Inspection on 25/04/05 for Bishops Lodge

This inspection was carried out on 25th April 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

Bishops Lodge 10/11/08

Bishops Lodge 10/11/06

Bishops Lodge 17/11/05

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Bishops Lodge 19 Fearon Road Hastings East Sussex TN34 2DL Lead Inspector James Houston Unannounced 25 April 2005 09:00 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. Bishops Lodge H59-H10 S61586 Bishops Lodge V222470 250505 Stage 3.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Bishops Lodge Address 19 Fearon Road Hastings East Sussex TN34 2DL 01424 201643 01424 421684 gaylenewdirections@tiscali.co.uk New Directions (Hastings) Ltd Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Amanda Elizabeth Jane Gates Care Home 5 Category(ies) of Learning Disability (LD) 5. registration, with number of places Bishops Lodge H59-H10 S61586 Bishops Lodge V222470 250505 Stage 3.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the home is registered to accommodate up to five (5) service users. 2. That the service users are aged between 18 and 65 years upon their admission. 3. That the category of service users admitted have a learning disability, not falling within any other category. Date of last inspection N/A Brief Description of the Service: The home is situated in a detached Victorian house on the outskirts of Hastings. It is situated close to local shops, a local park and bus routes. Ore railway station is about a mile away. It was registered on the 29th October 2004 to provide care to five younger adults with a learning disability. The registered provider is New Directions (Hastings) Limited and the responsible Individual is Gayle Benet. The registered manager is Mrs Amanda Gates. The home is registered to provide accomodation for five younger adults with a learning diasbility. It admits residents with Prader Willi syndrome. The home has space for several cars at the front. At the rear there is a garden which slopes up away from the house, and decking has provided areas to sit. There is a building at the rear which will be used to provide a day care centre. Acomodation is on two floors. There is adequate communal space and each service user has a single bedroom. Four of the bedrooms have en-suite facilities and the fifth has the use of a bathroom nearby. Bishops Lodge H59-H10 S61586 Bishops Lodge V222470 250505 Stage 3.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the first since the registration of the service. It took place during a day on 25th April 2005. The inspection was prepared for by reading records and planning those aspects to be reviewed. The inspection at the home lasted 5.75 hours. The inspector met with the responsible individual, another director, and the registered manager. Four staff were interviewed privately and two service users and two relatives were seen. Records and policies were reviewed and a tour of part of the premises was made. There was one brief satisfactory follow up visit by an inspector to the home since registration. No complaints have been made about the service. Three residents were living in the home at the time of the inspection. 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Bishops Lodge H59-H10 S61586 Bishops Lodge V222470 250505 Stage 3.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Bishops Lodge H59-H10 S61586 Bishops Lodge V222470 250505 Stage 3.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3 and 5. The home gives prospective residents full information to enable them to make a choice about whether or not they might wish to live in the home. New service users are admitted only on the basis of a full assesment being undertaken. The home can meet the needs of its service users. EVIDENCE: The home has a suitable Statement of Purpose and Service Users Guide and is working on different formats for the people for whom the home is intended. One minor modification was needed and this was done during the inspection. The home obtains care management assessments on prospective residents. One to be inspected at random could not immediately be located but was found during the inspection. From these assessments an individual plan is developed. Discussion with staff and the manager and residents and their relatives showed that the home’s staff individually and collectively have the skills to meet the needs of residents. The manager said that prospective residents had not been accepted where it was felt their needs could not be met. Service users are given a copy of a contract which they have signed. A copy is retained by the home. Bishops Lodge H59-H10 S61586 Bishops Lodge V222470 250505 Stage 3.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9. Thorough individual plans and risk assessments are drawn up and reviewed so that residents changing needs can be met. EVIDENCE: The home draws up comprehensive individual care plans for residents, involving them in this process. Plans are reviewed on a monthly basis. Reviews are held on a regular basis and initially after about three months. The record of a review inspected showed that the resident’s views were carefully noted. Family, advocate and other professionals are involved in reviews of care plans as appropriate. Residents confirmed that they have a real say in who is their key worker. Staff respect residents’ right to make decisions. This right is limited for example by the decision in the best interests of residents to lock food cupboards. Risk assessments have been drawn up for each resident. These showed that where risks are deemed to exist, where possible restrictions on residents are removed once relevant training to lessen or minimize a risk has been given. Staff confirmed that giving such training on safety is part of their role, and one staff member had recently been on a course on conducting risk assessments. The home has a suitable policy on action to be taken if a resident goes missing, and the manager said that she emphasises to staff the importance of knowing the action to be taken. Bishops Lodge H59-H10 S61586 Bishops Lodge V222470 250505 Stage 3.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,15,16, and 17. Residents are finding opportunities for taking part in valued activities. Community links are good. Links with family and friends are encouraged. Daily routines promote the independence of residents. Meals promote their health and wellbeing. EVIDENCE: Residents have all moved from other areas to come to the home and examples were given of how valued activities have been re-established for them. For example one resident goes to a garden centre. Residents have a personal weekly programme. Relatives commented favourably on the range of activities now undertaken by one resident. Staff collectively are aware of local resources. Staff consider that relationships with the local community are good. The home has its own 8-seater people carrier and staff use their own cars on occasion, so residents can access desired activities. One resident was looking forward to a day trip to France and holidays are being planned. Residents are registered to vote and one has already done so in the forthcoming election. Staff gave an assurance that the staffing levels mean that there is staffing to enable a desired activity to be accessed at the evenings or weekends. Residents and Bishops Lodge H59-H10 S61586 Bishops Lodge V222470 250505 Stage 3.doc Version 1.20 Page 10 relatives said that friends and relatives are made welcome, and staff said that they saw this as an important part of their role. Residents said that they have a key to their bedrooms and use it. They said that staff do not come in without knocking. Residents said that they handle their own post. Staff said that they assist with correspondence as needed. Residents were seen to choose to be alone or in company, and staff to respect this. Meals and mealtimes are an important part of the home and residents said that they are offered a choice of meals. Records inspected confirmed this. Residents said that they liked the food served. The home places emphasis on assessing residents’ nutritional needs and a resident confirmed that he had lost a pleasing amount of weight since moving to the home. Bishops Lodge H59-H10 S61586 Bishops Lodge V222470 250505 Stage 3.doc Version 1.20 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20. Staff provide sensitive flexible support. Arrangements are made to meet the healthcare needs of residents. The medication system is thorough. EVIDENCE: The times for getting up were seen to be flexible. Relatively little personal care is provided at present but staff would do so as needed. Residents choose their own clothes. Residents said that they had some choice as to who their key worker was. The records read and discussion with residents and family members showed that the health care needs of residents are carefully assessed and contacts with healthcare professionals fully recorded. Residents are taken to appointments, and one said staff come in to the consultations and that he is happy with that. The manager said that that this would be the resident’s decision. The home has suitable medication administration policies and staff who administer medications said that they have had relevant training. Records inspected supported this. Medicines are administered for one resident. The reason why a tablet had not been given to him on one occasion was not clear but a new administration system to be commenced shortly should assist staff in administration. Controlled medicines are not held at present. The facility to do so exists. Bishops Lodge H59-H10 S61586 Bishops Lodge V222470 250505 Stage 3.doc Version 1.20 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23. The home has appropriate procedures of which staff are aware. Staff have had relevant training to ensure a proper response to any suspicion or allegation of abuse, and to enable them to respond appropriately to different behaviours. EVIDENCE: The home has an appropriate complaints procedure and a system to record any complaints and the investigation of them. No complaints have been received to date by the home or the Commission for Social Care Inspection. The home has clear policies on Adult Protection, Whistleblowing, and challenging behaviour. Staff confirmed that they are aware of these aspects and have received recent training on these areas. Monies held on behalf of residents were checked at random and the amount recorded as being held in respect of one resident was very slightly different to the actual amount. This has been rectified. Bishops Lodge H59-H10 S61586 Bishops Lodge V222470 250505 Stage 3.doc Version 1.20 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30. The home offers residents safe comfortable surroundings and a high standard of accomodation. EVIDENCE: The home has only recently been opened. The home offers safe, bright, airy and clean accommodation. The premises are in keeping with the local community. All areas of the home are accessible to all residents. Furnishings and equipment are good quality and domestic in nature. The home has a maintenance schedule and no items needing attention were raised at this inspection. Residents said that they had been able to bring in personal items to the home and had been offered the chance to change the colour scheme of their room if it was not to their liking. The home has ample parking to the front and a sloping garden rising away from the home to the rear. At the back of the garden is a large building which will in time be used for day services. The home’s laundry is sited away from food preparation areas and is well equipped. Bishops Lodge H59-H10 S61586 Bishops Lodge V222470 250505 Stage 3.doc Version 1.20 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,34, and 36. The home has robust procedures for recruiting staff which affords protection to those living in the home. The numbers and skill mix of staff enable them to meet the needs of residents. The manager supervises staff very regularly. EVIDENCE: Staff confirmed that they have been given a job description and that they have been given a copy of the General Social Care Council code of conduct. No volunteers are currently used in the home. Residents and their relatives said that they liked the staff and residents said that they were treated with respect. The home has had to build up a new staff team and discussion and records studied showed particular attention has been paid to giving staff sufficient information regarding the particular needs of the residents. The home has as yet had little staff turnover. Staff confirmed that regular staff meetings take place and that they sign to say that they have read them. The records of these meetings were made available to the inspector. The home has waking night staff and a manager is on call at all times. Staff recruitment records inspected were thorough. Staff confirmed that they receive contracts, copies of which are Bishops Lodge H59-H10 S61586 Bishops Lodge V222470 250505 Stage 3.doc Version 1.20 Page 15 held by the home. Staff confirmed that they receive regular supervision. The standard on training was not assessed on this occasion but there was ample evidence that the home attaches considerable importance to providing appropriate training. Bishops Lodge H59-H10 S61586 Bishops Lodge V222470 250505 Stage 3.doc Version 1.20 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) 37,40 and 41. The homes manager has the competence and experience to run the home and meet its stated objectives. The homes policies are well drawn up to meet residents needs. Records are in general well kept. EVIDENCE: The home’s registered manager has relevant experience and a suitable job description. She is at present undertaking a course leading to NVQ Level four in Care and the Registered Managers Award. She also undertakes periodic training to update her knowledge and skills. Those policies and procedures read were well drawn up and they are signed and dated by the responsible individual. Staff sign to say that they have read them. The manager reviews policies at staff meetings. Records inspected were well kept. Bishops Lodge H59-H10 S61586 Bishops Lodge V222470 250505 Stage 3.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 3 x 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 Bishops Lodge x 3 3 x 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 x 3 Version 1.20 Page 18 H59-H10 S61586 Bishops Lodge V222470 250505 Stage 3.doc 16 17 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x 3 3 x x Bishops Lodge H59-H10 S61586 Bishops Lodge V222470 250505 Stage 3.doc Version 1.20 Page 19 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 23 Regulation 17(2) Requirement Keep a record of all transactions and this to tally with sums held Timescale for action 25 April 2005 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 37 Good Practice Recommendations The manager should obtain the recommended qualifications in care and management. Bishops Lodge H59-H10 S61586 Bishops Lodge V222470 250505 Stage 3.doc Version 1.20 Page 20 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Bishops Lodge H59-H10 S61586 Bishops Lodge V222470 250505 Stage 3.doc Version 1.20 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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