Care Home: Alpine Lodge Nursing Home

Similar services:

• Snydale Care Home
• Abbey The
• Larchfield Manor
• Hawkhills
• Beeches The - North Yorkshire County Council
• Carentan House
• Ravensworth Lodge

What the care home does well People do not move into the home without having their needs assessed. Each person has a plan of care which details there needs and preferences and the action staff need to take. People`s health care needs are met and the medication system is safe. People told us they are treated with respect and their right to privacy is upheld. There is an activities programme in place and people can choose to take part if they wish. Contact with family and friends is encouraged and visitors are made welcome. People told us they liked the food that is provided one person told us, staff do a great job with the food we get fresh food cooked on the premises, staff go out of their way to provide what we want, good quality food, good portions, presented very well. Complaints are taken seriously and there are procedures in place to protect people from abuse and for reporting any allegations. The home is well maintained clean and hygienic. There are enough staff employed, they are trained and skilled and competent to do there job. People spoke positively about he staff and told us they are, caring,attentive, brilliant and all nice and pleasant. The recruitment procedure was thorough and protected people from harm. One relative told us the home is well run. Staff meet the needs of all the residents. The care staff really do care and really get to know each resident and their family. The home is well managed by a competent manager. The conduct of the home is checked by the operations director. Staff care for people and work in a way that promotes the health and welfare of people using the service and themselves. What has improved since the last inspection? There were no requirements made following the last inspection. In the AQAA the manager has identified since the last inspection The main improvement area being the recruitment of activity coordinators particularly to promote activities for people living with dementia. What the care home could do better: There are no requirements made following this inspection. However the manager and the operations director have identified in the AQAA and during discussion on the day of the visit areas to be further developed. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Alpine Lodge Nursing Home Alpine Road Stocksbridge Sheffield South Yorkshire S36 1AD     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Shirley Samuels     Date: 0 2 0 7 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Alpine Lodge Nursing Home Alpine Road Stocksbridge Sheffield South Yorkshire S36 1AD 01142888226 01142888610 alpinelodge@exemplarhc.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Alpine Health Care Limited care home 61 Number of places (if applicable): Under 65 Over 65 20 41 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 0 0 Alpine Lodge is a care home providing nursing care for sixty-one older people. Within the home is a twenty-bedded unit for people with dementia. Alpine Health Care Limited owns the home. The home is located in Stocksbridge, northwest Sheffield, opposite a school, within walking distance of shops and the bus route. The home is a purpose built two-storey building. All bedrooms are single occupancy and have en-suite facilities. The home is comfortably furnished and well decorated with an appropriate number of lounge and dining areas. The home has a garden area and a car park. A copy of the previous inspection report was available in the service user guides, which Care Homes for Older People Page 4 of 25 Brief description of the care home are provided in every persons bedroom. Information about how to raise any issues of concern or make a complaint was on display in the foyer of the home. The manager confirmed that the range of fees from April 2009 was 485.00 pounds -497.00 pounds per week. Additional charges included hairdressing, newspapers and private chiropody. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced inspection carried out by Shirley Samuels on the 02/07/09 from 9:50-17:20 The previous inspection at this service took place on the 12/07/07 As part of the visit we sought the views of the people using the service their relatives and staff. Some people completed questionnaires before the inspection, others were spoken to on the day of the visit. We checked a selection of documents regarding peoples care and support, staff records and records that show evidence of compliance with regulations and standards. Before the inspection the manager completed an Annual quality Assurance assessment (AQAA). This information provided by the manager tells us how the service has Care Homes for Older People Page 6 of 25 developed since the last inspection and what is planned to further develop the service over the next 12 months. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into the report as recommendations- but only when it is considered that people using the service or not being put at significant risk of harm. In future if requirement is repeated, it is likely that enforcement action will be taken. We would like to thank everyone for their help and co-operation. What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 25 Care Homes for Older People Page 9 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People do not move into the home without having their needs assessed. Evidence: People told us they are provided with written information about the home. The homes statement of purpose and service user guide is displayed and people are provided with a copy. Three service user files checked, contained assessments carried out before people move into the home. The staff told us they always have the information they need to help them make a judgment about whether or not they can meet peoples needs. The manager told us that the home also carries out their own assessment. The home does not provided intermediate care. Care Homes for Older People Page 11 of 25 Care Homes for Older People Page 12 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs are detailed in a plan of care, their health care needs are met, the medication system is safe and people feel they are treated with respect and dignity. Evidence: Each person had a plan of care that details their health, personal and social care needs. They containe information about the action staff need to take and daily records detail what care and support has been provided. Care plans are reviewed and people using the service and relatives spoken to told us they are consulted. This shows staff have the information they need to support and care for people appropriately. The records show details of appointments with health professional including, dentist, optician, chiropodist and district nurse. One person told us she was due to have a hearing aid fitted and how it was going to greatly improve her quality of life. This shows that peoples health care needs are met. Medication is stored safely however due to the medication trolley not being big enough Care Homes for Older People Page 13 of 25 Evidence: to store all the medication, some medication, while it was stored securely was not in a locked trolley. The home has a medication policy. Staff who administer medication are trained and their competence is monitored by the manager. People told us they receive their medication at the times they expected it. Staff were observed offering appropriate levels of supervision to people at the time of administration, people are approached sensitively and treated in a dignified manner. This shows that the medication system is safe. Staff were observed approaching people in a respectful way. People told us staff called them by the name they preferred, and spoke to them in a proper manner. people told us they are able to make choices about the way they spend their day, what time to get up, go to bed and their choice of meal. Staff gave us examples of how they promoted peoples rights on a daily basis some of these included, knocking on bedroom doors, offering choice, sharing information and carrying out personal care in the least intrusive way. They told us for those people who have difficulty making choices staff can make choices for them based on the information they have about people. This shows people are treated with respect and dignity and their rights are upheld. Care Homes for Older People Page 14 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Activities are provided, contact with family and friends is encouraged,and people are provided with a balanced diet that is pleasing to them. Evidence: The home employs two activity co-ordinators who plan activities in consultation with people using the service. People told us they are able to choose whether OR not to take part and there is a variety of events that take place,they included trips out on the mini bus , outing with friends and family, trips to the coast, entertainers, pampering sessions, art and craft. This shows people have opportunity to take part in recreational activity. Staff told us contact with friends and family is encouraged. Relatives told us they are made to fell welcome when they visit and that in the main their relationships with staff is positive. People told us they were able to make choices and told us that staff supported them to remain as independent as possible. This shows people are encouraged to maintain control over their lives. Care Homes for Older People Page 15 of 25 Evidence: People told us they liked the food that was provided. Menus are displayed and people who need help with feeding are given this in a dignified manner. There are several people who need their meal to be liquidized this was presented in an appetizing way. In between meals people were provided with hot and cold drinks and light snacks. This shows people are provided with an appealing balanced diet in pleasing surroundings. Care Homes for Older People Page 16 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints are taken seriously and there are procedures to safeguard people from harm. Evidence: The home has a complaints procedure. People told us they had someone to talk to if they were not happy. The records show that complaints are listened to and taken seriously. Records detail the content of the complaint any investigation and the outcome. Two safeguarding referrals have been made in the last 12 months. These have been reported and investigated by relevant agencies and managed appropriately to make sure people are protected from harm. Care Homes for Older People Page 17 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well maintained clean and hygienic. Evidence: People told us they are happy with their bedrooms, the communal areas are in the main homely, airy and bright. The records show ongoing maintenance and replacement. Furniture and furnishings are in good condition. There are some areas of the home including some of the lounge and corridor areas which lack interest and stimulation particularly in the area accommodating people living with dementia. There are no offensive odours, which was commented on by some of the relatives spoken to. This shows the home is well maintained clean and hygienic. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are enough staff to meet peoples needs and they are qualified and trained to do their job. Evidence: People told us staff were attentive, caring and approachable. Staff told us in the main there are enough staff on duty. Staff told us they work well as team and cover for each other during sickness and holidays. The manger told us bank staff are also used to cover gaps in the rota. She added that efforts are made to offer continuity of care to people by using the same staff were ever possible. The records show staff are qualified to do their job, they are offered regular training and updates to make sure they have the skills and knowledge needed. In the AQAA the manager told us that 14 of the 34 staff have been trained to National Vocational Qualification (NVQ) level 2 in care. Three staff files were checked and they show that the home carries out all appropriate checks on people before they start work at the home. The checks include, references, criminal record checks, identification checks, interviews, and health checks. This makes sure that people are protected by the homes recruitment procedures and policies. Care Homes for Older People Page 19 of 25 Evidence: Staff told us they are able to identify any training needs though supervision. The records show that staff are provided with all statutory training including, fire safety, moving and handling and first aid. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well run, the health safety and welfare of people is promoted. Evidence: Staff spoke positively about the manger. The manager is clear about her role and responsibilities and told us she is supported well by the operations director. Regular visits are made by the operations director to check on the conduct of the home. During these visits she talks to people using the service, staff and visitors wherever possible and report is prepared. Annual surveys are carried out by the organisation. This allows people using the service and their relatives to comment on the service. The manager told us this information is collated into a report and made available. This shows the home is run in the best interest of people using the service and they are able to comment on the quality of the service. There are procedures in place to ensure the safe storage of peoples money and to oversee peoples financial arrangements. Records are kept of income and expenditure, Care Homes for Older People Page 21 of 25 Evidence: receipts are in place and people told us they are happy with the arrangements. This made sure peoples financial interests are safeguarded. Staff told us they had received health and safety training. There are procedures in place and records kept of safety checks on appliances, equipment, gas electric etc. Observations were made of staff working in a way that promoted peoples health and welfare. We observed safe moving and handling, and use of moving and handling equipment. Staff were able to give examples of the action they took on a daily basis to promote peoples health and safety. These included, reporting hazards, using the equipment provided, attending training and taking some responsibility for their own safety. This made sure the health, safety and welfare of people and staff is promoted. Care Homes for Older People Page 22 of 25 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 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, Care Homes 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 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 9 To reduce the risk of mistakes, codes should be used in a constant way. Care Homes for Older People Page 24 of 25 Helpline: Telephone: 03000 616161 or Textphone: or 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. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 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!