Inspection on 12/01/06 for Carlton Lodge

This inspection was carried out on 12th January 2006.

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 but made no statutory requirements on the home.

Other inspections for this house

Carlton Lodge 18/08/09

Carlton Lodge 11/09/08

Carlton Lodge 12/09/07

Carlton Lodge 26/09/06

Carlton Lodge 18/05/05

Carlton Lodge 12/10/04

Carlton Lodge 03/09/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Pennine Camphill

Muston Road (70)

Grayling

The Cornerstone

John Street Nursing Home

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

CARE HOME ADULTS 18-65 Carlton Lodge 28 Carlton Street Normanton West Yorks WF6 2EH Lead Inspector Mr Tony Brindle Unannounced Inspection 12th January 2006 03:00 Carlton Lodge DS0000006171.V280218.R01.S.doc Version 5.1 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 Carlton Lodge DS0000006171.V280218.R01.S.doc Version 5.1 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. Carlton Lodge DS0000006171.V280218.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Carlton Lodge Address 28 Carlton Street Normanton West Yorks WF6 2EH 01924 223652 01924 223652 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) Hapton Care Homes Mr John L McIntosh Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Carlton Lodge DS0000006171.V280218.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 26th July 2005 Brief Description of the Service: Carlton Lodge provides personal care for nine people with learning disabilities. The home is in Normanton, close to the town centre and all local facilities and shops. The home is close to a main bus route, rail station and the M62. Carlton Lodge has a small walled garden. Service users are all provided with bedrooms of their own which they can personalized. The staff help service users to go out on trips, go to day services and develop daily living skills. Service users benefit from a visiting reflexologist and manicurist. Carlton Lodge DS0000006171.V280218.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was a positive and enjoyable one with the inspector taking to service users and staff, looking at care plans, daily records, and the staff recruitment and training files. All the core standards were assessed at the last inspection in July 2005. Therefore, at this visit, the Commission focussed on a number of key standards such as the ways in which the agency supports people to engage in the local community, the ways in which decision making is promoted and the ways in which the agency protects people by way of their recruitment procedures. The inspector would like to take the opportunity to thank the service users, the manager and support workers for their hospitality and patient cooperation throughout the inspection. There have been no additional or complaints visit to this home since the last inspection. There have been no changes to the Registered Persons registered with CSCI. What the service does well: What has improved since the last inspection? What they could do better: None of the areas of service provision that were assessed were found to be in need of improvement. Standards have been maintained. Carlton Lodge DS0000006171.V280218.R01.S.doc Version 5.1 Page 6 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. Carlton Lodge DS0000006171.V280218.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Carlton Lodge DS0000006171.V280218.R01.S.doc Version 5.1 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 the following standard(s): None of the core standards within this section were assessed at this occasion. A full assessment of the core standards will take place at the next inspection. EVIDENCE: Carlton Lodge DS0000006171.V280218.R01.S.doc Version 5.1 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 the following standard(s): 6, 7 and 9 There is a clear and consistent care planning system in place that provides staff with the information they require to meet people’s needs. Decisionmaking is promoted, supported and documented. EVIDENCE: Examination of some of the care plans and risk assessments showed that staff are provided with information about how to care and support people living in the home. Risk assessments also show support workers what they must do to minimise any risks to people living in the home. Multidisciplinary reviews are arranged to discuss and make sure people are getting the care they need and what is said at these meetings is written down. The daily records show that people in the home are encouraged and supported to make decisions about what they do and how they live their lives. Carlton Lodge DS0000006171.V280218.R01.S.doc Version 5.1 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 the following standard(s): 12, 13, 15, 16 and 17 Links with the community are good which supports people to use community facilities, engage within the community and take part in social and educational opportunities. EVIDENCE: The individual support plans and daily records show that people are offered opportunities to develop their personal and social skills. Discussion with the individuals, the manager and support workers indicates that ordinary community based leisure services are used as well as specialist day care services. One client said that she “likes staying at home and cooking”. One support worker said that clients visit the local facilities in the area and are well known in the community. The daily records confirmed this. The manager said that to help people keep their independence and to learn new skills they are encouraged and supported by staff to choose their own menu and some help in preparing meals following an assessment of their capabilities. People at the home spoke highly of the meals provided within the home. The staff are aware of individual likes and dislikes regarding food. People confirmed that snacks and drinks are available throughout the day. Carlton Lodge DS0000006171.V280218.R01.S.doc Version 5.1 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 the following standard(s): None of the core standards within this section were assessed at this occasion. A full assessment of the core standards will take place at the next inspection. EVIDENCE: Carlton Lodge DS0000006171.V280218.R01.S.doc Version 5.1 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 the following standard(s): None of the core standards within this section were assessed at this occasion. A full assessment of the core standards will take place at the next inspection. EVIDENCE: Carlton Lodge DS0000006171.V280218.R01.S.doc Version 5.1 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 the following standard(s): 24 and 30 People live in a clean and comfortable home with furniture and equipment available, both communally and individually, to meet their needs. EVIDENCE: The location and layout of the home was found to be suitable for its stated purpose. The building is accessible and well-maintained. Some people said that the home is comfortable and homely. The premises were found to be clean and free from offensive odours with systems are in place to control the spread of infection. Carlton Lodge DS0000006171.V280218.R01.S.doc Version 5.1 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 35 Service users are supported and protected by the home’s recruitment policy and practices. EVIDENCE: The recruitment systems operated at HOME ensure that no member of staff works within the home without a clear POVA check and enhanced criminal records bureau check. Of the staff files viewed, all were found to be in order, with appropriate references and forms of identification. The home has a satisfactory staff induction programme, which includes a shift induction; this involves the new starter shadowing an experienced member of staff. New staff are only given separate duties once they have been assessed as competent. Carlton Lodge DS0000006171.V280218.R01.S.doc Version 5.1 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 The health and safety of service users and staff are promoted and protected by satisfactory systems and procedures. EVIDENCE: The records relating health and safety including fire alarm testing, water temperatures, emergency lighting and environmental risk assessments were seen to be up to date and in good order. Carlton Lodge DS0000006171.V280218.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X X X X 3 X Carlton Lodge DS0000006171.V280218.R01.S.doc Version 5.1 Page 17 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. 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 Carlton Lodge DS0000006171.V280218.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Carlton Lodge DS0000006171.V280218.R01.S.doc Version 5.1 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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