Inspection on 11/01/06 for Cedar Lodge

This inspection was carried out on 11th 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cedar Lodge 03/09/07

Cedar Lodge 11/10/06

Cedar Lodge 27/09/05

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Cedar Lodge 169 Westbury Road Southend on Sea Essex SS2 4DL Lead Inspector Mr Ron Reeves Unannounced Inspection 11th January 2006 09:30 Cedar Lodge DS0000062765.V273674.R01.S.doc Version 5.0 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 Cedar Lodge DS0000062765.V273674.R01.S.doc Version 5.0 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. Cedar Lodge DS0000062765.V273674.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cedar Lodge Address 169 Westbury Road Southend on Sea Essex SS2 4DL 01702 615729 01702 217625 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) Westelm Homes Ltd Lee David Ritson Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Cedar Lodge DS0000062765.V273674.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th September 2005 Brief Description of the Service: Cedar Lodge is a privately owned care home providing personal care and accommodation for eight service users who have a learning disability. The home is a detached eight bedroomed chalet which is situated in a quiet residential area in the Southchurch region of Southend. The home is located close to local bus routes and shops. All service users have their own rooms which they can decorate and personalise as they choose. Communal areas include a spacious lounge, a dining room and large kitchen. The home was opened in 1993. Cedar Lodge DS0000062765.V273674.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection which took place on the 11th January 2006 and lasted five hours. During the inspection the Inspector spoke with the Proprietor, Deputy Manager, shift leader, two members of staff and the residents who were in the home. There was a quick tour of the building and examination of a sample of records, policies and procedures. 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. Cedar Lodge DS0000062765.V273674.R01.S.doc Version 5.0 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 Cedar Lodge DS0000062765.V273674.R01.S.doc Version 5.0 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 the following standard(s): 1-5 The admission process is well managed by the home with residents and their relatives given clear information regarding the home. EVIDENCE: The home has a well developed statement of purpose and service users’ guide. The majority of residents have lived in the home for a long time. The last resident admitted came from a sister home that was closing and was well known to the staff and the residents. All residents in the home are sponsored by local authorities and were admitted with a full social worker assessment. The Deputy Manager informed that prospective residents are invited to visit as often as they liked, and stay overnight and weekends to get to know the residents and be assessed to ensure the home can meet individual resident’s needs. Each resident has a comprehensive terms and conditions of residence which has been developed in a pictorial and sign format for the residents. Cedar Lodge DS0000062765.V273674.R01.S.doc Version 5.0 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 the following standard(s): 6-10 Residents’ needs are being met by the home. Staff encourage and support residents to take control of their lives and be involved in the day to day running of the home. EVIDENCE: The home continues with the programme of transferring residents’ care plans into Person Centred Planning. Those seen clearly demonstrated residents involvement at all stages and detailed that residents take control of their own lives through thorough risk assessment processes. Regular residents meetings are held with a local advocate and separate meetings held with the Manager to discuss the day to day running of the home. Residents are aware that they can see their own records and staff are aware of the need to respect client confidentiality. From discussions with residents, staff and from observations throughout the day it was clear that the residents’ needs were being met. Cedar Lodge DS0000062765.V273674.R01.S.doc Version 5.0 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 the following standard(s): 11-14, 16 & 17 Residents are encouraged and supported to live a full life. EVIDENCE: Residents are supported to access a wide range of educational activities. Each resident has a fully developed programme based on their needs and personal interests. Residents spoken with said they liked living at Cedar Lodge. They spoke about how they are encouraged and supported to look after their own bedrooms and be involved with the preparation of meals. All said they enjoyed their leisure activities. The home’s menus are based on residents’ likes and dislikes and regularly discussed at residents’ meetings. The home operates a “health eating” policy. Nutritional records are now maintained to a good standard. Cedar Lodge DS0000062765.V273674.R01.S.doc Version 5.0 Page 10 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): 18-20 Residents’ personal and health care needs are being comprehensively met by the home. EVIDENCE: Residents have varying levels of personal care needs. Care plans evidenced the level of staff support required by each resident. All residents are registered with a local GP and are supported by staff to access all community health services when required. Records seen demonstrated that medication procedures were well managed. Cedar Lodge DS0000062765.V273674.R01.S.doc Version 5.0 Page 11 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): 22 & 23 The home has appropriate policies, procedures and staff training in place for responding to residents concerns and protecting them from abuse. EVIDENCE: The home’s complaint procedure was seen to be available in pictorial format for ease of use by the residents. Regular meetings are held between residents and a visiting advocate. The homes Adults Protection policy and procedures were adequate to protect residents from harm or abuse. Six staff have received training for the Protection of Vulnerable Adults and training is planned for the remaining staff. Cedar Lodge DS0000062765.V273674.R01.S.doc Version 5.0 Page 12 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, 25 27 - 30 The home provides a good standard of accommodation which provides a homely environment for the residents. EVIDENCE: The home is generally well decorated and furnished throughout although the corridors would benefit from redecoration. Bedrooms seen were well decorated, furnished and personalised to individual resident’s taste. Communal space consists of a large lounge, dining room, and a large domestic style kitchen. The home has a bathroom on each floor with the first floor bathroom having a separate shower. A small garden is provided to the side of the building which is provided with a patio area, raised flower beds and seating. Residents spoken with appeared to be happy and proud of their home. The home was seen to be clean and tidy throughout. Cedar Lodge DS0000062765.V273674.R01.S.doc Version 5.0 Page 13 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): 32-36 Residents are well supported by an enthusiastic well trained staff team. EVIDENCE: All staff are issued with a comprehensive job description. Staff rotas evidenced that agreed staffing levels continue to be met. The home benefits from a core group of experienced well trained staff who have worked in the home for some time and are fully aware of the residents’ needs. Staff meetings are held on a regular basis and staff receive supervision on a two monthly basis. One staff has achieved NVQ Level 2 and a further four staff at present training at NVQ Level 2. The Deputy is undertaking NVQ Level 3 training. Staff training records were well maintained and indicated a wide range of training is undertaken by staff. There was no evidence to support that the home’s induction programme is to “skills for care” standards. Three staff files sampled in respect of the home’s recruitment process contained all the documentation required by regulation apart from one file which contained only one reference. Staff spoken with felt they had a good staff team who support each other. Residents spoken with said that the staff were very nice and kind. Cedar Lodge DS0000062765.V273674.R01.S.doc Version 5.0 Page 14 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): 37-42 The home is well managed by an experienced qualified manager who provides good guidance and direction for the staff. EVIDENCE: The Manager was not on duty on the day of the inspection, however the Deputy Manager and staff leader on duty were able to manage all aspects of the inspection. The Manager has achieved the Registered Managers Award (NVQ Level 4) and has many years experience with the client group. All staff spoken with spoke highly of the manager and felt that he was very approachable and supportive. The Deputy Manager explained that quality questionnaires are issued to residents and relatives prior to the resident’s annual review. Positive discussions were held regarding developing a comprehensive quality review system. Cedar Lodge DS0000062765.V273674.R01.S.doc Version 5.0 Page 15 A random sample of the home’s policies, procedures and records required by regulation were found to be generally well maintained and stored securely. The Deputy Manager was aware of Health and Safety issues in the home. Safety certificates were in place for services and equipment and regular checks are maintained on the home’s fire prevention equipment. Cedar Lodge DS0000062765.V273674.R01.S.doc Version 5.0 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 3 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 X 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cedar Lodge Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 3 2 3 3 3 X DS0000062765.V273674.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? NO 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 2 Standard YA34 YA39 Regulation 17(2) Schedule 4 24 Timescale for action The manager must ensure robust 28/02/06 recruitment procedures are in place The registered provider must 28/02/06 establish a system for reviewing the quality of care provided by the home. Requirement 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 YA35 Good Practice Recommendations The homes staff induction programme should meet the standards of the Learning Disability Award Framework. Cedar Lodge DS0000062765.V273674.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Cedar Lodge DS0000062765.V273674.R01.S.doc Version 5.0 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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