Inspection on 06/12/06 for Barnett Lodge

This inspection was carried out on 6th December 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Barnett Lodge 11/06/08

Barnett Lodge 19/06/07

Barnett Lodge 28/09/05

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 73 Queens Road Gosport Hampshire PO12 1LF Lead Inspector Beverley Rand Announced Inspection 9th December 2006 10:00 Barnett Lodge DS0000011699.V321382.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 Barnett Lodge DS0000011699.V321382.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. Barnett Lodge DS0000011699.V321382.R01.S.doc Version 5.2 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 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) Mrs J Lemmon Mrs J Small Mrs J Lemmon 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.V321382.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. All service users must be at least 35 years of age. Date of last inspection 28th September 2005 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 self contained 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 and has not done for three years. This has been the choice of Mrs Lemmon. The fees would be set at the local authority rates. This information was provided on the day of the inspection. Barnett Lodge DS0000011699.V321382.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was announced as the provider/manager was not in when the inspector attempted to undertake an unannounced inspection. The provider/manager does not employ any staff and the home has not had any residents for three years. The inspector looked around the home, had discussions with the manager and looked at records and procedures. What the service does well: 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. Barnett Lodge DS0000011699.V321382.R01.S.doc Version 5.2 Page 6 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.V321382.R01.S.doc Version 5.2 Page 7 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): 1 and 2. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has information about the home in place which would benefit from being updated. The assessment process is based on the care management assessment process but would benefit from being clearer to ensure that needs of any new residents are met. EVIDENCE: The inspector asked the manager about the Statement of Purpose and the Service User Guide which would be provided to any new residents. The Statement of Purpose was not readily available but one was found. Both these documents required small amendments and the manager agreed to do this. The manager was unclear as to how she would undertake the assessment process, should she receive a referral, saying she had relied in the past on what was provided by the care manager. This apparently has led to some problems in the past. The manager is unlikely to take any private referrals and therefore unlikely to have to undertake a complete assessment herself. On further discussion, and searching, an assessment form was found which was suitable for the manager’s purpose, as long as it was accompanied by a full care management assessment. In the past, residents have visited the home, with their care manager and stayed for tea, and then maybe stayed for a week before deciding to move in. Barnett Lodge DS0000011699.V321382.R01.S.doc Version 5.2 Page 8 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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home would put careplans in place if any resident were to move in. EVIDENCE: There were no current care plans to look at as there are no residents living there. The manager did not use a particular format so the careplans from previous residents were looked at. Residents at Barnett Lodge tend to be low need and the careplans reflected this, although one would have benefited from more information. The Statement of Purpose said careplans would be reviewed annually, but this should be six monthly. Barnett Lodge DS0000011699.V321382.R01.S.doc Version 5.2 Page 9 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): 16 and 17. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home would provide comfortable everyday living, whereby residents could live as they please. EVIDENCE: The inspector was unable to assess outcomes for service users as there is currently no-one living at the home. The manager told the inspector how she used to discuss meal choices with residents, and one would sometimes prefer to buy their own meal from the shop sometimes. The manager has managed a vegetarian diet in the past and thought that she could manage most dietary requirements if she looked into it further. Barnett Lodge DS0000011699.V321382.R01.S.doc Version 5.2 Page 10 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): 19. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home would be able to access healthcare provision. EVIDENCE: The manager feels that new residents could easily register with a local doctor. Barnett Lodge DS0000011699.V321382.R01.S.doc Version 5.2 Page 11 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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Procedures are in place for the protection of adults but would benefit from being updated. EVIDENCE: The manager did have a complaints procedure but it did not include timescales and needed updating with regard to the name of the Commission. The manager was clear that she would refer any issues to do with adult protection directly to care managers. Barnett Lodge DS0000011699.V321382.R01.S.doc Version 5.2 Page 12 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): 26 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Some areas of the home require redecoration or repair before residents could be accommodated in all bedrooms. EVIDENCE: Barnett Lodge is a 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 kitchen area. However, one bedroom is below 10sq.m which is the minimum size for a bedroom. Communal areas include a kitchen/diner and sitting room. The bathroom is on the first floor. The home was found to be clean on the day of the visit. Mrs Lemmon has relevant information on infection control. The house was cold on the day of the inspection and Mrs Lemmon said the heating had broken. Someone was due to visit within a few days and would hopefully resolve the situation. Barnett Lodge DS0000011699.V321382.R01.S.doc Version 5.2 Page 13 The bedroom in the extension was particularly cold, and appeared to be damp in patches on the ceiling and walls. Mrs Lemmon agreed that the room would need decorating before a resident could move in. Barnett Lodge DS0000011699.V321382.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): The home does not employ any staff so the inspector was unable to assess the outcomes. EVIDENCE: The manager does not employ any staff. Barnett Lodge DS0000011699.V321382.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Whilst the manager has had some updated training since the home has had no residents, further attention is needed to fire safety before residents can move in. EVIDENCE: The manager has not updated any training since the last inspection, but previously attended three courses on first aid, health and safety and challenging behaviour. All cleaning fluids are kept in a lockable cupboard. There is a lockable box for medication which is locked to the wall. The manager has not recorded testing of smoke detectors since 2003, although she said she had been testing them occasionally. The fire extinguishers have not been professionally tested since 2003. The manager has not updated her own training in fire safety. Fire regulations have changed during the time the home has not had any residents and Mrs Lemmon must update herself on these. The Barnett Lodge DS0000011699.V321382.R01.S.doc Version 5.2 Page 16 gas boiler has not been serviced in 18 months but the manager was anticipating that this would be done when the heating was repaired. Barnett Lodge DS0000011699.V321382.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 3 X 4 X 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 N/A 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X X 2 X X X X 1 X Barnett Lodge DS0000011699.V321382.R01.S.doc Version 5.2 Page 18 N/A 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 YA24 Regulation 23 (2 d) Requirement Timescale for action 30/06/07 2 YA42 23 (4) The bedroom in the extension must be redecorated and the damp/mouldy patches repaired before a resident moves into that room. The manager must ensure that 30/06/07 the home meets current fire regulations and that fire equipment is safe before a resident moves into the home. 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.V321382.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Barnett Lodge DS0000011699.V321382.R01.S.doc Version 5.2 Page 20 - 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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