Inspection on 01/11/05 for Beech Lodge

This inspection was carried out on 1st November 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Beech Lodge 17/01/07

Beech Lodge 07/07/05

Beech Lodge 25/01/05

Beech Lodge 29/07/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Chestnut Grange Care Home

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

CARE HOME ADULTS 18-65 Beech Lodge Stanley Avenue Mablethorpe Lincolnshire LN12 1DP Lead Inspector Mrs Sue Daniells Unannounced Inspection 1st November 2005 14:40 Beech Lodge DS0000002608.V260931.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 Beech Lodge DS0000002608.V260931.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. Beech Lodge DS0000002608.V260931.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Beech Lodge Address Stanley Avenue Mablethorpe Lincolnshire LN12 1DP 01507 479781 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) julie.oneil@freeuk.com Linkage Community Trust Mrs Julie O`Neill Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Beech Lodge DS0000002608.V260931.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th July 2005 Brief Description of the Service: Beech Lodge is a modern detached house built on the same site as Oak Lodge in Mablethorpe, a small coastal resort on the east coast. The home is run by Linkage Community Trust and forms part of their long-stay project providing eight residential placements for younger adults with a learning disability. The home provides accommodation in single rooms for eight younger adults of both sexes. The home has a large lawned area to the rear of the property and carparking space to the front. It is centrally placed for service users to access shopping, recreation and work opportunities within a very short distance of their home. Public transport is readily available to Skegness, a larger resort, fourteen miles away. There is a community centre, bowling green with hire shop, café and amenity area directly opposite the home, also developed by Linkage, which provides further occupational options for the resident. The home is part of Linkage Trusts long-stay project, which also operates a day centre facility at Scremby Grange, approximately nineteen miles from Mablethorpe. The residents are able to access this facility and as part of their personal development, are also involved in community work experience projects. Beech Lodge DS0000002608.V260931.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on an unannounced basis in November 2005. The inspector was in the home for 2 hours. Eight residents were residing in the home on that day. Three residents were “case tracked” – a system which looks at the needs of the resident and follows this through by talking to the residents concerned and the staff who deliver the care, as well as observation of care practices. Three members of staff were spoken to. A sample of regulatory records and policies and procedures were seen. A new manager has been appointed since the last inspection who has settled well into the post, with both staff and residents having developed a good relationship with her. She is in the process of applying to the Commission for registration. What the service does well: What has improved since the last inspection? What they could do better: Beech Lodge DS0000002608.V260931.R01.S.doc Version 5.0 Page 6 Records for payment by residents for the use of the telephone in the home must be recorded, to protect both staff and resident. 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. Beech Lodge DS0000002608.V260931.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 Beech Lodge DS0000002608.V260931.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): EVIDENCE: The outcome for this standard was not inspected on this occasion. Beech Lodge DS0000002608.V260931.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): 6 and 7 Comprehensive care plans and person centred planning reflects the resident’s needs and aspirations, with residents making decisions about their own lives, although supported by staff if it is necessary. EVIDENCE: The care plans of three residents were examined in their presence. The residents spoken to were aware of their own needs and had a good knowledge of what was contained in their care plans with monthly reviews reflecting any change in their needs. Signatures of the residents were evidenced on each issue covered in the plan and they stated that they would refuse to sign them if they did not agree with the content. The care plans were very comprehensive with detailed risk assessments, daily living needs and a health action plan. Residents also have individual person centred plans (PCP) that highlights their aspirations and goals for the future. Beech Lodge DS0000002608.V260931.R01.S.doc Version 5.0 Page 10 Discussions with staff and residents evidenced that the residents make decisions about all aspects of their lives with help from staff if needed, and are very happy with this process. If residents’ decision-making rights need to be limited, this is done through the comprehensive risk assessment process. Beech Lodge DS0000002608.V260931.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 15 and 17 Residents are able to take part in appropriate and worthwhile activities, keep in contact with their families and make friends of their choice. Meals are nutritious with menus being planned by the residents. EVIDENCE: Residents in the home who have requested work placements are able to take them; one resident case tracked was on a work placement and another was receiving therapeutic earnings. Both of them said that they were enjoying these experiences. All the residents attend the Day Centre at Scremby Grange or Mablethorpe Business College undertaking recreational and occupational training, which includes woodwork, art and craft, catering, information technology, sewing and weaving. The residents stated that they enjoyed these sessions. One of the residents case tracked stated that they had a boyfriend and saw them on a regular basis. All the residents case-tracked had regular contact with their families and had made lots of friends. One of the residents had recently been on holiday with their family and expressed the fact that they had had a marvellous time. Beech Lodge DS0000002608.V260931.R01.S.doc Version 5.0 Page 12 Residents choose their own menus with a little guidance from staff if necessary and are encouraged to eat a healthy diet. Some of the residents are able to shop for food locally while another enjoyed baking for the home. The dining room is able to seat all the residents at one time, creating a family atmosphere. The residents stated that they looked forward to meal times and could eat whatever they wanted to. Birthdays are usually celebrated with a trip to a restaurant. Beech Lodge DS0000002608.V260931.R01.S.doc Version 5.0 Page 13 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): 19 Residents have their physical and emotional care needs documented and are able to access all healthcare professionals, with support from staff if necessary. EVIDENCE: Because of some of the residents having complex healthcare needs, the staff monitor these on a regular basis, which was documented in the care plans. The home has good relationships with the local GP practice and health professionals and the Trust employs its own psychiatrist and psychologist. One of the residents’ case-tracked informed the inspector that they went on their own to doctor’s appointments, although staff will attend with others when requested by the resident. Beech Lodge DS0000002608.V260931.R01.S.doc Version 5.0 Page 14 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 Residents know that staff will listen if they have a complaint and that the issue will get dealt with quickly. The home has appropriate policies and procedures to protect residents from harm and staff receive training on the subject, however both staff and residents are at risk if monies taken from residents for phone calls made are not accurately recorded. EVIDENCE: The home has a comprehensive complaints procedure and residents were aware of it and knew what they should do if they experienced problems including the Commission and Social Services. In addition, a CD is now available for residents to watch which outlines the complaint’s process and what to do, this being made by a home manager and some of the residents. Telephone numbers of social workers, the Commission and CALL (an independent advocate service) are kept within residents’ own personal care plans, which they are able to access when they wish. The home has an adult protection policy in place, which refers to the Lincolnshire guidance for such issues. Staff receive training on this subject, which is updated at regular intervals, and were aware of the content of the policy. The residents stated that they would always tell staff if they thought that anyone was upsetting them or their friends. The inspector was informed that monies for telephone calls made by residents using the home’s telephone were not recorded although this had happened in the past. Beech Lodge DS0000002608.V260931.R01.S.doc Version 5.0 Page 15 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): 30 The home is clean and tidy, with policies and procedures in place for the control of infection. EVIDENCE: The home has policies and procedures for the control of infection with suitable equipment in the form of gloves and aprons being used if necessary. Laundry is taken to a designated laundry room. On the day of inspection there was no evidence of malodours and the home was seen to be clean. Residents informed the inspector that they clean and tidy their own rooms and help staff to clean the communal areas. Beech Lodge DS0000002608.V260931.R01.S.doc Version 5.0 Page 16 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): EVIDENCE: The outcome for these standards were examined during the last inspection. Beech Lodge DS0000002608.V260931.R01.S.doc Version 5.0 Page 17 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): EVIDENCE: The outcome for these standards were examined during the last inspection Beech Lodge DS0000002608.V260931.R01.S.doc Version 5.0 Page 18 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 X X X x Standard No 22 23 Score 4 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 x 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Beech Lodge Score X 3 X x Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000002608.V260931.R01.S.doc Version 5.0 Page 19 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 YA23 Regulation 13 (6) Requirement Records of monies paid by residents for telephone calls made in the home must be recorded. Timescale for action 14/11/05 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 Beech Lodge DS0000002608.V260931.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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. Extracts may not be used or reproduced without the express permission of CSCI Beech Lodge DS0000002608.V260931.R01.S.doc Version 5.0 Page 21 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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