Inspection on 19/07/06 for West Lodge Care Home

This inspection was carried out on 19th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

West Lodge Care Home 25/01/06

West Lodge Care Home 28/10/05

West Lodge Care Home 01/03/05

West Lodge Care Home 04/08/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE West Lodge Care Home Peases West Billy Row Crook Durham DL15 9SY Lead Inspector Stephen Willcock Unannounced Inspection 19th July 2006 10:30 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 West Lodge Care Home DS0000000772.V303274.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. West Lodge Care Home DS0000000772.V303274.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service West Lodge Care Home Address Peases West Billy Row Crook Durham DL15 9SY 01388 763650 01388 768368 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) West Lodge Care Homes Limited Andrea Judith Gilchrist Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Terminally ill (2) of places West Lodge Care Home DS0000000772.V303274.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th January 2006 Brief Description of the Service: West Lodge care home is registered with the Commission for Social Care Inspection for 30 places providing nursing and residential care. The home is situated in a small residential thoroughfare within the County Durham village of Billy Row, approximately 1.5 miles north of Crook Town. The semi rural setting around the village green features the Post Office, general store, church and pub and is on a regular bus route to Crook, Bishop Auckland, Weardale, Darlington, Durham and Newcastle. West Lodge was originally a large stone built country house and has been extensively altered and extended to provide accommodation on the ground and first floor. The home offers single and double room accommodation and all bedrooms are equipped with nurse call alert, plug-in points for TV and telephone. Communal TVs are provided in every lounge, a hi-fi system in the main lounge and the piano and organ in the dining room/conservatory on the ground floor. A passenger lift provides access to the first floor, as does the central stairway. Throughout the home is well equipped, decorated and furnished to a very good standard whilst retaining a domestic, homely environment. The home is surrounded by attractive well cared for gardens with seating and good access. There is ample parking space for visitors. There is a friendly and welcoming atmosphere and good links are well established with the local community in which the home enjoys a well-deserved reputation for providing good care. The current cost of living at the home ranges between £364 and £576 per week and does not include the cost of hairdressing and chiropody. West Lodge Care Home DS0000000772.V303274.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on 19/07/06 over a period of 5 hours. Time was spent talking to staff, management and service users. There were additional telephone conversations with health professionals from district nursing and dietician services. The inspection also included a look around the home and grounds and examination of records and documents held at the home. At the time of the inspection no comment cards provided by the Commission for Social Care Inspection had been returned. What the service does well: What has improved since the last inspection? Since the last inspection the some redecoration has been carried out and new carpets fitted. Further training has been carried out and a high number of staff achieved NVQ 2 and 3 in care. Staff at the home have also embraced the Focus of Food programme and excelled in the course. West Lodge Care Home DS0000000772.V303274.R01.S.doc Version 5.2 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. West Lodge Care Home DS0000000772.V303274.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 West Lodge Care Home DS0000000772.V303274.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, standard 6 is not applicable. Quality in this area is good. The judgement has been made using available evidence and a visit to the home. Admission to the home occurs after a full pre-admission assessment is carried out to determine that the home can meet service user’s needs. EVIDENCE: A number of service users’ case files were looked at and found to contain social workers assessments obtained before admission to the home. There were also detailed assessments covering health and personal care needs, risk assessments and handling assessments. West Lodge Care Home DS0000000772.V303274.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 area is excellent. The judgement has been made using available evidence including a visit to the home. Care plans are provided and give sufficient detail for staff to carry out their care role to meet service users’ needs. Medication is appropriately managed and administered. Personal care is provided in a dignified manner, protecting service users rights to privacy and respect. EVIDENCE: A number of service users’ care plans were looked at and found to contain relevant information to ensure the care provided is the care needed. There was evidence of regular contact with doctors, district nurses and other healthcare professionals. There were also records of contact with dieticians to ensure that specialised diets and nutritional needs were addressed. West Lodge Care Home DS0000000772.V303274.R01.S.doc Version 5.2 Page 10 In discussion, a district nurse was complimentary about the care provided at the home and spoke of the training that had been delivered including catheter care and the use of syringe drivers. The district nurse said she had a good rapport with the staff at the home and would, “give them 9 out of 10”. The management and administration of medication is carried out appropriately and audited by the manager on a regular basis. In discussion, service users agreed that staff members provide care in a respectful and dignified manner. One service user said, “I give them 10 out of 10 for the care they give me”, and another service user said, “The staff are there when I need them”. West Lodge Care Home DS0000000772.V303274.R01.S.doc Version 5.2 Page 11 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 area is excellent. The judgement has been made using available evidence including a visit to the home. The home provides activities to meet service users’ expectations. Service users are encouraged to maintain social contacts and retain control over their lives. Dietary needs are given a high priority EVIDENCE: The home employs an activities co-ordinator who has produced many varied and interesting activities appropriate to service users’ needs and interest. Activities range from trips out to South Shields and shopping to arranging in house entertainers and craft demonstrators. There are also sessions on baking to encourage service users to maintain their independence skills, and quizzes to stimulate the memory. One member of staff has undertaken a course of study to provide massage therapies and aromatherapy. Visitors are welcomed at the home at any time and are encouraged. One service user commented, “I see my family a lot”. West Lodge Care Home DS0000000772.V303274.R01.S.doc Version 5.2 Page 12 In discussion, one service user said there were always something going on in the home to keep me entertained but if I want to be by myself and read, I can”. Another service user said, “ I keep my independence as much as possible”. Service users were seen having lunch and appeared to be enjoying the food served. One service user confirmed, I am always asked what I would like for lunch” The home had recently taken part in “Focus on Food”, a programme to raise awareness of nutrition values in food served in care homes to ensure service users are provided with nourishing and varied foodstuff to meet individual dietary needs. All staff had completed the course organised through a local college, and one staff member had passed with distinction earning high praise from the course organisers. Contact with the dietician confirmed, staff members had, “done really well” and course work completed was, “exceptional”. The dietician said that the theories that had been learned had been put into practice and that the cooks at the home had also completed a 7 weeks catering course. West Lodge Care Home DS0000000772.V303274.R01.S.doc Version 5.2 Page 13 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 area is good. The judgement has been made using available evidence and a visit to the home. The home operates a satisfactory complaints system. Service users are protected form harm or abuse. EVIDENCE: A complaints policy and procedure is in use at the home and during the last 12 months two complaints had been received and dealt with satisfactorily. In discussion, service users said they had no complaints but if they did they would know who to go to and felt they would be listened to and taken seriously. Staff personnel files were looked at and contained evidence of Criminal Records Bureau checks being obtained. It was encouraging that a visiting health professional had been asked to produce a CRB before being allowed to have access to service users. The local authority document on Adult Abuse procedures had recently been obtained by the home and staff members had received training in the Protection of Vulnerable Adults. No adult protection issues had occurred at the home. West Lodge Care Home DS0000000772.V303274.R01.S.doc Version 5.2 Page 14 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 Quality in this area is good. The judgement has been made using available evidence including a visit to the home. The home is well maintained, clean and tidy. EVIDENCE: The home recently had some redecoration and new carpets fitted. The manager said the lounge carpet was also due to be replaced. Service users bedrooms were seen to be pleasant and often furnished with service user’s furniture and ornaments from their own homes. The manager said a new care home was to be built in the grounds and hoped it would be ready to move into in late 2007. One service user said she was looking forward to the new home and that she had been kept informed of the plans to build the new care home. The home was clean and tidy and free from odour. It was noted that pets were allowed to visit the home and this did not cause any inconvenience. West Lodge Care Home DS0000000772.V303274.R01.S.doc Version 5.2 Page 15 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 area is excellent. The judgement has been made using available evidence including a visit to the home. The home employs capable and competent staff in sufficient numbers. Training appropriate to service user need is provided. Recruitment is carried out following the home’s policy and procedure. EVIDENCE: The home enjoys a very low turnover of staff and this has enabled staff and service users to build a good rapport and friendship. Staffing levels include the employment of 5 Registered Nurses and 23 care staff. The home also employs 13 ancillary staff to carry out domestic, catering and laundry duties. Currently, almost all of the care staff members have achieved NVQ level 2 in care and 7 staff members have achieved level 3. The manager said 2 staff members were soon to start NVQ level 4 in care. It was also noted that the Company Manager had also undertaken training and was due to finish the Registered Managers Award shortly. West Lodge Care Home DS0000000772.V303274.R01.S.doc Version 5.2 Page 16 Examination of staff files showed that references and CRB checks were taken up prior to employment and induction training was provided. A record of staff training was seen to include courses in the Protection of Vulnerable Adults, Focus on Food and Infection Control. A staff member who had gained a qualification in the subject was providing training in Manual Handling, and staff members were provided with annual refresher courses. West Lodge Care Home DS0000000772.V303274.R01.S.doc Version 5.2 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, 33, 35 and 38 Quality in this area is good. The judgement has been made sing available evidence including a visit to the home. The home is well managed in the best interests of service users. Arrangements are in place to protect service users’ finances. The health and safety of service users, staff and visitors to the home is protected. West Lodge Care Home DS0000000772.V303274.R01.S.doc Version 5.2 Page 18 EVIDENCE: The manager is a qualified Registered Nurse and has many years experience of caring for the client group. The manager is currently engaged in studies leading to the Registered Managers Award and hopes to complete this soon. In discussion, a health professional said, “The manager has a lot of clinical skills that reflect upon the care provided”. The company manager who is also studying for the Registered Managers Award provides additional managerial support. The home provides a newsletter giving service users and relatives information about forthcoming events and issues about the running of the home. Details of the proposed new care home that is to be built in the grounds are included in the newsletter. The manager said the newsletter was also to be used to give the results of quality assurance audits to show how well the home is performing. The home provides a service to safeguard individual personal allowances but encourages families to retain control over the service users’ financial affairs. Service users’ individual financial records held at the home were seen to be accurate and regularly audited. Regular building checks and safety checks are carried out and any maintenance issues are quickly dealt with. All staff members have received first aid training and 4 staff members have attained a First Aid Certificate after completing a comprehensive course. West Lodge Care Home DS0000000772.V303274.R01.S.doc Version 5.2 Page 19 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 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 West Lodge Care Home DS0000000772.V303274.R01.S.doc Version 5.2 Page 20 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. 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 West Lodge Care Home DS0000000772.V303274.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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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