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CARE QUALITY COMMISSION

RANDOM INSPECTION REPORT


Name:

Queens Lodge Nursing Home

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 review of the service. We call this 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 at the end of this report.

Lead inspector: Graham Oldham

Date: 28/05/2010

INFORMATION ABOUT THE CARE HOME

Name of care home: Queens Lodge Nursing Home

Address:
Haslingden Road
Blackburn
Lancashire
BB2 3HQ

Telephone number: 01254 681805

E-mail address: queenslodge@btconnect.com

Website: www.queenslodge.co.uk

Name of registered provider: Fern Holdings Ltd

Type of registration: Care Home with Nursing

Number of places registered: 40

CONDITIONS OF REGISTRATION

Category(ies) and number of places (if applicable):

old age, not falling within any other category: 40

physical disability: 40

BRIEF DESCRIPTION OF THE CARE HOME:

Queens Lodge is a purpose built detatched home situated on the outskirts of Blackburn. The home is located in a semi-rural position with views over fields. The home can accommodate up to 40 residents requiring nursing care, personal care or have a physical disability. Queens Lodge is family run and owned privately by Fern Holdings Ltd.

The home is located on a bus route opposite Royal Blackburn Hospital. Car parking facilities are available at the side of the home and the extensive gardens have been designed to allow easy access for residents and their families.

Accommodation comprises a variety of communal rooms, 28 single bedrooms and 6 twin bedrooms. All bedrooms have en-suite facilities. The decor is pleasant and a passenger lift is available to access both floors.

A statement of purpose and service user guide is available for residents or their families to be informed of the facilities and services the home provides. The last record for fees was taken in 2007 and ranged from £371 to £497 per week. On the day of the inspection and completion of this report the current fee scale could not be ascertained. Please contact the service for the current range of fees. This did not include hairdressing, newspapers and periodicals.

WHAT WE FOUND:

This random inspection was undertaken under current guidance and no evidence was uncovered to undertake a key inspection. We visited the service on the 28th May 2010.

We looked at all the information we have received, or asked for, since the last key inspection or annual service review. This included the annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service.

What the service has told us about things that have happened in the service, these are called 'notifications' and are a legal requirement.

The previous key inspection and the results of any other visits that we have made to the service in the last 12 months.

Two plans of care examined during the inspection contained very good information for staff to deliver effective care. Both plans showed that the person who used the service or a relative had helped develop the plans to ensure it matched what they wanted. Both plans of care had been reviewed monthly to keep the care needs of people who used the service up to date.

Risk assessments for tissue viability, nutrition, falls and other health and safety related issues helped protect the health and welfare of people who used the service.

Plans of care contained evidence of visits to chiropodists, GP's, opticians, hospital specialists and audiologists to ensure people's health needs were being met at this care service.

There were policies and procedures for the administration of medication for staff to follow good practice. There was a good and safe system for the ordering, receiving, storing and administration of medication. All staff who administered medication had been suitably trained. There were medication publications for staff to further supplement staff knowledge. Medication was stored safely in a locked room. There was a controlled drug register and separate cupboard to administer medication safely. There was a signature list to audit who was giving medication. The medication administration records were examined and contained no errors or unexplained omissions which show staff followed the procedures. There was a fridge to store suitable medication in and the temperature was recorded to ensure it was efficient.

Staff were observed interacting with people who used the service and assisting them with care tasks. This was carried out with privacy and in a good natured way to ensure people were comfortable with the personal care they received.

There was an accessible complaints procedure which contains relevant timescales and the address of the Care Quality Commission. There had not been any complaints made to the Care Quality Commission since the last key inspection.

There were policies and procedures for the protection of adults for staff to follow good practice. The home used the Blackburn with Darwen adult abuse procedures to follow a local initiative. Staff had undertaken safeguarding training. There was a copy of the 'No Secrets' document and a whistle blowing policy. There have not been any safeguarding issues since the last inspection. The good systems used helped to keep people safe.

WHAT THE CARE HOME DOES WELL:

Plans of care had been developed with people who used the service to take account of their wishes.

Plans of care contained good information and had been regularly updated to ensure staff delivered the care each person needed.

Risk assessments for tissue viability, nutrition and falls (amongst other risk assessments) had been completed and reviewed to help protect the health and welfare of people who used the service.

People had access to healthcare professionals and specialists to ensure any treatment required was up to date.

The good administration of medication was safe for people who used the service.

Staff were observed giving personal care in a discreet manner to help preserve the privacy and dignity of people who used the service.

There was an accessible and informative complaints procedure for people who used the service to voice any concerns.

The robust safeguarding procedures helped to protect people from possible abuse.

WHAT THEY COULD DO BETTER:

No requirements or recommendations were made at this inspection. From all the information gathered the service continues to perform to an excellent level.





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 above.

Are there any outstanding requirements from the last inspection? No

READER INFORMATION:

Document Purpose: Inspection Report

Author: Care Quality Commission

Audience: General Public

Further copies from: 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

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