Care Home: Sovereign Lodge

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What the care home does well People living in the home stated they are well cared for and feel safe. Many visitors were content with the care provided to their relative and stated they could approach the manager with any issues they may have. Recently staff have been better supported. Regular `supervision` meetings are taking place. Staff meetings are being held. The manager is more available to the staff team and the temporary appointment of the home`s deputy was welcomed. What the care home could do better: The manager should apply for registration to The Commission. This will enable him to demonstrate his ability to manage a home for vulnerable people. Staff training should be brought up to date and be specific to the needs of people living in the home. Ensure staff are aware of the home`s policies and procedures and where they are kept should they need to refer to them. Care plans must adequately reflect the care and support required by the individual. Management must ensure staff are aware of the need for care plans and ensure a system is in place to inform them of any changes being made to these plans. The manager should consider allocating staff specifically to each unit to develop a better team spirit and provide a better base for improved support to the individual. Management should ensure that staff feel supported and action any issues affecting staff morale and consequently that affects people living in the home. In addition to the many positive comments provided by visitors to the home, people said; `There could be better use of staff`. `There could be more activities`. Personal care could be improved`. Random inspection report Care homes for older people Name: Address: Sovereign Lodge Newbiggin Lane Westerhope Newcastle Upon Tyne Tyne & Wear NE5 1NA 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: Allan Helmrich Date: 1 9 0 1 2 0 1 0 Information about the care home Name of care home: Address: Sovereign Lodge Newbiggin Lane Westerhope Newcastle Upon Tyne Tyne & Wear NE5 1NA 01912714029 01912714026 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Jennifer Houghton care home 48 Number of places (if applicable): Under 65 Over 65 0 48 dementia old age, not falling within any other category Conditions of registration: 48 0 The maximum number of service users who can be accommodated is: 48 The registered person may provide the following category of service only: Care home with Nusing - Code N To services 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, maximum number of places 48 Dementia Code DE - maximum number of places 48 Date of last inspection Brief description of the care home Sovereign Lodge is a modern, purpose built residential home. It has 46 single bedrooms, all bar two of which have en-suite facilities. Most accommodation is on the ground floor. The home has 5 lounges and 2 dining rooms. There is a pleasant garden Care Homes for Older People Page 2 of 9 Brief description of the care home with seating. It is situated in Westerhope, a suburb of Newcastle upon Tyne, and is quite close to local shops. It is on a bus route. The service user guide and inspection report were available at the entrance. Care Homes for Older People Page 3 of 9 What we found: This inspection was carried out to review how care is provided when challenging behaviours are presented in the home. An inspector visited the home unannounced on 19 January 2010 and spent time talking to management, other staff, people living in the home and their visitors. Care records, staff recruitment and training records were examined. We found that: The manager who is not as yet registered by the commission has recently been provided with additional support in the form of a temporary deputy manager. This has enabled him to be more available in the home providing direct support to the staff team. Staff spoken to welcomed this change and said that the manager was now more available to them should they have any problems. Staff also spoke highly of the temporary deputy manager. Recently more staff meetings have taken place and most staff have received a supervision meeting enabling them to identify any issues they have in the home. The manager is aware that staff training is not up to date. However a plan is in place to address this and recent training has been provided in; health and safety, safe handling, infection control and safeguarding vulnerable adults. Care practice observations have been carried out on 8 staff to identify any training needs. As a result an external trainer has been obtained to provide training in the home related to dealing with people who have challenging behaviours. Also the PCT have arranged further infection control training. Two case records of people identified as being at risk were reviewed. One contained changes to the care plans instructing staff of the changes required to promote a better, safe standard of care. However, although a sheet is in place for staff to record their awareness of the new plans, only two signatures were made. Staff spoken to were unsure of why care plans are signed and some were not aware of the changes made. The other plan did not record any changes to the care needs of the individual. As stated previously, staff spoken to felt better supported of late. But, they were unaware of how to deal with challenging people, they had not received training in restraint and some were unaware of the homes policies and procedures. Staff stated that morale in the staff team was not good and that some long standing issues within the team have not been adequately addressed. During the inspection the manager and deputy were on duty supported by a senior care, six care staff and an activities organiser. Staff may be allocated work in either of the homes two units by the manager. This he feels can provide staff with an awareness of the needs of everyone living in the home. People living in the home stated they are well cared for and feel safe. Many visitors were content with the care provided to their relative and stated they could approach the manager with any issues they may have. Care Homes for Older People Page 4 of 9 The activities organiser was available throughout the day, talking to individuals and organising group activities in one of the homes lounges. 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 following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 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 6 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 1 7 15 Each person living in the 26/02/2010 home must have a plan of care that adequately describes to staff the care and social needs of the individual. This plan must be up to date and staff must be made aware of the contents. Well described care plans ensure staff have the correct information to enable them to provide appropriate individualised care. 2 30 18 Staff training must be updated and be appropriate to meet the needs of people living in the home. This ensures that staff are equipped to provide appropriate care and support to people living in the home. 30/04/2010 3 31 9 The manger must apply for registration by The Commission. This is to demonstrate his ability to manage a care 15/03/2010 Care Homes for Older People Page 7 of 9 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 home for vulnerable 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 1 27 Consider allocating staff separately to both units in the home. Staff should then be more aware of the individual needs of a smaller group of people and provide a better basis for team building and training. 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. 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. 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