Inspection on 31/05/05 for Barnett Lodge

This inspection was carried out on 31st May 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 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 28/09/05

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 73 Queens Road Gosport Hampshire PO12 1LF Lead Inspector Rodney Martin Unannounced 31st May 2005 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. Barnett Lodge H54 S11699 Barnett Lodge V230336 310505.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Barnett Lodge Address 73 Queens Road Gosport Hampshire PO12 1LF 023 9258 3621 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) Mrs J Lemmon and Mrs J Small CRH 3 Category(ies) of LD(E) Learning dis - over 65 - 3 registration, with number LD Learning disability - 3 of places Barnett Lodge H54 S11699 Barnett Lodge V230336 310505.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Service users in the LD category to be accommodated from the age of 35 and over Date of last inspection 10th February 2005 Brief Description of the Service: Barnett Lodge is a mid-terraced house with three 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 [LD, LD(E)] category and is registered for 35 years and above. The registered providers are Mrs Lemmon and her daughter, Mrs Small. Service users would live as part of the family with Mrs Lemmon and her, whilst Mrs Small, offers support when required, for example as a respite carer. Barnett Lodge currently does not have any residents. Barnett Lodge H54 S11699 Barnett Lodge V230336 310505.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. On the day of the inspection the inspector met with Mrs Lemmon. The home does not have any residents. Both previous service users left Barnett Lodge in July and September 2003 and to date there have been no further admissions. Since this time Mrs Lemmon has been reviewing her situation. The unannounced inspection lasted two hours between 10am and 12noon and during this time the inspector spent the time during the inspection to further discuss the options regarding registration and Mrs Lemmon’s intention regarding admitting prospective service users. 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 but still wants to review her situation before opting to admit a permanent resident. Consideration was being given to providing a respite service for adults with a mild learning disability. 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. On the day of the inspection the inspector left a voluntary cancellation of registration application form, in case Mrs Lemmon decided to give up caring. What the service does well: What has improved since the last inspection? The home has not had any admissions or discharges for nearly two years. During this period Mrs Lemmon has had various inquiries for a placement but had decided it was not the right time to admit. The status quo has therefore remained. Barnett Lodge H54 S11699 Barnett Lodge V230336 310505.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. Barnett Lodge H54 S11699 Barnett Lodge V230336 310505.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 Barnett Lodge H54 S11699 Barnett Lodge V230336 310505.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, 3, 4 and 5 The home’s admission procedure ensures that prospective residents have opportunities to visit the home EVIDENCE: Mrs Lemmon would charge a prospective resident at the Social Services rate for Portsmouth or Hampshire for adults with a learning disability. There have no admissions since 2001 when the previous two service users left last year. Although the home has three bedrooms, one is fairly small and it was discussed using this room as a small lounge or quiet room for potential residents. 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. The inspector discussed at some length the pre-admission assessment, the criteria for admission, the care manager’s involvement and access to their assessment and the pros and cons of continuing as a registered home vis-à-vis offering accommodation only. Mrs Lemmon agreed to review her pre-admission assessment form as well as her terms and conditions of residency before taking on a referral. Since the last inspection on 10 February 2005 Mrs Lemmon had received one inquiry about vacancies but had decided not to pursue with the referral. Barnett Lodge H54 S11699 Barnett Lodge V230336 310505.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) These standards were not inspected on this occasion, as the home currently does not have any services users. EVIDENCE: Barnett Lodge H54 S11699 Barnett Lodge V230336 310505.doc Version 1.30 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 standard(s) These standards were not inspected on this occasion, as the home currently does not have any services users. EVIDENCE: Barnett Lodge H54 S11699 Barnett Lodge V230336 310505.doc Version 1.30 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 standard(s) These standards were not inspected on this occasion, as the home currently does not have any services users. EVIDENCE: Barnett Lodge H54 S11699 Barnett Lodge V230336 310505.doc Version 1.30 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 standard(s) 22 and 23 The home has a satisfactory complaints procedure and adequate systems are in place which would ensure the protection of residents from abuse. EVIDENCE: The home has a complaints procedure, which is included in the statement of purpose. There have been no complaints received by the home or the Commission. As stated elsewhere here in this report, the home does not currently have any residents. Mrs Lemmon has a copy of the Hampshire adult protection policy. Barnett Lodge H54 S11699 Barnett Lodge V230336 310505.doc Version 1.30 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 standard(s) 24, 25, 26, 27, 28 and 30 A good standard of accommodation is provided ensuring prospective residents would live in a homely, comfortable and safe environment. EVIDENCE: Barnett Lodge is a comfortable mid-terraced house near the shops in Stoke Road, Gosport. 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. The bedrooms have been decorated as well as the lounge. 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 H54 S11699 Barnett Lodge V230336 310505.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not inspected on this occasion, as the home currently does not have any services users or is employing any staff members. EVIDENCE: Barnett Lodge H54 S11699 Barnett Lodge V230336 310505.doc Version 1.30 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 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) 37 and 40 Prospective residents would benefit from the registered persons receiving current and relevant training and a review of the home’s policies and procedures to ensure their rights and interests are safeguarded. 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. The inspector again discussed the registered managers award for NVQ level 4 in management and care. Mrs Lemmon confirmed that she does not want to obtain the qualification, especially whilst she does not have any service users. Also as part of the course work she would need to have service users in the home, in order to complete her portfolio and modules. However, it was stated that she would not all together rule out embarking on the NVQ level 4 course. Mrs Small due to family commitments is not able, as this stage, to enrol on the registered managers course and also would, as part of the course work, need Barnett Lodge H54 S11699 Barnett Lodge V230336 310505.doc Version 1.30 Page 16 to have service users in the home, in order to complete her portfolio and modules. The inspector discussed core-training subjects such as food hygiene, first aid, manual handling, infection control and health and safety. It is recommended that training be pursued, including courses on relevant subjects for the client group accommodated. It was agreed that before Mrs Lemmon admitted a new resident she would review all her policies and procedures in line with the requirements of the Commission. Barnett Lodge H54 S11699 Barnett Lodge V230336 310505.doc Version 1.30 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 x 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 x x x x x x 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 Barnett Lodge Score x x x x Standard No 37 38 39 40 41 42 43 Score 2 x x 2 x x x H54 S11699 Barnett Lodge V230336 310505.doc Version 1.30 Page 18 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 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 Good Practice Recommendations Barnett Lodge H54 S11699 Barnett Lodge V230336 310505.doc Version 1.30 Page 19 Commission for Social Care Inspection 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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