Random inspection report
Care homes for adults (18-65 years)
Name: Address: West Lodge 39 Frederick Gardens Penshaw Houghton-le-spring Tyne And Wear DH4 7JY three star excellent 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: Elsie Allnutt Date: 2 3 0 4 2 0 1 0 Information about the care home
Name of care home: Address: West Lodge 39 Frederick Gardens Penshaw Houghton-le-spring Tyne And Wear DH4 7JY 01913857169 01913857169 Telephone number: Fax number: Email address: Provider web address: www.c-i-c.co.uk Name of registered provider(s): Name of registered manager (if applicable) Ms Yvonne Marie Reay Type of registration: Number of places registered: Conditions of registration: Category(ies) : Community Integrated Care care home 6 Number of places (if applicable): Under 65 Over 65 0 0 0 learning disability mental disorder, excluding learning disability or dementia physical disability Conditions of registration: 6 1 2 The maximum number of service users who can be accommodated is: 6 The registerd person may provide the following category of care: 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 category: Learning disability - Code LD, maximum number of places: 6 Physical disability - Code PD, maximum number of places: 2 Mental disorder, excluding dementia or learning disability - Code MD, maximum number of places: 1 Date of last inspection
Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home West Lodge is a detached two-storey building, which was originally a private house. It is situated in a quiet location at the end of a cul de sac amongst a variety of private houses in Penshaw. Some structural alterations were undertaken prior to the homes registration but it retains its domestic appearance in many ways. There is a spacious drive sufficient to park four vehicles and local amenities such as a post office, corner shops, and pubs within a few minutes walking distance in Penshaw. The building provides six individual bedrooms, two of which are on the ground floor and four on the first. There is a large lounge/dining room kitchen and laundry room all shared by the service users, as well as accessible well-stocked gardens. The home is registered to offer a service to 6 people with a learning disability, including 2 who may have physical disabilities and 1 with additional mental health needs. This is for a specifically named person. The home has developed a Service User Guide that informs prospective service users about the service, the aims and how these are met. A copy of the recent inspection report is available in the home for anyone to read. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
The aim of this inspection was to establish that; the excellent standards assessed at the previous key inspection carried out 24/07/08 have been maintained; service users continue to live a safe, valued lifestyle within a framework that continues to be well managed and that is guided in service users best interests. It was evident that the manager, staff and service users continue to work hard to maintain high standards throughout this service, resulting in service users living a life that is safe, valued and interesting. Service users and the staff team appear happy with their achievements and evidence regarding established lifestyles is displayed around the home and in service users daily routines. Photographs on display reflect many of the activities enjoyed, while at the same time reflect confident and happy people who are projected in a very positive way. All service users have a plan of activities that reflect their interests and aspirations. Staff work hard to encourage people to try new experiences. At the time of the visit some service users were about to return from holiday and others discussed where they had been. One person with the assistance of a member of staff was proud to discuss their holiday abroad, which had been their first visit out of the country and their first experience of flying. Another person explained that they preferred to holiday in England and was very happy with the lifestyle that they had developed. The home is very well maintained and reflects a recent decoration programme. Kitchen worktops have been replaced and there are plans in place to address the flaked paintwork at the front of the house and to replace the old windows. What the care home does well:
This home continues to provide good information about its service and ensures that the service can meet the needs of the people who wish to use it. They only agree to new service users moving into the home following detailed needs assessments. This information establishes the homes capacity to effectively meet the individuals needs. Furthermore the needs and views of the service users already living in the home are also taken into account and the level of the available staffing resources. So that the assessment period encompasses all aspects of the process including personalities as well as need, time is taken to introduce the person to the people living at the home to establish whether all are compatible. The assessment process therefore is
Care Homes for Adults (18-65 years) Page 4 of 9 sensitively set at a pace that reflects the needs of all service users. A new service user has recently moved into the home and positive outcomes have been achieved due to the contractors and the home working effectively together to establish a comprehensive assessment process and smooth transition period. Ongoing assessments continue to ensure that any changing needs are addressed. As changing needs within the home are identified staff resources are reviewed and varied accordingly. This ensures that service users needs are effectively met and that the welfare and safety of others living at the home are not jeopardised. The home continues to maintain well organised records that promotes service users well being and safety within the home. Health and safety records are up to date and this includes records for, the homes insurance, PAT testing, hoist maintenance, gas installation, environmental health and fire department visits. Individual evacuation plans have recently been developed and these were commended during the fire officers visit. A clear pathway displayed in the home, demonstrates how the service plans to meet its annual objectives. The manager, staff and service users have been instrumental in its development. In addition to this each service user has an individual pathway that is illustrated in a way that they understand and that clearly demonstrates how the services annual plan is centred around the individual service users aims, objectives and aspirations. This is a very creative piece of work and is commended. The manager continues to keep up with legislation and current good practices and brings these to staff meetings to discuss. Staff are empowered to take the lead where necessary and to make effective contributions to the development of the service. The manager is strongly committed to moving the service forward, promoting service users independence, while at the same time protecting the people who use the service. Although the manager works very closely with other professionals in an effective way, she may challenge others views when needed to ensure service users best interests. Transparent records are in place to support such occasions. The manager has attended training to increase her awareness and knowledge of the Mental Capacity Act and the Deprivation of Liberty. This has enabled her to identify when people might not have the capacity to consent and how they can be supported during a time that might deprive them of their liberty. A deprivation of liberty analysis is in place for each service user using the Kingsley Assessment Tool so that a Best Interests assessment can be referred for quickly if/when needed. What they could do better:
The home continues to plan ahead and improve its service.
Care Homes for Adults (18-65 years) Page 5 of 9 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 Adults (18-65 years) Page 6 of 9 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 Adults (18-65 years) Page 7 of 9 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 24 It is recommended that the plans in place to; repaint the ramp support and other parts of the paintwork needed and to replace the old window framework, goes ahead. Care Homes for Adults (18-65 years) Page 8 of 9 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 Adults (18-65 years) 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 Adults (18-65 years) Page 9 of 9 - 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!
