Inspection on 07/07/05 for Beech Lodge

This inspection was carried out on 7th July 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

Beech Lodge 17/01/07

Beech Lodge 01/11/05

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 Sue Daniells Unannounced 7 July 2005 10:00am 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. Beech Lodge C53 C04 2608 Beech Lodge 237233 070705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Beech Lodge Address Stanley Avenue Mablethorpe Lincolnshire LN12 1DP 01507 479781 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) Linkage Community Trust Mrs Julie ONeill PC Care Home only 8 Category(ies) of LD Learning disability (8) registration, with number of places Beech Lodge C53 C04 2608 Beech Lodge 237233 070705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 25th January 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 accomodation 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 Trust’s 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 C53 C04 2608 Beech Lodge 237233 070705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Pre-inspection questionnaire The inspection took place on an unannounced basis in June 2005. The inspector was in the home for 3 hours. Eight residents were residing in the home on that day. Two 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. Two members of staff were spoken to and six residents. A sample of regulatory records and policies and procedures were seen and a tour of the premises took place. The Commission had also received a pre-inspection questionnaire from the home. What the service does well: What has improved since the last inspection? What they could do better: Not applicable. Beech Lodge C53 C04 2608 Beech Lodge 237233 070705 Stage 4.doc Version 1.40 Page 6 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 C53 C04 2608 Beech Lodge 237233 070705 Stage 4.doc Version 1.40 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 Beech Lodge C53 C04 2608 Beech Lodge 237233 070705 Stage 4.doc Version 1.40 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 The home undertakes a comprehensive assessment of all prospective residents before admission and documents their aspirations and goals for the future. EVIDENCE: Although there had been no new residents admitted to the home since the last inspection, evidence from the current resident’s files showed that the preadmission assessment is a comprehensive document which covers all of a resident’s immediate needs and involves all necessary health professionals as well as the prospective resident and their family or advocate. Their aspirations and goals for the future are documented within the first month of admission. One resident could remember their admission and spoke highly of the process that is used by the home. Beech Lodge C53 C04 2608 Beech Lodge 237233 070705 Stage 4.doc Version 1.40 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) 9 Residents are supported by staff to undertake independent lifestyle skills, which have been risk assessed to minimise any dangers. EVIDENCE: The residents spoken to stated that they felt they had developed in their independent living skills since admission such as independent travel, road safety, self medication and cooking and were well supported by staff to undertake tasks they had not done before. Risk assessments for each resident were comprehensive and reviewed as often as necessary. Beech Lodge C53 C04 2608 Beech Lodge 237233 070705 Stage 4.doc Version 1.40 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) 13 and 16 The residents feel part of their local community and are encouraged to participate in local events. Their rights are respected and they are supported to take responsibility in aspects of their daily lives. EVIDENCE: As on previous occasions, during this inspection residents were very keen to tell the inspector the sort of activities they did in the local community. These included going to pubs, eating out in restaurants, line dancing and attending the local swimming pool. The residents have also been invited to join in with a local carnival and spoke of the fact that they enjoyed going out into the town and meeting people and felt at ease doing these activities. Beech Lodge C53 C04 2608 Beech Lodge 237233 070705 Stage 4.doc Version 1.40 Page 11 Discussion with the residents evidenced that their rights are respected in their everyday lives and that they take responsibility for such things as independent travel, shopping, medication and their own finances, with support given by staff when it is necessary. Residents have a lock on their bedroom doors and bathrooms can be locked, however these can be accessed from the outside in an emergency. Residents stated that they open all their letters themselves with support given by staff when it is necessary. The interaction between the residents and staff was excellent. Beech Lodge C53 C04 2608 Beech Lodge 237233 070705 Stage 4.doc Version 1.40 Page 12 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) 18 and 20 Resident’s preferences and requirements are discussed and documented when personal support is required from staff. The home’s policies and procedures for self-medicating protect both the residents and staff. EVIDENCE: Through discussion with the residents, it was evidenced that their choices over personal support are respected and their likes and dislikes are recorded. They are able to choose their own key worker and change them if it is requested. The home does not provide nursing care, this service being available through the community nursing team when required. One of the residents case-tracked was responsible for their own medication. The process for this is documented in full and agreed by the resident, with comprehensive policies and procedures in place for protecting both resident and staff. Beech Lodge C53 C04 2608 Beech Lodge 237233 070705 Stage 4.doc Version 1.40 Page 13 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) These standards will be judged during the next inspection of the home. EVIDENCE: Beech Lodge C53 C04 2608 Beech Lodge 237233 070705 Stage 4.doc Version 1.40 Page 14 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 Residents live in a comfortable, homely atmosphere, which is safe and well maintained. EVIDENCE: Residents stated that they enjoyed living in their home and evidenced that they took pride in its appearance. The building is spacious and provides a homely atmosphere. The residents choose any new pieces of furniture, decoration or carpets for the communal areas. Since the last inspection carpets have been replaced in the hall, stairs and landing, again chosen by the residents who were very pleased with it. One resident stated, “everything we have is chosen by us and we’ve got everything we need” The environment is safe and well maintained. Beech Lodge C53 C04 2608 Beech Lodge 237233 070705 Stage 4.doc Version 1.40 Page 15 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) 35 Staff have the expertise and competency to deal with resident’s individual and joint needs through on-going and planned training. EVIDENCE: The residents were complimentary of all the staff who cared for them with one stating that, “the staff have the knowledge to deal with us”. The inspector was able to examine the training files for two members of staff and discuss their training. This showed that mandatory and specialist training had been undertaken for both of them in the previous twelve months and that training sessions had been planned for the next six months. One member was trained to National Vocational Training (NVQ) level 3 in care and the other level 2. The staff members felt confident that they had the knowledge and competency to deal with the resident’s individual and joint needs and residents upheld this. Beech Lodge C53 C04 2608 Beech Lodge 237233 070705 Stage 4.doc Version 1.40 Page 16 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) 39 and 42 Resident’s views underpin future developments of the home and the health and safety of residents and staff are promoted through comprehensive policies and procedures, which have been put in place. EVIDENCE: Residents spoke confidently about being able to air their views about all aspects of their lives and about making sure that they are listened to. One resident stated, “they ask us what we think about the home and we tell them and then something gets done about it” The Trust uses “Excellence For Quality Management” as their quality assurance tool which involves all the residents, staff and parents/relatives. The results from these surveys feeds into this system and has a major influence on future plans for the home and theTrust. The home has comprehensive health and safety policies and procedures and one service user stated that, “staff make sure we do things safely”. Beech Lodge C53 C04 2608 Beech Lodge 237233 070705 Stage 4.doc Version 1.40 Page 17 Nine records of routine health and safety checks in the home were examined and found to be up to date. Beech Lodge C53 C04 2608 Beech Lodge 237233 070705 Stage 4.doc Version 1.40 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 3 x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x x x x x Standard No 11 12 13 14 15 16 17 x x 3 x x 3 x Standard No 31 32 33 34 35 36 Score x x x x 4 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Beech Lodge Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x C53 C04 2608 Beech Lodge 237233 070705 Stage 4.doc Version 1.40 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 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 Beech Lodge C53 C04 2608 Beech Lodge 237233 070705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 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 C53 C04 2608 Beech Lodge 237233 070705 Stage 4.doc Version 1.40 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!