Inspection on 29/08/07 for Chase Lodge Care Home Ltd

This inspection was carried out on 29th August 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

Chase Lodge Care Home Ltd 08/02/06

Chase Lodge Care Home Ltd 10/08/05

Chase Lodge Care Home Ltd 10/02/05

Chase Lodge Care Home Ltd 20/04/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

Honeybourne House

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

CARE HOME ADULTS 18-65 Chase Lodge Care Home Ltd 4 Grove Park Road Weston Super Mare North Somerset BS23 2LN Lead Inspector Juanita Glass Unannounced Inspection 29th September 2007 09:30 Chase Lodge Care Home Ltd DS0000046197.V345066.R02.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 Chase Lodge Care Home Ltd DS0000046197.V345066.R02.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. Chase Lodge Care Home Ltd DS0000046197.V345066.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Chase Lodge Care Home Ltd Address 4 Grove Park Road Weston Super Mare North Somerset BS23 2LN 01934 418463 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) Chase Lodge Care Home Ltd Sally Anne Walker Care Home 19 Category(ies) of Learning disability (19), Learning disability over registration, with number 65 years of age (19), Mental disorder, excluding of places learning disability or dementia (19), Mental Disorder, excluding learning disability or dementia - over 65 years of age (19) Chase Lodge Care Home Ltd DS0000046197.V345066.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 19 persons aged 30 years and over requiring personal care only. 20th July 2006 Date of last inspection Brief Description of the Service: Chase Lodge is a care home catering for 19 people with mental health problems. The aim of the home is to provide a caring and supportive environment, which is relaxed and comfortable. The intention is for service users to function in a stress free atmosphere where demands put on them are minimal. The home does not set out to rehabilitate service users, however there are skills which they are encouraged to acquire leading to an enhancement in their life. Chase Lodge Care Home Ltd DS0000046197.V345066.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place in the presence of the manager Mrs Sally Walker. We spent one day in the home and a total of six hours. We sent surveys for residents, relatives and other people involved with the home to comment on their experience. Four surveys were returned two from relatives one from a social worker and one from a resident. We also looked at records held by the home. We then spoke to people living in the home and to the manager and staff. What the service does well: What has improved since the last inspection? We found that since the last inspection the manager has introduced a person centred approach to writing Care plans. People spoken to said they knew about their care plans. They said they liked the idea of them being personal to them. All the requirements made at the last inspection had been met. So staff mandatory training was up to date. All communal toilets had paper towels and liquid soap dispensers. The medication policies include a protocol for the administration of as required (PRN) medication. The manager has been in consultation with Weston College and the Carlton Centre arranging courses for residents to attend if they wish. She has also encouraged staff to attend NVQ training, which means when they have completed the course the home will exceed the requirement for 50 NVQ qualified staff. An advocacy service is being sought for the people living in the home this will be an independent that people can access if they wish. Chase Lodge Care Home Ltd DS0000046197.V345066.R02.S.doc Version 5.2 Page 6 The manager has implemented training for staff that will give them an underpinning knowledge of their client group. 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. Chase Lodge Care Home Ltd DS0000046197.V345066.R02.S.doc Version 5.2 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 Chase Lodge Care Home Ltd DS0000046197.V345066.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service has developed clear information on the home . People choosing the service know what they can expect and what the home can provide to meet their needs. People are only offered a place following an assessment and visit to the home. EVIDENCE: We reviewed five individual care plans they evidenced that preadmission assessments were being carried out prior to admission to the home. We also saw copies of hospital and social services assessments and care plans. The pre admission assessments were very concise and showed that people were not admitted to the home unless the manager and staff felt they could meet their needs. All people who show an interest in Chase Lodge are offered the chance to visit and meet the people living there and the staff. They can bring a relative, friend or advocate and can stay for a meal and get to know everybody. This makes it easier for the move into the home and for the manager to make sure the home can meet their needs. Chase Lodge Care Home Ltd DS0000046197.V345066.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People using the service are involved in developing their plan of care. This includes identifying and coping with specific risks in their lives. Chase Lodge also involves people using the service in changes that may affect their lives and their plan of care. EVIDENCE: We looked at the care plans for five people who use the service. They were all very clear and easy to understand. The manager has introduced a person centred approach to writing the plans. This means they talk about what the people want, rather than what staff think. People using the service are asked what they think their needs are and these are included in the plans. We saw that the care plans are reviewed regularly. We did not see evidence of people signing their care plans. The manager said that they were developing this side of the new records. She said it was difficult to get people interested in signing their plans. We will look at this at the next inspection to see how they have progressed. Chase Lodge Care Home Ltd DS0000046197.V345066.R02.S.doc Version 5.2 Page 10 The risk assessments in the care plans showed that staff were aware of the things that can trigger a problem and the ways to cope with them. This means that special needs are identified and a process put in place to enable the person to cope with the risk him or herself. Chase Lodge asks people how they think their care is going and will include their opinions in changes. These are obtained through surveys and house meetings. People spoken to said they could take part in a meeting or just tell the manager if they wanted to raise anything about their care or their life in the home. Everybody spoken to was happy with his or her care and the way staff involved them. One person said they did not really want to be involved in their care plans and they were happy with the way that things were done. Chase Lodge Care Home Ltd DS0000046197.V345066.R02.S.doc Version 5.2 Page 11 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): 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People using the service are helped to develop personal independent living skills. They are also assisted to access educational courses. Contact with family friends and the local community is actively promoted. House meetings enable people to have a say in the way the home is run. A healthy and appealing diet is provided. EVIDENCE: We looked at activities timetables for people living in Chase lodge. They showed that people attend various venues. These included recreational hobbies, educational courses and training in independent living skills. We saw evidence of people attending woodwork classes, gardening in the allotments, Weston College and the courses provided by the Carlton Centre. Just to mention a few. People spoken to said they could see family and friends when they wanted to. More than one person said that staff helped them continue to see friends in town or sometimes further away. One survey stated that it was Chase Lodge Care Home Ltd DS0000046197.V345066.R02.S.doc Version 5.2 Page 12 pleasing their relative could continue to attend church with the assistance of staff and transport. The menu provided in the home does not include a choice. People living in the home said they could ask for a choice and were observed doing so. Meals served at Chase Lodge are wholesome, nutritional and appear appetising. People spoken to said that they always get ‘decent meals.’ Snacks tea and coffee can be requested throughout the day.. Chase Lodge Care Home Ltd DS0000046197.V345066.R02.S.doc Version 5.2 Page 13 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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home enables people using the service to access health care services relevant to their needs. Personal care is individual and tailored to the person. People are helped to remain independent including the possibility of managing their own medication following an assessment. EVIDENCE: Chase Lodge does not provide nursing care. The care plans we looked at showed us that people using the service are supported in attending healthcare practices relevant to their needs. We saw evidence of visits to the Dentist, opticians, GP, various clinics and hospital appointments. Community Psychiatric Nurses and Social Workers visit their clients in the home. People spoken to said that they are helped to go to appointments and a member of staff will go with them if they ask. We also saw evidence that staff are very aware of the needs of people in the home and will refer them to the GP if necessary. The manager also seeks support from community nurses or the mental health team when the need arises. Chase Lodge Care Home Ltd DS0000046197.V345066.R02.S.doc Version 5.2 Page 14 All staff administering medication have received training. The policies and procedures in the home for the receipt administration and storage of medication are appropriate and accessible to staff. We observed staff and they were seen to be aware of the policies and procedures to follow when administering medication. We carried out a random audit of medication held in the home and no errors were found. Since the last inspection the manager has written individual guidelines for residents taking as required medication (PRN). This says when and how to use PRN medication. People who may be able to manage their own medication can carry out an assessment. If they show that they can manage their medication staff monitor and support them to do so. Chase Lodge Care Home Ltd DS0000046197.V345066.R02.S.doc Version 5.2 Page 15 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 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Chase Lodge has an open culture allowing people to express their views. People in the home have access to a copy of the complaints procedure. However the home does not maintain a record of all complaints. The complaints and safeguarding adults’ policies and procedures are robust clearly written and accessible for staff. EVIDENCE: The manager encourages an open culture in the home. This enables people to talk to staff at any time and raise issues before they become a larger concern. This means that concerns are not being recorded so there are no record of complaints, the action taken and the outcome. We discussed this with the manager and she agreed that a clear record would be kept in future. People spoken to said they felt their views were listened to and one person said they always felt they could ‘talk to Sally (the manager).’ Other people spoken to said that they had a very open relationship with Mr Bladon and felt they could talk to him if they wished. Staff spoken to were aware of the issues regarding safeguarding adults. The homes policy reflects the local policies and procedures. The telephone number for Care Connect was clearly visible for both staff and people living in the home to see. Chase Lodge Care Home Ltd DS0000046197.V345066.R02.S.doc Version 5.2 Page 16 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 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Chase Lodge provides a physical environment that meets the specific needs of the people living there. Some areas are in need of renovation and there is a programme of improvement in place. The home is generally clean and tidy. . EVIDENCE: We carried out a tour of the premises but we did not go into any private room that we were not invited into. People living in the home said they could do what they liked to their room within reason and staff helped them choose their colour scheme and furniture. The communal rooms were comfortably furnished and people said they liked the home as it was. Some areas do need renovation and repair. A programme of repair is in place and planned. Since the last inspection terry towels and bar soap are not used in communal toilets. Staff spoken to felt that some maintenance in the kitchen area was needed. They stated that the sink was very low, putting a strain on to heir backs and Chase Lodge Care Home Ltd DS0000046197.V345066.R02.S.doc Version 5.2 Page 17 that the handle on the grill was broken, putting them at risk of burns. Both issues had been raised but not dealt with. Chase Lodge Care Home Ltd DS0000046197.V345066.R02.S.doc Version 5.2 Page 18 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, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the service benefit from adequate numbers of staff. They are competent and trained to meet the individual needs of people living in the home. Staff are working to meet the 50 NVQ trained personnel. Robust recruitment procedures protect residents from abuse. EVIDENCE: We saw that the duty rotas for past weeks showed adequate numbers of staff are consistently in the home. One person spoken to said they always had enough staff. We also discussed the number of staff currently holding an NVQ 2 or equivalent qualification with the manager. She said that of 15 care staff 6 already had the equivalent qualification and another 6 were taking the course. This is encouraging as the home is moving towards exceeding the requirement for 50 NVQ qualified staff. Staff are encouraged to attend training that is relevant to the residents needs as well as all mandatory training...The manager has implemented a training programme that will give staff underpinning knowledge of their client group. Progress in this area will be assessed at the next inspection. Staff spoken to Chase Lodge Care Home Ltd DS0000046197.V345066.R02.S.doc Version 5.2 Page 19 showed an awareness of peoples current needs. People spoken to said that staff seemed to understand what they needed and how to best help them. We looked at staff records these showed that the manager adheres to a robust recruitment procedure. She ensures that all the relevant checks are carried out before employing new staff. This protects people using the service from abuse. Discussions with staff and the manager confirmed that all staff are now receiving supervision every two months with an annual appraisal. Records showed that this was being carried out. Chase Lodge Care Home Ltd DS0000046197.V345066.R02.S.doc Version 5.2 Page 20 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, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is qualified and competent to run the home. She encourages an open and inclusive ethos. This includes listening to the opinions of both people living in the home, visitors and staff. EVIDENCE: We discussed the running of the home with people using the service, staff and the manager. One person said ‘the home is a well run ship with Sally (The manager).’ The manager does work towards improving life for people in the home by recognising their diverse needs and listening to their opinions. All the people spoken to supported this. They said that they felt their opinions were listened to. People in the home were especially eager to say they also felt that the providers Mr and Mrs Bladon were available to talk to when they wished to raise any issues. Chase Lodge Care Home Ltd DS0000046197.V345066.R02.S.doc Version 5.2 Page 21 We looked at a selection of comments from people using the service following the homes survey. All comments were complimentary and any requests had been taken seriously and put forward in the improvement plan. Or acted on immediately. We found that all health and safety checks were in place and up-to-date. The fire risk assessment for the building is available for inspection and the firelog showed that all recommended checks were being carried out. Service records showed that regular checks were being carried out following current guidelines. This ensures people using the service; visitors and staff are protected by robust health and safety policies and procedures. Issues previously mentioned, the low sink and grill handle do put staff at risk, the provider confirmed that he had already addressed these issues and a new cooker/grill had been ordered. Chase Lodge Care Home Ltd DS0000046197.V345066.R02.S.doc Version 5.2 Page 22 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 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 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 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Chase Lodge Care Home Ltd DS0000046197.V345066.R02.S.doc Version 5.2 Page 23 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. 1 2 3 Refer to Standard YA6 YA22 YA42 Good Practice Recommendations The manager needs to continue the planned introduction of care plans signed by people using the service The manager needs to maintain a record of all concerns and complaints. This must include the complaint, action taken and outcome. The provider needs to revise the working practices in the kitchen to improve health and safety for staff. Chase Lodge Care Home Ltd DS0000046197.V345066.R02.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South West Regional Office 4th Floor, Colston 33, 33 Colston Avenue, Bristol, BS1 4UA 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 Chase Lodge Care Home Ltd DS0000046197.V345066.R02.S.doc Version 5.2 Page 25 - 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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