Inspection on 14/06/07 for Carlile Lodge

This inspection was carried out on 14th June 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 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

Carlile Lodge 05/02/07

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

CARE HOME ADULTS 18-65 Carlile Lodge 17 Grimston Avenue Folkestone Kent CT20 2QE Lead Inspector Paul Stibbons Key Unannounced Inspection 14th June 2007 11:15 Carlile Lodge DS0000066002.V340289.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 Carlile Lodge DS0000066002.V340289.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. Carlile Lodge DS0000066002.V340289.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Carlile Lodge Address 17 Grimston Avenue Folkestone Kent CT20 2QE 01303 262524 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) Counticare Limited Mrs Sara Michelle Quaife Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Carlile Lodge DS0000066002.V340289.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning disability (LD). The maximum number of service users to be accommodated is 10. Date of last inspection 5th February 2007 Brief Description of the Service: Carlile Lodge is registered to provide accommodation for up to 10 adults with a learning disability. The property is a large detached house in a residential area of Folkestone and is within a short distance of the town centre. There is nearby access to bus and railway stations, shops, health centres, educational colleges, a cinema, leisure centre and concert hall. The property has been totally refurbished to a high standard. There are eight single rooms all with en-suite facilities, one double room with en-suite facilities and a self-contained annex for a couple. The home has a large communal lounge, a fully equipped kitchen, laundry room and staff room. There is an enclosed garden area and parking for several vehicles. Fees for this service range between £600 and £1200. Carlile Lodge DS0000066002.V340289.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted over a period of 2.5 hours. A tour of the building was conducted and a variety of records and documents were examined. The manager and one member of staff were present and were spoken with. All of the residents were out at work placements or college I was therefore unable to speak with on this visit. 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. The summary of this inspection report can be made available in other formats on request. Carlile Lodge DS0000066002.V340289.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Carlile Lodge DS0000066002.V340289.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are provided with sufficient information on which to base an informed decision as to whether the home can meet their needs. EVIDENCE: The statement of purpose and service user guides are clear about the facilities offered by the home and competences of staff employed. Prior to admission the Placement Manager for the company undertakes an initial assessment of prospective residents. Residents are offered a trial 3 month placement during which time the home carries out assessments using the Hampshire assessment tool. Due to the nature of the service (Supported/independent living) risk assessments are frequently reviewed and updated. Individual written contracts are in the process of being agreed and were not available for inspection at this visit. Carlile Lodge DS0000066002.V340289.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The changing needs and personal goals of residents are reflected in their individual care plans. Residents are consulted with and participate in all aspects of life in the home. EVIDENCE: Support plans viewed are comprehensive in documenting any support needs. The home is in the process of developing PCP (person centred) essential lifestyle plans with each individual. Monthly meetings are held with each resident on a one-to-one basis to discuss current and future aspirations. Records of these meetings were viewed. Carlile Lodge DS0000066002.V340289.R01.S.doc Version 5.2 Page 9 Care plans evidence that residents are supported in taking risks as part of an independent lifestyle with appropriate risk assessments in place. The manager states that risk assessments are constantly under review as residents move to more independence. Information of a personal nature is kept secure in the manager’s locked office with access only to authorised personnel. Carlile Lodge DS0000066002.V340289.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are supported in accessing a range of activities that meet their social, development and employment needs. They are supported in maintaining appropriate personal and family relationships. Residents enjoy a healthy and varied diet of their choosing. EVIDENCE: As the aim of the service is to develop independence many of the activities are initiated by individual’s interests. The home supports residents in acquiring daily living skills and each room has its own cooking facilities. Carlile Lodge DS0000066002.V340289.R01.S.doc Version 5.2 Page 11 Residents devise their own menus, shop for products and do their own cooking all with support from staff. Staff members advise residents on healthy eating options. The residents are very much part of the local community and attend college, social clubs, church clubs, drama, cycling club, and have work placements in admin, café and day centres. The residents enjoy meals out and visits to local public houses. Residents are supported in maintaining personal and family relationships and their rights and responsibilities are recognised. Residents enjoy visits, telephone contact and weekends away. Carlile Lodge DS0000066002.V340289.R01.S.doc Version 5.2 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. 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. Residents receive personal support in the way they prefer and require. They are protected by the home’s medication policies and procedures. EVIDENCE: As the residents in this unit are working towards further independence their progress dictates the level of support they require. The home arranges individual “talk time” for each resident to discuss progress and goals. Support plans viewed evidence that residents receive support in the manner they prefer. Of the current three residents one self-administers their own medication and staff check weekly that prescribed guidelines are being followed. All staff responsible for dealing with medication have received competence based training and the procedures for dealing with medication comply with current legislation and guidelines. Carlile Lodge DS0000066002.V340289.R01.S.doc Version 5.2 Page 13 Carlile Lodge DS0000066002.V340289.R01.S.doc Version 5.2 Page 14 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): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know their complaints are listened to and acted upon. They are protected from abuse, neglect and self-harm. EVIDENCE: The home has clear complaints policy and procedures that are reinforced with pictorial formats. Complaints are recorded in the individuals file with the responses from the home. Files viewed contained appropriate responses to issues raised. All members of the staff team have received training around adult protection issues and are familiar with reporting procedures. Carlile Lodge DS0000066002.V340289.R01.S.doc Version 5.2 Page 15 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): 24,25,26,27,28,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely, comfortable and safe environment with adequate personal and communal space to meet their needs. The home is well furnished and clean and hygienic. EVIDENCE: Residents each have their own large single bedroom with en-suite and kitchen facilities. Bedrooms are adequately furnished and personal possessions reflect the interests and lifestyles of individuals. There is ample communal space for residents to dine and socialise and there is an enclosed garden area. Carlile Lodge DS0000066002.V340289.R01.S.doc Version 5.2 Page 16 The kitchen is large with commercial equipment and maintained to a good standard. The laundry room has commercial equipment installed and the home is generally tidy, clean and hygienic. Carlile Lodge DS0000066002.V340289.R01.S.doc Version 5.2 Page 17 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): 32,33,34,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by a competent and effective staff team and their individual and joint needs are met. Residents are protected by robust recruitment practices. EVIDENCE: All staff have to undergo LDAF (learning disability awareness framework) training and NVQ qualifications are in progress for members of staff who have yet to achieve the award. The home currently has 4 full-time and 1 part-time members of staff as there are only 3 residents in situ. Robust recruitment procedures ensure that appropriate checks are carried out including references and CRB checks. Monthly supervision sessions between staff and the home’s manager take place as evidenced in staff personal files. Carlile Lodge DS0000066002.V340289.R01.S.doc Version 5.2 Page 18 Carlile Lodge DS0000066002.V340289.R01.S.doc Version 5.2 Page 19 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): 37,38,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a well run home that is managed by a competent and qualified registered manager. The health, safety and welfare of residents is promoted and protected. EVIDENCE: The home’s manager is competent and qualified and has recently been registered with the CSCI for this home. Staff members spoken with stated that the management approach is open and inclusive. Carlile Lodge DS0000066002.V340289.R01.S.doc Version 5.2 Page 20 QA audits are conducted both internally and externally to measure the quality of service provided and views are sought from residents about the running of the home. Health and safety checks are conducted frequently and coshh data sheets were seen, as were fridge/freezer/water temperature checks. Personal protective equipment is provided in appropriate circumstances. There were no obvious health and safety hazards identified during this inspection. Carlile Lodge DS0000066002.V340289.R01.S.doc Version 5.2 Page 21 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 X 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 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 4 3 3 LIFESTYLES Standard No Score 11 4 12 4 13 4 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X 3 X Carlile Lodge DS0000066002.V340289.R01.S.doc Version 5.2 Page 22 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. 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. Refer to Standard Good Practice Recommendations Carlile Lodge DS0000066002.V340289.R01.S.doc Version 5.2 Page 23 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 Carlile Lodge DS0000066002.V340289.R01.S.doc Version 5.2 Page 24 - 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. 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