Inspection on 21/09/05 for Werneth Lodge

This inspection was carried out on 21st 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

Werneth Lodge 16/04/07

Werneth Lodge 16/01/06

Werneth Lodge 02/03/05

Werneth Lodge 25/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

SignHealth

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

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

CARE HOMES FOR OLDER PEOPLE Werneth Lodge 38 Manchester Road Werneth Oldham OL9 7AP Lead Inspector Michelle Haller Unannounced Inspection 21st September 2005 09:00a 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 Werneth Lodge DS0000005524.V249135.R01.S.doc Version 5.0 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. Werneth Lodge DS0000005524.V249135.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Werneth Lodge Address 38 Manchester Road Werneth Oldham OL9 7AP 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) 0161 624 4085 0161 345 8060 hilmof@lineone.net Werneth Lodge Limited Ms Hilda Moffett Care Home 42 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (21), of places Physical disability over 65 years of age (7), Sensory Impairment over 65 years of age (6) Werneth Lodge DS0000005524.V249135.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 21 OP up to 8 DE(E) up to 6 SI(E) Date of last inspection 2nd March 2005 Brief Description of the Service: Werneth Lodge is a residential home providing 24-hour personal care and accommodation for 42 service users over the age of 65 years. Werneth Lodge Ltd privately owns the home. It is situated approximately one mile from Oldham town centre and is close to local shops, a doctor’s surgery and pubs. Bus services are available close by, providing access to Oldham Town Centre or Manchester City centre. A cobbled driveway and garden area lead to the main entrance where a wheelchair lift is available. The home also incorporates what was once a coach house. Bedroom accommodation is available on both the ground and first floors. There are thirty-eight single bedrooms and two are shared. All bedrooms have en-suite facilities. Accessible toilets are situated close to bedrooms and communal areas. Access to the first floor is via a passenger lift. Bathing facilities include three assisted baths and one shower room. Communal areas are provided and include a number of quiet lounges, a sun lounge and a lounge designated as a smoking area. There is a separate dining room. Off the sun lounge there is a garden area with patio furniture available for service users. Werneth Lodge DS0000005524.V249135.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was completed over a period of 10 hours. In the course of the inspection six service users files and other records concerning the support and care of service users where examined fully. Policies, procedures and other documents concerning the running of the home where also assessed. Three service users, one service user representative and one member of staff where interviewed. The interactions between service users, their representatives and staff where also observed. In addition a tour of the private and communal areas of the building was undertaken. Management representation was present throughout the inspection process. Werneth Lodge is a comfortable and well-managed home. During this unannounced inspection service users were well groomed, and their health, social and psychological needs fully met. The home was comfortable, clean, warm and welcoming. Service users where very keen to acknowledge that the staff were caring, the food was plentiful and they could choose what to do while living in the home. Comments included: ‘There is a good balance between guidance and having a relaxed attitude-the staff always treat the service users with respect.’ And, “Staff are very very respectful, they are all lovely”. What the service does well: The home provides sufficient information about its’ facilities and services. Service users are fully assessed to ensure their needs can be met at Werneth Lodge. The home has a good relationship and rapport with health and social care professionals, and health care and monitoring is of a high standard. Service users are empowered to make choices about their support and daily life when living at Werneth Lodge. Complaints are dealt with sensitively and with seriousness, and the home protects against elder abuse. Werneth Lodge DS0000005524.V249135.R01.S.doc Version 5.0 Page 6 The environment at Werneth Lodge meets the needs of the services users and staff. Werneth Lodge is clean and there is continued improvement in accordance with a comprehensive maintenance plan. The staff are well informed and are managed affectively. Risk assessments are in situ to provide health and safety protection to service users, staff and others attending the home. 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. Werneth Lodge DS0000005524.V249135.R01.S.doc Version 5.0 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 Werneth Lodge DS0000005524.V249135.R01.S.doc Version 5.0 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): 2,3 and 5 Each service user is has been provided with a statement and terms of condition. Service users have their needs assessed prior to admission. Service users and their representatives are able to visit the home prior to admission. EVIDENCE: In the course of this unannounced inspection six service user care files and other reports and documents concerning care, where scrutinised. Each file contained a signed copy of the terms and conditions of residency at Werneth Lodge. Comprehensive assessments identifying the health, social and psychological needs of service users where also in place. The assessment tool has been improved to include, the preferred name of service users and also confirms that the service user has been introduced to staff and shown the facilities around the home. Werneth Lodge DS0000005524.V249135.R01.S.doc Version 5.0 Page 9 The home’s admission policy states that service users and their representatives are welcome to visit the home prior to admission. Discussion with the service users representative confirmed that visits prior to admission where made possible. Werneth Lodge DS0000005524.V249135.R01.S.doc Version 5.0 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): 7,8,10 and 11 The care needs of service user are detailed in individual care plans. The health needs of service users are fully met. Service users living at Werneth Lodge are treated with dignity and respect. Service users who are dying are treated in accordance to their wishes and provided with appropriate care and support. EVIDENCE: The care files of six service users where examined. All contained care plans and these where completed in sufficient detail to enable staff to meet the assessed needs. These care plans had been reviewed monthly. Information in the care plans confirmed that all health care was being provided appropriately, and confirmed that involvement of general practitioners, district nurses and other specialist care in response to acute health needs. Records also demonstrated that routine health care such as dental, optical and foot care was also provided. Werneth Lodge DS0000005524.V249135.R01.S.doc Version 5.0 Page 11 The care files contained documents and reports identifying that risk assessments where developed as necessary and signatures confirmed the involvement of service users or their representatives in the process. Service users stated that ‘They are very good here, excellent’. Those interviewed were also keen to state that during periods of illness health care has been provided quickly and with respect and sympathy. One member of staff was interviewed and she responded well questions concerning maintaining the dignity of service users. Service users also confirmed that all personal and health care was provided in privacy. Observations during the day of interaction between service users and staff also indicated that the personal care needs where dealt with discreetly. Tissue viability monitoring is routinely undertaken for all service users. Appropriate observation and provision of specialist equipment is initiated to reduce any risk concerning the development of pressure sores. In addition records demonstrated that treatment was provided at the earliest possible stage should a pressure area be identified. The layout of Werneth Lodge allows service users to access the toilet areas very easily. Service users where observed accessing all areas of the home independently, using walking aids or with the assistance of care staff in accordance to the care plans. In relation to palliative care it was evident on the day of inspection that all care, consideration and compassion is afforded to those who are dying. The service user is fully supported by the manager and all steps taken in line with instruction from general practitioner; district nurses and palliative care training, in order to reduce any anxiety and discomfort. The needs of relatives are considered and taken into account. Care staff confirmed that they where also counselled and supported as necessary. Werneth Lodge DS0000005524.V249135.R01.S.doc Version 5.0 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 and14. The lifestyle experienced at Werneth Lodge meets the needs of the service users. Service users are encouraged and supported in maintaining contact with family and friends. Service users are supported in the choices they make and in keeping control over their lives. EVIDENCE: Service users and their representatives stated that the daily activities taking place in Werneth Lodge were varied, meeting the needs and expectations of the service users. ‘I think there’s enough to do- I like joining in with the singa-longs.’ And ‘There are regular games and armchair aerobics. ….particularly likes crochet.’ Daily reports indicated that the activities in the home included: armchair exercises, craft classes, sing-a-longs, birthdays are celebrated, manicures, quizzes, bingo, Sunday papers, reminiscence therapy, regular hairdressers, ball games and film viewings. Service users are also encouraged to go out with their families and occasional trips to a local restaurant are offered. Werneth Lodge DS0000005524.V249135.R01.S.doc Version 5.0 Page 13 The service users at Werneth Lodge have monthly meeting and the minutes of these indicated that they where able to influence the menu and also confirmed their preference for home based activities. Visitors are encouraged and there is a welcome card on the front door confirming that visitors are welcome at any time convenient to the service user. Service users and their representatives confirmed that visiting could take place in privacy either in bedrooms or in an upstairs sitting room. During the tour of the home it was evident that the majority of service users rooms had been furnished with their own belongings, however some stated a preference for being in the communal areas, further indicating that positive relationships where enjoyed between all who lived in or worked in the home. The relative who was interviewed observed that clothes where laundered to a high standard and service users always appeared well groomed when she visited. Scrutiny of records and files demonstrated that information pertaining to service users is stored and maintained, for the most part, in keeping with the Data Protection Act 1998. Changes in the way complaints, concerns and suggestions are recorded have been suggested to ensure that all records fully complied with data protection guidance. Food and diet was not fully assessed during this inspection, however there where no complaints about the food and one service user stated, ‘The food is really good, and staff know the foods I mustn’t eat’. Werneth Lodge DS0000005524.V249135.R01.S.doc Version 5.0 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): 16, 17 and 18 Complaints are taken seriously and dealt with appropriately. Service users are supported in taking part in the political process. The home has developed robust guidelines, which protects service users from abuse. EVIDENCE: Service users who where interviewed stated that they where confident that any complaints would be dealt with The service users representative stated that she had been informed of the complaints procedure and was confident that any complaint would be dealt with fairly. Werneth Lodge’s complaints procedure is clear and easy to follow. The complaints records indicated that all comments made to staff where considered and discussed with the service user or their representatives. The home has robust adult protection and whistle blowing procedures and guidelines. These link closely to guidelines produced by the Oldham Metropolitan Borough Council. Training is provided to staff in respect of actions and omissions that constitute abuse. Age Concern attend the home and would be approached on behalf of a service users if the need for advocacy where identified. Werneth Lodge DS0000005524.V249135.R01.S.doc Version 5.0 Page 15 It was noted that application forms for inclusion on the electoral registrar were in a number of service user files, the manager stated that these would be completed and returned. The care staff that was interviewed was able to accurately describe actions that would be considered abusive and how these situations may be avoided and the actions she would take if she considered abuse had taken place. Werneth Lodge DS0000005524.V249135.R01.S.doc Version 5.0 Page 16 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): 19,20,22,23,24,25 and 26 The environment at Werneth Lodge is safe and for the most part, well maintained. The home provides safe access to comfortable indoor and outdoor facilities. Specialist equipment is available to maintain the independence of service users. Service users live in rooms that meet their needs. Service users have their own possessions around them. The majority of the home is clean and hygienic. Werneth Lodge DS0000005524.V249135.R01.S.doc Version 5.0 Page 17 EVIDENCE: The gardens and approach to Werneth Lodge were tidy and attractive. The exterior of the building was well maintained. During the tour of the building it was noted that all areas where in good repair. All the bathrooms entered where clean and warm. Werneth Lodge has two lounge areas on the ground floor that are fully accessible to all service users. These are comfortably decorated and furniture and fittings where clean and comfortable. There is also a lounge on the first floor, which is used by service users and their representatives. Specialists equipment and modifications where noted throughout the home, these included gentle ramping between the old and new part of the building, raised seats for the toilets, hand rails and window opening restrictors. The call system in the home was fully operational and it was noted that these where quickly answered. During the tour the majority of bedrooms where entered and found to be well ventilated and furnished with the belongings of service users. Service users confirmed that they where happy with their bedrooms, the majority of service users held keys to their rooms, those that did not had declined them as evidenced in their assessment details. The homes maintenance plan was studied and improvements included the replacement of washbasins in a number of bedrooms and some carpets. Recent improvements include the installation of new high-specification eco friendly industrial washing machine. This machine meets the disinfection safety standard and complies with the Water Supply regulations. Unfortunately the carpets one corridor needed attention, however discussion with the manager indicated that the carpets are cleaned about very six months, but the cleaning company had missed a recent appointment. It has been recommended that the carpets are cleaned more frequently than twice a year, thereby reducing the impact when an appointment is delayed. Werneth Lodge DS0000005524.V249135.R01.S.doc Version 5.0 Page 18 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. Staff are employed in sufficient numbers and have the appropriate skills to meet the needs of the service users. Staff are suitably qualified to do their jobs. The home has a robust recruitment and selection policy. Staff are supported in remaining competent at their roles. EVIDENCE: There were 39 service users living at Werneth Lodge on the morning day of the inspection being supported six care staff, the manager and deputy manager and two domestic staff. The deputy manager was preparing meals however the needs of service users appeared fully met during the course of the day. Examination of the duty roster indicated that in addition to the manager, between six and four care staff where on duty throughout the day and three at night. A manager is also on-call during the night. The manager stated that 75 of care staff has achieved NVQ level 2 in care. Werneth Lodge DS0000005524.V249135.R01.S.doc Version 5.0 Page 19 The most recent recruit was interviewed during the course of this inspection and stated that she had received a six week induction training programme which included learning about the policies and procedures, health and safety issues, such as how to use equipment, the value base of social care and other aspects of care required in the induction period as identified by the Skills for Care Council and the General Council for Social Care. A workbook was used to record progress. The induction process was discussed with the manager and is in keeping with Skills for Care guidelines. The homes recruitment process is robust and staff are only employed following completion of an application, interview, the receipt of two references, and a CRB check completed by Werneth Lodge. Certificates on display confirmed that in addition to completing their NVQ 2, staff attended the following courses: moving and handling, protection of vulnerable adults, infection control and handling fire safety equipment. The product provider offers Control of substances hazardous to health (COSHH) training. The manager also stated that staff had been booked onto a Help the Aged course concerning activities for people living in residential care. Observations of the interaction of staff demonstrated that staff worked in accordance to the training they had received, and discussion with staff demonstrated a satisfactory level of competence in carrying out task and instructions in service user care plans. Werneth Lodge DS0000005524.V249135.R01.S.doc Version 5.0 Page 20 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): 31,32,35,37 and 38 The manager of Werneth Lodge discharges her responsibilities to the full. The ethos and approach in the home is enabling and beneficial to service users. The best interests of the service users are met by the home. Record keeping in the home ensure the interests of service users are safeguarded. The home ensures that the health and safety of service users and staff are promoted and protected. Werneth Lodge DS0000005524.V249135.R01.S.doc Version 5.0 Page 21 EVIDENCE: The manager of Werneth Lodge has achieved NVQ level 4 and Registered manager status. Certification confirmed her continued training and improvement of skills while managing the home. Service users, their representatives and staff were all keen to state that the manager was very approachable in all aspects of running of the home. Service users where observed talking to the manager with ease and confidence. The notes from staff and service user meetings also indicated that an ethos of respecting choice and listening to those involved in the home was sustained. Care plans where signed by service users or their representatives, confirming that they had access to files and records. Working files are kept in an office, which can be locked when not in use and sensitive document such as staff and financial information are kept locked in filing cabinets. Health and safety training concerning moving and handling, food safety, and infection control is provided to staff. Regular maintenance of electrical and other equipment was confirmed through examination of completed checklist and reports provided by the relevant contractor. During the day of inspection staff where observed adhering to the policies concerning use of gloves, aprons and other health and safe protocols. Health and safety signs where appropriately displayed throughout the home. Werneth Lodge DS0000005524.V249135.R01.S.doc Version 5.0 Page 22 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 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 x 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 x x 3 x 3 3 Werneth Lodge DS0000005524.V249135.R01.S.doc Version 5.0 Page 23 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 17 Good Practice Recommendations The registered person should amend the manner in which complaints, comments and suggestions are written-up, thereby ensuring these records fully meet Data Protection guidelines and good practice. The registered person should increase the frequency at which carpets are routinely cleaned. 2 26 Werneth Lodge DS0000005524.V249135.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Werneth Lodge DS0000005524.V249135.R01.S.doc Version 5.0 Page 25 - 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!