Care Home: Stanton Lodge Nursing & Residential Home

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What the care home does well The home is clean and safe. People told us that they are happy living at the home and feel well cared for. The acting manager is providing strong leadership and has a clear view about the action they need to take to make further improvements to the quality of services and facilitites provided at the home. What the care home could do better: Make sure that an application is submitted to register the acting manager. Make sure that the home`s policies and procedures are reviewed and updated every 12 months to reflect any changes in legislation or best practice guidance. Random inspection report Care homes for older people Name: Address: Stanton Lodge Nursing & Residential Home Millfield Avenue Shiremoor Tyne & Wear NE27 0LE one star adequate service 26/01/2010 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: Elizabeth Gaffney Date: 0 9 0 6 2 0 1 0 Information about the care home Name of care home: Address: Stanton Lodge Nursing & Residential Home Millfield Avenue Shiremoor Tyne & Wear NE27 0LE 01912522919 01912535017 stanton.lodge@fshc.co.uk www.fshc.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Laudcare Ltd (a wholly owned subsidiary of Four Seasons Health Care Ltd) Name of registered manager (if applicable) Mrs Veronica Bernadette Cairns Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Conditions of registration: Three named service users are under pensionable age. No further admissions of under pensionable age service users must take place without prior agreement of the Commission for Social Care Inspection Date of last inspection Brief description of the care home Stanton Lodge is a purpose built 72 bed care home. All the accommodation is on ground floor level and all the bedrooms have en-suite facilities. The home is situated in a residential area and is close to local amenities and public transport. There are two Care Homes for Older People Page 2 of 8 care home 72 Over 65 51 0 0 21 2 6 0 1 2 0 1 0 Brief description of the care home units within the home each offering a different category of care, one provides for older people requiring personal care or personal care with nursing and the other provides care for 21 younger physically disabled people. There are lounges and dining rooms on each unit and there is a smoking lounge. All units have specialist baths, showers and disabled toilets. There are enclosed garden areas, which are wheelchair accessible, and there are car-parking facilities. Fee rates vary on an individual basis and are available from the home. This fee includes the nursing care element without specialist equipment. Further information about the home is available in the service user guide, which contains the statement of purpose and previous inspection reports. This is kept in the reception area of the home. Care Homes for Older People Page 3 of 8 What we found: We carried out this inspection to check whether the provider and acting manager have complied with requirements and recommendations made following recent inspection visits to the home. Before the visit, we looked at the Annual Quality Assurance Assessment (AQAA) and any changes to how the home is run. We also checked information that has been shared with us by other professionals with an interest in the service, as well as any surveys returned to us. An unannounced visit was made on 09 June 2010. During the inspection we spoke with the acting manager. We looked at some records that must be kept by the home and at any improvements that have been made since the last inspection. The acting manager and her staff team worked with the inspector in a positive, constructive and open manner, and provided every assistance in facilitating the inspection. Staff were polite, courteous and respectful, and treated people in a respectful and dignified manner. There was a pleasant atmosphere and it is clear that staff have developed warm and caring relationships with the people they care for. An Expert by Experience attended the inspection and consulted people about the quality of care they receive. The Expert by Experience spoke with a number of service users and relatives present in the building at the time of their visit. The Expert by Experience reported that people are satisfied with the quality of care and support they receive. People told the Expert by Experience that staff are attentive to their needs and look after them well. The Expert by Experience did not identify any concerns. The home has continued to make improvements to the quality of the services it offers. For example, the homes service user guide has been reviewed and updated and will soon be available, upon request, in a variety of languages. Regular internal audits are now being carried out to make sure that the companys policies and procedures are being implemented. Additional support hours have been provided to help improve the delivery of the homes social programme. The home has access to a bus and a rolling programme of outings has been introduced. External courtyard areas are being improved to provide pleasant and accessible outdoor areas. Areas of the home have been redecorated and refurbished, and equipment replaced. A deputy manager has been appointed to help strengthen the day-to-day management of the home. The home has two moving and handling co-ordinators to help support in-house training. All staff have updated their moving and handling training. Each individual has a support plan that sets out how staff will meet their assessed needs. Peoples care records contain suitable care plans and supportive risk assessments. The home is clean, safe and tidy. No unpleasant odours were detected or health and safety concerns identified. The acting manager has prepared an infection control action plan and 12 staff have received training in this area. However, it was identified that some policies and procedures have not been reviewed during the previous 12 months, including the homes communicable diseases and infection control policy. Following the last inspection visit, the provider was asked to introduce a system to make sure that any actions identified following medication audits would be followed up. This recommendation has been met. The acting manager has introduced daily and weekly Care Homes for Older People Page 4 of 8 medication audits, and implemented a system for flagging up and addressing concerns. The provider was also asked to review lunchtime meals to ensure that people who use the service receive wholesome, nutritious and well prepared food. Good progress has been made in meeting this requirement. A review of the homes menus has been completed to improve their nutritional content. The inspector joined a service user for their lunch time meal. The food was presented in a manner which enabled the person to eat their meal safely. The meal contained a good nutritional balance. The staff member present was knowledgeable about the persons nutritional support needs and how to meet them. The person was supported to eat their meal in a reassuring and patient manner. The Expert by Experience reported that the lunch time meal was tasty and nicely presented. They also said that people enjoyed their lunch time meal and staff provided people with support which met their needs. The provider was also asked to ensure that all staff update their safeguarding training. Good progress has been made in meeting this recommendation. All staff have either completed, or are about to complete, safeguarding of vulnerable adults training. 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 8 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 8 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 2 31 37 Submit an application to register the acting manager. Review and update the homes policies and procedures every 12 months. Care Homes for Older People Page 7 of 8 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. 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