Inspection on 26/04/07 for Ann Charlton Lodge

This inspection was carried out on 26th April 2007.

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

Ann Charlton Lodge 16/12/05

Ann Charlton Lodge 20/06/05

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 Key Announced Inspection 26th April 2007 09:40 Ann Charlton Lodge DS0000000074.V336988.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 Ann Charlton Lodge DS0000000074.V336988.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. Ann Charlton Lodge DS0000000074.V336988.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ann Charlton Lodge Address Eden Hall Grove Redcar TS10 4PR 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) 01642 480660 F/P 01642 480660 Trustees of East Cleveland M S Homes Mrs Maureen Ireland Care Home 25 Category(ies) of Physical disability (25) registration, with number of places Ann Charlton Lodge DS0000000074.V336988.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Five named people who are over the age of 65 are able to be cared for at the home. 16th December 2005 Date of last inspection Brief Description of the Service: Ann Charlton Lodge is a detached, single storey, 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. Ann Charlton Lodge is registered to provide personal and nursing care to a maximum number of twenty-five adults with a physical disability. Internally the home is well maintained and offers accommodation to residents in the form of twenty-five single rooms. All bedrooms offer ensuite facilities, toilet and hand washbasin. All bedrooms meet the size requirements of national minimum standards. There is a central spacious lounge/dining 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. The cost of care at the time of the inspection visit ranged from £610.79 to £749.79 per week Ann Charlton Lodge DS0000000074.V336988.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key announced inspection of the home was announced and lasted for seven hours. The reason for the inspection was to see how good a job the home does in meeting the National Minimum Standards set by the government for Care Homes. Three residents were spoken to at length during the visit. Detailed discussions also took place with the Manager. Numerous records including care plans, medication records, staff recruitment and training records were examined. Communal areas and a number of bedrooms were looked at during the inspection. The one requirement identified at the last inspection in December 2005 was revisited. What the service does well: Ann Charlton Lodge is well run. Staff are trained and experienced. The home provides a high standard of care to residents. Resident’s rights, choices and independence are promoted. Care plan documentation is well written. Likes, dislikes and personal preferences are documented. Care plans are extremely detailed and informative showing clear evidence of choice and preference in the way care is to be delivered. The home provides a varied and nutritious menu, catering for resident’s preferences and specific diets. Residents spoken to during the inspection said that they were happy, comments made included, “Safety is paramount, no one wants to end up in a residential care but there couldn’t be any better place” “I’m happy and I feel safe” “The staff are so friendly. I am well cared for”. Ann Charlton Lodge DS0000000074.V336988.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Ann Charlton Lodge DS0000000074.V336988.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 Ann Charlton Lodge DS0000000074.V336988.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, 4 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Assessments of prospective residents are carried out to ensure that the home can meet their needs. EVIDENCE: The Manager said that all residents are assessed before coming into the home. They firstly receive an assessment from a social worker or other health care professional. The Manager of the home then carries out a further assessment to ensure that the home can meet their needs. The homes assessment includes taking a medical and social history, looking at all activities of daily living, assessing care and nursing intervention required. Residents and relatives are encouraged to visit and spend time at the home before admission. Ann Charlton Lodge DS0000000074.V336988.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 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: Two plans of care were looked at during the visit both of which were detailed and contained specific care and intervention required to assist the resident. Both plans of care examined belonged to residents who have complex care and nursing needs. The plans of care were exceptionally well written. Likes, dislikes and personal preferences were documented. Care plans were extremely detailed and informative showing clear evidence of choice and preference in the way care is to be delivered. Ann Charlton Lodge DS0000000074.V336988.R01.S.doc Version 5.2 Page 10 Care plans were effectively evaluated on a regular basis showing any deteriorations or improvements made. Risk assessments were evident on resident files examined during the visit and included intervention required to minimise the highlighted risk. Risk assessments were also evaluated to confirm effectiveness. Care plans are kept in resident bedrooms so that they can be referred to at any time. Three residents were spoken to at length during the visit all of who were happy with the care provided. Comments made included “The staff are wonderful, I couldn’t do what they do. I thought I had patience but they have really got patience” “We want for nothing” “The staff are smashing not starchy” “I have made friends” “I talk to the staff as if they were my friends, we can have a laugh, it is just what I need”. Ann Charlton Lodge DS0000000074.V336988.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 excellent This judgement has been made using available evidence including a visit to this service. People who use service are able to make choices about their life style, and are supported to develop their life skills. Social, educational, and recreational activities meet individual’s expectations. EVIDENCE: Care plans looked at during the visit had a section on working and playing. Files examined described in detail hobbies and interests of the person. One detailed a resident as liking football and went on to say how this person preferred to watch football with others. Music preferences were documented as were the personality of the person. The Manager said that both individual and group activities go on in and out of the home. Residents are planning a sponsored twenty-four hour trivial pursuit Ann Charlton Lodge DS0000000074.V336988.R01.S.doc Version 5.2 Page 12 in which staff and residents have chosen to take part. Another night planned is a cocktail night in which there is going to be a quiz. One resident spoken to said, “We all sit together and laugh if we have a drink we have too much of a laugh, no, you cant laugh too much”. There are two computers with Internet access available in the lounge area of the home, however some residents also have their own laptop. Residents have access to the Internet. One resident spoke of Internet shopping saying “It’s so easy I have set up an account to pay”. Those residents who are able are supported and encouraged to take holidays. Since last inspection one of the residents has been to Disney Land Paris, holidays for this year are now being planned. Residents are encouraged and supported to maintain friendships and relationships in and out of the home. Residents have the use of minibus and small van. A driver is employed and regularly takes residents to spend time with their family. The minibus and van are used to transport residents on shopping trips. Contact with the local community is promoted, outings to the pub, shops, day centres and theatres happen on a regular basis. Residents are encouraged to develop skills; one resident attends a college for computer courses. Residents confirmed that visitors are encouraged and welcomed at any time. A lengthy discussion took place with the manager regarding equality and diversity. The Manager demonstrated through discussion an in depth knowledge. She informed of how she does and would support relationships within the home. Religion is an important part of a number of resident’s lives. One resident is supported to go to the local Gospel Church with another attending church on a Wednesday evening for a prayer meeting. Lunchtime in the home was briefly observed, the atmosphere was relaxed, food served was well presented and appetizing and residents were seen to be enjoying the food provided. Residents spoken to during the inspection commented on variety and choice. Residents spoke of accommodating kitchen staff. One resident said, “Today I had jacket potato with scrambled egg, I also like jacket potato with poached egg”. The resident laughed at the concoction of food described and explained that kitchen staff had supported whilst on a diet and instead of having egg and Ann Charlton Lodge DS0000000074.V336988.R01.S.doc Version 5.2 Page 13 chips they had egg and jacket potato. The resident said that they had enjoyed it that much they had continued to eat it after the diet. Other comments made in respect of food included “The food is good, there is lots of choice” “You can have whatever you want” “If I have friends coming in at lunch time I can order for them”. Ann Charlton Lodge DS0000000074.V336988.R01.S.doc Version 5.2 Page 14 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 excellent This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Residents spoken to said that they were involved in planning their care and the way they were to be supported. One resident said, “I get up at 11:00pm to have my supper with staff”. Staff were observed to promote residents independence, whilst respecting peoples preferences and dignity One resident spoken to said, “The girls take good care of me and ask what I want to wear. They remember what I had on the day before so help to suggest something different. They help me to take pride in my appearance”. Ann Charlton Lodge DS0000000074.V336988.R01.S.doc Version 5.2 Page 15 The home has wheelchair clinic three times yearly. Residents and their wheelchairs are reviewed to ensure they are still suited. The majority of rooms have ceiling hoists to assist with the mobility of residents, portable hoists are also available. The home has wireless Internet access so all residents can access the Internet in their own room. All bedrooms have a telephone. Appropriate systems are in place for medication. The Manager said that those residents who are able are encouraged and supported to look after their own medication. Medication was appropriately stored and recorded. Residents receive regular visits from their G.P. Other medical checks include diabetic health checks, breast screening and flu injections. Ann Charlton Lodge DS0000000074.V336988.R01.S.doc Version 5.2 Page 16 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. People who use the service are able to express their concerns, and have access to an effective complaints procedure, are protected from abuse and have their rights protected. EVIDENCE: The home has a complaint procedure. This procedure should be updated to inform residents/relatives of their right to complain to any commissioning authorities such as the Primary Care Trust or Social Services. The complaint procedure within the statement of purpose/service user guide should also to be updated to include such information. Residents spoken to during the inspection said that they would feel comfortable in raising and concern or making a complaint to the staff or management of the home. The home keeps a record of complaints. There have not been any complaints made to the home or the Commission for Social Care Inspection in the last twelve months. The homes adult protection procedure has been developed in line with the Department of Health guidance No Secrets. Ann Charlton Lodge DS0000000074.V336988.R01.S.doc Version 5.2 Page 17 There have not been any adult protection referrals in the last twelve months. The Manager said that staff receive regular updates in adult protection and signs and symptoms of abuse. Residents have access to advocacy services if required. One resident spoken to during the inspection said, “I am happy and I am safe”. Ann Charlton Lodge DS0000000074.V336988.R01.S.doc Version 5.2 Page 18 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. The layout of the home enables residents to live in a safe, well maintained and comfortable environment, which encourages independence. EVIDENCE: The home is well maintained with appropriate and comfortable furnishings provided. Communal areas are pleasing to the eye, comfortable and homely. Bedrooms visited during the inspection were personalized and contained appropriate furnishings. One resident spoken to said, “I like my room, I’ve personalized it, put my own curtains up. I have even got my own mattress on the bed”. Ann Charlton Lodge DS0000000074.V336988.R01.S.doc Version 5.2 Page 19 Resident’s benefit from having well kept grounds and an enclosed patio/seating area. The home has a policy in respect of control of infection. Protective clothing including gloves and aprons are in plentiful supply. Appropriate laundry facilities were in place. On the day of the inspection the home was observed to be clean and odour free. Ann Charlton Lodge DS0000000074.V336988.R01.S.doc Version 5.2 Page 20 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 good This judgement has been made using available evidence including a visit to this service. Staff in the home are trained and to support the people who use the service, and support the smooth running of the home. EVIDENCE: The Manager said that 73 of care staff working at the home have achieved an NVQ level 2 in care. Two staff files were examined at random during the inspection and confirmed that the home operates a thorough recruitment procedure. Records examined contained two references, proof of identity and appropriate Criminal Record Bureau checks that had been received prior to the commencement of employment. Residents are encouraged to participate in the interview and questioning of potential staff during the recruitment process. Ann Charlton Lodge DS0000000074.V336988.R01.S.doc Version 5.2 Page 21 Records were examined to confirm that all newly appointed staff complete induction training. The Manager said that induction training meets with the Skills for Care induction standards. Records were available to confirm that moving and handling, fire training and other training relevant to the job that staff do is undertaken on a regular basis. Ann Charlton Lodge DS0000000074.V336988.R01.S.doc Version 5.2 Page 22 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 excellent This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. EVIDENCE: Ann Charlton Lodge is well managed. The Manager is both qualified and experienced. Residents spoken to during the inspection spoke highly of the Manager and staff team. One resident said, “The Manager is very approachable”. Ann Charlton Lodge DS0000000074.V336988.R01.S.doc Version 5.2 Page 23 Quality assurance and quality monitoring practices are in place. Surveys are sent out to residents on an annual basis to see if they are happy with the home and care that is provided. The home operates an effective system in which they look after the personal allowance of a number of residents. The home operates a rolling programme of servicing appliances and equipment. Records examined at random confirmed that the home’s fire extinguishers, fire alarm system and gas boilers are serviced on a regular basis. Records were available to confirm that tests of the fire alarm system are carried out. The Manager said that Portable electrical appliances are tested on an annual basis, however she has set up a contract with a company that they will also test equipment that is bought in between times or brought in by those residents receiving short term care. Water temperatures in resident bedrooms and communal bathrooms are taken on a regular basis. Ann Charlton Lodge DS0000000074.V336988.R01.S.doc Version 5.2 Page 24 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 X 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 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 4 X 3 X X 4 X Ann Charlton Lodge DS0000000074.V336988.R01.S.doc Version 5.2 Page 25 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 YA22 Good Practice Recommendations The Complaints policy/procedure should be updated to include information of resident’s rights to complain to commissioning agencies such as Social Services and the Primary Care Trust. The homes statement of purpose and service user guide should also be updated to reflect such information. Ann Charlton Lodge DS0000000074.V336988.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 Ann Charlton Lodge DS0000000074.V336988.R01.S.doc Version 5.2 Page 27 - 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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