Care Home: Byker Lodge

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What the care home does well The home is well maintained, safe and comfortable providing the people using the service with a pleasant place to stay. There are appropriate aids and adaptations provided throughout the home to help maintain people`s independence. Good care plans are in place to help ensure staff receive appropriate information to meet people`s needs and monitor their health needs. Opportunities for training are good which enables staff to learn new skills to support the people using the service in all aspects of their lives. Training courses include mandatory health and safety and a range of specialist courses to help ensure staff are competent to deal with the individual needs of the people using the service. The manager and the staff team are committed to treating people as individuals and ensuring they can make personal choices. They say they enjoy their work and make every effort to ensure the home is pleasant and comfortable. Regular meetings are held to consult the people staying in the home about the food served in the home and activities that are provided. People using the service said that they could continue their preferred daily routines. They confirmed that their privacy and dignity was respected by the staff. Admissions are well planned, however due to the nature of the service this means that people may be admitted at very short notice in emergency situations. The service offers support to relatives and carers as much as possible throughout the process. What has improved since the last inspection? Care plans are now evaluated on a weekly basis instead of monthly. This helps ensure any changes in needs are quickly identified and acted upon. All staff have attended an equality and diversity training programme and the home has a equality monitoring system. Two widescreen televisions have been purchased from funds raised by the staff team. One lounge is now a dedicated quiet/activity area with no television. Three conservatories have been added to the home to provide extra space for people to enjoy. What the care home could do better: Senior staff should continue to monitor the medication system and carry out competency assessments to reduce errors in the system. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Byker Lodge Bolam Way Byker Newcastle upon Tyne NE6 2AT     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: Anne Brown     Date: 2 4 1 1 2 0 0 8 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 27 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.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Byker Lodge Bolam Way Byker Newcastle upon Tyne NE6 2AT 01912652448 01912242259 angie.gray@newcastle.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Newcastle City Council Social Services Department Name of registered manager (if applicable) Ms Angela Mary Gray Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia Additional conditions: Up to 5 beds can be flexibly used to accommodate service users receiving respite care aged 55 to 64 years old, or service users over pensionable age. Date of last inspection Brief description of the care home Byker Lodge is a Local Authority home providing care for people suffering from old age, dementia and mental health problems. People are either admitted to the home for respite care or on a short-term emergency basis. All bedrooms have en suite facilities. There are three lounge/dining rooms, small lounges, three conservatories and a large secure garden with raised flowerbeds and a water feature. There is a range of aids to assist people with disabilities such as hoists, wheelchair access and grab rails throughout the home. The location of the home is convenient for access to the post office, newsagents, general dealers and off licence. There are two social clubs and a Care Homes for Older People Page 4 of 27 care home 25 Over 65 19 6 0 0 Brief description of the care home public house nearby. The fees are 64 pounds 65pence per week for respite services. Financial assessments are carried out for emergency admissions. Information about the home and inspection reports are readily available. Care Homes for Older People Page 5 of 27 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: Before the visit: We looked at: Information we have received since the last inspection on 29th November 2006. How the service dealt with any complaints and concerns since the last visit. Any changes to how the home is run. The providers view of how well they care for people. Care Homes for Older People Page 6 of 27 The views of people who use the service and their relatives. The visit: An unannounced visit was made on 24th November 2008. During the visit we: Talked with people who use the service, staff and the manager. Looked at information about the people who use the service and how well their needs are met. Looked at other records that must be kept. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to make sure it was clean, safe and comfortable. Checked what improvements had been made since the last inspection. We told the manager what we found. 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 Care Homes for Older People Page 8 of 27 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 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 27 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. Detailed assessments are carried out before people use the service and they are invited to visit the home before they are admitted. This means that the staff receive good information to help them meet peoples needs. Evidence: All admissions are made through a single entry point referral process. Four case files were examined and all contained a full needs assessment carried out by appropriately trained people. They contained information on personal care, physical well being, diet, weight, sight, hearing, communication, oral health, foot care, mobility, continence, mental state, social interests, religion and cultural needs. Where possible, people who will be using the service can visit the home prior to their stay. Their individual needs are discussed with the staff team and are recorded. This helps ensure the staff can meet their needs when they admitted. Care Homes for Older People Page 11 of 27 Care Homes for Older People Page 12 of 27 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. The care plans contain good information to help ensure the staff team are well informed about the needs of the people using the service. Evidence: There are care plans are in place for each person using the service. The plans describe peoples individual needs and how the home will meet them. They give good information to the staff and tell them what they need to do to care for and support people. Each persons care and support is regularly reviewed and action is taken on any changes. The reviews are carried out as a matter of routine, or at the persons request. Health needs are monitored by the staff who work closely with a range of health care professionals to ensure that any specialist needs are met. People staying in the home are registered temporarily with a designated GP if their own GP is out of the area. Care Homes for Older People Page 13 of 27 Evidence: The people using the service said the staff respect their privacy and dignity. Staff were observed to be working with people in a caring and sensitive way. A random sample of medication records and the system for storage and handling medication was looked at and found to be appropriate. The medications system is audited on a weekly basis by senior staff to check it is in order and to help prevent errors. People are encouraged to retain their own medication if they are able. The home are currently working closely with the community pharmacist to look at the medication system to ensure it is robust. The community pharmacist also provides training for the staff as it was felt this training was more appropriate due to the nature of the service. Care Homes for Older People Page 14 of 27 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. People using the service enjoy a range of activities which are reviewed on a weekly basis to meet individual needs. Evidence: Staff members are allocated on a daily basis to orgniase activities both in and out of the home. Meetings are held with the people using the service on a weekly basis and the activities for the following week are discussed. The minutes of these meetings are displayed and the meetings are held on different days and times so everyone has the opportunity to participate. Activities include quiz, play your cards right, bingo, coffee mornings and crafts. People are supported to visit the local shops, pub etc. They also enjoy trips on the metro to Whitley Bay. Activities are recorded in the activities diary and in the personal files of the people using the service. Care Homes for Older People Page 15 of 27 Evidence: Two widescreen televisions have been purchased from funds raised by the staff team. There is a dedicated quiet lounge with no television where activities can take place. Seasonal events and birthdays are celebrated. The home has an open visiting policy. Relatives are encouraged to participate in activities and events which are taking place. On the day of the inspection the people using the service were choosing where to spend their time. Some were in the communal areas and others preferred to be in their bedrooms. Staff encourage people to retain their independence and this was observed during the mealtime. The menus are varied and nutritious. A choice of meal is offered at lunchtime and alternatives can be requested at any time. Lunch was taken with a small group of people staying in the home. This was relaxed and unhurried. The staff were offering choice and were assisting people in a sensitive way. The tables were attractive and condiments were available. Everyone confirmed they had enjoyed their meal and felt the food was always very good. Two people staying in the home were having a late breakfast. The staff were offering them a choice of cooked breakfast, toast and cereals. The manager is planning to redesign the social assessment document to give more in depth information to help inform the staff to provide more person centred care. Care Homes for Older People Page 16 of 27 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. There are good systems in place to help ensure people are protected from abuse and make sure their complaints are taken seriously. Evidence: Leaflets are displayed in the entrance of the home telling people how to make a complaint. The complaints procedure is included in the service user guide which is available in all bedrooms. A complaints book is maintained where complaints, details of the investigation and outcomes are recorded. Two complaints have been received and investigated since the last inspection. Several compliments have been received by the home. All the staff in the home have undergone training on safeguarding adults. Refresher courses are due to commence next year. The staff on duty confirmed they had received this training and were aware of the whistle blowing policy operated in the home. The staff have also received training to raise their awareness of the Mental Capacity Act. The system for dealing with money held in the home on behalf of the people using the service was satisfactory. Care Homes for Older People Page 17 of 27 Care Homes for Older People Page 18 of 27 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 decorated and maintained providing people who use the service with a pleasant place to stay. Evidence: The home is well decorated and maintained providing people with a pleasant place to stay. Since the last inspection three new conservatories have been added to provide more space. One bedroom has been taken out of use to extend a dining area. Most bedrooms have been redecorated and provided with new carpets. The bedrooms now have adjustable beds to meet the needs of physically frail people who use the service. There is a system in place to report and monitor ongoing maintenance and repair issues. The garden areas are maintained under contract. The main garden is secure but readily accessible with raised flower beds. Care Homes for Older People Page 19 of 27 Evidence: All areas were observed to be clean, hygienic and free from offensive odours. Liquid soap and paper towel dispensers have been provided in all en suite facilities and bathrooms to help prevent the spread of infection. A senior worker is delegated to supervise the domestic staff and ensure that cleaning schedules are adhered to. The domestic assistants have achieved a National Vocational Qualification in cleaning and support. Care Homes for Older People Page 20 of 27 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, who have been properly recruited, trained and supported, to meet the needs of the people living in the home. Evidence: At the time of the inspection the manager, team leader, one senior, three care officers, administrative assistant, three domestic assistants and two cooks were on duty. Nine people were staying in the home. The staff on duty felt the staffing levels were adequate to meet the needs of the people using the service. A policy and procedure supporting the recruitment and selection of staff is in place. The manager confirmed that she had recently recruited staff to fill all the vacant posts and was awaiting Criminal Record Bureau checks before they commenced work. Job descriptions and contracts of employment have been issued to all existing staff members. A training plan was in place for mandatory health and safety and specialist training for this year. Training and development records are kept for all staff. Care Homes for Older People Page 21 of 27 Evidence: Training has also taken place on dementia, visual awareness, falls, strokes, report writing and foot care. The staff on duty felt they receive plenty of training to help them care for the people living in the home. There is a programme in place to ensure staff achieve a National Vocational Qualification (NVQ) Level 2. Ten members of staff hold this qualification, three have achieved Level 3 and three have achieved Level 4. The people using the service said the staff were very good and they had good relationships with them. Comments included They are always there when you need them Theyre great Nothing is a problem. The staff were observed to be caring people in a patient and sensitive way. Care Homes for Older People Page 22 of 27 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. There are systems in place to ensure the people are consulted about the service they receive and to ensure they are safe. Evidence: The manager has 23 years of experience in caring for older people. She has achieved a Registered Managers Award and NVQ Level 4. The two team leaders have also achieved NVQ Level 4. An annual development plan is in place and has recently been reviewed. Weekly meetings are held with the people using the service and surveys are issued to obtain feedback on how the service is performing. Comments from the surveys included Spotlessly clean. Care Homes for Older People Page 23 of 27 Evidence: Staff most agreeable and very caring. Would recommend it. Everybody does so much to help. All staff receive health and safety training and one member of staff is responsible for overseeing health and safety issues. Policies and procedures are in place to help ensure the safety of the people using the service and the staff. Accidents are recorded and analysed on a monthly basis. Tests are carried out on fire safety equipment, water temperatures and kitchen equipment. A fire safety risk assessment was completed on 1st September 2008. Care Homes for Older People Page 24 of 27 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 25 of 27 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 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 27 of 27 - 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!