This inspection was carried out on 24th November 2008.
CSCI found this care home to be providing an Adequate service.
The inspector found no outstanding requirements from the previous inspection report,
but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.
Inspecting for better lives Random inspection report
Care homes for adults (18-65 years)
Name: Address: Anita Jane`s Lodge 126/128 Uppingham Road Leicester Leicestershire LE5 0QF The quality rating for this care home is: The rating was made on: one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Ruth Wood Date: 2 4 1 1 2 0 0 8 Information about the care home
Name of care home: Address: Anita Jane`s Lodge 126/128 Uppingham Road Leicester Leicestershire LE5 0QF 01162768071 F/P01162768071 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Lois Fletcher Type of registration: Number of places registered: Samalodge Limited care home 16 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia 16 Over 65 0 Conditions of registration: The home may continue to accommodate a named person who falls within category LD as detailed in variation application number 49808. Date of last inspection Brief description of the care home Anita Jane?s Lodge is a care home providing care for sixteen adults with mental health difficulties, in addition it provides a respite service (short stay) for up to one service user and offers a day care service. There are eight single and four shared bedrooms all without en-suite facilities, located on the ground and first floor. There are bathing/showering and toilet facilities on both the ground and first floor. Communal areas consist of a lounge and dining room/recreational room and kitchen on the ground floor. Anita Jane?s Lodge has a large rear garden, which incorporates a patio area. Care Homes for Adults (18-65 years) Page 2 of 10 Information as to the service offered can be found on site in documents referred to as the Statement of Purpose and Service Users Guide. A copy of the latest published report from the Commission for Social Care Inspection can be found in the entrance lobby. Fees at the home are currently #297 per week. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
This random inspection took place on 24th November 2008 between 13:30 and 16:00. The purpose of the inspection was to monitor the response to requirements made at the key inspection on 28th April 2008. During the inspection we looked at three peoples support plans and spoke to staff about how these are implemented and how much involvement people had in formulating them. We also looked at how risks are documented and managed for these people. We looked specifically at how people are supported to develop their independent living skills. An expert by experience (someone with direct experience of similar services) spoke to five people about their experiences of being supported and whether they felt that they were being encouraged rather than told what to do. The expert also spoke to people about the quality of the food and their general experiences of living in the home. We examined how medication is managed and recorded and checked staffs understanding of these processes. As part of this we looked at arrangements in place for people to administer their own medication. We looked at staffs experiences of training and support since the last inspection and whether these enabled them to support people effectively. The ways that the ongoing quality of the service is monitored were looked at, including records of visits made by the registered provider. The registered provider visited the home towards the end of the inspection visit. The support plans of all people living in the home have been reviewed with the active involvement of the individual themselves. Plans state peoples aspirations and these include being able to move out of the home to live more independently. One person had recently left Anita Janes Lodge to live more independently and other people were being supported to improve their skills in key areas to enable them to do this. Other professionals, such as Community Nurses, had been involved in preparing and implementing support plans. People said that they felt encouraged to do things rather than told to do them. One person commented that they were as independent as they wanted to be. There were no gaps in medication records and systems for returning medication had been improved, so there were no stocks of unused medication on the premises. Staff displayed a good understanding of the systems in place and had received appropriate support and supervision in this area. Staff pointed out changes that had taken place in the use of rooms. The staff office had been moved to an area off the main lounge so that staff were more visible and accessible. The Managers old office was being converted into a quiet room, to be used by people to see visitors. The room would also be equipped with a computer with internet access for people to use. One person living at the home said that they wanted more control over their money Care Homes for Adults (18-65 years) Page 4 of 10 and cigarettes as they always had to ask staff when they wanted a cigarette. This was discussed with the registered provider who explained that monitoring of these areas was part of the support required by the person and that the person had agreed to this level of monitoring. Support plans did contain such agreements. There was evidence that the registered provider (or his representative) had been making regular visits to the home to monitor the quality of the service being provided. This included minutes from staff meetings which recorded the provider present. Not all reports of visits made to the home were available for inspection. The provider agreed to forward these to the Commission. An incident affecting the wellbeing of a service user had not been reported to the Commission. The registered person was reminded that all such incidents should be reported to the Commission. Staff said that they were receiving regular supervision from the registered manager and had undertaken a variety of training (such as understanding diabetes, person centred care and infection control) The manager and some staff members have done training on Safeguarding vulnerable adults presented by the City Council. Some staff members were undertaking National Vocational Qualifications at level 3 and some senior staff had undertaken management training. Residents Meetings are held approximately every month and an agenda was displayed on the notice board for a meeting to take place the day after the inspection. Residents views are regular sought and recorded and minutes showed action taken to meet peoples suggestions, particularly in relation to activities and meals. The opinions of relatives and professionals associated with the home have also been sought through the use of questionnaires. What the care home does well: What they could do better:
A lot of information in peoples support plans is repeated unnecessarily, which can make it difficult to find key pieces of information. This was discussed with the registered provider who said that he and the registered manager intended to review the way plans were written and make modifications to the way information was presented. Some people living in the home didnt understand that there were advocacy services available to support them, despite such information being available in the home. It is recommended that the registered manager increases peoples awareness of such Care Homes for Adults (18-65 years)
Page 5 of 10 services, perhaps by inviting a representative of an advocacy agency to a future residents meeting. Written information saying who has prescribed as required medication and under what circumstances it should be administered still needs to be put in place. Changes have been made to the Misuse of Drugs Act. This means that all registered care homes, including Anita Janes Lodge, must have specific storage for controlled medication. The separate storage should be a metal cupboard of specified gauge with a specified double locking mechanism. It should be fixed to a solid wall or a wall that has a steel plate mounted behind it with Rawl or Rag bolts. Two people said that they would like a vending machine for soft drinks to be installed in the homes lounge as they didnt like tea and coffee (which was always available. One person said that they sometimes felt hungry and would like a vending machine where crisps and chocolate could be obtained. Arrangements should be made so that people have access to suitable drinks and snacks. A vending machine would not necessarily be appropriate within this setting. Reports for visits made by the registered provider or his representative should always be available for inspection. The registered manager must make sure that she informs the Commission of all incidents in which the well being or safety of a person living in the home is adversely affected. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 6 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 10 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 20 13 Secure storage must be put 31/03/2009 in place for controlled drugs. To meet the requirements of the Misuse of Drugs and Misuse of Drugs (Safe Custody) (Amendment) Regulations 2007 2 37 37 The registered manager 31/12/2008 must ensure that she informs the Commission of all incidents in which the wellbeing or safety of a person living in the home is adversely affected. This is so the Commission is aware of such incidents and can monitor how they are managed. 3 39 26 Reports of visits made by the 31/12/2008 responsible individual or his representative should always be available for inspection. This is to ensure that the Commission is able to view the outcome of such visits and that such visits are taking place regularly. Care Homes for Adults (18-65 years) Page 8 of 10 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 1 2 3 7 17 20 The registered manager should seek to improve peoples understanding of independent advocacy services. Access to suitable drinks and snacks should be made available for people living in the home. Protocols should be in place in relation to as required medication. These should state the name of the prescribing physician, under what circumstances the medication should be administered and by whom. The protocol should also state the arrangements for the review of the prescribed medication. Care Homes for Adults (18-65 years) Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 10 of 10 - 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!
