Inspection on 21/10/05 for Cedar Lodge

This inspection was carried out on 21st October 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cedar Lodge 24/04/07

Cedar Lodge 19/05/05

Cedar Lodge 12/11/04

Cedar Lodge 22/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Cedar Lodge Devon Court 109 Devon Drive Brimington Chesterfield S43 1DX Lead Inspector Sue Richards Unannounced Inspection 21st October 2005 10:00 Cedar Lodge DS0000019958.V261141.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 DS0000019958.V261141.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 DS0000019958.V261141.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cedar Lodge Address Devon Court 109 Devon Drive Brimington Chesterfield S43 1DX (01246) 477047 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) Mr Norman Turner Mrs Ann Gibbins, Dr Edward Marcion Ranjit De Saram Mrs Lisa Tulip Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Cedar Lodge DS0000019958.V261141.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th May 2005 Brief Description of the Service: Cedar Court provides personal care and support for up to ten younger adults with learning disabilities. The service aims to promote normal living, autonomy and choice for service users in accordance with their individual risk assessed needs. This is provided by way of planned care, which is subject to regular review. The home is purpose built and is situated within a residential area in the grounds of a registered care complex. It is located to the north-eastern outskirts of Chesterfield, on a direct bus route and relatively close to local shops and amenities. The Registered Manager has the supported of a team of care and hotel services staff, together with external administrative and management support. The home provides single room accommodation with a choice of lounge/dining space. There are communal bathing and toilet facilities, with four bedrooms providing an en suite facility. Remaining bedrooms have a wash hand basin provided. The home is decorated and furnished to a high standard and service users own bedrooms are personalised. There is access to a garden area to the rear of the home with seating for service users and car parking space is provided to the front of the home. Cedar Lodge DS0000019958.V261141.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of this inspection was the staffing and management systems and arrangements in the home What the service does well: What has improved since the last inspection? What they could do better: Ensure that all staff, who have not already done so, receive food hygiene training. Cedar Lodge DS0000019958.V261141.R01.S.doc Version 5.0 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. Cedar Lodge DS0000019958.V261141.R01.S.doc Version 5.0 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 Cedar Lodge DS0000019958.V261141.R01.S.doc Version 5.0 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): The standards in this section were not assessed on this occasion. EVIDENCE: Cedar Lodge DS0000019958.V261141.R01.S.doc Version 5.0 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): The standards in this section were not assessed on this occasion. EVIDENCE: Cedar Lodge DS0000019958.V261141.R01.S.doc Version 5.0 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): The standards in this section were not assessed on this occasion. EVIDENCE: Cedar Lodge DS0000019958.V261141.R01.S.doc Version 5.0 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): The standards in this section were not assessed on this occasion. EVIDENCE: Cedar Lodge DS0000019958.V261141.R01.S.doc Version 5.0 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): 22 & 23 There were suitable systems and arrangements in place to enable service users and their representatives to raise concerns or to complain and to ensure protection from abuse. EVIDENCE: The complaints procedure for the home is provided in standard format and also in a format suitable for service users to understand, which is posted on the service users notice board. Information as to how to complain or raise concerns is also provided within the statement of purpose and service user guide. There had been one complaint raised internally, which was properly investigated via adult protection procedures. Records kept in relation to this were examined and details discussed with the manager, who had informed the Commission of this at the time of its occurrence, together with action taken and outcomes. Staff had undertaken training updates in relation to adult protection via Derbyshire County Council. Cedar Lodge DS0000019958.V261141.R01.S.doc Version 5.0 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): The standards in this section were not assessed on this occasion. EVIDENCE: Although the building was not fully inspected, areas seen (communal and staff areas) were clean, odour free, well lit and ventilated and decorated and furnished to a high standard. Cedar Lodge DS0000019958.V261141.R01.S.doc Version 5.0 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): 31, 32, 33, 34, 35 & 36 There were satisfactory systems and arrangements in place to facilitate the proper recruitment, induction, training and supervision of staff and to ensure that service users were properly supported. EVIDENCE: Details of staff employed were provided together with staff duty rotas. Discussions were also held with the manager and staff regarding the home’s practises in respect of staff recruitment, induction and training and supervision and associated records were examined. These were generally satisfactory and included training, which had been undertaken and training planned. Staff spoken with was conversant with their roles and responsibilities and those of others and also as to the main values and aims of the home. Details of staff turnover were also provided. Cedar Lodge DS0000019958.V261141.R01.S.doc Version 5.0 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): 37, 38, 39, 40, 41, 42 & 43 The home is well managed and run and there are suitable systems and arrangements in place to promote the health, safety and welfare of service users accommodated and also of staff. Food hygiene and handling training was outstanding for some staff EVIDENCE: The Inspector discussed with the manager training and development undertaken by her in the previous 12 months and that planned. Management strategies and communication systems were also discussed with her, including that relating to quality assurance and monitoring and associated records were examined. A copy of the most recent annual report for the home, based on ongoing internal audit and quality monitoring of all aspects of service provision was also examined (2004-05). Aims and objectives for the coming year (2005-06) were also identified. Cedar Lodge DS0000019958.V261141.R01.S.doc Version 5.0 Page 16 A number of policies and procedures were examined during the inspection process and evidenced periodic review. A number of key records were also examined during the inspection process. These were properly kept. A discussion was also undertaken with the manager in relation to the keeping of and access to records held on computer. Details of the arrangements to promote safe working practises in the home were provided and discussed with the manager and staff. These included the arrangements for staff training (moving and handling, fire, first aid, food hygiene) and the routine servicing and maintenance of equipment in the home. One staff member spoken with was involved in the preparation and handling of food, although had not undertaken recognised food hygiene and handling training. The arrangements for the reporting and recording of accidents and untoward incidents in the home for both service users and staff were examined and were generally satisfactory. Discussions were held with the manager in respect of the recording format used and the manager was advised to discuss its continued use or the use of alternative documentation with the health and safety executive. There was an up to date insurance liability certificate in place, which was openly displayed. Cedar Lodge DS0000019958.V261141.R01.S.doc Version 5.0 Page 17 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 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cedar Lodge Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 2 3 DS0000019958.V261141.R01.S.doc Version 5.0 Page 18 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 YA42 Regulation 13(4)(c) Requirement The manager must ensure that recognised food hygiene and handling training is undertaken by any staff involved in the preparation and handling of food for service users. Timescale for action 31/12/05 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 YA41 Good Practice Recommendations The manager should ensure there is a written policy in place in respect of internet access for staff. Cedar Lodge DS0000019958.V261141.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 DS0000019958.V261141.R01.S.doc Version 5.0 Page 20 - 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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