Care Home: Lincoln Lodge

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What the care home does well The home is long established, and overlooks the sea. It provides spacious and comfortable accommodation for the people living there, over four floors, including the office accomodation. The service offers as much care and support as the individuals need, and encourages people to retain independence wherever possible. care needs are detailed in individual plans, which are reviewed by care staff on a regular basis. The service is well managed, and has retained a core of experienced and mature staff, who know the residents well, and all staff receive a high level of training. What has improved since the last inspection? Since our last Inspection in 2007, the home have introduced a number of changes including more activities, improved staff training with most staff now at at least level 2NVQ. Some of the home has been redecorated, and a new boiler installed, and all radiators are now covered. Requirements made at the last inspection have been adressed, and procedures changed to reflect this. What the care home could do better: Some updating work is required within the home, and this was discussed during our visit and will further enhance the facilities available to the residents. The AQAA indicated that one of the Senior staff is undertaking her NVQ level 4 and will then take a more active role in the management of the care within the home, including supervision of the care team. The service should ensure that anyone in the home whether employed or a volunteer does have a valid CRB disclosure. They must also ensure that should any resident wish to look after their own medication, then procedures are in place. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Lincoln Lodge 2 Lincoln Square Hunstanton Norfolk PE36 6DL     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: Alan Buttery     Date: 1 7 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 23 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 23 Information about the care home Name of care home: Address: Lincoln Lodge 2 Lincoln Square Hunstanton Norfolk PE36 6DL 01485535328 01485535163 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Brian James Poore care home 25 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: May from time to time admit one service user who is over 60 years of age, not falling within any other category. Date of last inspection Brief description of the care home Lincoln Lodge is a care home providing personal care and accommodation for 25 older people. Mr B Poore owns the home. The home is located on the seafront at Hunstanton, close to shops, pubs, the post office and other local amenities. Lincoln Lodge was originally a hotel and accommodation is spread over four floors with the majority of rooms having a sea view. The home has a small passenger lift to all floors. All bedrooms provide single occupancy and 9 have en-suite facilities. There are Care Homes for Older People Page 4 of 23 Over 65 25 0 Brief description of the care home two lounges and a dining room on the ground floor with a sun lounge on the first floor. The current fee range is between #369:00 & #403:00. Additional charges include hairdressing, private chiropody, newspapers, own telephones and some toiletries, although most are supplied by the service. People are advised of the fee payable at the time of initial enquiry and this is done verbally. The fee is included in the terms of residence that is provided as soon as possible after admission. A copy of the last inspection report is available on request Care Homes for Older People Page 5 of 23 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, lasting around four hours. During this time, we met with the proprietor and with the registered manager, and also spoke to some of the staff working on the day of our visit. We were also able to speak to some of the residents who live at Lincoln Lodge, and some of their views and comments.are included within the report. Prior to our visit, the service submitted an Annual Quality Assurance Assessment (AQAA) which provided us with additional information about the service. Care Homes for Older People Page 6 of 23 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 7 of 23 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 8 of 23 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. Procedures are in place to ensure a full assessment is carried out before any one moves into the home, so that new residents can be confident that their needs have been identified and will be met in a manner suited to them as individuals. Evidence: Procedures are in place to manage admissions to the home, although in the past year there have been relatively few admissions, only 3. The manager of the home is normally responsible for new admissions, and would complete an assessment before anyone moved into the home. Most people visit the home before deciding to move in, and generally people moving to Lincoln Lodge are still mobile and able to manage much of their care with minimal assistance. They are encouraged to spend time with some of the residents, and often stay for lunch to enable them to get a clear picture of life in the home. Care Homes for Older People Page 9 of 23 Evidence: Once happy that they wish to move into the home, and that their identified needs can be met, then arrangements would be made for them to move to the home, and initial paperwork, contracts and care plans are completed. During our visit we looked at the individual plans for three of the residents, and these showed the assessments that had been carried out. The service does not offer intermediate care. Care Homes for Older People Page 10 of 23 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. Individual plans are in place to show care staff how the individual needs of the residents are to be met, in a way suited to that resident, and are kept under review. Evidence: Following the admission process detailed earlier, arrangements are made for the new resident to move into the home, and the initial care plans detail the support they require, and how this should be given. The care plans are reviewed on a regular basis, and this was seen in the three plans we looked at during our visit. The plans are monitored and reviewed by the residents key worker, and include details of medication, risk assessments, social history and accident records, as well as the support needs of the person. Individual plans are prepared and discussed with the resident in question, and are signed by the person to show that this has happened. Generally the service chooses not to allow people to self medicate, although this Care Homes for Older People Page 11 of 23 Evidence: should be reviewed. However one recent admission does support his diabetes himself with appropriate support. The service has a generally good relationship with the local GP practice and local health professionals. District nurses call twice weekly, and support is available as and when required from continence advisors and dietitians. Care Homes for Older People Page 12 of 23 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 living in the home have a variety of events and activities to choose from, and enjoy a range of home cooked food, with choices always available. Evidence: People living in the home are able to enjoy a range of activities and events. The home overlooks the sea, with a number of rooms having sea views, and is close to the centre of Hunstanton. Some of the residents are able to walk into the centre, often with support, and look around the shops or have tea or an ice cream, others rely of friends and family for transport to take them out. Various activities are arranged such as Bingo, other games, ball games, exercises sessions, and outside entertainers, and the home has plenty of Cds and books for residents to use. Birthdays and seasonal events are celebrated, and a choir from the local church visit regularly to sing hymns and a local vicar takes communion for those who wish every six weeks. Care Homes for Older People Page 13 of 23 Evidence: One lady we spoke to during our visit enjoys reading, and spends a lot of time watching friends on the bowling green opposite. Staff, family and friends make sure she has a supply of books available. Another person we spoke to who had only been living in Lincoln Lodge for a short time told us that the service had discussed with him activities that he would enjoy, and offered a number of suitable things for him to do. Food is all home cooked, and generally sourced locally, and we were told by people we spoke to that it was very good and plentiful, with a choice always available. Breakfast can be taken in their room if residents choose. Care Homes for Older People Page 14 of 23 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. Procedures are in place which ensure that any concerns, complaints or allegations are appropriately dealt with, and people we spoke with during our visit were aware of how to make their concerns known. Evidence: Procedures are in place to ensure that any concerns or complaints are quickly dealt with, and these were discussed with the provider and registered manager. The home has had no significant complaints aver the past few years, but ensures that any comments or concerns raised by people living in the home are quickly dealt with. We spoke with some of the people living in the home, who knew how to make any concerns known. Safeguarding procedures are in place, and again no significant issues have been reported. All staff receive Safeguarding training and regular updates, and the staff we spoke with all told us that they were aware of procedures that should be followed. Care Homes for Older People Page 15 of 23 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 service runs from well equipped premisies which offer a safe and clean environment for people living in the home. Evidence: As part of our visit, we looked around the home, and with the permission of residents, looked in some of the bedrooms. The home is spread over four floors, and comfortably furnished. residents are able to bring possessions and furniture with them , which was seen as we looked around. There are a suitable number of bathrooms and toilets available, and on the day of our visit, the home was clean and free from offensive odours. Care Homes for Older People Page 16 of 23 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. Recruitment procedures and staff training ensure that appropriate staff are available to support the residents and meet their identified needs. Evidence: Turnover of staff in the home remains low, with some of the staff having worked in the home for 20 years, and the latest recruit joined last September. Staff are familiar with the people they support, and aware of their needs, which was reflected in the comments of one lady who has lived in the home for a number of years and told us how well the staff know the residents and their needs, and that nothing is too much trouble for them. Recruitment procedures are in place which should ensure that all the required information is in place, although the manager acknowledged in the AQAA that at times in the past they have sometimes found it difficult to get the required references. However, we looked at three files, each containing the application , the two references required , crb check and training details. Training in the home is very good, one staff member we spoke to told us that in the last year she had received Fire training, NVQ training, health and safety, moving and Care Homes for Older People Page 17 of 23 Evidence: handling, safeguarding, bereavement and infection control. Since our last visit, the induction training provided has been revised. Training summaries are displayed in the entrance hall, but theses were not up to date, as the manager acknowledged, and if they are to on display should reflect the current position. Care Homes for Older People Page 18 of 23 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 service is well managed, and the views of people living in the home influence any changes, and health and safety procedures are in place in ensure people can live and work safely in the home. Evidence: The manager of the home has been there for many years, and with a central core staff team that has largely remained unchanged, this provides the home with a consistent support available to the residents. The provider supports the manager at all times, and at the time of the inspection was also available to meet with the Inspector, and discuss plans for the future. People that we spoke to during our visit felt that the home in general were very aware of their needs, and that it is a very relaxed, comfortable and homely place to live in. One lady we spoke with told us that they often talk to her about her care to make sure Care Homes for Older People Page 19 of 23 Evidence: everything she wanted was in place, and welcome family visits. Procedures and training is in place to ensure that staff and residents are safe when in the home, and regular maintenance checks are undertaken. Care Homes for Older People Page 20 of 23 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 21 of 23 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 10 procedures should be in place to ensure that anyone living in the home who may wish to look after their own medication is supported in doing this safely. The service should ensure that anyone assisting residents, whether employed by the service or on a voluntary basis gas a valid CRB disclosure held by the home. Training records displayed in the home should be up tpo date at all times. 2 28 3 28 Care Homes for Older People Page 22 of 23 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 23 of 23 - 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!