Care Home: White Rose Lodge Retirement Home

Similar services:

• Snydale Care Home
• Abbey The
• Hawkhills
• Larchfield Manor
• Beeches The - North Yorkshire County Council
• Staveley Birk Leas Nursing Home
• Carentan House

What the care home does well We saw that people were relaxed and chatting in the home. People were happy to chat with the inspectors and told us about life in the home. People told us that they are happy with the carers and that there are plenty of things to do. They also told us that they are happy in the home and like the food. We saw that interactions between the staff and the people who live in the home were positive and respectful, reflecting good relationships. What the care home could do better: At the last visit to the service it was found that the systems for the assessment of need, care planning and monitoring of people`s needs were not consistent and did not help to ensure that people`s needs were identified and met. This was also the case at this visit, where it was found that although some work had been undertaken to improve these documents, a considerable amount of work remains in order for people to be fully supported. At the last visit it was also found that record keeping was not always up to date and gaps in recording were found. Again, this was the case at this visit. This does not help to ensure that people`s latest needs are known, monitored and supported. At the last visit to the service we saw that risk assessments were not agreed and approved quickly: at this visit we saw that although in place, these were not regularly reviewed and amended to reflect the persons current needs and risks. Random inspection report Care homes for older people Name: Address: White Rose Lodge Retirement Home Limekiln Lane Bridlington East Yorkshire YO15 2LX 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: Sarah Rodmell Date: 1 7 0 8 2 0 1 0 Information about the care home Name of care home: Address: White Rose Lodge Retirement Home Limekiln Lane Bridlington East Yorkshire YO15 2LX 01262400445 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Pauline May White Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross OPCO Ltd care home 38 Number of places (if applicable): Under 65 Over 65 38 4 old age, not falling within any other category physical disability Conditions of registration: 0 0 The maximum number of service users who can be accommodated is 38 The registered person may provide the following 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, maximum number of places 38 Physical Disability over 65 years of age - Code PD(E), maximum number of places 4 Date of last inspection 0 1 0 7 2 0 1 0 Care Homes for Older People Page 2 of 10 Brief description of the care home White Rose Lodge is a care home, which provides a service for people who meet the following criteria of need - Older people (up to 38 places) and older people with a physical disability (four places). The home is situated on the North side of the town of Bridlington, and people living in the home have excellent views of the sea and coastal area. The local shops and amenities are within a short walking distance of the home and there is car parking within the grounds of the home. Accommodation is provided in single and double rooms, the majority of these are single and some have en-suite facilities. Most of the bedrooms have patio doors leading onto the garden areas (ground floor rooms) or a balcony (first floor rooms). People living in the home are provided with a wide variety of communal spaces including lounges, a spacious dining room and an entrance area provided with comfortable settees and chairs. The garden area outside the home is well maintained and people are able to sit and look out over the cliffs towards the sea. Information about the home and its service can be found in the statement of purpose and service user guide, both these documents are available from the manager of the home, and copies are on display in the entrance hall of the home. Care Homes for Older People Page 3 of 10 What we found: This random inspection was completed in order to assess compliance with and the meeting of the requirements of the random inspection of 1 July 2010. The inspection was completed under a Code B notice, which informs the service of their rights if the CQC decides to remove or photocopy evidence that they find of breaches of regulations. This may then be used by the CQC if it is decided to take action against the registered provider for non compliance. We looked at the following outcome areas: Health and Personal Care We looked at the files for 6 of the people who live in the home.The files all included assessments and plans of care. The plans of care covered a variety of areas, although these were not consistent and each file differed in their set up and content. At the last visit to the service we saw that for one person several areas of the care plan were blank with no explanation for this; this was also the case at this visit. This does not ensure that care staff have adequate information to ensure that they are meeting all of the identified needs of the individual. We saw that people had assessments in their care plans for their health needs. However, the recording for this was not kept up to date. For example, for one person, their GP had requested that they be weighed daily, this was not recorded in their file or on their weight chart. Another person had recorded, that their GP required a specific sample from them and that this was urgent. Although the manager could tell us that this had been completed there were no records for this action, despite that this was requested by their GP, one week prior to the visit. People had continence assessments in their files, one person had a continence assessment that had not been reviewed since 2008; yet their daily notes clearly showed that they needed support in this area. We saw that people had monitoring charts for example, for their dietary intake. These again were not all kept up to date and the recording was inconsistent, with up to several days at a time being missed.This is concerning as this was the case at the last visit to the home and despite one person having a health condition that required this level of monitoring. We saw that risk assessments are undertaken and held in peoples files. However generic risk assessments, for example, the risk from a fire in the home were not present in all of the files. We saw that risk assessments were completed for the risks associated with moving and handling but that some of these were last reviewed over 6 weeks ago, when the records reflected an expectation of monthly reviews. One persons assessment for the risk of falls had not been reviewed since May of this year, despite it clearly being a monthly review that was required. We also saw that new risk assessment forms were in place in all of the files we looked at, yet we did not find one that was completed fully. We looked at the weekly progress charts held in peoples files and saw that since the last Care Homes for Older People Page 4 of 10 visit to the service these had not all improved, with several remaining out of date. Files also included an audit sheet to reflect if any updates are required. One file included a note to say that it had been checked on November 2009 and February of this year, and that the updates still required completing ; we found that some updates still required completing. Nearly one year later this persons file was not all up to date. When we spoke to some of the people who live in the home they told us that the staff and food were very good and that they are happy there. We observed that peoples appearances reflected their personalities and that they received support in maintaining their appearance as necessary. Management and Administration At the last visit to the service a requirement was made regarding the record keeping in the home. At this visit we have found that there was evidence of some work being undertaken in the home, but that this remained inconsistent. Peoples records are not being completed, monitored and updated in a timely manner to ensure that they reflect the latest needs of the individual and that these needs can be met. 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 10 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 7 15 Service user care plans must 06/08/2010 accurately and comprehensively incude all of the assessed needs of the individual and how these needs are to be met. This will help to ensure that peoples needs are clearly identified and as fully met as possible. 2 8 12 Assessments of peoples health needs must be undertaken, kept up to date and under review. These will help to identify the specific needs of an individual, how these are to be met and the actions to take should change occur. 06/08/2010 3 8 13 Records to support people with the monitoring of their diet or fluid intake must be kept up to date and correct. This will help to ensure that these needs are met and peoples health is not placed at risk. 06/08/2010 4 8 13 Risk assessments including 06/08/2010 those for moving and handling must be completed, and approved in a timely Page 6 of 10 Care Homes for Older People 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 manner. This will help to ensure that people will quickly have written support to help reduce the possibility of the identified risks occurring. 5 8 13 Nutritional assessments must 06/08/2010 be undertaken on people, reviewed and kept up to date. This will help to ensure that peoples nutritional needs are identified and met to help in the maintenance of peoples health. 6 37 17 All records relating to people 06/08/2010 who live in the home must be kept up to date, including the upkeep of peoples daily notes and weekly evaluation records. This will help to ensure that staff are aware of the latest information relating to each individual and will assist in the meeting of their needs. Care Homes for Older People Page 7 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 1 8 13 Risk assessments must be regularly reviewed and kept up to date. This will help to ensure that the people are supported with the latest information and protected from the risk of harm. 30/09/2010 2 8 13 Monitoring of peoples health 30/09/2010 needs including their weight must be kept up to date and follow any directions made by the persons health representative. This will help to ensure that peoples health is monitored and the latest information is available to ensure that their health needs are met. Care Homes for Older People Page 8 of 10 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 Care Homes for Older People 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 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. Care Homes for Older People 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!