Inspection on 14/08/06 for Abandale Lodge

This inspection was carried out on 14th August 2006.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Abandale Lodge 23/03/10

Abandale Lodge 08/08/07

Abandale Lodge 22/11/05

Abandale Lodge 27/06/05

Abandale Lodge 05/10/04

Abandale Lodge 13/05/04

Similar services:

Chesham House

Argyll House

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

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

CARE HOME ADULTS 18-65 Abandale Lodge 87 Station Road Leigh On Sea Essex SS9 1ST Lead Inspector Nicola Dowling Unannounced Inspection 14th August 2006 10:00 Abandale Lodge DS0000015503.V307755.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 Abandale Lodge DS0000015503.V307755.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. Abandale Lodge DS0000015503.V307755.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Abandale Lodge Address 87 Station Road Leigh On Sea Essex SS9 1ST 01702 714128 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) abandalelodge@btinternet.com Mrs Jean Ellen Grange Mrs Jean Ellen Grange Care Home 8 Category(ies) of Learning disability (8), Mental disorder, registration, with number excluding learning disability or dementia (8) of places Abandale Lodge DS0000015503.V307755.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Care to be provided for up to 8 people with a learning disability. This needs to be added to the existing registration as some service users may also have a mild learning disability. All service users admitted prime care need must be mental disorder. 2. Date of last inspection 22nd November 2005 Brief Description of the Service: Abandale Lodge is an established care home situated in a residential area of Leigh on Sea. . The home has the appearance of a large detached family house and is located near to bus routes, pubs, shops, town centre and sea front. The home is registered to provide care for up to eight adults who have either mental health problems excluding learning disability/dementia or mild learning disorders. The home is very well maintained and comprises of a communal lounge, kitchen and dinning area. All residents have their own room. There is a smoking lodge that has been purpose built in the rear garden for the residents. The garden is well maintained. Abandale Lodge DS0000015503.V307755.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over a seven-hour period on one day. The inspection consisted of a brief tour of the home, talking with staff and residents and reading of documents. Most of the residents were seen and four were spoken to. Other residents were out attending various activities. All the staff on duty were spoken to. There were no visitors to the home that could give their views of the service, however the feedback given from the surveys sent to them was used in the report. The inspector would like to thank the staff and residents for their hospitality during the day of the inspection. What the service does well: What has improved since the last inspection? The quality assurance report has been finalised and this highlights areas that the residents would like to see improve. Information in the Service User Guide has been updated. The lounge has been redecorated and the front windows have been replaced. Abandale Lodge DS0000015503.V307755.R01.S.doc Version 5.2 Page 6 What they could do better: 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. Abandale Lodge DS0000015503.V307755.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 Abandale Lodge DS0000015503.V307755.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 4 Quality in this outcome group is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed by trained staff that are competent in mental health care. EVIDENCE: Residents are introduced to the home and have trial visits. Two prospective new residents were at the home on the day of inspection. They confirmed that they had been given the choice to move into Abandale and that they had chosen this home from others that they had visited. From the residents’ surveys, residents had been given good information about the home before admission. Also information in the Service User Guide has been updated. During the course of the introductory visits and periods of time spent in the home a good assessment is undertaken that enables the home to establish if they can meet the residents needs. One resident wrote that he “loved it” at the home. Abandale Lodge DS0000015503.V307755.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome group is good. This judgement has been made using available evidence including a visit to this service. The residents’ mental health is well looked after and subject to restrictions residents make their own decisions. EVIDENCE: All residents have regular reviews of their care with risk assessments. Some residents are subject to section 37/41 of the 1983 Mental Health Act. These residents have reviews with the statutory services. The home keep detailed records of the residents care and a relative reported how well the home looks after the emotional needs and welfare of the residents. Physical care is well documented however care plans for this area of care were not detailed enough. The manager agreed to develop this area of record keeping. Residents’ spoken with confirmed that they make their own decisions in most areas of their daily life. For example staff will support residents if required with their finances however, currently all the residents manage their own finances and spend their money as they chose. Restrictions are in place for some residents, and they are fully informed about what this means for them. Abandale Lodge DS0000015503.V307755.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome group is good. This judgement has been made using available evidence including a visit to this service. Residents can expect a good life-style in this home EVIDENCE: Residents take part in a range of activities for example attending the local college for computing and photography courses. Others attend church groups or take themselves out to various centres. Residents can access the local community when they chose and use local facilities such as the library. Family links are maintained where possible. Relatives have made positive comments about the home and the care provided there. Residents confirmed that they could get up and go to bed when they chose. A choice of food is offered and the residents described the food as good and freshly cooked. Residents can eat out if they choose or bring take-away food in. Abandale Lodge DS0000015503.V307755.R01.S.doc Version 5.2 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome group is good. This judgement has been made using available evidence including a visit to this service. Medication practices are good at this home. Independence is promoted and the home is able to care for the mental and physical needs of the residents. EVIDENCE: The home looks after people whose primary need is mental health and there are good records kept that demonstrate how the care is practised. Mental health care is monitored by the Care Programme Approach system and there are regular reviews for the residents’. There is continuity of care at this home. Residents know who their keyworker is and the keyworkers are clear about their roles. Residents also get good access to physical care, with residents offered health screening appointments and open access to some health professionals, for example Diabetic nurse. Residents manage their own personal care and laundry with supervision only from staff. The home does not use any special aids or equipment. Residents are encouraged to live as independently as possible. Since the last inspection one resident has moved out of the home to live independently in a flat. Medication is managed well and stored correctly at the home. Residents arrange their own appointments and staff oversee them where needed. For Abandale Lodge DS0000015503.V307755.R01.S.doc Version 5.2 Page 12 example one resident attends the GP surgery for administration of a depot injection. The resident maintains the appointment and informs the manager when the next one is due and if there are any changes. The manager reported that there is good communication between the home and the Doctors surgery. Abandale Lodge DS0000015503.V307755.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome group is good. This judgement has been made using available evidence including a visit to this service. Arrangements for protecting residents and responding to their concerns are satisfactory. EVIDENCE: There is a written complaints policy that is available in the home. No complaints have been received about Abandale for over two years. The staff and home manager were observed to interact well with residents. Residents’ commented that if there was a problem they felt comfortable to speak to staff about issues that arise. This was also supported by the resident’s surveys. Of the four surveys received back from the residents all said knew who to speak to and how to make a complaint if they needed to. However three of the five survey forms from relatives indicated that they were not aware of the homes complaint procedure. This information was given to the home manager who will look at ways of addressing this. Residents said that they felt safe at the home and this was also supported by comments in surveys. The home have a policy on adult abuse and staff have received training in the protection of vulnerable adults. There have been no allegations of abuse at this home. Residents’ manage their own finances. There is a secure system to keep small amounts of residents’ money safe in the home. Abandale Lodge DS0000015503.V307755.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome group is good. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable and homely environment that is kept clean. EVIDENCE: The premises are safe comfortable airy and clean. There are no offensive odours and residents have access to all areas of the home. There is ongoing maintenance. The lounge area was repainted at Christmas and the front of the home has new windows. Residents said that the environment was comfortable and warm. One resident commented that they “loved” the home. The home was clean and the laundry area is maintained. Residents commented that they were happy with the way the laundry is carried out and the cleanliness of the home. The home is a non-smoking area and there is a cabin at the back of the house for those that smoke. This area also contains a computer and a music system for the use of the residents’. Abandale Lodge DS0000015503.V307755.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome group is good. This judgement has been made using available evidence including a visit to this service. Well supported and trained staff are employed in sufficient numbers to meet the residents needs EVIDENCE: Staffing numbers are regularly reviewed to ensure that the resident’s needs are met. For example during the day extra staff are on duty to cover hospital appointments or shopping trips. This ensures that the staff numbers in the home stay constant. Training is ongoing and staff confirmed this. Of the fourteen staff employed at the home six have NVQ level 2 or above and four hold first aid certificates. One staff member has recently commenced the NVQ training. Also the business manager and the manager are both first level nurses trained in mental health. This is a small family run home with some staff members related to the manager. There is a very low turn over of staff and little sickness. As no new staff have commenced work at the home the recruitment records were not checked. However recruitment checks were discussed with the manager. Currently there are no staff vacancies at the home. Abandale Lodge DS0000015503.V307755.R01.S.doc Version 5.2 Page 16 The manager undertakes supervision with staff and these are referred to as “job chats”. Communication in the home is good. Rather than hold staff meetings the manager sends out a staff bulletin, this is working well. Staff find the manager approachable and there is a good atmosphere in the home. Residents also commented that there was a good ethos in the home. Abandale Lodge DS0000015503.V307755.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome group is good. This judgement has been made using available evidence including a visit to this service. This is a well managed home that is run with the interest and safety of the residents in mind. EVIDENCE: The manager is a qualified mental health nurse and has run this home for many years. The business manager has also recently gained the mental health nursing qualification. Both are competent and experienced to run the home. Safety certificates were inspected. The fire equipment, emergency lighting, gas and electric were all up to date. Water temperatures are recorded and did not exceed 43 degrees Celsius. The fridge temperatures varied and it was suggested that this is monitored closely to ensure that items in the fridge are stored at the correct temperature. A quality assurance report has been done and this evidenced issues that residents had raised and how these had been dealt with. For example more Abandale Lodge DS0000015503.V307755.R01.S.doc Version 5.2 Page 18 shade was requested in the garden area. To address this problem a new large sunshade was purchased. Abandale Lodge DS0000015503.V307755.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 3 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 3 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 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 Abandale Lodge DS0000015503.V307755.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? 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. 1 Standard YA6 Regulation 15(1) Requirement The Registered person must ensure that physical health care is recorded in more detail on the residents care plan Timescale for action 04/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 Refer to Standard YA22 YA42 Good Practice Recommendations Amendments should be made to the complaints procedure. The Registered person should establish the cause of the varying kitchen fridge temperatures. Abandale Lodge DS0000015503.V307755.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG National Enquiry Line: 0845 015 0120 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 Abandale Lodge DS0000015503.V307755.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. 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