Care Home: Newfield Lodge Rest Home

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What the care home does well People that use services live in a welcoming and comfortable homelike care home, which has been improved to offer people more opportunity to maintain their independence, health and personal care. People that live at the home made positive comments about living at Newfield Lodge and said, "The staff are really lovely and will do anything for you. I like being here, The home is comfortable and food nice, say no more". The home provides staff with a training programme so staff were provided with training and support to do their jobs. There is a stable staff group who have positive attitudes to the people that live there so staff treat people with dignity and respect. Appropriate staffing levels are provided so people that use services were supported around their needs. What the care home could do better: Where risks to peoples` health are identified by health professionals and guidance is provided for staff to follow to help minimise risk to people that use services this information must be incorporated in care plans and risk assessments. So staff have access to guidance from health care professionals on preventing or minimising risk to peoples` health where they are identified. Care or support plans should reflect the personal routines, choices and decisions of people about their care. So staff can provide care based on their routines and choices.The home should should improve how decisions about daily living made by people that use services are reflected in their care plans so staff and others involved in their care understand how important peoples` daily decisions about their lives and decisions about their future are to them so the agreements about how they make or are supported to make decisions are clearly understood. Random inspection report Care homes for older people Name: Address: Newfield Lodge Rest Home Newfield Lodge 93-99 St Andrews Road South St Annes Lancashire FY8 1PU 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: Anthony Cliffe Date: 1 4 0 5 2 0 1 0 Information about the care home Name of care home: Address: Newfield Lodge Rest Home Newfield Lodge 93-99 St Andrews Road South St Annes Lancashire FY8 1PU 01253721322 01253721322FP info@lythamresthomes.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Nicholas Jay Wood Type of registration: Number of places registered: Conditions of registration: Category(ies) : Lakeview Rest Homes Ltd care home 32 Number of places (if applicable): Under 65 Over 65 32 old age, not falling within any other category Conditions of registration: 0 The registered person may provide the folowing category of service only: Care Home only - Code PC To Service Users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old Age, not falling within any other category - Code OP The maximum number of Service Users who can be accommodated is: 32 Date of last inspection Brief description of the care home Newfield Lodge is a care home providing personal care and accommodation for up to 32 older people who need personal care only. Care Homes for Older People Page 2 of 11 Brief description of the care home The home is jointly owned by the experienced provider of a small group of homes in the local area and her son who provides day-to-day management responsibility. Newfield Lodge is located in close proximity to the centre of St Annes and is within easy reach of community services and resources. Newfield Lodge offers accomodation over three floors and provides individual, en-suite bedroom accommodation for all people that live there and is well maintained and furnished to a high standard. In addition, a communal bathroom provides a medic bath and walk-in shower facility for ease of access for people with mobility difficulties. A passenger lift is also provided to enable ease of access to all areas of the building. Although the home is not provided with a garden area, a large roof garden is provided with garden tables and chairs that can be accessed from a main corridor and small seating areas are available to the front and rear of the building. Information about Newfield Lodge and the range of fees for services offered can be obtained by contacting the owner or manager. Care Homes for Older People Page 3 of 11 What we found: This random visit took place on the 14th May 2010 and lasted five hours. One inspector carried out the visit. We did this random visit which is a short focused visit to check compliance against The Care Standards Act 2000 and Care Homes Regulations 2001 to see if our judgement about the service made at the last key inspection is still correct. This helps us determine if the management of the home see the service they provide in the same way we do and if our judgements are consistent with home owners or managers. In the last year we completed an annual service review which told us the home was still providing a good service. An annual service review is a summary of our knowledge about how a service that has not had a visit in the last year is still performing. It is also how we decide if a service is still as good as we thought it was since out last visit or annual service review. During the visit various records were looked at as well as the premises. We spoke to people living at the home and staff and they gave us their views about living and working there. At this visit we focused on the standards for health and personal care and complaints and protection. We looked at information gathered about the health needs of people living at the home to see how this was used to plan and provide the right care and support for people so their health was promoted and they received the right health care. We saw that information gathered about the needs of people that lived there was transferred into care plans. We could see that the home used a person centred approach but did not use a person centred plan. We saw that the care manager was developing a new care plan document which demonstrated that people were more included in their care plans so staff will be provided with more information in the future on which to provide individual care so their care should be based around their needs and choices. Person centred planning is a really good way for people that use services to take control of their lives. Person centred thinking helps staff that care and support people that use services to listen to them and then to get what they want. A person centred plan contains information on what is positive about people that use services for example what people like and admire about them and their gifts and talents. Information should be included about what and who is important to people that use services from their viewpoint, as well as what people want for their future. A person centred plan should have information about how people that use services want to be supported, so stay healthy, safe and well. This is called a support plan but may be called a care plan. This should be detailed enough to provide a living description of how people that use services want to be supported, how they make decisions and says who will do what by when. The care or support plans we saw were not individualised to people using the service so staff did not have information about their personal routines and choices about personal care or if they could help themselves so could not provide care based on individual choice. The care plans we saw were called core care plans said where people needed care and support but did not tell us how people wanted their care to be arranged as they were Care Homes for Older People Page 4 of 11 written as a set of tasks for staff to follow so we could not see guidance for staff on the personal preferences of how people wanted their care to be provided. We saw information in care and support plans that guided staff about the health needs of people but in one persons care plan we did not see important information about their nutritional needs and risks associated with them having swallowing difficulties transferred into a care plan or risk assessment so staff could follow the guidance given by a speech and language therapist and make sure the person was not at risks identified by the speech and language therapist. Guidance was provided by the speech and language therapist but this was filed away so the information not transferred into a care or support plan so staff would not use this each time they provided assistance to the person. We saw that risk assessments identified when people were at risk but we did not see what the underlying reasons as to why people were at risk so were unclear as to why they were at risk. An example was that we saw that a person was described as being at risk to falling but we could not see the underlying reasons why, so were unclear as to what the risk was. In discussion with a person using the service we saw positive outcomes when they had an accident and the home was quick to respond and get medical treatment form the district nursing service so staff acted quickly in promoting the persons health and prevented it getting worse. Surveys returned to us by people living at the home before the visits said they always received the health care support they needed. Reviews of care were good and told us people living at the home received the care and support they needed and was planned around their changing needs. We saw that staff treated people that use services with courtesy, dignity and respect and sought their views about how they wanted to be supported by asking them questions and saw staff help them make decisions. We saw that a care plan referred to how a person lacked capacity and had their capability to make devisions tested and found to have difficulty in making decisions about important things to them. We did not see information that told us where the person could make their own decisions, so staff would understand and know when the person needed help with decision making and showed who helped the person in the decision making process so we could see who would be the best person to make decisions on their behalf if necessary and showed how the person would continue to be involved in influencing decisions so would have choice and control over their lives. Medication policies were detailed so staff had guidance on how to receive, store, administer, record and dispose of medicines safely. The home had a storage area for the safekeeping of medicines. The storage area contained the policies and procedures for medicine administration with specimen signatures for the staff responsible for the management and administration of medicines so staff were aware of their responsibility and accountability for managing and administering medicines. Storage included controlled drugs storage. We looked at how controlled drugs were received, recorded, stored and administered and found them to be managed safely so the policies and procedures of the home were followed. We saw that people had the choice to manage their own medicines but none of the people whose care we looked at were able to manage their medicines independently. During the visit we saw the complaints policy was available to people using the service and displayed for people using the service as well as copies placed in their bedrooms to see so they had access to it. We had not received any complaints about the home since our last visit and the home told us they had received none either. Before the visit people Care Homes for Older People Page 5 of 11 living at the home returned surveys to us and said they knew who to speak to if they were unhappy and how to make a complaint. The records for complaints recorded no complaints were received. Policies and procedures were in place to protect vulnerable adults called the safeguarding adults procedures. The safeguarding adults procedure is how we, the local council, police and other agencies respond to and manage allegations or suspicions of abuse against vulnerable adults. We saw training records for the home and all staff had received safeguarding training each year and had taken place in 2008, 2009 and 2010. The home had a copy of the Lancashire County Council safeguarding adults procedure. We spoke with two senior staff about the safeguarding adults procedure in the home and were able to say how this would be used should allegtaions of abuse or neglect be made so could protect people from further distress. We spoke with people about the personal and health care support they received while living at Newfield Lodge. A person told us they had a fall and said, The staff were marvellous, they attended to me straight away, stopped the bleeding and got the district nurse out straight away. She put this dressing on and since then it has been better. She is coming again tomorrow to check on it and I am still getting pain but can ask the staff for an aspirin. The staff are really lovely and will do anything for you. I like being here, The home is comfortable and food nice, say no more. What the care home does well: What they could do better: Where risks to peoples health are identified by health professionals and guidance is provided for staff to follow to help minimise risk to people that use services this information must be incorporated in care plans and risk assessments. So staff have access to guidance from health care professionals on preventing or minimising risk to peoples health where they are identified. Care or support plans should reflect the personal routines, choices and decisions of people about their care. So staff can provide care based on their routines and choices. Care Homes for Older People Page 6 of 11 The home should should improve how decisions about daily living made by people that use services are reflected in their care plans so staff and others involved in their care understand how important peoples daily decisions about their lives and decisions about their future are to them so the agreements about how they make or are supported to make decisions are clearly understood. 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 Older People Page 7 of 11 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 8 of 11 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 1 7 14 Where risks to peoples 27/06/2010 health are identified by health professionals and guidance is provided for staff to follow to help minimise risk to people that use services this information must be incorporated in care plans and risk assessments. So staff have access to guidance from health care professionals on preventing or minimising risk to peoples health where they are identified. 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 7 Care or support plans should reflect the personal routines, choices and decisions of people about their care. So staff can provide care based on their routines and choices. The home should should improve how decisions about daily living made by people that use services are reflected in their care plans so staff and others involved in their care Page 9 of 11 2 7 Care Homes for Older People 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 understand how important peoples daily decisions about their lives and decisions about their future are to them so the agreements about how they make or are supported to make decisions are clearly understood. Care Homes for Older People Page 10 of 11 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. 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. 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