Inspection on 12/04/05 for Anita Jane`s Lodge

This inspection was carried out on 12th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Anita Jane`s Lodge 29/03/10

Anita Jane`s Lodge 14/04/09

Anita Jane`s Lodge 24/11/08

Anita Jane`s Lodge 29/04/08

Anita Jane`s Lodge 14/11/07

Anita Jane`s Lodge 09/07/07

Anita Jane`s Lodge 15/06/06

Anita Jane`s Lodge 22/09/05

Anita Jane`s Lodge 07/10/04

Anita Jane`s Lodge 05/04/04

Similar services:

Trevayler Residential Care Home

Thornham Grove

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

St Matthews Unit

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

CARE HOME ADULTS 18-65 Anita Jane Lodge 126-128 Uppingham Road Leicester Leicestershire LE4 0QF Lead Inspector Bhavna Keane-Rao Unannounced 12 April 2005 at 10:00am 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 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 Stationary 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. Anita Jane Lodge Version 1.10 Page 3 SERVICE INFORMATION Name of service Anita Jane Lodge Address 126-128 Uppingham Road Leicester Leicestershire LE5 0QF 0116 2768071 0116 2768071 None Samalodge Limited Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Lois Fletcher Care Home 16 Category(ies) of MD Mental Disorder (16) registration, with number of places Anita Jane Lodge Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: The home accommodates a named person who falls within category LD as detailed in variation application number 49808. Date of last inspection 07/10/05 Brief Description of the Service: Anita Jane’s Lodge is registered to provide care for sixteen adults with mental health difficulties. The home is situated on the main Uppingham Road into Leicester city centre and is within walking distance of local amenities. This is a detached property consisting of two floors with land at the front and the back of the home. Residents are accommodated in eight single and four double bedrooms. In addition to their rooms, they have access to a lounge and a lounge/ dining room. Bathroom/shower rooms and toilet facilities can be located on both the floors. None of the bedrooms have any en-suite facilities. The courtyard has a summerhouse which is used by residents who smoke. The home has an internal courtyard and a large garden to the rear of the property. Anita Jane Lodge Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during Tuesday morning and early afternoon. A number of residents were spoken with, but detailed discussions were only held with four of them. A tour of the premises was undertaken and opportunity was taken to view residents daily records, menus of meals, fire records, a staff rota and staff records. The registered manager, who spent time discussing many issues that arise in the running of a residential home, facilitated this inspection. What the service does well: What has improved since the last inspection? A number of policies and procedures have now been developed since the last inspection that, if used correctly, will reduce the concerns identified at this inspection. All the staff at the home have now commenced their National Vocational Qualification level 2 training. The senior person has commenced her NVQ level 3. The registered manager has commenced her NVQ level 4. She has stated that this has given her an insight in to quality care and that her confidence has increased since starting this course. Anita Jane Lodge Version 1.10 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Anita Jane Lodge Version 1.10 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 Standards Statutory Requirements Identified During the Inspection Anita Jane Lodge Version 1.10 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 standard(s) 2 and 5 The admission process is not well managed and residents entering the home are not given all the information regarding the service. Residents entering the home are not always aware of their rights and the condition of their residency. Therefore not all residents get an informed choice of this as their home. Resident entering the home are not always assessed and so their needs are not fully met. EVIDENCE: The Statement of Purpose has been reviewed since the previous inspection, which gives details as to the services offered by the home. Out of the three residents files viewed only two had an initial assessment carried out. There was no initial assessment carried out for a new resident who had recently moved in to the home. Upon discussion with this resident it was noted that her care needs had not been assessed or met. Residents entering the home are not always given a written contract or statement of terms and conditions within the home. Anita Jane Lodge Version 1.10 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 standard(s) 6,7,8 and 9 There has been an improvement in the provision of health care for residents who live at this home, however individual needs and choices are not always given or met. The procedure to provide care for newly admitted residents is in need of reviewing. EVIDENCE: Four residents were spoken with about the care they received at this home. Three individual care plans of residents were viewed. There was no care plan available for a recently admitted resident. One resident spoken with stated that he was very involved in what happened to him in this home. He was able to choose the food he ate, what clothes he wore and what actives he participated in. Two residents spoken with were able to demonstrate that they were consulted about their lives within the home. They were also familiar with risk assessments and the reasons for these. Review records for the existing residents were found to contain minutes of meetings and action plans. One resident stated that she had not been consulted about any care provision. This was substantiated by the lack of care records for this person. Anita Jane Lodge Version 1.10 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 standard(s) 12,13,15,16 and 17 Residents interests and hobbies are generally accommodated this has improved since the last inspection. Generally the staff at this home try to accommodate the residents interests and hobbies. This has improved since the last inspection. The meals provided for a majority of residents are varied and balanced. However there is a serious concern as the registered manager has failed significantly to provide for specific dietary requirement of a new resident. This has the potential to undermine the resident’s individual cultural identity. EVIDENCE: One resident spoken with stated that he worked, twice a week, as a volunteer at a nursery and that this was most enjoyable. One resident stated that he did not wish to attend any structure day care provision. He liked to do what he wanted when he wanted. Also that when it was not raining he liked to go for a bike ride. Anita Jane Lodge Version 1.10 Page 11 One resident was observed working through a Maths and English book. A member of staff assisted this activity. All residents have free access to all communal areas. This was observed to be the case and verified by those residents spoken with. All residents hold a key to their bedrooms and also to the front door, this ensures that there is individual control over access into the home and within the bedrooms. Three of the residents spoken with stated that they liked the meals provided. One resident stated that she was a vegetarian, which the registered manager was not aware of, therefore she could not eat the food provided as it was not vegetarian. Upon further discussion the resident stated that she would also like to have culturally appropriate food, which again was not discussed with her or provided. Discussion was held with the registered manager who stated that she was not aware of these care needs as an initial assessment had not been carried out, this is not an acceptable work practice. Anita Jane Lodge Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 and 20 The staff and the residents work together to meet both the physical and emotional needs of residents, therefore individual needs are met. The procedure to obtain information with regards to health care needs of all newly admitted residents is inadequate and so must be reviewed. Medication is managed well. EVIDENCE: The records for three residents were viewed, two contained good detail and these demonstrated that there was ongoing consultation with health care professionals in the provision of care. This also includes Community Psychiatric Nurses, Psychologists, Psychiatrists, Community Nurses, Social Workers, Dentists and Opticians. One file contained inadequate information. Two residents spoken with, they were aware of their health care needs and that these were monitored. One resident was not able to have detailed discussion due to her care needs. One resident stated that she was not able to use her spectacles, as they were broken. The registered manager was not aware of this, as the resident had recently been admitted to the home. An undertaking was given by the manager to deal with this. Anita Jane Lodge Version 1.10 Page 13 The medication storage and administration was found to be acceptable. The local Pharmacist supplies medication on a monthly basis. Of the four residents spoken with only three were on medication. The staff at the home were not totally happy about their information regarding a resident’s health care needs as this person was recently admitted and had not brought any medication upon arrival. The initial assessment had not been completed and thus this information was not available upon admission. Anita Jane Lodge Version 1.10 Page 14 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 standard(s) 22 Residents are confident in discussing any issues of concerns with the staff or the manager before it leads to a complaint. EVIDENCE: Anita Jane Lodge has a formal Complaints procedure, which the residents who were spoken with were aware of. There have not been any complaints received by the home or the Commission for Social Care Inspection since the last inspection. Two residents who were spoken with in detail stated that every time they raised any issues of concerns these were acted upon. Anita Jane Lodge Version 1.10 Page 15 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 standard(s) 24,25,26,27,28,29 and 30 There have been improvements to the décor of the home since the last inspection. However there are still areas within the home which need attention. There has also been an improvement to the cleanliness within the home. The home provide specific equipment for residents where needed. On the whole the home does provide safe, comfortable and clean surroundings. In one instance the above judgment was not found to be the case and this needs to be addressed. . EVIDENCE: The areas, identified at the last inspection have now been acted upon. Since the last inspection number of bedrooms have been decorated. Areas in need of work, identified at this inspection are as follows: • One vacant bedroom, number 2, at present is being used for storage purposes. • The carpet in bedroom 12 needs to be replaced. • The walls in bedroom 12 need to be repainted. • The carpet in the hallway needs to be replaced. Anita Jane Lodge Version 1.10 Page 16 Specialist equipment, a neon fire alarm light, has been provided for a resident with sensory impairment. This has been done so that this resident can be alerted if there is a fire. A resident spoken with stated that her radiator was not working when she was admitted to the home last week. The manager confirmed this to be the case. The resident has had to move bedroom due to this problem. The resident has stated that this has made her feel very unsettled and vulnerable. The other residents who were spoken with were very proud of their bedrooms and were observed using the communal areas freely. Anita Jane Lodge Version 1.10 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 and 36 The staff at the home are competent and able to provide for the general care needs of residents at the home. There is ongoing training to ensure that all the staff are providing high quality care. The staff members try hard to ensure that they meet the care needs of residents. EVIDENCE: Since the last inspection one member of staff has left the home. The staff within the home, including the manager, have worked additional hours to cover this shortfall as a short term measure. There are always three staff on duty to provide care for the residents. At present there are only twelve residents for whom care is provided. On the day of the inspection there were two care staff, a senior member of staff and the manager on duty. The manager was not on the rota but came in to the home to undertake other duties. The responsibilities of the staff in the home, in addition to care, include cleaning, preparation and cooking of meals, the laundry and any other tasks as identified by the manager. Anita Jane Lodge Version 1.10 Page 18 Two staff files were viewed, these contained all required checks and paperwork. The residents that were spoken with were positive about the staff employed at the home. One particular resident stated that he was always encouraged to go out to the day centre and also to try to be more independent. The observed interaction between the staff and residents was relaxed and friendly. One resident has input from the staff to enable him to learn basic English and maths. This is part of his independent living skills. All the staff have now commenced their National Vocational Training level 2. The senior member of staff has also commenced her NVQ level 3 and the manager has commenced her NVQ level 4 training. Upon discussion with the staff about the specific cultural needs of a resident the staff on duty started to act upon this. Anita Jane Lodge Version 1.10 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 and 42 The management style of the registered manager has improved significantly in the last twelve months. This should improve as her NVQ progresses. The fact that a new resident was admitted to the home without initial assessment has shown a weakness in the way that this home is managed. EVIDENCE: The staff members spoken with stated that they now felt supported by the registered manager and that there were systems in place to ensure that their concerns were addressed. There are regular staff meetings, staff supervisions and residents meeting which enable the manager to ensure that the provision of care is based upon her own philosophy of care. Upon looking at resident care records and talking with them it is noted that for all but one person their identified care needs have been met. However for one particular resident there has been total breakdown on following policies and procedure during admission. This has led to the resident not being able to be provided with appropriate food, read anything, as her glasses were broken, or Anita Jane Lodge Version 1.10 Page 20 settle in her bedroom as radiator was not working. This oversight has had a direct repercussion on the care the resident received. The registered manager has started her NVQ level 4 training and is hoping to complete it by the end of the year. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x 1 x x 2 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 2 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 2 3 3 3 3 3 Standard No Score Anita Jane Lodge Version 1.10 Page 21 LIFESTYLES Standard No 11 12 13 14 15 16 17 Score x 3 3 x 3 3 1 31 32 33 34 35 36 x x x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 3 x Standard No 37 38 39 40 41 42 43 Score x 2 x x x 1 x Anita Jane Lodge Version 1.10 Page 22 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 2 Regulation 14 Requirement It is required that assessments are carried out for all residents prior to any admission being agreed. It is required that all residents are given a written contract or statement of terms and conditions. It is required that all residents are consulted about all areas of the provision of care for them. It is required that all residents cultural and dietary needs are met. It is required that all identified health care needs are recorded and met in conjunctions with other health care professionals. It is required that residents bedrooms are not used for storage purposes when occupied. It is required that the carpet in bedroom 12 is replaced. It is required that bedroom 12 is repainted. It is required that the carpet in the hallway replaced. It is required that the identified radiator in a resident’s bedroom is repaired. It is required that the manager Version 1.10 Timescale for action Immediate 2. 5 4 02/05/05 3. 4. 5. 8 17 18 15 12,16 12 02/05/05 Immediate 02/05/05 6. 7. 8. 9. 10. 11. 24 24 24 25 42 38 23 23 23 23 23 24,13 02/05/05 02/06/05 02/06/05 02/06/05 02/05/05 Immediate Page 23 Anita Jane Lodge ensures that all policies and procedures on admission of a new resident are followed. 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 None Good Practice Recommendations Anita Jane Lodge Version 1.10 Page 24 Commission for Social Care Inspection The Pavilions 5 Smith Way Grove Park, Enderby Leicester, LE19 1SX 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 Anita Jane Lodge Version 1.10 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. 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