Care Home: Harrogate Lodge Care Home

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What the care home does well The service has responded well to issues which have arisen making safeguarding referrals as necessary and keeping us informed of progress. People can be assured that any concerns are taken seriously and acted upon. There was a relaxed and welcoming atmosphere at the service and people told us that they are happy there. What the care home could do better: There is a new manager in post with clear ideas of how to develop the service provided at the home. Actions taken to address issues that have arisen have laid good foundations for her to build on to improve and develop the service and facilities. The manager should make her application to be registered with us as soon as possible. This will mean that the management of the home is accountable Random inspection report Care homes for older people Name: Address: Harrogate Lodge Care Home Harrogate Road Chapel Allerton Leeds Yorkshire LS7 3PD 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: Catherine Paling Date: 0 3 0 6 2 0 1 0 Information about the care home Name of care home: Address: Harrogate Lodge Care Home Harrogate Road Chapel Allerton Leeds Yorkshire LS7 3PD 01132392173 01132392174 Telephone number: Fax number: Email address: Provider web address: www.fshc.co.uk Name of registered provider(s): Name of registered manager (if applicable) Tamaris Healthcare (England) Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 50 Number of places (if applicable): Under 65 Over 65 50 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 Harrogate Lodge Care Home is situated in the Chapel Allerton Area of Leeds. This establishment is part of Four Seasons Health Care. A national provider with over 300 services. Harrogate Lodge is situated off the main Harrogate Road in easy walking distance to the local bus stop, shops, post office and other services. Parking is provided for any visitors. The establishment is build for the purpose of providing nursing and personal care to up to 50 older people. The home is situated on two floors and a passenger lift is fitted Care Homes for Older People Page 2 of 9 Brief description of the care home within to meet the needs of individuals who are unable to manage stairs. There are fifty single rooms with en-suite and each floor has a number of communal dining and lounge areas as well as a choice of assisted bathrooms and showers. Additional to the en-suite facilities there are adequate numbers of communal toilets in close proximity to communal rooms. The reception provides for visitors seating, facilities for visitors to have refreshments and information leaflets that may be of interest to those who use the service and their visitors. The managers and administrators offices are conveniently located here. Care Homes for Older People Page 3 of 9 What we found: We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: - The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. - Information we have about how the service has managed any complaints. - What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. - The previous key inspection of 13th September 2007, annual service reviews and the results of any other visits that we have made to the service in the last 12 months. - Relevant information from other organisations. - What other people have told us about the service. We sent out a number of surveys before the inspection, to people using the service. Comments we have received appear in the body of the report. This was an unannounced visit carried out by one inspector on 3rd June 2010 who was at the home for 3 hours. The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear, detailed and gave us all the information we asked for. We arrived at the home as the lunchtime period was coming to an end. People told us that they had enjoyed their meal and we saw that people had had a choice of what they wanted to eat. It was a hot day and there were plenty of drinks around the home being offered to people. People had enjoyed sitting outside on the patio in the shade with sunscreen and hats available. We spoke to a small number of people and their relatives and all felt satisfied with the care they received. Surveys returned to us also indicated that people were satisfied with the care and support at the home. People said: I have no issues with the home. I am well looked after and couldnt ask for anything more. I am happy here. Caring from the staff is very good and very friendly Relatives we spoke with said that they had confidence in the staff and said they were always contacted when there were any issues they needed to know about. We looked in detail at the care of one person who spent most of their time in their room, at their choice. Although the records did contain some old information there was enough information and detail for staff to know how to look after them properly. Care plans were clear and demonstrated that the individual had also been involved in the development of the records. Care Homes for Older People Page 4 of 9 We spoke with the nurses on duty about the medication practices and procedures. All staff have had medication update and there are systems in place for the close monitoring of medication administration. Surveys returned to us indicated that people know who they can talk to about any concerns and also how to make a formal complaint. There have been a number of complaints over the last twelve months made to the service. There were clear records available showing that concerns are taken seriously and are acted upon. There have also been a number of safeguarding incidents reported by the service to the safeguarding team and to us. These concerns have been investigated and systems reviewed with the service cooperating fully. The issues have been resolved. There remain some issues around the provision of stimulation and meaningful activities for people living at the home. There is a limited activities programme and the new manager has clear ideas about ways of improving day to day life for people living at the home, for example there is a range of newspapers now being delivered and staff are to be encouraged to spend time with people reading and discussing events and articles. The manager is new to the service and has only been in post for 2 weeks. She has experience of managing homes in Scotland, is a registered nurse and has completed the Registered Managers Award (RMA). There is range of audits in place, for example, daily and weekly medication audits and care plan audits to help her monitor the service. She is being supported by the provider through her induction period. The manager has arranged a relatives and residents meeting for 09/06/10 for her to formally introduce herself. She has sent written invitations to all in which she asks for items to discuss in advance of the meeting to enable her to prepare. 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 Care Homes for Older People Page 5 of 9 following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 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 9 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 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 8 of 9 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. 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