Inspection on 07/08/07 for 85 Lodge Lane

This inspection was carried out on 7th August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

Other inspections for this house

85 Lodge Lane 14/12/06

85 Lodge Lane 10/10/05

85 Lodge Lane 09/08/05

85 Lodge Lane 11/01/05

85 Lodge Lane 13/04/04

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Polesworth Group 70 Long Street

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 85 Lodge Lane Low Town Bridgnorth Shropshire WV15 5DF Lead Inspector Mike Moloney Draft : Unannounced Inspection 8th August 2007 09:00 85 Lodge Lane DS0000020724.V340067.R01.S.doc Version 5.2 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 85 Lodge Lane DS0000020724.V340067.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 85 Lodge Lane DS0000020724.V340067.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 85 Lodge Lane Address Low Town Bridgnorth Shropshire WV15 5DF 01746 766832 01746 766832 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.macintyrecharity.org MacIntyre Care Jo-Anne Jones Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 85 Lodge Lane DS0000020724.V340067.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate five (5) people with Learning Disabilities of which two (2) people may have Physical Disabilities. 14th December 2006 Date of last inspection Brief Description of the Service: 85 Lodge Lane is a semi-detached property situated on a residential estate on the outskirts of Bridgnorth, Shropshire. The property is owned by Shropshire Health Authority. MacIntyre Care is a voluntary organisation contracted to provide a care service. The home is registered with the Commission for Social Care Inspection to provide accommodation and personal care to a maximum of five adults with a learning disability and physical disability. Service users are provided with a single room. Bedrooms for individuals with mobility difficulties are situated on the ground floor. The property is situated on an estate and is in keeping with the houses surrounding it. It is close to local shops. MacIntyre have a mission statement in place, which is ‘To be recommended and respected as the best provider of services for children and adults with learning disabilities throughout the United Kingdom’. Further information is available in the home’s service user guide. The fees are paid by the health authority on a block contract basis. 85 Lodge Lane DS0000020724.V340067.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, records kept in the home, medication records, discussions with the staff team, tour of the premises, previous inspection reports and talking with as well as observing the care experienced by people using the service What the service does well: What has improved since the last inspection? What they could do better: No requirements were made as a result of this inspection. 85 Lodge Lane DS0000020724.V340067.R01.S.doc Version 5.2 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 85 Lodge Lane DS0000020724.V340067.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection 85 Lodge Lane DS0000020724.V340067.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. People have the information needed to decide whether this home will meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been no new admissions to the home since the last inspection, however, on the day of the inspection one person was visiting the home as part of the process for assessing whether or not they would wish to live there. It could be seen from various records, including the staff meeting minutes, that this was one of a number of visits and that the staff team had considered his needs and whether or not they could meet them. 85 Lodge Lane DS0000020724.V340067.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. Residents are involved in decisions about their lives and they and their representatives play an active role in planning the care and support they receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records for two of the service users were looked at and these showed that their support plans had been reviewed by the care staff on a monthly basis. The records also showed that their person centred plans had been reviewed recently. Photographs illustrating the minutes of those meetings showed that not only the service users but members of their families were present at the reviews. The minutes included educational, social and personal care needs and wishes. The service user records were also seen to contain a range of risk assessments relevant to the activities identified in their person centred plans. Risk assessment training for staff was seen to have been included in the range of training that they have to undergo. 85 Lodge Lane DS0000020724.V340067.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. People who live in the home are able to make choices about their life style and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As said in the previous section both of the service users’ records looked at contained Person Centred Plans that identified a number of their needs. Neither of the service users whose files were looked at used educational establishments however, talking to the staff established that one of the other young people would be doing so from the next term. She expressed enthusiasm about doing so. Other service users had a number of favourite social activities identified for them and looking at the daily records showed that these were happening. The 85 Lodge Lane DS0000020724.V340067.R01.S.doc Version 5.2 Page 11 staff on duty said that they could easily identify from the records when someone should be offered an activity to take part in. A whole range of activities had been undertaken from shopping trips to local towns to visiting friends and going to going to the Black Country Museum. The home was seen to have two vehicles that they can use to go to these places. Looking at the visitors’ book and the daily notes showed that people are able to receive visitors and do so on a regular basis. Talking with the manager and the staff confirmed that the only restrictions placed on activities would be for safety reasons. The manager explained that there was, however, one exception to this in that one of the service users comes from a religious background that forbids the consumption of alcohol and therefore she is never offered any on the assumption that she would, if living in the family home, follow the family norms. Listening to and watching the staff they could be heard chatting to the residents, calling them by their preferred names and knocking on doors before they went into rooms where they knew the service users were. They also talked about how, when a resident received post, they would sit with them to open it and then explain the contents to them in ways that they thought the individual would understand most. Looking at the records showed what meals had been offered to each service user. The records also showed that these were in accordance with that person’s needs and wishes. Talking with the staff confirmed that individual preferences had, in most cases, been established by trial and error due to the nature of the communication difficulties of the service users. The staff were also seen to be giving help and encouragement at meal times. 85 Lodge Lane DS0000020724.V340067.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Looking at the service users’ records showed that health action plans for each of the service users was being developed and this was confirmed by the manager and the staff. A record of each visit to or by a health care professional was seen to be kept. Talking with the manager and the staff confirmed that these appointments had been made as and when necessary. The administration and storage of medication was looked at with storage consisting of a secure cupboard within a secure storage area. At the time of the inspection no controlled drugs were kept in the home. Appropriate administrative systems were seen to be in place and the records showed that they had been followed. The staff confirmed that they receive training in the safe handling of medication. 85 Lodge Lane DS0000020724.V340067.R01.S.doc Version 5.2 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. People who use the service are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse and have their rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager said that the home has received no allegations of abuse or complaints although they had invoked the procedures in relation to another party. The home had a copy of the local policies and procedures for the protection of vulnerable adults as well as a copy of their own complaints procedure both being part of the systems that ensures that the service users are listened to and protected from abuse, neglect and self-harm. Although the level of some of the disabilities of the service users means that they are unlikely to be able to access these formal policies, observation of the staff interacting with them and communicating between themselves indicated that they, the staff, would be aware of any dissatisfaction expressed by a service user and it was seen that a whistle blowing policy is available to be used. The manager also explained that some of the service users monies are managed by the home. Full records were seen to be kept outlining any transactions and those records are monitored by the home’s area manager and are also subject to full audits by the provider. 85 Lodge Lane DS0000020724.V340067.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment that encourages their independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is situated on a housing estate in Bridgnorth not far from local amenities. Bedrooms are situated on the ground and first floor as are the bathrooms giving good access for people with mobility issues. The building in clean and brightly decorated and has one large ‘L’ shaped communal room and a compact but pleasant garden. The home has a well equipped laundry area that can be accessed without going through food preparation or eating areas. 85 Lodge Lane DS0000020724.V340067.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36 Quality in this outcome area is good. The home can demonstrate that the service users are cared for by a well motivated, informed and trained staff team. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Throughout the inspection staff were seen to be interacting with the service users in a sensitive, caring and professional manner. Looking at the rota and talking to the staff established that there were enough staff on duty to meet the needs of the service users. The manager explained that more staff are made available should the need arise for such things as outings. The files of a number of the newly recruited staff were looked at in the provider’s area office and these were seen to contain evidence of the checks necessary to ensure that people who are employed by the home are fit to work with vulnerable adults. Looking at the staff training records and talking with the staff confirmed that there are training opportunities for all of the staff ranging from the mandatory 85 Lodge Lane DS0000020724.V340067.R01.S.doc Version 5.2 Page 16 safety training to such things as NVQs in Care of which more than 50 of the staff have at least NVQ2. Appropriate induction and foundation training is also available to staff who are new to the care industry. Looking at the records and talking with the staff also confirmed that they have regular supervision meetings with their manager and general staff meetings take place every month. 85 Lodge Lane DS0000020724.V340067.R01.S.doc Version 5.2 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. The home is a safe and well managed place for the service users to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager confirmed that she is working towards the Registered Managers Award and an NVQ4 in Care which are the qualifications that are considered appropriate to a person who manages a service of this kind. Records of the monthly visits by the home’s area manager showed that the service users safety is monitored as is the progress towards meeting their needs. Equality and diversity for the service users were seen to be promoted throughout the home within the assessments, care plans and activities. 85 Lodge Lane DS0000020724.V340067.R01.S.doc Version 5.2 Page 18 A variety of records that showed that the safety of the environment in which the service users live is monitored were looked at and found to be up to date. These included records of the monitoring of fridge and freezer temperatures, fire equipment test logs, hot water temperatures and the portable appliance test records. The home has secure storage for hazardous materials. As mentioned elsewhere in this report the staff team receive appropriate safety training in infection control, the safe handling of medicines, first aid, food hygiene, manual handling and fire prevention. 85 Lodge Lane DS0000020724.V340067.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x 85 Lodge Lane DS0000020724.V340067.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 85 Lodge Lane DS0000020724.V340067.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 85 Lodge Lane DS0000020724.V340067.R01.S.doc Version 5.2 Page 22 - 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!