Random inspection report
Care homes for older people
Name: Address: White Rose Lodge Retirement Home Limekiln Lane Bridlington East Yorkshire YO15 2LX two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Sarah Rodmell Date: 0 1 0 7 2 0 1 0 Information about the care home
Name of care home: Address: White Rose Lodge Retirement Home Limekiln Lane Bridlington East Yorkshire YO15 2LX 01262400445 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Pauline May White Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross OPCO Ltd care home 38 Number of places (if applicable): Under 65 Over 65 38 4 old age, not falling within any other category physical disability Conditions of registration: 0 0 The maximum number of service users who can be accommodated is 38 The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category - Code OP, maximum number of places 38 Physical Disability over 65 years of age - Code PD(E), maximum number of places 4 Date of last inspection Care Homes for Older People Page 2 of 11 Brief description of the care home White Rose Lodge is a care home, which provides a service for people who meet the following criteria of need - Older people (up to 38 places) and older people with a physical disability (four places). The home is situated on the North side of the town of Bridlington, and people living in the home have excellent views of the sea and coastal area. The local shops and amenities are within a short walking distance of the home and there is car parking within the grounds of the home. Accommodation is provided in single and double rooms, the majority of these are single and some have en-suite facilities. Most of the bedrooms have patio doors leading onto the garden areas (ground floor rooms) or a balcony (first floor rooms). People living in the home are provided with a wide variety of communal spaces including lounges, a spacious dining room and an entrance area provided with comfortable settees and chairs. The garden area outside the home is well maintained and people are able to sit and look out over the cliffs towards the sea. Information about the home and its service can be found in the statement of purpose and service user guide, both these documents are available from the manager of the home, and copies are on display in the entrance hall of the home. Care Homes for Older People Page 3 of 11 What we found:
This random inspection was undertaken following the receipt of information received by the CQC which was of a safeguarding nature. We did not look at the requirements of the previous key inspection undertaken on October 2009, were the home was rated as 2 star good. Consequently these do not appear in this report. Following the last key inspection two Annual Service Reviews have been undertaken on the service, the last one on 3/11/09, these did not highlight any concerns regarding the home. We looked at the following outcome areas: Health and Personal Care We looked at the files for 6 of the people who live in the home. These files included an assessment of need and a plan of care for each person. The details covered a variety of areas, including peoples health needs and how these would be met, although we saw that for one person several areas of the care plan were left blank with no explanation on how these needs were to be met.Additionally we saw that for another person some of the areas identified in their assessment had not been transferred to their plan of care. We saw that there were assessments relating to specific health needs and any monitoring that would be required to assist with the meeting of these needs. There were inconsistencies in the recording of peoples health needs, for example, a moving and handling risk assessment was not completed, and a return from hospital update form was blank. We saw that people had monitoring charts, for example, for their dietary intake. Although these were in place the recording was inconsistent and they were not always up to date. One person had a substantial weight loss and again the information was unclear on what actions had been taken to support them with this. We also saw that peoples fluid intake charts were not always kept up to date. This does not ensure that people are supported to have their nutritional and health needs met. Risk assessments were in peoples files that included for example, the risk of moving and handling, falls, pressure ulcers,and nutrition. Each of these would be completed by a member of staff and then be authorised by a more senior person. We saw that on some occasions there was a gap of up to three months prior to the risk assessment being authorised. This does not ensure that peoples risk assessments are correctly completed and contain the necessary information to help reduce risks to people. Additionally if these were incorrect and yet in use, this could potentially increase peoples levels of risk. We also saw that when a risk or need was identified it was unclear if any follow up action had been taken ,for example, one persons nutritional risk assessment was identified as high risk, but there were no details of any follow up actions. Daily dairy notes are kept for people with weekly progress reports also being completed, although not all of these were completed and some had not been updated for up to three months.
Care Homes for Older People Page 4 of 11 When we spoke to the people who live in the home and to their relatives we were told that the home always responded to their health needs and that if they required an appointment with a health professional, for example, their GP, this would be completed and relatives would be kept informed. Peoples records included that they were visited by a variety of health professionals and that this included the emergency out of hours GP when someone was unwell. We talked to some of the staff team. They were clear on their roles and on the needs of the people who live in the home. They told us about the systems in the home for recording peoples needs and how the staff keep up to date with this. The staff refer to the care plans of people, yet we found that these were not always fully completed and up to date. This does not ensure that staff are supporting people correctly in the meeting of their needs. Daily Life and Social Activities We looked at the menus available to the people who live in the home. These offer a variety of meals with options available for people who do not want the main meal on offer. We spoke to some of the people who live in the home and they all told us that they like the food that is provided. When we spoke to the relatives they also told us that the food is good, including that their relative is supported with their individual choices and requests regarding food. The recording of peoples dietary and fluid intake was not consistent and is addressed earlier in this report. Complaints and Protection We looked at the records for complaints held in the home. The records included the details of the complaint and the actions taken by the manager to rectify the concerns raised. However, the record did not include that the manager had made sure that the complainant was satisfied with the outcome of the complaint and she was advised to the necessity for this. When we spoke to the people who live in the home and their relatives they told us that they were happy living in the home and that the staff were good. They told us that they did not have any complaints. When we spoke to the staff team they told us that they felt able to raise concerns with the manager of the home and that she would actions these. They told us that if there appeared to be an ongoing problem/ concern within the staff team the manager would call a staff meeting so that this would be addressed. Environment We completed a tour of the premises. We saw that the home was clean and comfortable throughout with no unpleasant odours. People are able to personalise their own rooms and were happy with their rooms. We saw that there is a hoist available to the service users who require support with moving and handling and that this is regularly maintained. Care Homes for Older People Page 5 of 11 Management and Administration The manager of the service has been absent from the home and the deputy manager has undertaken the day to day running of the service with the support of an area manager from the organisation. People told us that the manager was approachable and that she would seek to resolve any concerns raised. We found that there are inconsistencies in the record keeping for the people who live in the home and that this has the potential to place people at risk of not having their health needs met or at risk of harm. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 11 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 11 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 7 15 Service user care plans 06/08/2010 should accurately and comprehensively incude all of the assessed needs of the individual and how these needs are to be met. This will help to ensure that peoples needs are clearly identified and as fully met as possible. 2 8 13 Risk assessments including those for moving and handling should be completed, and approved in a timely manner. This will help to ensure that people will quickly have written support to help reduce the possibility of the identified risks occurring. 06/08/2010 3 8 12 Assessments of peoples health needs should be undertaken, kept up to date and under review. These will help to identify the specific needs of an 06/08/2010 Care Homes for Older People Page 8 of 11 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action individual, how these are to be met and the actions to take should change occur. 4 8 13 Records to support people with the monitoring of their diet or fluid intake must be kept up to date and correct. This will help to ensure that these needs are met and peoples health is not placed at risk. 5 8 13 Nutritional assessments 06/08/2010 should be undertaken on people, reviewed and kept up to date. This will help to ensure that peoples nutritional needs are identified and met to help in the maintenance of peoples health. 6 37 17 All records relating to people 06/08/2010 who live in the home must be kept up to date, including the upkeep of peoples daily notes and weekly evaluation records. This will help to ensure that staff are aware of the latest information relating to each individual and will assist in the meeting of their needs. 06/08/2010 Care Homes for Older People Page 9 of 11 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 16 A record of the outcome of a complaint should include if the complainant is satisfied with the actions taken by the home, including the conclusion of the investigation. Care Homes for Older People Page 10 of 11 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 11 of 11 - 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!
