Inspection on 08/06/10 for EAM Lodge

This is the latest available inspection report for this service, carried out on 8th June 2010.

CQC found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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Extracts from inspection reports are licensed from CQC, this page was updated on 04/09/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: EAM Lodge 21 Fouracres Road Manchester Lancs M23 1FG     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Michael Murphy     Date: 0 8 0 6 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Adults (18-65 years) Page 2 of 24 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial 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. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 24 Information about the care home Name of care home: Address: EAM Lodge 21 Fouracres Road Manchester Lancs M23 1FG 07905741969 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): EAM House Name of registered manager (if applicable) Mrs Jane Drewett Type of registration: Number of places registered: care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 physical disability Additional conditions: The maximum number of service users who can be accommodated is; 4 The registered person may provide the following category of service only: Care home with Nursing - Code N, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following category:Physical Disability - Code PD Date of last inspection Brief description of the care home The aim of EAM Lodge is to provide nursing and social care and accommodation to a maximum of four young people at any one time. Care is provided for young people with complex health needs where high levels of intervention and administration of medication and oxygen is required. The home is situated in the Newall Green area of Manchester. We were informed at the time of this inspection that the fees ranged from a minimum Care Homes for Adults (18-65 years) Page 4 of 24 Over 65 0 4 Brief description of the care home of 230.00 pounds per week to a maximum of 290.00 pounds per week. For further information please contact the home directly. Care Homes for Adults (18-65 years) Page 5 of 24 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: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This inspection included an unannounced visit to the home on the 8th of June 2010. During the visit we talked to people living at the home, staff, the registered home manager and the owner of the home. We also looked at documents and records the home have to keep such as peoples care records, medicine records, written policies and other records. Before the inspection, we also asked the registered home manager to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This helps us to determine if the management of the home sees the service they provide the same way that we see the service. We felt this form had been completed in sufficient detail and provided useful information. Care Homes for Adults (18-65 years) Page 6 of 24 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 following this report, you can contact them using the details 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 Adults (18-65 years) Page 7 of 24 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 24 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. All people living at the home have their care and support needs assessed prior to admission to the home to ensure the home is appropriate for their individual circumstances. Evidence: All prospective residents are assessed prior to being admitted to the home. The home manager (a qualified nurse) does the pre-admission assessment. Such an assessment is very important to ensure the home is able to decide if the prospective resident can be supported properly if they are admitted. A record of the pre-admission assessment is kept. The pre-admission assessments carried out by the home manager were supported by assessments conducted by social workers and/or health professionals such as doctors. Care Homes for Adults (18-65 years) Page 9 of 24 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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. People were being supported through risk assessment and care planning to exert choice where possible. Evidence: We looked at the care records of 3 people living at the home at the time of this visit. All contained care plans that described what the individual care and support needs were and how staff were to support people whilst maximizing as far as possible their independence. Care plans were being reviewed regularly and detailed what contacts people had with various health and social care professionals who support their individual medical and social needs. Detailed progress records were being maintained for each person each day - these were signed, dated and timed. Care plans reflected that relatives and people living at the home were (as far as possible) consulted and involved in planning and reviewing care. The care plans also contained risk assessments that identified possible threats to a residents health and safety and described things that needed to be done to keep them safe at the same time as maintaining their freedom and independence. However to make these risks (and how Care Homes for Adults (18-65 years) Page 10 of 24 Evidence: they are met) clearer to staff it is recommended that individual risk assessments particularly in relation to moving and handling, skin condition and nutrition - are developed and documented alongside the information in the care plans. Care records had been kept up to date. People living at the home were unable to manage their own finances so the home hold a small amount of personal money for them and the arrangements for this were secure and appropriately documented/receipted. Care Homes for Adults (18-65 years) Page 11 of 24 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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. People were enabled and encouraged to live as independent a lifestyle as possible whilst being cared for and supported in a way that met their needs properly. Evidence: People living at the home were enabled to continue accessing educational, vocational and leisure activities outside the home. They are also able to access all local amenities and services locally and are actively supported by staff to do so. People living at the home have access to suitable transport to maintain such community links. There are no unreasonable restrictions about people living at the home having visitors and relatives are actively consulted about and included in the assessment, plan of care and review of the care and support provided to their relative. Visitors can be seen in the privacy of individual peoples own room. The daily routines of the home are driven by the individual needs of the people living there. Staff are able to ensure this because of the very small number of people living Care Homes for Adults (18-65 years) Page 12 of 24 Evidence: at the home and the individualised way people are assessed and their care planned. Mealtimes and menus are also very flexible and individualised. People with more complex nutritional needs are supported by the services of a dietician. Meals provided are homely, varied and provide a wide choice. The known likes and dislikes of people living at the home are established and respected in respect of food - as in other areas of daily life at the home. Care Homes for Adults (18-65 years) Page 13 of 24 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Proper arrangements were in place to ensure the personal health care and support provided to people is consistent and appropriate. This is important to ensure people living at the home (and their supporters) are confident they will be cared for and supported properly. Evidence: Discussion with the registered manager and her staff and observation during our visit indicates that people living at the home were being supported appropriately. Care records reflected individual peoples personal preferences and likes and dislikes. We were told staff seek to respect these when providing care and support. Staff were observed to support those in their care (who have complex physical and mental health needs) appropriately and sensitively during our visit. Personal support is provided in private and the routines of daily life are very flexible. The home has been suitably adapted and equipped to meet the needs of those living there. Individual needs in respect of aids and adaptations are met by referring the person to the appropriate health care service for assessment. Care and support is provided by qualified nurses and care staff at all times of the day. People living at the home were enabled to access a wide range of health care services Care Homes for Adults (18-65 years) Page 14 of 24 Evidence: including GP and specialist medical support for their complex health needs. Support was also being provided by dieticians, physiotherapists, opticians, dentists and other professionals as required. Care records detailed the individual support each person living at the home was provided with. The way peoples medicines were being looked after was secure and properly documented. The qualified nurses look after and administer medicines. Care Homes for Adults (18-65 years) Page 15 of 24 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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. Suitable arrangements were in place to keep people living at the home safe and ensure complaints or concerns were listened to and acted upon. This is important as such arrangements help people and their supporters feel confident their interests are protected. Evidence: Proper arrangements were in place to address residents (or other peoples) complaints. A system to record and investigate complaints was in place. No complaints have been received by the home manager (or the CQC) since the home was first registered in January 2010. Proper arrangements were in place to ensure residents are protected and feel safe. The home has policies and procedures in place that describe how to properly deal with any instances of abuse. The way the home recruits staff include checks that help to ensure those employed are suitable to care for and support vulnerable people. Discussion with staff on the day of inspection revealed that they were aware of the importance of keeping residents safe and were aware of what keeping residents safe means. They have been provided with safeguarding training. Care Homes for Adults (18-65 years) Page 16 of 24 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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. The home provided a clean, warm, suitably adapted and comfortable environment in which people can be cared for and supported appropriately. Evidence: The home provides a homely and comfortable environment for people living there. Suitable aids and adaptations have been provided to ensure peoples collective and individual needs can be met. A tour of the premises revealed that it was clean, free of bad odours, suitably furnished and decorated. The home is centrally heated and was warm, well lit and well ventilated on the day of this visit. Toilet, bath and shower areas were easily accessible to people and were suitably equipped and adapted. People living at the home are able to access a spacious, well kept private garden at the back of the house. Proper arrangements were in place to ensure peoples laundry was dealt with. Laundry equipment was suitable for a care home setting. There were also suitable hand washing facilities throughout the home and staff were provided with suitable equipment (such as disposable gloves and aprons) - important for reducing the risk of infections spreading. Staff have also been provided with training in infection control. Care Homes for Adults (18-65 years) Page 17 of 24 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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. Suitable and appropriate numbers of staff were provided to meet the care and support needs of people living at the home. Staff had been appropriately recruited and trained. This is important so that people (and their supporters) are confident that the staff are competent and suitable. Evidence: Staffing records showed that qualified nurses and carers were on duty at all times. Inspection of staffing records and discussion the home manager and staff revealed the care and support needs of the 3 people living at the home at the time of this inspection appeared to be being met. The home was making progress in the provision of National vocational training in care. At the time of this visit 60 of the care staff had completed such training. Three staff recruitment files were inspected on this occasion. They contained evidence of CRB checks (including POVA first checks), 2 written references, criminal convictions declarations, proof of identity, a completed application form and included a detailed work history and a declaration relating to the prospective employees health status. Checks are made and recorded in respect of the status of registered nurses with their registered body. Training records and discussion with staff indicated that they were provided with induction training on commencing employment. There was also documentary evidence Care Homes for Adults (18-65 years) Page 18 of 24 Evidence: that staff had been provided training in moving and handling, safeguarding, fire safety and basic food hygiene and other relevant topics. Most of the training is provided to staff at the home by the manager and senior nurses. Care Homes for Adults (18-65 years) Page 19 of 24 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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. The home was being managed in a way that seeks to ensure people who live there (and their supporters) are confident they are cared for and supported properly and safely. Evidence: The registered manager is a suitably qualified and experienced person and is also a registered nurse. We were informed that current registered manager will leave the service at the end of July 2010. The owner of the home stated that suitable arrangement were being made to ensure the home was properly managed from the beginning of August 2010. There is also a commitment to ensure the quality of the service provided to residents is of a high standard and that the home is run in their best interests. The registered manager and owner of the home are still developing formal structures to ensure that the quality of the service provided is regularly monitored and reviewed. The arrangements for the health and safety of people living at the home (and others) were adequate and appropriate. Staff are provided with regular training in respect of moving and handling, fire safety, food hygiene and the prevention of infection. Care Homes for Adults (18-65 years) Page 20 of 24 Evidence: Hazardous substances were being securely stored and gas and electrical systems had been checked/certificated prior to the home being registered in January 2010. We were informed hot water temperatures are appropriately controlled. Procedures were in place for the appropriate reporting of accidents, illnesses and injuries. Care Homes for Adults (18-65 years) Page 21 of 24 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 Adults (18-65 years) Page 22 of 24 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 9 That individual risk assessments - particularly in relation to moving and handling, skin condition and nutrition - are developed and documented alongside the information in the care plans. Care Homes for Adults (18-65 years) Page 23 of 24 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 non-commercial 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. 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