Inspection on 06/09/05 for Bryony Lodge

This inspection was carried out on 6th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 19/04/05

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 6 September 2005, 9:30 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 V248111 060905.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Bryony Lodge Address 19 ST Marys Road, Hayling Island, Hampshire PO11 9BY 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) 023 9246 0358 Mr A Rutter Mr Shaun David Brough Care Home 9 Category(ies) of Physical disability (9) registration, with number Learning disability (1) of places Bryony Lodge H54 S28547 Bryony Lodge V248111 060905.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 One named service user (date of birth 27/09/65) in the LD category may be accommodated at the Home. Date of last inspection 19/04/05 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 afield. 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 V248111 060905.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that lasted for four hours. The Inspector toured the premises and spoke with service users, members of staff and the Manager. The inspection focussed on the five core standards that were not assessed at the previous inspection and this report should be read in conjunction with the report of 19th April 2005. All 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: 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. Bryony Lodge H54 S28547 Bryony Lodge V248111 060905.doc Version 1.40 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 Bryony Lodge H54 S28547 Bryony Lodge V248111 060905.doc Version 1.40 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) None of these standards were assessed on this occasion. EVIDENCE: Bryony Lodge H54 S28547 Bryony Lodge V248111 060905.doc Version 1.40 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) None of these standards were assessed on this occasion. EVIDENCE: Bryony Lodge H54 S28547 Bryony Lodge V248111 060905.doc Version 1.40 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, 15 and 16 Service users benefit from support to use the local community, maintain contact with families and friends and having their rights recognised through the home’s policies and practices. EVIDENCE: No one living at the home is currently involved in any paid or voluntary work and the Manger informed the Inspector that if anyone expressed an interest in employment the home would refer him or her to his or her Care Manager to follow this up. Some service users do use day centres in Hayling Island and Cosham. When people move into the home their interests and hobbies are identified and recorded through the initial assessment. Service users and their families are fully involved in the assessment and are encouraged to continue with their interests and hobbies. The home provides activities based on the interests of service users and introduces new activities for people to try. Good records are kept of all activities, which include shopping, bowling, using the local pub, support to attend church and visits to places of interest (e.g. the zoo). Within the home service users are encouraged to take part in games and activities. Someone comes into the home once a week to facilitate a Gentle Gym class Bryony Lodge H54 S28547 Bryony Lodge V248111 060905.doc Version 1.40 Page 10 that encourages service users to exercise their bodies and a music and drama session has recently been introduced. Service user spoken with during the inspection confirmed that there are a lot of activities to get involved with if they want to and said they felt these provided adequate stimulation. Service users, where they were able, were also encouraged to make use of the local community on their own. Service users are actively encouraged and supported to maintain contact with their friends and families. The home arranges parties and friends and families are invited to attend. Some service users have made friends through the local church or through the local pub and are encouraged and supported to have those friends visit them at the home. Many people in the local community (e.g. at shops, pubs and the church) know people who live at the home by name and speak to them while they are out. Service users spoken with confirmed that they felt part of the local community. The assessment and care plan for a new service user describes the support the home will provide in maintaining contact with families and friends and includes weekly visits to see family in Old Portsmouth and friends in West Sussex. The routines and rules of the home are not excessive and are based around the needs of service users. The Terms and Conditions of residence describe the rules around smoking, alcohol and respecting other service users. Daily routines are based around mealtimes and support for service users to attend activities, but are flexible wherever possible. Service users who are out can eat whenever they return or can take a packed lunch with them. All service users have a key to their own room, but do not have a key to the front door of the home. There is always a member of staff who is available to open the door for them. The Manager said that if any service user particularly wanted a key to the front door then it would be provided subject to an assessment based on the security of the home. The Manager said, and service users confirmed, that people living at the home open their own mail and that where they were unable to physically open the mail a member of staff would support them. Service users said staff referred to them with their preferred form of address although the Manager acknowledged that this information is not yet recorded on service users’ care plans. Bryony Lodge H54 S28547 Bryony Lodge V248111 060905.doc Version 1.40 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) 20 Service users are protected by the home’s medication policies and practices. EVIDENCE: No service users currently manage their own medication but the home’s policy accepts that people could if they wanted to and were able to do so safely, subject to an assessment. The home kept good, clear and accurate records of all medication administered and had a clear policy for the safe administration of medication. All staff involved in administering medication had received appropriate training, which was regularly updated. The home has pharmacy advice from Lloyds Chemist who visit three times a year to monitor medication practices within the home. Bryony Lodge H54 S28547 Bryony Lodge V248111 060905.doc Version 1.40 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) None of these standards were assessed on this occasion. EVIDENCE: Bryony Lodge H54 S28547 Bryony Lodge V248111 060905.doc Version 1.40 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) None of these standards were assessed on this occasion. EVIDENCE: Bryony Lodge H54 S28547 Bryony Lodge V248111 060905.doc Version 1.40 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) None of these standards were assessed on this occasion. EVIDENCE: Bryony Lodge H54 S28547 Bryony Lodge V248111 060905.doc Version 1.40 Page 15 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 Service users would benefit from a formal quality assurance process that includes their input into an annual development plan. EVIDENCE: Service users spoken with felt that their views and opinions were asked for and listened to and that the home responded to them. Then home also seeks feedback from staff and from relatives of service users and responds to them. In order to fully meet the quality assurance standard the Manager is planning to develop a coordinated process that will enable the views of people with an interest in the service to be recorded and to inform an annual development plan that can be shared with interested parties. Bryony Lodge H54 S28547 Bryony Lodge V248111 060905.doc Version 1.40 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x 3 x x 3 3 x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bryony Lodge Score x x 3 x Standard No 37 38 39 40 41 42 43 Score x x 2 x x x x H54 S28547 Bryony Lodge V248111 060905.doc Version 1.40 Page 17 na 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 39 Good Practice Recommendations The Manager should coordinated the quality assurance practices within the home and produce an annual development plan. Bryony Lodge H54 S28547 Bryony Lodge V248111 060905.doc Version 1.40 Page 18 Commission for Social Care Inspection Hampshire Area Office 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. Extracts may not be used or reproduced without the express permission of CSCI Bryony Lodge H54 S28547 Bryony Lodge V248111 060905.doc Version 1.40 Page 19 - 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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