This inspection was carried out on 22nd September 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 made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
CARE HOME ADULTS 18-65
Anita Jane`s Lodge 126/128 Uppingham Road Leicester Leicestershire LE5 0QF Lead Inspector
Mrs Bhavna Keane-Rao Unannounced Inspection 9:20 22 September 2005
nd Anita Jane`s Lodge DS0000006432.V249763.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 Anita Jane`s Lodge DS0000006432.V249763.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. Anita Jane`s Lodge DS0000006432.V249763.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Anita Jane`s Lodge Address 126/128 Uppingham Road Leicester Leicestershire LE5 0QF 0116 276 8071 0116 276 8071 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) Samalodge Limited Mrs Lois Fletcher Care Home 16 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (16) of places Anita Jane`s Lodge DS0000006432.V249763.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The home may continue to accommodate a named person who falls within category LD as detailed in variation application number 49808. 12th April 2005 Date of last inspection 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 ensuite 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`s Lodge DS0000006432.V249763.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 during Thursday morning. It took three hours to complete. This home provides care for up to sixteen adults who have a mental disorder. Discussion was held with four residents. However other residents were observed in their daily routine. Two resident were spoken with in great detail. The primary method of inspection was speaking to the residents who use the service provided. All the required key standards were inspected during the last visit on 12th April 2005. Therefore only specific standards were inspected this time. All areas of concerns raised at the last inspection have been complied with by May 2005. A tour of the premises was undertaken and opportunity was taken to view residents daily records, menus of meals, fire records and staff rota. The pre-inspection questionnaire was also viewed. The registered owner/manger was on duty during the whole of the inspection. The owner/manager spent time discussing many issues that arise in the running of a residential home and facilitated this inspection. What the service does well:
The registered manager and the staff at the home are very willing to learn and improve the service provided for the residents. One resident stated, “ We go to the day centre, for walks and generally do what we want to. ” One resident stated that “this is my home and I have lots of friends here.” Another resident stated, “ I eat halal food and I get that.” Residents who were spoken with stated that they feel they are consulted about the care that this provided at this home. The interactions observed between staff and residents were very positive. Anita Jane`s Lodge DS0000006432.V249763.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. Anita Jane`s Lodge DS0000006432.V249763.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 Anita Jane`s Lodge DS0000006432.V249763.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): 2 The admission process is well managed and residents entering the home are given all the information regarding the service. EVIDENCE: All the required standards were inspected at the last inspection. The admission procedures are in place and assessments of individuals are carried out by health and/or social care professionals, as part of the referral process. There has been one new referral to the home since the last inspection. His files were viewed, detailed the specific care needs, identifying the needs that would be met by heath and/or social care professionals. Detailed discussion was held with this resident who was happy with his move to this home. Anita Jane`s Lodge DS0000006432.V249763.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): 6 Resident’s individual needs and personal goals are reflected in their plan of care and so their social emotional needs are met. EVIDENCE: All the required standards were inspected at the last inspection. Four residents were spoken with about the care they received at this home. Although detailed conversation was only held with two people. One individual care plan of a resident was viewed. This has not been fully completed. The key worker is undertaking this task. Discussion was held with the registered owner/manager with regards to the need to ensure that care plans and risk assessments are always up to date to enable staff to provide appropriate care specifically designed for the individual. It is noted that care plans are completed within first six weeks of residents moving to this home. Anita Jane`s Lodge DS0000006432.V249763.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): 17 Residents’ dietary needs are met. EVIDENCE: All the required standards were inspected at the last inspection. Four of the residents spoken with stated that they liked the meals provided. One resident stated that he was a vegetarian, which is catered for. There is also provision of halal meat to ensure residents cultural and religious needs were met. All the residents spoken with stated that they can make their own drinks and prepare light snacks as and when they wanted. A number of residents stated that they like to stay up until late at night and like to have a late snack, this is also accommodated. Anita Jane`s Lodge DS0000006432.V249763.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): None EVIDENCE: All the required standards were inspected at the last inspection. Residents spoken with stated that they were given their medication on time. A visiting Community Psychiatric Nurse was spoken with who stated that there was a good working relationship with the home. Anita Jane`s Lodge DS0000006432.V249763.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): None EVIDENCE: All the required standards were inspected at the last inspection. All the residents spoken with stated that they felt safe at this home. Anita Jane`s Lodge DS0000006432.V249763.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): 24 The residents are provided with a comfortable, clean and safe standard of accommodation, which individually and collectively meets the resident’s needs. EVIDENCE: The home is generally well maintained and suited to residents needs. It has been recently decorated and fitted with new carpet in a number of communal areas, which creates a comfortable homely atmosphere. Areas in need of work, identified at this inspection are as follows: • Two toilets are out of order and must be repaired. • The radiators in two bedrooms need to be repaired. • The floor in one bedroom was found to be very sticky. During the inspection arrangements were to have the toilets and the radiators to be repaired on the 25th September 2005. The bedroom floor was cleaned as soon as it was raised. The manager has given an undertaking to ensure that staff monitor residents bedrooms to ensure they are kept clean. Anita Jane`s Lodge DS0000006432.V249763.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): None EVIDENCE: All the required standards were inspected at the last inspection. All the residents spoken with stated that they liked the staff at this home. Anita Jane`s Lodge DS0000006432.V249763.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): None EVIDENCE: All the required standards were inspected at the last inspection. Anita Jane`s Lodge DS0000006432.V249763.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 X 3 X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30
STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Anita Jane`s Lodge Score X X X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000006432.V249763.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA24 Good Practice Recommendations It is strongly recommended that the manager monitors the physical stated of the home and repair/replace any equipment and areas in need of attention promptly. Anita Jane`s Lodge DS0000006432.V249763.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Leicester Office 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
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