Inspection on 16/09/08 for Avondale Lodge

This inspection was carried out on 16th September 2008.

CSCI found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Avondale Lodge 25/09/07

Avondale Lodge 02/11/06

Avondale Lodge 17/10/05

Avondale Lodge 03/05/05

Extracts from inspection reports are licensed from CQC, this page was updated on 05/12/2008.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Avondale Lodge 419 Central Drive Blackpool Lancashire FY1 6LE     The quality rating for this care home is:   two star good 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. Lead inspector: Wesley Cornwell     Date: 1 6 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) 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. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Avondale Lodge 419 Central Drive Blackpool Lancashire FY1 6LE 01253628793 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Pro-Care Disperse Housing Ltd Type of registration: Number of places registered: care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The home is registered for a maximum of 6 service users with a Mental Disorder, excluding learning disability or Dementia (MD). The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection Brief description of the care home Avondale Lodge is a care home registered for 6 young adults with mental health problems. The home is situated in the central area of Blackpool close to the town centre. The accommodation provides 6 single rooms, which are located on the first and second floor. Toilet and bathing facilities are also located on the first floor. There is no lift available at this home. The home has a Statement of Purpose and Service User Guide providing information about the care provided, the qualifications and experience of the owners and staff and Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 6 Brief description of the care home the services residents can expect if they choose to live at the home. A copy of the Service User Guide and most recent inspection report is issued to all prospective residents and their relatives/representatives to help them make an informed choice whether to move into the home. The range of fees at the home are 85.00 to 90.00 covering all aspects of care, food and accommodation. The manager provided this information on the 16th September 2008. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This unannounced site visit was undertaken as part of the homes Key Inspection. The site visit commenced at 9:30am and took place over 3 hours. During the site visit the Inspector was accompanied by an Expert by Experience who is a person, who because of their shared experience of using services, visits a service with an Inspector to help them get a picture of what it is like to live in or use the service. The Expert by Experience observed routines within the home and spoke to a number of people who live there and the staff member on duty. The views of the Expert by Experience and comments received during the visit have been included in the report. Care Homes for Adults (18-65 years) Page 6 of 28 Prior to the site visit the manager of the home completed an Annual Quality Assurance Assessment form (AQAA) providing detailed information about the service they are providing. During the site visit the Inspector also spoke to three people who live in the home, one staff member, a health care professional, the person in charge and the owner of the home. Staff, care, maintenance and financial records were also examined. A full tour of the premises was undertaken with the person in charge. People spoken to during the visit have had their comments included in the report. The range of fees at the home are 285.00 to 390.00 pounds covering all aspects of care, food and accommodation. The manager provided this information on the 16th September 2008. What the care home does well: What has improved since the last inspection? What they could do better: 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 Care Homes for Adults (18-65 years) Page 9 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission and assessment procedures were clear to ensure the care needs of people are met. Evidence: The care plan records of two people admitted into the home since the last inspection had full assessment information including the religious/cultural and relationship needs of the people. The staff member on duty confirmed they had access to this information and was fully aware of the needs of the people and the level of support they needed. The staff member said they were responsible for the preparation of meals and had been informed about people who had special dietary needs and these were being accommodated. One person said he had visited the home on a number of occasions before making the Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: decision to move there. He said he felt comfortable in his new surroundings and was happy with the support being provided. People spoken to during the visit confirmed they were happy that their needs were being met. Care Homes for Adults (18-65 years) Page 12 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Promotion of health, personal and social care is taken seriously and closely monitored to ensure they are met. Evidence: Individual records are kept for each person with a plan of care which had been generated through Care Management Assessment arrangements, setting out the action that needed to be taken by support staff to ensure all aspects of health, personal and social care needs of the residents were met. People spoken to said staff members were supportive in encouraging them to live independently. The person in charge said responsible risks are encouraged to enable people to pursue a lifestyle of their choice. Records observed confirmed where a potential risk had been identified these were closely monitored. Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: The daily records of two people clearly described the level of support and assistance being provided by the staff team with their daily living routines and any activities being undertaken. People spoken to confirmed they are treated and respected as individuals and encouraged and supported by the staff team to pursue their chosen lifestyle within acceptable boundaries. One person said, I feel listened to here and enjoy the freedom I am allowed. I have lived in three previous care homes but I enjoy more freedom here and feel respected by the staff. Observation of care plan records confirmed there are clear risk assessment management strategies in place for dealing with potential risks to the people who live there. One person whose lifestyle potentially places them at risk was being closely monitored and appropriately managed. The home has a good record of dealing promptly with any unexplained absences of people according to written procedure and ensuring all appropriate organisations are kept fully updated. Care Homes for Adults (18-65 years) Page 14 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Leisure opportunities are discussed and explored to ensure people have opportunities for personal development. Evidence: Observation of care plans and discussion with people confirmed opportunities for personal development is being encouraged. There was evidence that educational and employment opportunities had been discussed but these were restricted because of the health of the people living at the home. One person said they would like to do more but they became anxious when they left the home and had to return promptly to do their breathing exercises which helps them to calm down. Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: A healthcare worker spoken to said, The service delivery at the home is very good. The people living in this home are very difficult to motivate because of the level of their mental health problems. The staff provide a really good level of support in my opinion. People spoken to said they were happy with the arrangements in place for receiving their visitors. Visitors were observed arriving at the home unannounced and were made welcome by the staff member on duty. A Health Care Professional said he was able to see people in the privacy of their own room whenever he visited. Routines observed throughout the visit appeared flexible with people being allowed complete freedom of the home. People spoken to confirmed they had access to the kitchen to prepare snacks and drinks whenever they wanted. The staff member on duty said she made the main meal when on duty but people could prepare their own meal if that was their choice. The home does not have a set menu with food being purchased for the week and then people can choose daily what they would like to eat. People spoken to said they enjoyed the meals and got plenty to eat. One person said, The staff are very good. They will prepare a meal of our choice if we make a request. Care Homes for Adults (18-65 years) Page 16 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Promotion of health is taken seriously and personal support is provided in a flexible and sensitive manner. Evidence: Discussion with people confirmed they were happy with the level of personal care support they received and said they were encouraged to be independent and attend to their own needs. All of the people spoken to said they were able to attend to their own care and personal hygiene needs and were happy with the level of supervision and guidance available to them. A healthcare professional commented, The staff at this home are excellent, very caring and conscientious people. They work very well with the people who live there and provide excellent support. Entries on care plans confirmed staff communicate clearly and work in partnership with health and social care professionals. One healthcare professional said the manager and Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: staff at the home demonstrated a clear understanding of the needs of people and he was satisfied with the overall care being provided. The healthcare worker said, This home accommodates people who have severe mental health problems and they often accept people who other services couldnt cope with. I am very impressed with the excellent work they do. Medication practices observed were safe and good records had been maintained. The staff members responsible for the administration of medicines had received training to ensure they had basic knowledge of how medicines are used and how to recognise and deal with problems in use. Care Homes for Adults (18-65 years) Page 18 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for complaints are handled well and taken seriously ensuring people feel listened to. Evidence: The home has a detailed complaints procedure, which is made available to all people on their admission to the home. People spoken to were aware of how to make a complaint and felt these would be listened to and acted upon. People spoken to during the visit said they were happy living at the home and didnt feel the need to complain about anything. The home has a procedure in place for dealing with allegations of abuse. The staff member spoken to had a good understanding of the procedures to be followed in the event of any allegations or suspicion of abuse or neglect. Discussion with the person in charge confirmed all staff employed by the home are due to attend a training course on how to recognise abusive practices and the procedures to be followed in the event of any allegations or incidents of abuse occurring. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a planned maintenance and renewal programme for the redecoration and refurbishment of the home to ensure people live in a comfortable, homely, clean and safe environment. Evidence: There has been some progress in upgrading the environmental standards in the home since the last inspection. New furniture and bedding has been purchased for bedrooms. The lounge has been redecorated, new curtains purchased and ceiling tiles fitted. Satellite television is available in the lounge for the entertainment of those people who wish to watch it. People spoken to were very happy with the standard of accommodation being provided and said they felt at home. A tour of the building confirmed bedrooms had been personalised with personal belongings and decorated and furnished for their comfort. Each bedroom had been fitted with a lock and the person issued with their own key ensuring their privacy was being promoted. People spoken to were happy with their rooms and said they had the Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: choice of spending time on their own or in the lounge areas. One person said they had everything they needed in their room and preferred to spend their time there relaxing. The person confirmed the manager and his staff always respected their privacy. Hot water temperatures throughout the home were checked and found to deliver water at a safe temperature in line with health and safety guidelines. The home was fresh and clean providing a pleasant environment for people to live. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes recruitment procedures are robust and these provide safeguards for the protection of people. Evidence: Staffing levels were sufficient for the number of people living at the home. People spoken to said staff members were always available if needed. A healthcare worker said they were very satisfied with support provided to his clients. Records show over 100 of staff members have achieved National Vocational Qualifications (NVQ) ensuring people are in the safe hands of a qualified and competent staff team. Discussion with staff and examination of records confirmed training had been provided for staff members to ensure they had a clear understanding of the specific care needs of people accommodated at the home. The home has a small staff team and there has been no new employees recruited since the last inspection. Examination of records during previous inspections showed good Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: systems were in place for obtaining relevant documentation for staff members employed by the home ensuring the protection of people who live there. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and has policies and procedures in place to ensure the health and safety of people and staff are promoted and protected. Evidence: The home is presently without a manager who is registered with the Commission. The owner of the home said he has recently appointed a manager who is qualified, competent, experienced and who will run the home for the benefit of the people who live there. He stated that he expected to submit a manager application for registration to the Commission within the next two weeks. Records checked during the visit were found to be up to date and were being well maintained. The staff member on duty said they felt well supported and had access to the homeowner and general manager for support and guidance. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: An annual quality assessment of standards is undertaken within the home by a professionally recognised organisation who completes an audit of the care being provided and seek the views of people who live there and their relatives. People spoken to were very positive in their comments about the staff team who were described as being friendly, approachable and very helpful. The staff member on duty had a clear understanding of their role and what is expected of them during their shift. The staff member confirmed he had access to the homes risk assessment strategies and was able to explain how emergency situations would be dealt with should they occur. Inspection of maintenance records confirmed facilities and equipment was being maintained as required by health and safety legislation to provide a safe environment for the people who live there. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action 1 37 8 The registered provider must 25/12/2007 ensure the person in day to day control of the home is registered with the Commission and that an application for registration is submitted to the Commission for Social Care Inspection. The registered provider must 16/10/2007 ensure the homes Annual Quality Assurance Assessment form is completed and returned to the Commission providing up to date information about the service being provided. This will assist the Commission to develop a picture of the service being provided and target inspection activity. 2 39 24(1) (2) Care Homes for Adults (18-65 years) Page 26 of 28 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 37 8 A suitably experienced and 13/12/2008 qualified person must be appointed and an application to be registered with the Commission submitted to ensure people living at the home are supported by a person who is fit to do so. This requirement is made to ensure that a person who is suitably skilled, experienced and qaulified is registered with the Commission. 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 Care Homes for Adults (18-65 years) Page 27 of 28 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 28 of 28 - 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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