Latest Inspection
This is the latest available inspection report for this service, carried out on 31st March 2010. CQC found this care home to be providing an Excellent service.
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 Mascotte Lodge.
What the care home does well People have a gradual introduction to the home as part of the initial assessment process. People have an annual health check and are supported to see various health care professionals to enable them to maintain optimum health. Care programmes are personalised and the registered person is in the process of developing patient passports for the people living at the home. People are supported to make decisions about their day to day lives and any associated risks are recorded and managed. People are supported to keep in touch with family and friends and they lead busy lives; all attend a day centre and one person works on a voluntary basis. People live as part of a family and this includes having an annual holiday with the registered person and her family. People tell us that they enjoy the meals at the home; all of the people living at the home are involved in shopping and one person helps with meal preparation. The home is maintained in a safe, clean and hygienic condition.The registered person keeps her practice up to date by attending a care home forum and by attending regular refresher training. What the care home could do better: It would be good practice to include information with MAR sheets that record details of the person`s medical condition, medication currently prescribed, any known side effects and any allergies. The registered person should consider attending refresher training on the safe administration of medication. The registered person should continue with her plans to develop patient passports for everyone living at the home. The registered person should obtain copies of the MUST nutritional tool and a pressure care assessment tool should they be needed in the future. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Mascotte Lodge Football Green Hornsea East Yorkshire HU18 1RA three star excellent 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: Diane Wilkinson Date: 3 1 0 3 2 0 1 0 Information about the care home
Name of care home: Address: Mascotte Lodge Football Green Hornsea East Yorkshire HU18 1RA 01964534765 Telephone number: Fax number: Email address: Provider web address: Mascottecottelodge@aol.com Name of registered provider(s): Name of registered manager (if applicable) Mrs Judith Ann Major Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Judith Ann Major care home 3 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: Date of last inspection Brief description of the care home 3 Mascotte Lodge is a privately owned care home that is registered to provide care and accommodation for 3 people with a learning disability; it is owned and managed by Mrs. Judy Major. The ethos of the home is based on maintaining a family type atmosphere for the people who live there. The home is located in the centre of Hornsea, a seaside town in the East Riding of Yorkshire, and it is close to all local amenities. People live within the home of the registered provider/manager and her husband. There is ample communal space allowing the service users to spend time either with
Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home the family or on their own - this includes a lounge, a dining room and a conservatory. There are three bedrooms available for the people living at the home, although two people have decided to share a room. One person has en-suite shower and toilet facilities. The registered person has a vehicle that is suitable for the needs of the people who live there and there are car parking facilities at the home. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
The last key inspection of the home was on the 14th May 2007 and at that time a quality rating of Excellent was awarded. On this occasion we looked at the following outcome groups: Choice of home. One new person has moved into the home since the last key inspection. They already knew the other people living at the home and the registered person, but a gradual introduction was still arranged. The registered person told us that they visited the home for tea and to meet with the other people who lived there before moving in on a permanent basis. We received a completed survey from all of the people living at the home. One person told us, I like to live here, one person said, Its a nice family home and a good cook and another said, It offers a safe and warm homely home. A requirement was made at the last key inspection that each person living at the home must have a contract in place; we saw that everyone now has a contract in place and that these have been signed by the person concerned or their representative. Individual needs and choices. We saw a new style care programme that the registered person has started to develop for one of the people living at the home. She has been attending training with the local authority on personalisation and is basing new care plans on this information; she intends to develop similar care plans for the other two people who live at the home. The registered person has also obtained copies of patient passports and is in the process of completing these. The care programme seen records the areas where the person is able to self manage and where they need support, such as personal hygiene and appearance, to maintain a healthy balanced diet and to maintain social contacts and weekly activities. Each area identified records more detailed information so that support can be provided in a way that suits the needs and wishes of the individual concerned. We saw that care programmes are monitored monthly to ensure that they are up to date and that a review of the care programme takes place each year. Care plans include individual risk assessments for people, such as, no awareness of water temperatures and inability to identify products in bottles. In addition to this, all service users have a risk assessment in place for each area of the home that includes any idenitifed risks such as small electrical appliances, waste bins etc. The registered person uses an accountant to manage the homes finances and a book keeper does the accounts for the people living at the home; this safeguards both the people living at the home and the registered person. Care Homes for Adults (18-65 years) Page 4 of 10 Lifestyle. All of the people living at the home returned a survey and they all said that they make decisions about what to do each day, and that they can do what they want during the day, in the evening and at the weekend. Each person has a full activity plan in place; two people have day care on five days per week and one person has day care on three days per week. Two people had been to a day centre on the day of this site visit and were keen to tell the inspector about their day on their return. One person also works on a voluntary basis at a local care home for older people on one day per week. Contact is maintained with family and friends and the people living at the home have an annual holiday with the provider and her family. People told the inspector that they were looking forward to their holiday in Spain this year. All of the people living at the home enjoy bowling and going out for a meal. One person told us in a survey, I like to go swimming to keep fit after the holidays and on the day of the inspection two people told us that they enjoy Kareoke - they have their own Kareoke machine in the conservatory. One person told the inspector that they go out shopping and then out for lunch with the registered person once a week, and they then help to prepare the evening meal that day. They said that they enjoyed helping to choose the meals and that they all enjoy salads and are into healthy eating. Personal and healthcare support. We saw that people have an annual health check and that all contact with health care professionals is recorded, including the reason for the contact and the outcome. Correspondence to/from health care professionals is retained and any advice received is clearly recorded in care plans. One person had been to the Audiology clinic with the registered person on the day of our site visit. None of the people living at the home have identified pressure care needs but it would be useful for the registered person to obtain a pressure care assessment tool should it be needed in the future. We saw that there are weight charts in place for all of the people living at the home as part of nutritional screening. The registered person has undertaken a risk assessment about one persons difficulty with swallowing and foods that should be avoided. It would be useful for an assessment tool on nutrition (such as the MUST nutritional tool) to be obtained and used. We checked the storage of medication and the records of administration. Medication is stored securely - none of the current service users are prescribed controlled drugs but there are storage facilities in place should this occur. We looked at the medication administration record (MAR) sheets and noted that these record the amount of medication received and that there were no gaps in recording. There is a record in place ready for use should any medication need to be returned to the pharmacist, but the registered person told us that they have never needed to use it as people always take their medication. There are only three people living at the home so it is not necessary to have a photograph of each person attached to MAR sheets but we recommend that an
Care Homes for Adults (18-65 years) Page 5 of 10 information sheet be included that records the persons medical condition, any allergies, any known side effects of taking the medication and medication currently prescribed. The registered person had medication training in 2006 and we recommend that she has refresher training in order to keep her practice up to date. Concerns, complaints and protection. There have been no complaints made to the home or to the Care Quality Commission since the last key inspection. All of the people living at the home told us that they know who to speak to if they are not happy and how to make a complaint. The registered person attended safeguarding adults (managers awareness) refresher training on the 2nd April 2009 and also attended this in 2007 and 2008; this is good practice. In addition to this she has attended training on the Deprivation of Liberty. Conduct and management of the home. The home continues to be well managed. The registered person keeps her practice up to date by attending a variety of training programmes; she has attended training on infection control, person centred awareness, safeguarding adults from abuse and emergency first aid during the last year, and will be attending food hygiene training on the 7th April 2010. She also attends a care home forum with 4 local GPs and other care home managers. We saw that the premises were maintained in a safe and hygienic condition and that there had been an annual fire safety check on the 22nd October 2009. What the care home does well:
People have a gradual introduction to the home as part of the initial assessment process. People have an annual health check and are supported to see various health care professionals to enable them to maintain optimum health. Care programmes are personalised and the registered person is in the process of developing patient passports for the people living at the home. People are supported to make decisions about their day to day lives and any associated risks are recorded and managed. People are supported to keep in touch with family and friends and they lead busy lives; all attend a day centre and one person works on a voluntary basis. People live as part of a family and this includes having an annual holiday with the registered person and her family. People tell us that they enjoy the meals at the home; all of the people living at the home are involved in shopping and one person helps with meal preparation. The home is maintained in a safe, clean and hygienic condition.
Care Homes for Adults (18-65 years) Page 6 of 10 The registered person keeps her practice up to date by attending a care home forum and by attending regular refresher training. 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 2. Care Homes for Adults (18-65 years) Page 7 of 10 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 Adults (18-65 years) Page 8 of 10 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 1 19 It would be good practice to have a copy of the MUST nutritional tool and a pressure care risk assessment should they be needed by people living at the home in the future. It would be good practice to include an information sheet with medication administration records that includes details of the persons medical condition, current prescribed medication, any allergies and any known side effects of the medication. The registered person should consider attending refresher training on the administration of medication. 2 20 3 37 Care Homes for Adults (18-65 years) Page 9 of 10 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 Adults (18-65 years) 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. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 10 of 10 - 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!
