Inspection on 19/04/05 for Bryony Lodge

This inspection was carried out on 19th 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

Bryony Lodge 03/09/07

Bryony Lodge 16/10/06

Bryony Lodge 06/09/05

Bryony Lodge 24/01/05

Bryony Lodge 17/06/04

Bryony Lodge 13/02/04

Similar services:

Flint House

The Cotswold Home

Fairways

Treloar College

Rush Court

The Maypole Nursing Centre

Fir Tree Lodge

Chilmington House

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

CARE HOME ADULTS 18-65 Bryony Lodge 19 St Marys Road Hayling Island Hampshire PO11 9BY Lead Inspector Nick Morrison Unannounced 19 April 2005, 10:00 th 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. Bryony Lodge H54 S28547 Bryony Lodge V221598 190405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Bryony Lodge Address 19 St Marys Road Hayling Island Hampshire PO11 9BY 023 9246 0358 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) Mr A Rutter Mrs J V Rutter Mr Shaun David Brough Mrs J V Rutter CRH 9 Category(ies) of Learning Disability - LD - 1 registration, with number Physical Disability - PD - 9 of places Bryony Lodge H54 S28547 Bryony Lodge V221598 190405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named service user (date of birth 27.09.1965) in the LD category may be accommodated in the Home. Date of last inspection 24.1.05 Brief Description of the Service: Bryony Lodge is a large modernised house, furnished and decorated in a contemporary style, and is set in a quiet residential street on Hayling Island. The home is registered to accommodate nine younger adults with physical disabilities including one service user with a learning disability. The people who live at this service make use of the local shops that are within walking distance, and use public transport or the home’s mini bus to get further a field. The home is able to accommodate service users who use wheelchairs. All service users have en suite bathrooms and these contain assisted bathing facilities. Bryony Lodge H54 S28547 Bryony Lodge V221598 190405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection on 19th April 2005 that lasted for five hours. The Inspector toured the premises and spoke with four service users, two members of staff, The Manager and The Proprietor. Four service user files were sampled along with four staff files. All other records referred to in the report were seen by the Inspector on the day of inspection. What the service does well: What has improved since the last inspection? What they could do better: There were no requirements or recommendations from this inspection and therefore nothing in relation to the Regulations or the National Minimum Standards which the Inspector thought the home could do better. Bryony Lodge H54 S28547 Bryony Lodge V221598 190405 Stage 4.doc Version 1.20 Page 6 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. Bryony Lodge H54 S28547 Bryony Lodge V221598 190405 Stage 4.doc Version 1.20 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 Bryony Lodge H54 S28547 Bryony Lodge V221598 190405 Stage 4.doc Version 1.20 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) 1, 2, 4 and 5. Service users have the information they need about the service and benefit from detailed assessments of need. EVIDENCE: The service has a clear Statement of Purpose and Service User Guide and all service users had a copy. The Statement of Purpose contained information on the service users’ survey. The Service User Guide was available in audio format for service users. Service user files contained comprehensive assessments that were completed prior to admission and these were focussed on the needs and aspirations of each person. The home’s policy stated that service users had the opportunity to have a trial period in the home before moving in and service users spoken with confirmed this. Statements of Terms and Conditions were on file for each service user and had been signed as appropriate. Service users spoken with were clear that they had rights as a resident in the home and knew how to pursue those. Bryony Lodge H54 S28547 Bryony Lodge V221598 190405 Stage 4.doc Version 1.20 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) 6, 7 and 9. Service users each had a care plan and were supported to make their own decisions. EVIDENCE: Files showed that all service users had individual plans in place. Staff spoken with were clear about the plans for each person and services users understood the planning system. Plans were regularly reviewed with input from service users and Care Managers where appropriate. Staff and service users spoken with were very clear that service users made their own decisions about their own lives and the Inspector observed staff supporting service users to make their own choices. Risk assessments were in place for service users where specific risks had been identified. Staff and service users spoken with too understood these and they were regularly reviewed. Bryony Lodge H54 S28547 Bryony Lodge V221598 190405 Stage 4.doc Version 1.20 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) 11, 13, 14 and 17. Service users are supported to be part of the community and to be involved in appropriate activities. EVIDENCE: The assessments in individual service user files highlighted their aspirations and plans were put in place to support them in working towards those. Records showed that service users were developing skills and experiences relevant to their own aspirations. The home has its own transport to enable service users to make use of the community and some facilities were local enough for service users to access without transport. Service users made regular use of the local pub and shops. They were also supported to access the theatre and cinema if they chose to. Staffing was flexible enough to ensure support was available for service users to use the community. Some service users use local day services for part of the week, but the home did not relay on these to meet service users’ social needs and provided a programme of activities based on service user needs. On the day of inspection a facilitator came in to do a physical exercise session. Bryony Lodge H54 S28547 Bryony Lodge V221598 190405 Stage 4.doc Version 1.20 Page 11 Service users spoken with were complimentary about the food at the home and reported that portions were sufficient and food was available as required, including fresh fruit. Menus were based around individual needs and were balanced and varied. Staff were available as necessary to support service users to eat and the mealtime observed was relaxed and sociable. Bryony Lodge H54 S28547 Bryony Lodge V221598 190405 Stage 4.doc Version 1.20 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 19. Service users had their physical and emotional needs met and received support according to their preferences. EVIDENCE: Service users’ plans included guidance on supporting them with personal care. Service users spoken with said they were able to tell staff how they preferred to be supported and staff spoken with were aware that different service users preferred support in different ways. From reading plans and discussion with staff the Inspector was clear that support was provided so as to promote independence as far as possible. The Inspector observed staff supporting service users throughout the day to maintain their personal appearance. Records demonstrated that service users’ healthcare needs were regularly monitored and that they were supported to access healthcare services as and when necessary. The Manager at the home maintained a good relationship with the local GP and this resulted in service users getting a very good service from the surgery. Bryony Lodge H54 S28547 Bryony Lodge V221598 190405 Stage 4.doc Version 1.20 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) 22 and 23. Service users were aware of the Complaints Procedure and the service took all reasonable steps to protect them from abuse. EVIDENCE: The home has a Complaints Procedure in place explaining to service users and their families how to complain about any aspect of the service. Service users spoken with were clear that they could bring concerns to the attention of the Manager and reported that he was responsive to issues raised. The home has procedures in place for responding to issues of suspected abuse. The Manager was clear about how to report any issues and the limits of his own involvement. Staff training in responding to issues of suspected abuse was done by all staff in 2003. Staff spoken with were clear about what constituted abuse and were willing to report issues if they arose. Bryony Lodge H54 S28547 Bryony Lodge V221598 190405 Stage 4.doc Version 1.20 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, 25, 26, 27, 29 and 30. The home is clean, homely and comfortable. It is kept safe and is designed so that service users can move around as independently as possible. EVIDENCE: The home was specifically designed for people who have physical disabilities and the facilities were very good for the people who live in the home. Service users’ rooms all had en-suite facilities. Some had baths and others had showers. The Proprietor was willing to alter these if necessary to suit the needs of individual service users. Service users were encouraged and supported to individualise their own rooms. All service users spoken with were happy with their room and those who used wheelchairs had ample space to move about in their room. En-suite facilities were designed so that service users could be as independent as possible with their personal care and that individual privacy as maintained. Overhead hoists were made available where necessary. All rooms were equipped for the needs of the person using them. The communal space in the home was designed so that staff could be easily available to service users when needed. The lounge area had a very modern appearance and was attractive and homely. Furniture was of very good quality and was arranged so that people who used wheelchairs could move around the Bryony Lodge H54 S28547 Bryony Lodge V221598 190405 Stage 4.doc Version 1.20 Page 15 whole room without being hindered. A large, flat-screen television was mounted on the wall, which made it easier for service users to see. The whole house is on ground floor level providing easy access to all parts of the home and garden for service users. The home was kept clean throughout and infection control procedures were in place. Bryony Lodge H54 S28547 Bryony Lodge V221598 190405 Stage 4.doc Version 1.20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34, 35 and 36. The homes recruitment practices protect service users and they are supported by trained and well-supported staff. EVIDENCE: The home has a recruitment policy in place, which appeared to be followed. Staff files showed that all necessary pre-employment checks were made including references and Criminal Records Bureau checks. The Training Organisation for the Personal Social Services (TOPSS) induction programme is used for new staff. The induction includes abuse awareness and adult protection guidelines. All staff have annual first aid, infection control, medication and manual handling refresher training. A senior staff member was undertaking an NVQ4 award and working to become an NVQ assessor for the home and first aid trainer. Good records were kept detailing all staff training. Staff files showed that regular staff supervision meetings were in place and staff spoken with confirmed this. Bryony Lodge H54 S28547 Bryony Lodge V221598 190405 Stage 4.doc Version 1.20 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 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, 41 and 42. The ethos of the home was focussed on the needs of service users and their rights and interests were protected by the homes policies and procedures. Health & Safety in the home is well-managed and protects service users. EVIDENCE: The Manager of the home was recently registered by the Commission for Social Care Inspection and so has demonstrated that he is suitably qualified, competent and experienced to manage the home. He has a clear job description in place was able to demonstrate that all aspects of the home were very well managed. The home has a Policies Manual in place with policies and procedures for a comprehensive range of issues. Staff have access to all of these and service users have access to those which relate directly to them. All records seen by the Inspector on the day of inspection were accurate, upto-date and kept securely. Bryony Lodge H54 S28547 Bryony Lodge V221598 190405 Stage 4.doc Version 1.20 Page 18 The Health & Safety issues in the home were well managed. Staff received regular training in health & safety issues and responsibilities were made clear through policy statements. Accidents and incidents were clearly recorded and monitored. All appliances were regularly serviced and records were kept. Fire procedures were posted throughout the building and all fire records were upto-date. 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 x 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Bryony Lodge Score 3 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 x 3 3 Standard No H54 S28547 Bryony Lodge V221598 190405 Stage 4.doc Score Version 1.20 Page 19 LIFESTYLES Standard No 11 12 13 14 15 16 17 Score 3 x 3 3 x x 3 31 32 33 34 35 36 x x x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 x x 3 3 3 x Bryony Lodge H54 S28547 Bryony Lodge V221598 190405 Stage 4.doc Version 1.20 Page 20 no 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 Bryony Lodge H54 S28547 Bryony Lodge V221598 190405 Stage 4.doc Version 1.20 Page 21 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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. 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