Inspection on 20/06/05 for Ann Charlton Lodge

This inspection was carried out on 20th June 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 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

Ann Charlton Lodge 26/04/07

Ann Charlton Lodge 16/12/05

Ann Charlton Lodge 25/11/04

Ann Charlton Lodge 18/06/04

Similar services:

The Highlands

Blenheim House

1 Lanark Close

Beaconsfield Court Care Home

The Gardens Care Home

Westmoor View Nursing Home

Ashlea Mews Residential Home

St Aiden`s Cottage

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

CARE HOME ADULTS 18-65 Ann Charlton Lodge Eden Hall Grove Redcar TS10 4PR Lead Inspector Katherine Acheson Unannounced 20 June 2005 9:40 am 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. Ann Charlton Lodge B51 B01S74 Ann Charlton Lodge V233737 200605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ann Charlton Lodge Address Eden Hall Grove Redcar TS10 4PR 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) 01642 480660 01642 480660 Trustees of East Cleveland M S Homes Mrs Maureen Ireland Care Home 25 Category(ies) of Care Home with Nursing (N) registration, with number of places Ann Charlton Lodge B51 B01S74 Ann Charlton Lodge V233737 200605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25/11/2004 Brief Description of the Service: Ann Charlton Lodge is a detached, single storey, modern purpose built facility, which is situated in a residential area of Redcar. The building is set back from the road and occupies its own grounds. The home is near to bus routes and within reasonable distance of community facilities. The home is registered to provide personal and nursing care to a maximum number of twenty five adults with a physical disability. Internally the home is welll maintained and offers accommodation to service users in the form of twenty three single rooms and one double room. All bedrooms offer ensuite facilities, toilet and hand wash basin. All bedrooms meet the size requirements of national minimum standards. There is a central spacious loung/dinging room. A hatch serves the dining area from the commercial kitchen and portable screens provide some privacy and separation from the main communal area. There is a second smaller lounge and a conservatory which is used by those residents who wish to smoke. there is another conservatory overlooking the rear gardens. The home also has a hairdressing room and physiotherapy room. Ann Charlton Lodge B51 B01S74 Ann Charlton Lodge V233737 200605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection started at 9.40am and lasted for almost six hours. Seven residents were spoken to, some as a group and others individually. Discussions with residents formed a large part of the inspection, however, numerous records were examined, a discussion with the Manager and a tour of the premises took place. What the service does well: What has improved since the last inspection? The home continues to build and maintain excellent relationships with its residents and relatives. This was evident throughout the inspection, one resident referred to the Manager as “The most beautiful girl in the world”. Many of the staff give up there free time to ensure that residents have an active social life. It was highlighted at the last inspection that the Manager must be in receipt of a satisfactory POVA/Criminal Record Bureau Check for all staff, prior to the commencement of employment, records examined confirmed that this is now being carried out. Ann Charlton Lodge B51 B01S74 Ann Charlton Lodge V233737 200605 Stage 4.doc Version 1.30 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. Ann Charlton Lodge B51 B01S74 Ann Charlton Lodge V233737 200605 Stage 4.doc Version 1.30 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 Ann Charlton Lodge B51 B01S74 Ann Charlton Lodge V233737 200605 Stage 4.doc Version 1.30 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 The home is able to meet the assessed needs of residents living at the home by ensuring that a thorough pre-admission assessment is carried out. EVIDENCE: Residents are admitted to the home following an assessment that is carried out by a Social Worker or Health Care Professional. Qualified staff at the home also carry out a pre-admission assessment on all prospective residents to ensure that the home can meet the individuals assessed needs. Seven residents were spoken to during this inspection all of whom spoke highly of the Manager, staff and care that is provided. Residents and their families are encouraged to visit the home prior to admission. One resident spoken to during the inspection said, “I have had contact with other and places if I compare then this is very good”. Another resident who was having two weeks respite care at the home said, “It is brilliant here, I wouldn’t change anything. I am coming back her in October and looking forward to it”. Ann Charlton Lodge B51 B01S74 Ann Charlton Lodge V233737 200605 Stage 4.doc Version 1.30 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, 9 The home plans well for and is good at meeting the health, personal and social care needs of the people who live there. Residents are encouraged to make decisions, participate in the running of the home and enabled to take responsible risks and as such are fulfilled and as independent as possible. EVIDENCE: Two residents plans of care were examined during this inspection. Care plans were found to be comprehensive, well presented and individual to the needs of the resident. Files examined contained a record of visits carried out by chiropodists, G.P’s, opticians and other health care professionals. The Manager said that care plans are kept in the resident’s own bedroom which enables residents and their family to look at the plan of care anytime that they like. Ann Charlton Lodge B51 B01S74 Ann Charlton Lodge V233737 200605 Stage 4.doc Version 1.30 Page 10 Care plans examined did contain signatures of residents or their family to confirm that they had been involved in drawing up the plan of care. Signatures of the resident or family member were not on file to confirm that they had been involved in reviewing the plan of care, however, copies of multi disciplinary reviews were available. A discussion took place with the Manager in respect of developing a system in respect of this. It was evident following speaking to residents that they are encouraged to make decisions and exercise freedom of choice. Residents meetings are held on a regular basis with one of the residents chairing the meetings. One resident said, “I have come into the home for two weeks respite care to do my own thing and chill and that is what I have done”. This same resident went on to say, “I have let my hair down without any stress, its fantastic here, anything you want, you just have to ask”. Residents are encouraged to participate in the day-to-day running of the home. Two residents are involved in interviewing process for new staff; residents confirmed that they have been involved in the homes recent redecoration process. Residents are enabled to take responsible risks. The Manager spoke of a number of residents who are able to go out independently, other than needing to use the home’s transport to get them there. One resident regularly meets up with friends for the quiz night at the local pub. Ann Charlton Lodge B51 B01S74 Ann Charlton Lodge V233737 200605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15, 16 Resident’s daily lives are enhanced by the social activities provided by the home and the welcome it extends to residents visitors. EVIDENCE: The home has a minibus and small van to transport residents to medical appointments, outings for enjoyment and visit family, a driver is employed between the hours of 8.30am and 5pm, Monday to Friday, to enable residents to do this. The Manager said that residents families are able to use the small van and that the wife of one resident regularly drives the homes van so that both she and her husband can go out together and spend some quality time. Those residents who are able are actively encouraged to participate in activities and make use of the home’s transport. One resident spoken to during the inspection said, “I often go out to the pub, and have been to a number of Boro matches, Ian the chef often takes me in his free time”. Ann Charlton Lodge B51 B01S74 Ann Charlton Lodge V233737 200605 Stage 4.doc Version 1.30 Page 12 The Manager spoke of regular activities and trips out these included, trips to the cinema, pub, in house entertainment and shopping trips. Two of the residents have recently taken up card making. Cards made by residents were observed to be on display, for sale, in the main lounge area of the home. It was evident that much time and thought had been given to the project of card making by the many materials observed and the pride that one resident displayed when engaged in conversation regarding the cards that had been made. Two residents spoke of their recent holiday to Tenerife, both spoke of the excellent facilities for disabled people and the wonderful time that they had enjoyed. The Manager said that one resident attends a computer course in Saltburn. One resident spoken to during the inspection said that she does go on trips out, but not as often as she would like. A discussion took place with the Manager in respect of this resident who said that she would take immediate action to address this. Residents spoken to said that contact with family and friends is encouraged and that visitors are made to feel welcome at any time. One resident said “my wife often stays to have a meal with me”. Where possible residents are encouraged to move freely around the home and all rooms have a lock on the door, residents are offered a key to ensure privacy. One resident said that he was able to maintain independence to a degree because of the wheelchair friendly environment, he said, “the home is very accessible for wheelchair uses, I am able to get out in the garden so easily”. Ann Charlton Lodge B51 B01S74 Ann Charlton Lodge V233737 200605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 The home is good at meeting the physical and emotional health needs of residents by ensuring that residents receive their care in the way that they choose to. EVIDENCE: Residents spoken to during the inspection said that staff at the home respected their privacy and dignity whilst assisting with care needs. Staff interaction with residents on the day of inspection was observed to be relaxed, respectful, understanding and enabling. One resident said, “The staff are good, you couldn’t wish for better”. Another said, “The staff are beautiful people they pre-empt what I want and think ahead”. Residents spoken to confirmed that there physical care needs and emotional needs are met in the way that they prefer and require. Ann Charlton Lodge B51 B01S74 Ann Charlton Lodge V233737 200605 Stage 4.doc Version 1.30 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) EVIDENCE: The above standards were not inspected. Ann Charlton Lodge B51 B01S74 Ann Charlton Lodge V233737 200605 Stage 4.doc Version 1.30 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, 30 The standard of the environment within this home is good and maximises independence that provides the people who live there with and attractive, homely and comfortable place to live. EVIDENCE: A tour of the premises showed that the home is well maintained internally and externally. The home was clean and odour free. The home is purpose built to meet the needs of people with a physical disability. All bedrooms with the exception of one are single, and all of which have ensuite facilities comprising of a toilet and hand washbasin. The majority of bedrooms contain overhead tracking hoists to assist residents getting in and out of bed. Some rooms have a “possum” environmental system, which enables resident’s maximum independence within their rooms. The possum is an electronic communication aid which when triggered can carry out simple tasks such as turning on the television or making a telephone call. Ann Charlton Lodge B51 B01S74 Ann Charlton Lodge V233737 200605 Stage 4.doc Version 1.30 Page 16 It was evident through observation and discussion that the home encourages residents to personalise their bedrooms and bring items of furniture from home. A number of bedrooms since last inspection have benefited from redecoration and new carpets. One resident spoken to during the inspection said how pleased she was with the new carpet in her bedroom. The home has an extremely spacious lounge/dining area, which is divided by movable partitions, a smaller lounge, a conservatory to the rear of the facility and a large conservatory to the front of the home, which is designated for those residents who wish to smoke. Suitable bathing and toilet facilities are available. During the visit a number of water temperatures were taken, all with the exception of one were found to be the correct temperature. The water temperature in the shower trolley bathroom was observed to be too hot. This was pointed out to the Manager at the time of the inspection who addressed the problem of safety immediately by taking the bathroom out of action. The Manager said that she would take further action to address the problem following the inspection. Ann Charlton Lodge B51 B01S74 Ann Charlton Lodge V233737 200605 Stage 4.doc Version 1.30 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) EVIDENCE: The above standards were not inspected, however, a requirement highlighted at the last inspection in respect of POVA and Criminal Record Bureau Check was re-visited, and found to have been addressed. Ann Charlton Lodge B51 B01S74 Ann Charlton Lodge V233737 200605 Stage 4.doc Version 1.30 Page 18 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) 42 The home ensures that the health and safety of residents is promoted and protected, practice evacuations simulated by staff would further ensure this. EVIDENCE: The home operates a rolling programme of servicing appliances and equipment. Records examined at random confirmed that the home’s central heating, boilers, fire extinguishers and fire alarm system are serviced on a regular basis. Security has been provided in resident’s bedrooms by innovative and attractive wrought iron castings, which appeared decorative rather than functional. Mandatory training is provided to staff working at the home on a regular basis. Ann Charlton Lodge B51 B01S74 Ann Charlton Lodge V233737 200605 Stage 4.doc Version 1.30 Page 19 Examination of records highlighted that although fire training and fire drills are carried out in the home this practice does not include evacuation of residents from one part of the home to another. The Manager said that due to the nature of the resident’s disabilities this would cause too much distress and pain. Following the inspection a discussion took place with the Fire Authority in respect of this who acknowledged that a practice evacuation would cause distress to residents, however the home could simulate an evacuation using the staff. The Manager was informed of the advice from the Fire Authority and agreed to action this. Ann Charlton Lodge B51 B01S74 Ann Charlton Lodge V233737 200605 Stage 4.doc Version 1.30 Page 20 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 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 4 4 4 4 4 x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ann Charlton Lodge Score x 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x B51 B01S74 Ann Charlton Lodge V233737 200605 Stage 4.doc Version 1.30 Page 21 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 YA27 Regulation 13 Requirement The Manager must take action to address the problem of the hot water temperature in the shower trolley bathroom the home must carry out a fire practice evacuation simulated by staff. This practice must be recorded and include staff signatures as confirmation of taking part Timescale for action Immediate 2. YA42 13, 23 30th august 2005 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 YA6 Good Practice Recommendations The Manager should develop a system for residents and their families to sign when reviewing the plan of care Ann Charlton Lodge B51 B01S74 Ann Charlton Lodge V233737 200605 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Unit B, Advance St Marks Court Teesdale, Stockton-on-Tees TS17 6QX 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 Ann Charlton Lodge B51 B01S74 Ann Charlton Lodge V233737 200605 Stage 4.doc Version 1.30 Page 23 - 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. 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