Inspection on 28/09/05 for Barnett Lodge

This inspection was carried out on 28th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Barnett Lodge 11/06/08

Barnett Lodge 19/06/07

Barnett Lodge 06/12/06

Barnett Lodge 31/05/05

Barnett Lodge 10/02/05

Barnett Lodge 28/09/04

Barnett Lodge 06/06/03

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

CARE HOME ADULTS 18-65 Barnett Lodge Gosport Hampshire PO12 1LF Lead Inspector Mr Rodney Martin Unannounced Inspection 28th September 2005 10:00 Barnett Lodge DS0000011699.V253957.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Barnett Lodge DS0000011699.V253957.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Barnett Lodge DS0000011699.V253957.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Barnett Lodge Address Gosport Hampshire PO12 1LF 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) 023 9258 3621 Mrs J Lemmon Mrs J Small Care Home 3 Category(ies) of Learning disability (3), Learning disability over registration, with number 65 years of age (3) of places Barnett Lodge DS0000011699.V253957.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the LD category to be accommodated from the age of 35 and over 31 May 2005 Date of last inspection Brief Description of the Service: Barnett Lodge is a mid-terraced house with bedrooms on the first floor and a downstairs extension comprising of a kitchen and fourth bedroom. It is within walking distance of local amenities. Barnett Lodge is able to accommodate up to three service users in the learning disability category [LD, LD(E)] and is registered for 35 years and above. The registered persons are Mrs Lemmon and her daughter, Mrs Small. Service users would live as part of the family with Mrs Lemmon; whilst Mrs Small, offers support when required, for example a respite carer. Barnett Lodge currently does not have any residents. Barnett Lodge DS0000011699.V253957.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. There were no requirements in the previous inspection report, dated 31 May 2005. However, as the home has not had any service users for two years and Mrs Lemmon had not had any formal training for some years, there was an expectation that, if the service was to continue, the Commission needed to be satisfied that she has the necessary training skills and expertise to manage adults with a learning disability. Since the last inspection the Commission wrote to Mrs Lemmon on 9 September 2005 to ask if a decision had been made regarding the future of Barnett Lodge continuing as a care home. The unannounced inspection took place between 10am and 12.30pm and time was spent during the inspection to further discuss the options regarding registration and Mrs Lemmon’s intention regarding admitting prospective service users, as well as applying to the adult placement scheme as a carer. Barnett Lodge is currently registered for adults with a learning disability, from the age of 35 years and upward. Mrs Lemmon stated that she would still like to continue caring and ideally would prefer providing a respite service for adults with a mild learning disability. Since the last inspection Mrs Lemmon has attended three courses on first aid, health and safety and challenging behaviour. The majority of the forty-three standards were not inspected on this occasion as the home is not accommodating any service users and there have been no admissions or discharges since 15 September 2003. What the service does well: In the past Mrs Lemmon has provided a secure and loving environment for adults with a mild learning disability, offering companionship and stability. Barnett Lodge DS0000011699.V253957.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Barnett Lodge DS0000011699.V253957.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Barnett Lodge DS0000011699.V253957.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 4 and 5 The home’s admission procedure ensures that prospective residents have opportunities to visit the home. Relevant terms and conditions of residency are available. EVIDENCE: There have been no admissions since 2001 and the home has not had a service user since September 2003. Since the last inspection on 31 May 2005 the home received one enquiry about a vacancy but this was not for an immediate placement. Prospective service users would be given the opportunity to visit the home prior to admission. There would also be a protracted introductory process to ensure that the service user was suited to the home. However, Mrs Lemmon stated that she would prefer to provide a respite service. A discussion took place regarding the merits of adult placement and Mrs Lemmon said that she would look into the scheme. The home has a statement of purpose and service users guide. Mrs Lemmon previously charged a prospective resident at the Social Services rate for Portsmouth or Hampshire for adults with a learning disability. A copy of the residents’ terms and conditions of residency was seen and found to be satisfactory. Barnett Lodge DS0000011699.V253957.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected on this occasion, as the home does not have any service users. EVIDENCE: Barnett Lodge DS0000011699.V253957.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected on this occasion, as the home does not have any service users. EVIDENCE: Barnett Lodge DS0000011699.V253957.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected on this occasion, as the home does not have any service users. EVIDENCE: Barnett Lodge DS0000011699.V253957.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The home has a satisfactory complaints procedure and an adult protection procedure, to safeguard residents from abuse. EVIDENCE: The home has a complaints procedure, which is included in the statement of purpose. It was agreed that the procedure would be updated to change the name from the National Commission for Social Care to the Commission for Social Care and Inspection. There have been no complaints received by the home or the Commission. As stated elsewhere in this report, the home does not currently have any residents. Mrs Lemmon has a copy of the Hampshire adult protection policy and the document ‘No Secrets’ from the Department of Health. Barnett Lodge DS0000011699.V253957.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28 and 30 A very good standard of accommodation is provided ensuring residents live in a homely, comfortable and safe environment. EVIDENCE: Barnett Lodge is a comfortable mid-terraced house near the shops in Stoke Road, Gosport. Since the last inspection a double glazed lounge window has been fitted to the front of the house. The home has three single bedrooms without en suite facilities. Two bedrooms are upstairs and the other is on the ground floor, situated in an extension, with a separate dining room, sink and cooker. However, one bedroom is below 10sq.m [which is the minimum set for a bedroom]. Mrs Lemmon’s office, which is a bedroom on the first floor, was measured to see if could be used as a service user’s bedroom. The room, although square, only measured 8.58sq.m. The home has a ground floor toilet. The bathroom is on the first floor. There is sufficient room in Barnett Lodge for up to two or three residents. The home was found to be clean on the day of the visit. Mrs Lemmon has relevant information on infection control. Barnett Lodge DS0000011699.V253957.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected on this occasion, as the home does not have any service users. EVIDENCE: Barnett Lodge DS0000011699.V253957.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 40 and 41 Prospective service users rights and interests would be safeguarded and protected by the home’s policies and procedures. EVIDENCE: Mrs Lemmon has been running Barnett Lodge since 1966, with support from her daughter, Mrs Small. Neither Mrs Lemmon, as the main provider or Mrs Small, the other registered person, have any formal qualifications. Mrs Small due to family commitments is not able, as this stage, to enrol on the registered managers course and would, as part of the course work, need to have service users in the home, in order to complete her portfolio and modules. Since the last inspection, a follow up letter was sent to the registered persons regarding the need to have formal training in core subjects such as first aid, health and safety, manual handling, infection control, food hygiene, adult protection, medication training and updating their knowledge on relevant learning disability subjects, if the intention was to continue providing a care service. Since then Mrs Lemmon has attended three courses on first aid, health and Barnett Lodge DS0000011699.V253957.R01.S.doc Version 5.0 Page 16 safety and challenging behaviour. She is planning to continue with training courses in the core subjects. The home has the necessary records required as well as all the policies and procedures to effectively run a small care home. Barnett Lodge DS0000011699.V253957.R01.S.doc Version 5.0 Page 17 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 3 X X 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Barnett Lodge Score X X X X Standard No 37 38 39 40 41 42 43 Score X X X 3 3 X X DS0000011699.V253957.R01.S.doc Version 5.0 Page 18 Not applicable 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. Refer to Standard Good Practice Recommendations Barnett Lodge DS0000011699.V253957.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Hampshire Local Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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