Inspection on 08/08/07 for Abandale Lodge

This inspection was carried out on 8th 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 found no outstanding requirements from the previous inspection report, but made 2 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 14/08/06

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 8th August 2007 10:00 Abandale Lodge DS0000015503.V348099.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.V348099.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.V348099.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 Name of registered manager 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.V348099.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 14th August 2006 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.V348099.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection site visit took place over a seven hour period on one day. The site visit consisted of a tour of the home, talking with staff and residents, observing the care given and reading of documents. Five the residents were seen and two were spoken to. The manager and business manager were both present at the inspection. In addition three survey forms were received back from relatives and the Annual Quality Assurance Assessment (AQAA) form were also used to contribute to the report. The inspector would like to thank the staff and residents for their help and hospitality during the visit. What the service does well: What has improved since the last inspection? Since the last inspection the home have replaced the television in the lounge. Provided new benches in the smoking cabin that are more robust and continued with their maintenance plan. Abandale Lodge DS0000015503.V348099.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. The summary of this inspection report can be made available in other formats on request. Abandale Lodge DS0000015503.V348099.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.V348099.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, 3, & 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have a good introduction to the home and are looked after by staff that collectively have the skills to care for them. EVIDENCE: Residents have a good introduction to the home and this can take place over a long period of time. For example one resident that is currently being introduced to the home visits twice a week on a regular basis and will continue to do so until the placement is finalised. Another resident confirmed that they spent three or four days at the home on a weekly basis until they finally moved in. During this introduction period the manager and staff have the opportunity to get to know the prospective resident. They also obtain a good history of the residents needs and liaise closely with other professionals involved in the residents care. For example attending Care Programme Approach reviews and meeting relatives. The residents confirmed that they are fully involved in this process. Staff at the home are trained to various levels. There are registered nurses in mental health that lead the home. Other staff have National Vocational Qualification (NVQ) training in care. Whilst others have undertaken basic care training. This provides the care team at Abandale Lodge with a range of skills to ensure that the residents needs can be met. Abandale Lodge DS0000015503.V348099.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, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Mental health care is good and residents make their own decisions subject to restrictions in their care plan. EVIDENCE: Residents all have a care file and those spoken with are aware of their care plan. Some residents are under section 37/41 of the Mental Health Act 1983. They confirm that they have reviews with the statutory services. For example review tribunals. Some care profiles need updating and emphasis on physical health should be more detailed. However residents do have annual health check ups and said that they take themselves to clinics for appointments. All residents manage their own money and take their own daily life decisions. For example how they spend their time at the home. There are restrictions in place for some residents and they are fully informed about what this means for them. These restrictions are written into the care plan. Risk areas are identified with the residents and there is good communication between staff and the residents. Abandale Lodge DS0000015503.V348099.R01.S.doc Version 5.2 Page 10 Staff are aware of confidentiality and what this means in practice. An example given was not speaking about their work outside of the home’s environment. This area is also discussed at the staff’s induction. It was observed that care files were kept securely in a locked office. Abandale Lodge DS0000015503.V348099.R01.S.doc Version 5.2 Page 11 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 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ lead a good lifestyle at this home. EVIDENCE: Residents are encouraged to take part in valued activities, for example attending college courses, active church groups or volunteer work. Residents use the local community facilities for example the library to access their e-mail and the internet. Residents’ can access the Internet with staff supervision at the home and there are computers for the residents to use in the lounge and smoking room. The daily routine of the home is flexible to suit residents. For example residents are able to sleep-in and have breakfast late. Shower when they choose and go out when they want. Mail is always handed directly to the resident and residents all have a lockable room. Residents spoken with were happy with their rooms saying that they are “comfortable”. One resident after returning home for the afternoon was observed to make themselves at home Abandale Lodge DS0000015503.V348099.R01.S.doc Version 5.2 Page 12 by putting their feet up and settling down to watch the afternoon film with a cup of tea. Residents maintain contact with family members and most residents have their own mobile phone. One relative commented that the “liaison via telephone and visiting is good”. Residents can help themselves to food and drink whenever they choose. They are also able to store their own food in the home’s fridge. Most residents commented that the food was “ok”. Staff ask residents individually for their choice of the menu. Residents can also choose to eat out or have a take away. Abandale Lodge DS0000015503.V348099.R01.S.doc Version 5.2 Page 13 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 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is good support for residents to manage their own health and personal care. EVIDENCE: Most residents at this home manage their own personal care with some needing prompts in this area. The residents maintain their privacy and staff respect their personal space. For example staff knock on residents doors and enter the room only when invited. The home use a key working system and good records are kept of residents care. Residents are encouraged to manage their own health care. For example a resident that has diabetes records their own blood sugars. Annual health screening is encouraged. Residents have regular appointments with their community support workers and psychiatrists. The home maintains contact with the statutory services and the manager reported that the home has good links with their GP surgery. Abandale Lodge DS0000015503.V348099.R01.S.doc Version 5.2 Page 14 Medication is well managed in the home. Some residents self medicate. They undertook this activity before admission to the home and have been supported to continue to do this. The home provides safe lockable storage for medication. Medication records checked were up to date and properly filled in. Abandale Lodge DS0000015503.V348099.R01.S.doc Version 5.2 Page 15 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 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are satisfactory policies and procedures in place to protect residents. EVIDENCE: Feed back from residents and from relatives concluded that they were aware of the complaints procedure however they had not had to use it. A resident spoken to had the literature on this policy and knew whom to approach if they were unhappy about something. The complaints information is clearly displayed in the kitchen and is accessible. Since the last inspection there has not been any recorded complaints. There have not been any safeguarding adult referrals from this home since the last inspection. The home have policies and procedures on this topic and these were accessible to staff. Staff spoken with were aware of what abuse is and of their duty to report it. Abandale Lodge DS0000015503.V348099.R01.S.doc Version 5.2 Page 16 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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean and comfortable home. EVIDENCE: The premises meet the needs of the residents. The home is very clean and there are no offensive odours. The communal areas are well maintained and are homely in appearance. The home is safe and secure and residents have access to all areas of the home. Each resident has their own room. One resident keeps a budgerigar in their room. Another room needed the sink unit changing as it has deteriorated through use. The manager was aware of this and this has been planned for in the maintenance budget. Bathrooms and toilets were clean. The laundry area is available for the residents to use and is domestic in style. Residents spoken to were happy with the homes environment and with the cleanliness of the home. Abandale Lodge DS0000015503.V348099.R01.S.doc Version 5.2 Page 17 The home is a non-smoking area. There is a very comfortable smoking cabin in the back garden for those residents that smoke. Abandale Lodge DS0000015503.V348099.R01.S.doc Version 5.2 Page 18 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staff have sufficient training to support the residents. A lapse in recruitment documentation means staff have not been checked to ensure that they are fit to work with vulnerable people. EVIDENCE: This is a small family run home that has a total of fifteen staff. Of the fifteen staff eight have an NVQ in care, or are working towards it. Other training was also evidenced such as care of medicines, food hygiene diabetes and glucose monitoring and the Mental Capacity Act. The home has their own induction training and check list. As yet they do not follow the skills for care induction training, however they are looking into this area. Staff at the home were friendly and residents commented that they are always polite and respectful to them. Staff were seen to talk with the residents and residents were comfortable approaching staff. There are two staff on throughout the day and extra staff are available if the residents need someone to go with them to an appointment. Staff at the Abandale Lodge DS0000015503.V348099.R01.S.doc Version 5.2 Page 19 home are regular and familiar with the residents promoting good relationships between them. The home does not use agency workers. Three recruitment records were checked. One contained all the required documentation and another one was missing identification. The third was missing most documents. This was brought to the attention of the manager who agreed to keep recruitment checks in the home. Abandale Lodge DS0000015503.V348099.R01.S.doc Version 5.2 Page 20 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 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is safe and run in a satisfactory way. However a lack of quality assurance reporting means that improvements year on year in the home cannot be measured. EVIDENCE: The manager has worked in the field of mental health for many years and is a trained nurse in mental health. The manager works alongside the business manager who is also a trained nurse in mental health. Both are competent and experienced to run the home. As yet this year there has not been a quality assurance report available. The home has had little feedback from other professionals about their service. They do listen to residents and encourage a meeting as a forum for residents to express their views. However this is often poorly supported. This means Abandale Lodge DS0000015503.V348099.R01.S.doc Version 5.2 Page 21 that the home has difficulty in measuring its success in achieving its aims and objectives as set out in the statement of purpose. The AQAA form also provided little detail on how the home intends to improve in the next twelve months. This area has slipped since the last inspection. A random sample of safety certificates was checked. Gas, electric and fire checks were all up to date. Reporting under regulation 37 is not as thorough as it could be. For example when residents are taken to accident and emergency departments via ambulance. This was discussed with the manager who agreed to raise awareness with staff on this area. Abandale Lodge DS0000015503.V348099.R01.S.doc Version 5.2 Page 22 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 3 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 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 1 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 3 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 2 x x 3 x Abandale Lodge DS0000015503.V348099.R01.S.doc Version 5.2 Page 23 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 YA34 Regulation Requirement Timescale for action 31/08/07 2 YA39 19.Schedule The Registered Person must 2 immediately obtain all recruitment checks on new staff to ensure that they are fit to work with vulnerable people. 24(1) The Registered person must 17/09/07 maintain a quality assurance system for evaluating the services provided at the care home. 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 3 4 Refer to Standard YA6 YA24 YA35 YA42 Good Practice Recommendations The Registered Person should add more detail on physical care into the care plan The registered person should replace a wash basin to maintain good quality fixtures for the residents The Registered Person should use the skills for care induction programme for new staff The Manager should raise awareness with all staff regarding reporting under regulation 37. Abandale Lodge DS0000015503.V348099.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Abandale Lodge DS0000015503.V348099.R01.S.doc Version 5.2 Page 25 - 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!