Latest Inspection
This is the latest available inspection report for this service, carried out on 7th October 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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.
For extracts, read the latest CQC inspection for Bishopsgate Lodge Care Home.
Annual service review
Name of Service: Bishopsgate Lodge Care Home The quality rating for this care home is: The rating was made on: two star good service 2 9 1 0 2 0 0 8 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Nicola Shaw Date of this annual service review: 1 2 1 0 2 0 0 9 Annual Service Review Page 1 of 5 Information about the service
Address of service: Hexham Street Bishop Auckland Durham DL14 7PU 01388607580 01388451140 bishopsgate@schealthcare.co.uk www.schealthcare.co.uk Southern Cross Healthcare Services Ltd Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Ms Linda Campbell Conditions of registration: Category(ies) : old age, not falling within any other category Number of places (if applicable): Under 65 Over 65 0 51 Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Bishopgate Lodge Care Home is situated on the outskirts of Bishop Auckland. The home was purpose built and can accommodate up to 51 service users. The home provides 24-hour personal care (including nursing care) for older people with general nursing needs. The home is on three floors and is easily accessible to all service users. There are a number of communal rooms including lounges and dining rooms. 2 9 1 0 2 0 0 8 Annual Service Review Page 2 of 5 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information we have received, or asked for since the last key inspection. This included: The annual quality assurance assessment (AQQA) that was sent to us by the service. The AQQA is a self-assessment that focuses on how well outcomes are being met for people using the service. The previous inspection report to see what requirements that were made and the results of any other visits we have made to the service in the last 12 months. Information we have about how the service has managed complaints. What the service told us about things that have happened in the service, these are called notifications and are a legal requirement. Relevant information from other organisations. The results of surveys we sent to staff and service users. We received 9 completed surveys from service users and 6 from staff. We also spoke to the manager and a service user over the telephone. What has this told us about the service? The home sent us the AQQA when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQQA and our judgment is that the home is still providing a good service and that they know what further improvements they need to make. Since the last inspection the manager has used service user and relatives meetings to find out what people want. As a result of these there have been a number of improvements to the home including a wider variety of activities and more outings as well as the introduction of a monthly church service for all denominations. Some of the service users have requested a pet dog and the home is looking into this. The manager told us that she continues to conduct a thorough pre- admission assessment and collects information from relevant parties to get as much information as possible about the service user prior to admission to the home. There is a named nurse/keyworker system. They are responsible for carrying out a monthly evaluation of the care plans and risk assessments. The home continues to use a range of health care services including chiropody, dental and optical services. 8 out of 9 service users said in surveys that the home always makes sure that they get the medical care they need. There is a Social Life Facilitator who plans activities for the service users. One service user told us that there are lots of trips out, which they very much enjoy. There is always a supply of home baked cakes and biscuits. 4 service users said in surveys that they always liked the food in the home, 3 said sometimes and 2 said usually. One service user said the foods good, Ive no complaints. 5 service users said in surveys that they did not know how to make a complaint. We Annual Service Review Page 3 of 5 spoke to the manager about this. She told us that a copy of the complaints procedure is available in the entrance foyer of the home. She also told us that there have been 9 complaints in the last year, which she has recorded and investigated fully. One service user told us that they would have no hesitation making a complaint and had done so. The majority of staff have completed training in safeguarding adults and the manager and deputy manager have completed training in managing a safeguarding alert. There have been 3 safeguarding referrals made by the home in the last year which demonstrates staff know what to report and when. The outcomes of these have been managed appropriately. Staff training has continued and has included challeging behaviour as well as the NVQ level 2 and 3 qualifications in care. Only 8 staff have completed training in infection control. The manager knows about this and has plans in place to address this issue. The manager is also looking at providing training to staff about the needs of people with dementia. Staff commented in surveys that the environment could do with being re-decorated. We spoke to the manager about this, who is aware of this issue. She confirmed that a number of service users bedrooms have now been re-decorated as well as the communal lounge area and plans are in place to continue with the re-furbishment and re-decoration programme. A new ventilation system has also been fitted in the kitchen to stop the build of grease on the walls, (this was a requirement from the last inspection). Service users said: The food is nice and the carers are nice, they take care of me, gives a clean warm environment and provides good food and nursing care, T.V. lounge needs up-dating i.e. decoration and seating arrangements to enable all residents to have a view of the T.V., its always spotlessly clean, the big managers ( the homes line manager) comes and chats with me and the views of the Dales are lovely. Staff said:provides a friendly atmosphere to our service users and their visitors. Has regular activities going on. i.e. coffee mornings etc. Provides a good quality of care to our service users, the home provides care for the service users. It has a friendly environment. There is plenty of activities going on. All service users know the staff and it is homely, we give a good standard of care, and we work well as a team, meets the standards required for the health and safety and well being of all service users and staff, cheerful homely atmosphere. Excellent individualised care. Good social activities. Good food in a lovely dining room that has open views of the Dales, the home could do with redecorating and modernizing and the home would be better if it was up-dated and modernised What are we going to do as a result of this annual service review? We are not going to change our inspection plan and will do a key inspection by the 29th October 2011. Annual Service Review Page 4 of 5 Reader Information
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