Care Home: The Lodge Residential Home

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What the care home does well There are excellent admission processes for prospective residents. There is a comprehensive Residents Guide available and information on a website. The delivery of care is person centred and focuses on the individuals strengths, life history, and personal preferences. Residents told us, "They always ask my views. " " The home cannot be faulted in it`s care and attention given to us." Residents tell us they receive a good daily life, a wide range of social activities and fresh home cooked meals. Residents and relatives surveys told us, "There are plenty of activities and entertainments." "The homes provides a caring friendly environment for my mother accompanied by good food, activities, and entertainments." Residents and their relatives know how to make complaints. All the required checks take place before care staff start working in the home. Residents are protected from harm and abuse. Residents benefit from living in a hotel style home, furnished and maintained to high standard.The outdoor garden area has garden furniture and residents told us sometimes they sit outside and enjoy refreshments. The garden area was well maintained with border plants, mature trees and a grass lawn. Meetings are held at intervals for residents to raise any suggestions. At the last meeting residents discussed a wish for more seasonal vegetables, and different deserts. Regular consultation ensures the home is run in the best interests of the residents. Previously they asked for a pet and and a small dog was purchased for the residents. Residents told us, "It`s a great place." What has improved since the last inspection? There are no requirements to be met since our last visit. What the care home could do better: To reduce the risks to residents falling from windows, window restrictors and written risk assessments should be reviewed. In line with good practise managers to obtain Criminal Record Bureau (CRB) checks every three years to ensure all staff, are safe to continue working with the residents. Inspecting for better lives Key inspection report Care homes for older people Name: Address: The Lodge Residential Home Grange Lane Thurnby Leicestershire LE7 9PH     The quality rating for this care home is:   three star excellent 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: Helen Abel     Date: 1 1 0 6 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 26 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 26 Information about the care home Name of care home: Address: The Lodge Residential Home Grange Lane Thurnby Leicestershire LE7 9PH 01162419333 01162419752 managerlodge@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Bliss Family Care Ltd care home 32 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: No one falling within category OP may be admitted into The Lodge Residential Care Home where there are 33 persons of category OP already accommodated within this home. The maximum number of people the registered provider may accommodate in The Lodge Residential Home is 32. Date of last inspection Brief description of the care home The Lodge is a care home providing personal care and accommodation for thirty-two older people. All bedrooms are single and some have en-suite facilities. The bedrooms are accommodated on the ground floor, and first floor, access to which is via the stairs or by 2 passenger lifts. The Home has a large and attractive garden, which can be seen from the sun lounge and many of the bedrooms. Communal areas include a lounge, dining room, library and snug. The Lodge is situated in the village of Thurnby, Care Homes for Older People Page 4 of 26 Over 65 32 0 Brief description of the care home close to the main A47 to Leicester. There are local facilities close by, church, shop, pub and regular bus routes. Charges vary per room and facilities and range from £446 to £629 per week with extra charges made for activities, day care and hairdressing. The current inspection report is held in the reception area of the home. Care Homes for Older People Page 5 of 26 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: three star excellent 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: The focus of the inspections undertaken by the Care Quality Commission is upon outcomes for residents and their views of the service provided. The primary method of inspection used was case tracking which involved selecting three people and tracking the care they received through looking at their care records, discussion where possible with the people who use the service, the care staff and observation of care practises. The visit was unannounced on a Friday 12th June from 10.00 until 3.10pm. The Registered Manager, care managers and care staff assisted the Inspector during our visit. Planning for the visit included examining the service history, last inspection reports, Annual Service Review (ASR) and the homes own Annual Quality Assurance Assessment (AQAA). We looked at the feedback received from surveys circulated to Care Homes for Older People Page 6 of 26 people who use the service, their relatives, and staff. People who live at the home are referred to in this report as residents. The quality rating for this service is 3 Star. This means the people who use this service experience excellent quality outcomes. 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 Care Homes for Older People Page 8 of 26 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 9 of 26 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 10 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are excellent admission processes for prospective residents. Evidence: The home provides new and existing residents with comprehensive written information, a Residents Guide and Statement of Purpose. These documents set out the aims, objectives, philosophy of care, services and facilities, and care charges. A web site is available and a prospectus can be downloaded, and contact details can be left. A link to the Care Quality Commissions website for a copy of the last inspection report is available. All written information including the most recent inspection report can be found in the reception area of the home for people to view. A resident told us their family had come to visit the home and were shown around the home before accepting the service. A visitor told us when choosing the service, the Care Homes for Older People Page 11 of 26 Evidence: family knew the home from previous contact and had no doubts about the service. They told us they were happy with the service their relative receives. He has consistent carers and is very content. There is a high value on responding to individual needs for information, reassurance and support. The assessment process is set out in the written information. An assessment is always undertaken by the Registered Manager either in peoples homes or hospital, and family members and supporters are always involved. Information taken from other relevant professionals is taken into account. Residents told us, Its a great place. Provides a home from home atmosphere, independence and choice with helpful, caring carers. Care Homes for Older People Page 12 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents health and personal care is met to a high standard. Evidence: The information gathered at the assessment process is used to compile a care plan for each person. This is developed with and owned by the person using the service. Where ever possible the care plan is signed and agreed by the person. It is person centred and focuses on the individuals strengths, life history, and personal preferences. Care plans sampled were found to be up to date, and risk assessments for many aspects of care were in place and are regularly reviewed. Staff provide good personal care to residents. Residents told us, They always ask my views. They are anxious to help. The home cannot be faulted in its care and attention given to us Residents were observed coming into the lounges for the day following on breakfast Care Homes for Older People Page 13 of 26 Evidence: and were seen to be well groomed and wearing their choice of clothes. Women were seen wearing their jewelry and accessories. Later in the morning residents were having their hair done by the hairdresser. A small dog (west highland terrier) chosen and owned by the residents, was seen in the lounges and garden area. Residents are consulted on how the service runs and able to influence key decisions in their home. Completed Care Quality Commission (CQC) surveys from residents told us, The medical attention (if needed ) is excellent. Everything is good at the home. They are responsive to medical concerns. Medical issues are dealt with kindly and promptly Staff were observed administering medication and found to follow their procedures well. Attention was given to supporting residents to take their own medicines. This was underpinned by a risk assessment for each resident. This ensures residents are kept safe when taking their medicines. The medication area was clean and well maintained. The Inspector discussed improving safe storage, around the two medication trolleys and the controlled drugs cupboard. The Registered Manager agreed to look into these issues further with the community pharmacist. This will ensure residents are protected by the homes medication policies and procedures. Residents were seen to be treated with dignity and respect. Staff were seen knocking on residents doors before entering and staff would address residents as the residents preferred. Residents told us, Staff are very reasonable. They will sort out your problems. Civility costs nothing. Staff are very helpful and kind. Care Homes for Older People Page 14 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents tell us they receive a good daily life, a wide range of social activities and fresh home cooked meals. Evidence: Residents and relatives surveys told us , There are plenty of activities and entertainments. The homes provides a caring friendly environment for my mother accompanied by good food, activities and entertainments. Residents to make their own arrangements to follow their choices for daily living, religious beliefs, activities, food preferences, and personal relationships. These wishes are recorded in each residents care plan, and suitable activities planned for. A colourful picture chart in the hallway shows all the activities and entertainments planned each month. Celebrations, famous birthdays and festivities are displayed. This is a focal point for residents and visitors to look at. They can see the activities for the day. A scrabble event for residents was cancelled during our visit, but the activity organiser was observed going to each residents to explain why she couldnt stay on and spent a Care Homes for Older People Page 15 of 26 Evidence: long period quietly chatting with residents. Two relatives suggested more physical activities for residents. The Registered Manager confirmed sometimes there are Sunday walks whereby residents are encouraged to walk around the garden with a staff member. Upon arriving at the home some residents were finishing their breakfast. A resident told us, The meals are good. I have cornflakes in my bedroom. You can have a cooked breakfast if you wish. Two residents were in the dining room finishing a breakfast of poached eggs and a bowl of muesli. The Inspector observed residents provided with a glass of sherry before their lunch. The Inspector sampled some dinner and found the meal were well cooked and nutritious. Meal plans viewed were balanced and offer residents seasonal food, a wide variety and choice. A fresh fruit bowl is available in the reception area. Care Homes for Older People Page 16 of 26 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. Residents and their relatives know how to make complaints. Residents are protected from harm and abuse. Evidence: The homes complaints procedure is held in the written information on their website, and in the information in the homes reception area. This is accessible to residents and relatives and includes the stages and timescales for the process, that complaints are dealt with. All staff have had training in Safeguarding Adults and as part of their staff Induction and National Vocational Qualification training awards. This will ensure residents are safeguarded from harm and abuse. The Inspector suggested for good practise further training for managers around adult protection and passed on details. Residents told us, You can talk to any of the staff or the manager. There are facilities for safe keeping residents personal items and processes for recording this. This will ensure residents money and valuables are protected. Care Homes for Older People Page 17 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from living in a hotel style home, furnished and maintained to high standard. Evidence: Residents told us, The ambiance in the home is excellent. The home is spotlessly clean. The home is clean and fresh The general ambiance and decor is of a good quality hotel. The home was found to be decorated to a high standard, with fresh and light decor throughout. Residents bedrooms were sampled and appeared tidy, clean, and suited their needs. One resident told the Inspector, I have a beautiful room, it is excellent. The outdoor garden area had garden furniture and residents told us sometimes they sit outside and enjoyed refreshments. The garden area was well maintained with border plants, mature trees and a grass lawn. One one side of the home a discreet outdoor sitting area has been arranged. Residents will benefit from these features and a pleasing environment. Residents were seen sitting in the lounges reading newspapers, listening to the radio, doing crosswords, and watching the news on the television. Visitors were seen coming and going and were able to see their relatives in any of the communal areas including Care Homes for Older People Page 18 of 26 Evidence: the library. Everyone signed in and out of the home on a computer system. One person suggested the home could be improve the front entrance drive for wheelchairs, it has a difficult surface to move on. The Inspector suggested window restrictors and the individual risk assessments are reviewed. This will ensure there is a reduce risk to residents falling. All the other required health and safety checks were in order. Contractors were in the home making safe some old glass windows that was accessible to residents. Such measures would ensure the glass meets safety standards and residents are kept safe. There is an ongoing work plan of maintenance and renewal of the fabric and decoration. This ensures residents live in a safe and well maintained home. Care Homes for Older People Page 19 of 26 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. Residents benefit from trained and competent staff with enough staff available to meet their needs. Evidence: A residents survey told us, I like the fact that carers dont wear uniforms, but have name badges. This helps to create a non- institutional atmosphere. The Inspector observed staff interacting with residents in a warm and friendly manner. There was enough staff on duty to meet the needs of the residents. The Annual Quality Assurance Assessment (AQAA) tells us 58 of staff have a National Vocational Qualification Award (NVQ) at level 2. There is a small staff turn over and good staff attendance. This ensures residents are cared for by consistent carers. Staff recruitment records were sampled and found to include all the required checks. The Inspector reminded the service in line with good practise to ensure Criminal Record Bureau (CRB) checks are carried out every three years to ensure staff continue to be safe to work with the residents. Staff surveys told us, All the staff are well trained to provide the best care to all residents staying for a short or a long stay. Care Homes for Older People Page 20 of 26 Evidence: Good training for staff. They support the staff and listen to what we have to say. They keep you updated on new policies coming in. It is a warm and friendly place to visit and stay. Care Homes for Older People Page 21 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents receive good quality care. The home is managed by managers who are work to high standards and show strong leadership and is run in the best interests of the residents. Evidence: There are ongoing quality assurances programme that cover all areas of the home. Residents surveys are carried out regularly and the results are recorded in the Residents Guide. The Registered Manager Nikki Bliss and Registered Person Ian Bliss are available in the home almost every day and both very experienced in care and management. A staff member told us in a survey, I find the owner and managers are approachable, whether it is work related or personal. I love working at the home. There is a relaxed feeling about it. Meetings are held at intervals fo residents to rasie any suggestions. The last one was Care Homes for Older People Page 22 of 26 Evidence: held in May 2009. Residents had discussed a wish for more seasonal vegetables, spring cabbage, french beans, and runner beans. They requested treacle tart, and date and apple tart on the menus. This ensures the home is run in the best interests of the residents. Care staff, domestics and managers all have their separate meetings to ensure the smooth running of the home for residents. All the required safety checks are confirmed complaints in the homes Annual Quality Assurance Assessment (AQAA). Staff records sampled confirmed they have received the minimum required safe working practise training. Care Homes for Older People Page 23 of 26 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 24 of 26 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 19 To reduce the risks to residents falling from windows, window restrictors and the associated risk assessments should be reviewed. In line with good practise managers to obtain Criminal Record Bureau (CRB) checks every three years, to ensure staff are safe to continue working with the residents. 2 29 Care Homes for Older People Page 25 of 26 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. 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