Inspection on 22/11/05 for Abandale Lodge

This inspection was carried out on 22nd November 2005.

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 14/08/06

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 22nd November 2005 10:00 Abandale Lodge DS0000015503.V267928.R01.S.doc Version 5.0 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.V267928.R01.S.doc Version 5.0 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.V267928.R01.S.doc Version 5.0 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.V267928.R01.S.doc Version 5.0 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 27th June 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.V267928.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day. The inspection consisted of a brief look at the home, talking with the staff and residents that were at home and checking of documents. As there were no relatives or professional visitors at the home during the inspection their views have not contributed to this inspection report. Through the day residents were observed to come and go from the home to do their own activities. All the staff that work at the home are familiar with the residents and no agency workers are used. There are six residents in the home with one person being introduced to the home and one vacancy. The inspector would like to thank the staff and residents for their hospitality and contribution to the inspection. What the service does well: The home provides a warm, comfortable and safe environment for the residents to live in. This is a small family run home with a good atmosphere between staff and residents. All the residents in the home are able bodied and no specialist equipment is needed. The proprietor has many years experience in the care of people with mental health problems and monitors their care. The staff spoken with have had relevant training in care and were clear about their duties and the work that they undertake in the home. For example one member of staff gives each resident’s room a through clean once a week. The residents are encouraged to assist with this task where possible to maintain this as their own life skill. Each resident has made their room their own by adding personal items to it and the residents spoken with were happy with the home’s environment and the way staff cared for them. One resident said that one of the things that they liked was that they were “not disturbed” by staff and that they had their own private time. The home encourages residents to be as independent as possible. Residents have the freedom to come and go from the home when they choose and those residents that have restrictions placed on them are clear about what this means. Residents are able to arrange their own entertainment with family and friends, and staff will support them in this. In the lead up to Christmas the residents have a buffet evening and a quiz night to look forward to. The proprietor and other family members always spend Christmas day with the residents in the home. Abandale Lodge DS0000015503.V267928.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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.V267928.R01.S.doc Version 5.0 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.V267928.R01.S.doc Version 5.0 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): 1&4 Introductory visits are undertaken properly, however some information available in the home is out of date. EVIDENCE: A new resident is on graduated leave from a hospital and visits the home every week for two days and staff keep records of his visit. Some of the information available to residents and staff needs to be updated. For example the complaints information sheet still refers to the Commission for Social Care Inspection as the National Care Standards Commission. Also as discussed with the business manager an area of the service user guide does not give clear information regarding obtaining inspection reports. Abandale Lodge DS0000015503.V267928.R01.S.doc Version 5.0 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): 7 Residents are able to make their own decisions subject to restrictions. EVIDENCE: Generally residents make their own choices regarding the day-to-day running of the home. For example residents confirmed that they open their own mail, choose when they go to bed and what they do through the day. Some residents have restrictions placed on them and are under particular sections of the Mental Health Act. Residents are aware of their tribunal dates and what the restrictions mean for them. Abandale Lodge DS0000015503.V267928.R01.S.doc Version 5.0 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 There is a variety of community activities that the residents take part in. EVIDENCE: Residents attend local colleges for educational courses and go to other centres in the Southend area. Residents arrange their own evenings out. For example going to the local theatre or going to the pub for a meal. During the day if they are not out at a centre residents spend time going out on the bus to markets or out to cafes where they meet people they know. Abandale Lodge DS0000015503.V267928.R01.S.doc Version 5.0 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 Residents manage their personal care and appointments. EVIDENCE: Residents go out to their health care appointments. On the day of inspection one resident had been out to their GP clinic so that the practice nurse could administer some treatment. Residents informed staff of the visit and any changes to their care was discussed. Residents administer their own personal care in the privacy of their own room or the bathroom and only a few residents need some supervision. Abandale Lodge DS0000015503.V267928.R01.S.doc Version 5.0 Page 12 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): EVIDENCE: Both of these standards were met at the last inspection and were not inspected at this inspection. Abandale Lodge DS0000015503.V267928.R01.S.doc Version 5.0 Page 13 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): 29 The residents’ needs are met without specialist equipment. EVIDENCE: The home does not use any specialist equipment, as no residents need them. Equipment in the home is domestic in style and has been tested as safe for use for the residents’. Abandale Lodge DS0000015503.V267928.R01.S.doc Version 5.0 Page 14 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): 35 There is a familiar and well trained staff team that look after the residents. EVIDENCE: Most of the staff team have completed or are undertaking the NVQ in care. Staff spoken to have attended other courses such as first aid, food hygiene and Protection of Vulnerable Adults. Staff described the communication within the home as good. The staff attend meetings for themselves and for the residents. Supervision also takes place and these are described as job chats with the manager, who staff find approachable. The home has a regular and familiar group of staff that know the residents well. Abandale Lodge DS0000015503.V267928.R01.S.doc Version 5.0 Page 15 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 & 42 The home is run and managed with the best interest and safety of the residents in mind. EVIDENCE: The manager is a qualified mental health nurse with a lot of experience in the field of mental health. The business manager also has much experience of mental health along with management qualifications. A sample of safety certificates were inspected and these were all up to date. There is still work to be done for the purpose of the quality assurance report. The manager is aware of this and will forward the report to the commission when finalised. Abandale Lodge DS0000015503.V267928.R01.S.doc Version 5.0 Page 16 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 X X 3 X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Abandale Lodge Score 3 X X X Standard No 37 38 39 40 41 42 43 Score 3 X 2 X X 3 X DS0000015503.V267928.R01.S.doc Version 5.0 Page 17 NO 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 YA1 Regulation 5 Requirement The Registered Person must keep information in the service user guide and statement of purpose updated and send the updated copy to the commission. Timescale for action 04/01/06 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. Refer to Standard YA42 Good Practice Recommendations A report should be developed from the quality assurance questionnaires. Abandale Lodge DS0000015503.V267928.R01.S.doc Version 5.0 Page 18 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.V267928.R01.S.doc Version 5.0 Page 19 - 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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