Inspection on 16/05/07 for Benham Lodge

This inspection was carried out on 16th May 2007.

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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Benham Lodge 14/02/06

Benham Lodge 19/08/05

Benham Lodge 14/10/04

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

CARE HOME ADULTS 18-65 Benham Lodge 42 Pelham Road Gravesend Kent DA11 0HZ Lead Inspector Debbie Sullivan Key Unannounced Inspection 16th May 2007 09.10 Benham Lodge DS0000059579.V336726.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 Benham Lodge DS0000059579.V336726.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. Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Benham Lodge Address 42 Pelham Road Gravesend Kent DA11 0HZ 01474 533108 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) http/www.dgsmencap.org.uk DGSM Limited Lisa Matthews Care Home 9 Category(ies) of Learning disability (0) registration, with number of places Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1. The registered person may provide the following category/ies of service only: Care home - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disabilities (LD) 2. The maximum number of service users to be accommodated is 9. 14th July 2006 Date of last inspection Brief Description of the Service: Benham lodge provides accommodation and residential care for up to 9 people with learning disabilities. The home is staffed twenty-four hours a day. Two of the service users are over 65 years of age. The premises are close to local facilities and public transport. The house is owned by Hyde Housing and leased to DGSM Ltd, it was purpose built and all the service users have their own bedrooms on the ground or first floor. At the rear is a conservatory and well kept garden. There is car parking space at the front of the home. The house is best suited to people with few mobility difficulties, as there is no lift. Service users are provided with opportunities and support to attend a variety of day, employment and leisure activities and to gain independence skills. The home has a high number of staff that have gained an NVQ qualification. Although requested, current fees for the home were not available at the time of inspection as negotiations were continuing with Kent County Council Social Services Department. Information about the fees payable and the service the home provides are available from the manager. Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection site visit of Benham Lodge took place over six hours; short notice had been given of the visit to make sure that staffing records would be available for inspection. During the visit time was spent with the manager, service users and staff. A range of records and documents were read and there was some general observation of daily routines. A service user assisted very helpfully with the tour of the premises. Although most of the service users were out for part or all of the time those present contributed to providing information. The home’s Annual Quality Assurance Assessment document completed by the Registered Manager provided additional information as did survey forms completed by relatives and health professionals. Service users had also had the opportunity to fill in survey forms with the support of staff and these were read during the inspection. What the service does well: Benham Lodge provides a well run and homely environment for service users. The atmosphere is welcoming and friendly and service users are encouraged to be involved in the running of the home. Service users benefit from having opportunities to take part in a variety of social, leisure and educational activities of their choice and to develop friendships away from the home. Written information is provided in such a way as to be accessible to service users and the home intends to develop this. Service users are encouraged to make choices and feel confident that staff will listen to any concerns. Staff are responsive to needs and like working at the home. Needs are well documented, staff have a good understanding of individual needs and are genuinely interested in the service users and in providing them with a good service. All staff have gained an NVQ qualification. The manager is enthusiastic about the development of the home and has made considerable improvements since the last inspection. Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? The home’s statement of purpose and service user’s guide have been revised and contain up to date information about the service on offer, the service user’s guide is pictorial. Each care plan contains a contract that is specific for each service user. Risk assessments on care plans are dated and daily notes are written three times a day on each staff shift so that a picture of the whole day for each service user is available. The home has purchased a new vehicle. Medication procedures are improved with written permission now being given by GP’s for the administration of medication and handwritten entries on MAR sheets are countersigned. The medication policy and staff medication training have both been updated. The complaints procedure has been made more service user friendly. Improvements have been made to the environment such as new dining and living room carpets and some redecoration. The systems for recruiting and training staff have improved with the disclosure of all cautions being requested on application forms, staff records now include a record of CRB disclosures and more training is being booked and made available. The home now has a registered manager who is undertaking the NVQ 4 in care and management. Quality assurance survey forms have now been circulated and the majority of the home’s specific and organisational policies and procedures have been reviewed. Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 7 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. Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 8 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 Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 9 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): 1,2,3,4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users and their representatives are able to access up to date information about the home. Needs are fully assessed before admission and each service user has a contract with the service. EVIDENCE: Since the last inspection the manager has revised the home’s statement of purpose and service user’s guide so that both give up to date information about the home. The service user’s guide is now in a pictorial format and the brochure is being revised. A pictorial information pack is also on display for anyone to access. The majority of the service users have been at the home for some years or even since it’s opening, the most recent admission was two years ago. The manager explained that care had then been taken to involve the potential service user in a number of visits so that they could experience the home’s routines and meet existing service users and they had stayed overnight. A full assessment had taken place before they were admitted with a lot of information being gained from their previous home. Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 10 Some survey forms completed by service users with support included the comments that they had visited or stayed at the home. Each service user has a contract that is personalised so that any specific service provided for them is identified. Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 11 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): 6,7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each service user has a care plan that details their needs and preferences. Service users are supported to make decisions about their lives and to be involved in the running of the home. EVIDENCE: Each service user has a care plan, the plans of three case tracked service users were read, one of whom is over 65. The information is indexed, clear and easy to find, service users are included in compiling the information and the manager stated that a goal of the service is to make the care plans more accessible for them, it was hoped this could be progressed soon. Information includes health, personal and social needs and preferences, review records, risk assessments and identified goals and aims. Separate individual Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 12 risk assessments are compiled for each holiday, and all risk assessments are now dated. A daily log is kept for each service user separately from care plans and they are written up on each of the three daily shifts. The needs of the two service users over 65 are not currently reviewed monthly, this needs to be put into place. Service users are offered plenty of choices individually and as a group and have opportunities to be involved in the running of the home, they have weekly house meetings, help plan menus and with the housework, and choose outings and holidays. A quality assurance survey had been circulated and in the evening an advocacy service was meeting with the service users and those from other DGSM services at the home to support them with completing the forms. One service user was enthusiastically helping staff to prepare a buffet for the meeting, another service user was keen to show off seedlings growing in the conservatory that would be planted in the garden, and said they liked helping with the gardening. Each service user has a pictorial chart in their room with daily tasks clearly identified. Care plans and other personal information is kept securely at the home and staff are aware of the need to treat personal information confidentially. Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 13 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): 11,12,13,14,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are able to access a range of educational, social and leisure activities to suit their individual interests and abilities. Contact with friends and families is supported. EVIDENCE: Service users are have opportunities to take part in activities that suit their interests, abilities and ages. Each service user has a weekly plan that is individually tailored. The range of activities is very wide, one service user over 65 prefers to enjoy home based pastimes whilst the other is very active and likes to go out. Others attend day activity services or supported employment, and activities such as riding, bowling, the gym or swimming. The service has Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 14 access to an activities co-ordinator employed by the organisation who assists with travel training, one to one sessions if required and other activities. A relative commented on a survey form that “----is very well looked after and does more now than she has done for a long time” On the day of the site visit three service users were at home, one went out with a parent, one was at supported employment and four were at day services, three different day services were being accessed. Some service users go out or can access public transport independently. One service user spoke of enjoying work at the local Oxfam shop and another was hoping to start riding when a place was available. Service users are supported to develop and maintain social and leisure interests individually and together. One service user, on returning from a day activity, was going to a social club that evening and keen to know if it was on. Another spoke of having visited a friend in a service run by another organisation the previous evening for a meal and said the friend also visits Benham Lodge. The service users noticeboard provided information on events throughout the summer provided by a variety of organisations. Each service user has an annual holiday, one spoke of looking forward to theirs in the West Country; there are also opportunities for service users to have holidays in France at property owned by the organisation. DGSM does not fund service users holidays, they self fund them and the cost of staff travel relatives provide written agreement. The organisation is negotiating with the local authority regarding holiday funding. Service users are supported to keep in contact with friends and families. Friendships outside of the home are encouraged; the service user going to the evening club was looking forward to meeting a friend there. The house had recently purchased a new eight seater vehicle that is better for it’s purposes than their previous vehicle. Daily routines are flexible and the rights of service users are respected, each has a key to their bedroom and staff do not enter without their permission. Service users spent time with staff, in their rooms or in other areas of the home on their own when they chose during the visit. One service user has two pet rabbits and described how they cared for them. Meals are healthy and varied, the manager has produced pictorial cooking information and instruction booklets relating to popular meals, these won an organisational award. It is intended that similar money recognition tools can be developed. One service user helped with their lunch preparation and those spoken with liked the meals. Menus are healthy and varied and there is choice available. One service user had to watch their weight and was being supported to eat healthily. Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 15 Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 16 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): 18,19,20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal care in the way that they prefer. Good health is promoted and health needs well recorded on care plans, good medication procedures are in place. EVIDENCE: The health and personal care needs of service users are well recorded on care plans, there is recording of all medical appointments such as dental or weight checks and any health concern. The amount of personal care needed varies considerably, staff spoken with had good awareness of individual needs and of the need to encourage independence and offer support in the way the service user preferred. The staff group is mainly female with most service users being male. This is not currently proving a problem and it is hoped more male staff can be recruited. Contact with health professionals is maintained, although a survey form from a relative stated that they were concerned about a lack of input from health and social care services in respect of a service user who has required behavioural Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 17 intervention, the manager echoed this. The manager continues to pursue this and the home has worked hard to minimise incidents of challenging behaviour and put strategies into place with good results. Good health and healthy living is promoted, a service user needing to loose weight was very aware of what foods to eat and was pleased about their weight loss. All staff have received medication training and medication storage and record keeping is good. Procedures are improved as now any handwritten MAR sheet entries are countersigned and forms signed by GP’s authorise administration of medications. The home’s medication policy has been updated. No service user currently self medicates. Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 18 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): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can feel confident that any concerns or complaints will be taken seriously and addressed. Service users are protected from abuse by the policies and procedures in place at the home. EVIDENCE: Service users stated that they would feel able to approach the manager or other staff with any concerns and it was clear from the interaction between staff and service users that any worries or anxieties are swiftly dealt with. Staff were aware of the complaints procedure, it is on display and available in pictorial format. No complaints had been recorded and there is a confidential suggestions box in the hallway. There were no open adult protection alerts in relation to the service, an adult protection that was opened subsequent to the last inspection was closed and another raised in February 2007 closed in March due to lack of evidence. Staff receive adult protection training and an adult protection procedure is in place that had been updated in 2006. Service users have access to an advocacy service that visits the home fortnightly. Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 19 A member of staff who does not work at the home audits the personal finance records of each service user regularly and the manager said that care managers check them at reviews; one such check took place the day before. The manager also gave a verbal example of a situation whereby prompt staff intervention was required due to a service user being at possible risk of financial abuse from a peer who did not live at the house, this has been successful. Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 20 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): 24,25,26,27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean, comfortable, homely and well decorated. The environment would be enhanced by prompt and satisfactory action being taken by the landlords of the property regarding requests for repairs. EVIDENCE: The home is clean, well decorated, bright and airy and has a homely atmosphere. Improvements made include the fitting of new lounge and dining room carpets, some redecoration and there is a new TV in the lounge. Comments made on survey forms by relatives included “The home is welcoming and homely, wonderful meals, clean and comfortable, friendly staff”,” when entering the care home it always looks bright and clean” Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 21 Service users’ bedrooms are personalised and decorated to their taste, two service users who had moved rooms had recently chosen new colours for their paintwork. There are lots of personal items in bedrooms and service users have their own TV’s, a liking for Dr Who is a general house interest and the bedrooms seen contained Dr Who videos posters and other items, the manager said these are prized by the occupants. Service users spoken with liked their rooms. The home has bathrooms upstairs and two downstairs. A service user with some mobility difficulties has a downstairs bedroom, as there is no lift. There is a bath seat but the manager is requesting an Occupational Therapy assessment with a view to reassessing the need for equipment in the home. The lounge, kitchen/dining room and conservatory are all pleasant areas and the garden is accessible to all, well maintained and attractive and there is garden and patio furniture. A service user said the garden was well used in fine weather. The manager expressed concern that the home’s landlords are extremely slow in responding to often frequently repeated requests for repairs and some contractors undertaking the work provide substandard workmanship. Examples of poor work and work needed were seen including the poor fitting of boxing around pipe work in a bathroom and a cupboard under a washbasin in one service user’s room being constantly damp and unusable, the service user said they needed to wipe it twice a day due to damp. This is unacceptable and a frustration for the service user and staff. The laundry is clean and well organised, it is not near any areas where food is prepared or eaten. Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 22 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): 31,32,33,34,35 and 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are supported by a competent and confident staff group who are well supported and like working at the home. Recruitment practices are improved and additional staffing would free up management time. Staff would benefit from more frequent formal supervision and training specific to the service users they support. EVIDENCE: The manager, a senior support worker, and support workers staff the home. At the time of the inspection recruitment was taking place for another senior and a support worker. The home had been understaffed for a while; there is some use of bank staff known to the home and existing staff have on occasions need to be flexible regarding their hours. They did not view this as a great problem other than sometimes there was not enough time to provide outings more than a short distance away. The policy of the organisation is that managers have twenty three management and fourteen service user support hours a week, this practice should be reviewed to allow for full time management of the home. Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 23 Staff spoken with enjoyed working at the home, they said there was a mainly consistent staff group. Comments were “I love working here”, “Staff all get on well here” and “Lots more support from this manager”. Staff felt well supported, there are regular team meetings, they said the manager was approachable and supervision takes place. The manager is aware that supervisions need to be more frequent and stated they intend to provide training so that seniors can supervise. Recruitment procedures are improved and CRB’s are being updated every two years. All the staff have gained an NVQ in care and mandatory training is updated. The last inspection identified a need for more service specific training the manager acknowledged that more was needed and work on this has commenced, Mental Capacity Act training was due in late May. Induction training takes place and the manager is working towards improving the process. Staff observed during the visit had a good rapport with service users, were confident with them and service users said they liked the staff. Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 24 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): 37,38,39,40,41,42 and 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run in the best interests of service users and staff and their health safety and welfare is protected by the policies and procedures in place. The views of service users are seen as important to the future development of the service and improvements have been made. EVIDENCE: Since the last inspection the manager has become registered and is nearing completion of the NVQ 4 in care and management. The organisation’s policy of splitting manager’s hours between management and service user support time on shift has not impacted on the home’s ability to improve since the last Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 25 inspection, but time is restricted for the manager to progress further improvements such as more regular supervision. The home is well run and the atmosphere is inclusive. Relatives who sent in survey forms were complimentary about the home and service users spoken with were happy there. There are plenty of opportunities for service users to contribute to the development of the service such as via house meetings and quality assurance surveys, and the views of others are in the process of being sought. All the policies and procedures had been reviewed in the past year with the exception of two specific to the service and review was underway for these. Confidential records are stored securely and recording on service users personal records was appropriate. Maintenance and environmental checks take place and fire equipment is checked at regular intervals. A fire practice had taken place the day before the site visit with a successful outcome, practices are held monthly. A service user was aware that a fire safety talk for service users was to take place within the next few weeks. Safe working practices were observed during the site visit and staff confirmed that through training on topics such as manual handling and food hygiene their awareness is regularly updated. The home has a valid insurance certificate on display and investment is being made to improve the service environmentally and with the provision of new staff and more training. Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 26 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 3 2 3 3 3 4 3 5 3 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 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 2 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 2 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 3 3 3 3 Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? Yes 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 YA6 Regulation 15(2)(b) Requirement “The registered person shall keep the service user’s plan under review” In that the care plans of service users aged over 65 must be reviewed four weekly. 2. YA23 13(6) “The registered person shall make arrangements, by training staff and by other means, to prevent service users being harmed or suffering abuse or being placed at risk of abuse” In that, the home must review its policy of requesting service users fund staff travel costs for holiday travel. This requirement is repeated and partially met in that written agreement to funding travel costs is given, although the organisation must review this policy. 30/08/07 Timescale for action 30/06/07 3 Benham Lodge 23(2)(b) “The registered person shall DS0000059579.V336726.R01.S.doc 30/06/07 Version 5.2 Page 28 YA24 ensure that the premises to be used as the care home are of sound construction and kept in a good state of repair externally and internally” In that the owners of the property must make arrangements to respond promptly to the requests by the service for maintenance and repair. Contractors undertaking work must provide a good standard of workmanship. The repairs outstanding to one service user’s bedroom and one bathroom must take place. “The registered person shall ensure that persons working at the care home are appropriately supervised” In that staff must receive recorded supervision meetings at least six times a year. 4. YA36 18(2)(a) 30/07/07 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 YA6 Good Practice Recommendations It is recommended that the manager progress work that is planned to make care plans more accessible for service users by introducing pictorial information. It is strongly recommended that the organisation review the arrangement of the manager working part of the their agreed working hours as a member of the support staff on shift. It is strongly recommended that the plans in place to provide more service specific training and introduce DS0000059579.V336726.R01.S.doc Version 5.2 Page 29 2. YA33 3. YA35 Benham Lodge improved induction training be progressed by the manager on liaison with the organisation’s human resources section. Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Benham Lodge DS0000059579.V336726.R01.S.doc Version 5.2 Page 31 - 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!