Inspection on 27/09/05 for Cedar Lodge

This inspection was carried out on 27th September 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Cedar Lodge 03/09/07

Cedar Lodge 11/10/06

Cedar Lodge 11/01/06

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 Ron Reeves Unannounced 27 September 2005 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. Cedar Lodge I56 I06 S62765 Cedar Lodge V246570 270905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Cedar Lodge Address 169 Westbury Road, Southend on Sea, Essex SS2 4DL 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) 01702 301652 01702 217625 Westelm Homes Limited Lee David Ritson CRH LD 8 Category(ies) of LD Learning Disability 8 registration, with number of places Cedar Lodge I56 I06 S62765 Cedar Lodge V246570 270905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The home can provide accommodation for upto eight people of either sex who have a learning disability. Date of last inspection 19th October 2004 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 I56 I06 S62765 Cedar Lodge V246570 270905 Stage 4.doc Version 1.40 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 27th September 2005 and lasted for six hours. During the inspection, the inspector spoke with the proprietor, manager, four service users, three staff and two visiting relatives. There was a tour of the building and examination of sample of records and 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 I56 I06 S62765 Cedar Lodge V246570 270905 Stage 4.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 Cedar Lodge I56 I06 S62765 Cedar Lodge V246570 270905 Stage 4.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) 1-5 The home provides sufficient written and verbal information to prospective residents and their families and through many pre-admission visits enable them to make an informed choice. EVIDENCE: The home has a well developed statement of purpose and service users guide. The manager informed he plans to further develop the service users guide making greater use of more pictures and symbols. All residents in the home are sponsored by local authorities and admitted with full social worker assessments. Residents are encouraged to visit the home to get to know the residents, stay for meals and weekends and ensure that a prospective resident is compatible with the existing residents. During this period the manager carries out an assessment prior to the resident moving into the home on a permanent basis. Each resident has comprehensive terms and conditions of residence. Cedar Lodge I56 I06 S62765 Cedar Lodge V246570 270905 Stage 4.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) 6-9 Residents are well supported by staff to make decisions about their lives and the day-to-day operation of the home. EVIDENCE: The home is in the process of introducing Person Centred Planning (PCP). These plans are being completed by the individual resident and their key worker. Examination of a completed PCP evidenced resident involvement and demonstrated that residents were able to take control of their own lives and influence the day-to-day running of the home. Regular residents meetings are held and decisions made are well documented and acted on. In addition residents meet separately from staff with a local advocate provided by Mencap. Cedar Lodge I56 I06 S62765 Cedar Lodge V246570 270905 Stage 4.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) 11-17 Residents are encouraged to live a full life within a supportive environment which promotes individual choice and control over their lives. EVIDENCE: Residents are supported to access a wide range of Educational and Leisure activities. With the closure of the local authorities day centre, the home has, with the residents, taken over the responsibility of organising the full range of daily activities. Each resident has a fully developed programme based on their needs and their personal interests. Residents spoken with said they really enjoyed their life at Cedar Lodge and were complimentary of the staff and the support they provided to them to lead a full and active life. The home operates a “healthy eating” policy. Residents are involved in planning the menus and helping with the preparation of meals. The home’s nutrition records require further development to ensure all food eaten by residents is recorded. Cedar Lodge I56 I06 S62765 Cedar Lodge V246570 270905 Stage 4.doc Version 1.40 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 standard(s) 18-21 The home has adequate policies, procedures and practices in place to ensure residents personal and health care needs are met. EVIDENCE: The majority of the residents are self-caring with prompting and advice from the staff. Good use is made of the local health resources including G.P, dentist and chiropodist. Residents are escorted to medical appointments where necessary. Medication procedures were seen to be appropriate. The home has comprehensive policies and procedures for care of illness or death of a resident. Cedar Lodge I56 I06 S62765 Cedar Lodge V246570 270905 Stage 4.doc Version 1.40 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 standard(s) 22-23 The home has appropriate policies, procedures and staff training in place to protect vulnerable adults. EVIDENCE: The home has an appropriate complaints policy. This is displayed in pictorial format in the home. In addition regular meetings are held between residents and a visiting advocate. Appropriate policies, procedures and practices are in place to protect vulnerable adults from abuse. Five staff have attended Protection of Vulnerable Adults training and the home has a copy of the Local Authority’s procedures. Staff spoken with were aware of the home’s policy on abuse and whistle blowing. Cedar Lodge I56 I06 S62765 Cedar Lodge V246570 270905 Stage 4.doc Version 1.40 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 standard(s) 24-30 The home provides a good standard of accommodation for the residents. EVIDENCE: The home is well decorated and furnished throughout. Bedrooms were seen to be comfortable and personalised to the individual residents taste. Communal space consists of a large lounge, a dining room and a large kitchen. The home has a no smoking policy. The home has two bathrooms one on each floor and a separate toilet, which meets the standard of homes registered before August 2002. The first floor bathroom has recently been completely refurbished and includes a walk in shower. The garden is laid to patio with raised flower beds. Outdoor seating is available. Residents spoken with expressed their satisfaction with their bedrooms. Laundry facilities were appropriate and accessible by the residents. The home was found to be clean and tidy throughout. Cedar Lodge I56 I06 S62765 Cedar Lodge V246570 270905 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31-33,35-36 The home benefits from an experienced and enthusiastic staff team that works positively with the residents to improve their quality of life. EVIDENCE: The manager advised that all staff receive job descriptions. A sample job description was seen to be comprehensive and staff spoken with were clear about their responsibilities. The home benefits from a core group of experienced staff who are knowledgeable of the residents needs. Two permanent staff have recently appointed. The home does not use agency staff. Staffing levels vary depending on the various activities taking place, but generally there are two or three staff on each shift. Staff meetings are held on a two monthly basis and comprehensive minutes are maintained. The manager explained that two staff who are qualified at NVQ level 2 have recently left leaving the deputy undertaking NVQ level 3 and one staff qualified at NVQ level 2. Staff training records were well maintained and indicated a wide range of relevant training is undertaken by staff. Cedar Lodge I56 I06 S62765 Cedar Lodge V246570 270905 Stage 4.doc Version 1.40 Page 14 However the manager informed that staff induction programme to the Learning Disability award framework has still not been introduced. Individual staff supervision is held on a two monthly basis. Cedar Lodge I56 I06 S62765 Cedar Lodge V246570 270905 Stage 4.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) 37,38,40-42 The home benefits from an experienced and qualified manager who provides stable leadership and guidance to staff to ensure a consistent high quality of care. EVIDENCE: The manager holds the City & Guilds Advanced Management in Care and completed the Registered Managers Award (NVQ4) in March of this year. He has many years experience with the client group and attends regular training courses to maintain and update his skills. Staff spoken with said the manager is very supportive and easy to approach. A visiting relative said “you won’t find a better manager”. A random sample of policies and procedures and records required by regulation for the protection of residents examined were found to be well maintained and securely held in the office. The manager was fully aware of his duties under health and safety. Safety certificates were seen for services and equipment and regular safety checks are maintained on the home fire prevention equipment. Cedar Lodge I56 I06 S62765 Cedar Lodge V246570 270905 Stage 4.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 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 x 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cedar Lodge Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 3 3 x I56 I06 S62765 Cedar Lodge V246570 270905 Stage 4.doc Version 1.40 Page 17 yes 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. 2. Refer to Standard 35 17 Good Practice Recommendations The homes staff induction programme should meet the standards of the Learning Disability Award Framework. The home nutrition record must include details of all food eaten by the residents. Cedar Lodge I56 I06 S62765 Cedar Lodge V246570 270905 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection 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 I56 I06 S62765 Cedar Lodge V246570 270905 Stage 4.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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