Inspection on 13/07/05 for Cheddle Lodge

This inspection was carried out on 13th July 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

Cheddle Lodge 08/11/06

Cheddle Lodge 17/01/06

Cheddle Lodge 03/02/05

Cheddle Lodge 03/08/04

Cheddle Lodge 24/02/04

Similar services:

Ruskin Lodge

Clover House

Dystlegh Grange

The Good Companions

Springfield Cottage

Cuerden Grange Rest Home

Parkside

Park Lodge

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

CARE HOME ADULTS 18-65 Cheddle Lodge 29 Ashfield Road Cheadle Stockport SK8 1BB Lead Inspector Sylvia Brown Unannounced 13 July 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. Cheddle Lodge F54 F04 cheddle lodge U s8546 v233650 130705 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Cheddle Lodge Address 29 Ashfield Road, Cheadle, Stockport, SK8 1BB 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) 0161-428-5189 0161-428-5189 Stockport East Cheshire & High Peak Cerebral Palsy Society Mr W Delaney CRH - Care Home 13 Category(ies) of LD Learning Disability (13) registration, with number PD Physical Disability (13) of places Cheddle Lodge F54 F04 cheddle lodge U s8546 v233650 130705 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Service users to include up to 13 LD and up to 13 PD. Date of last inspection 3 February 2005 Brief Description of the Service: Cheddle Lodge is owned by Stockport, East Cheshire and High Peak Cerebral Palsy Society. It is situated in a quiet residential area in Cheadle. Cheddle Lodge is registered to provided a specialist provision to 12 younger adults and one service user over the age of 65. Accommodation is provided on one level. Twelve single bedrooms are specifically designed for the long-term care of people with cerebral palsy. There is one additional bedroom, which is for the specific purpose of supporting service users on a respite care basis. The service users have the use of a lounge and dining area which are in the same area, enabling service users and staff to interact without hindrance. Families have formed an active group which meets regularly and is able to contribute to the development of the home. Family members are often on the premises and have become part of daily life at Cheddle Lodge. Cheddle Lodge F54 F04 cheddle lodge U s8546 v233650 130705 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Cheddle Lodge was unannounced and conducted over two days, with a total of nine hours spent on the premises. The inspection focused on the developments in the home since the last inspection. The inspector had the opportunity to observe direct care practices of staff and follow through the care support for one resident. In addition, time was spent with a NVQ assessor from a college who was on the premises observing staff in their day to day work and evaluating their knowledge in line with NVQ training. Due to the inspection being unannounced, the inspector had limited opportunity of speaking with the registered manager as his working day was already planned for. On the second day the inspection was halted due to an emergency situation arising. What the service does well: What has improved since the last inspection? The home has amended the medication policy and improved how it manages and administers medication in order to ensure that it meets the National Minimum Standards and complies with Guidance produced by the Royal Pharmaceutical Society. Training has been sought regarding bereavement and loss counselling to enable staff to support residents if and when required. The lack of specialised training facilitators has led to the organisation developing its own training programme which, upon completion, will be provided to all staff in the future. Cheddle Lodge F54 F04 cheddle lodge U s8546 v233650 130705 stage 4.doc Version 1.40 Page 6 The home has improved its recording system for fire safety monitoring records now easily identify when individual staff members require practical fire drill training. The previous inspection identified that lighting levels in the home may need improving. As a consequence, lighting levels have been evaluated and where identified that it does not meet required lighting standards, replacement fittings have been provided. Staff training and development has been improved to give a better service to the residents. Induction training has been introduced which meets Skills for Care standards and that required within the Learning Disability Framework. 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. Cheddle Lodge F54 F04 cheddle lodge U s8546 v233650 130705 stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Cheddle Lodge F54 F04 cheddle lodge U s8546 v233650 130705 stage 4.doc Version 1.40 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 standard(s) 2 &4 Residents’ needs and personal aspirations are assessed, recognised and met prior to and during their stay. Prospective residents are able to visit the home before making any decisions about their future. EVIDENCE: At the time of the inspection arrangements had been made for a prospective resident to commence a moving in programme. The resident had visited the home previously for respite care and been waiting for a full time placement. The introductory programme is planned to last six weeks, commencing with small visits leading up to overnights stays and extended time at the home. The registered manager had visited the resident in their own home and completed an up to date assessment of need. One resident’s file inspected included information on the direct health care needs and their individual personal aspirations regarding day to day living, socialisation, education and integration into the wider community. Cheddle Lodge F54 F04 cheddle lodge U s8546 v233650 130705 stage 4.doc Version 1.40 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 standard(s) 6, 7, 8, 9 & 10 Residents are supported, as far as possible, to make their own decisions and take risks. Assessments are ongoing and changes recognised. Information about residents is handled appropriately and in confidence. EVIDENCE: Inspection of essential lifestyle plans confirmed that residents’ needs are assessed on an ongoing basis. Changes are recorded, as are individual achievements. Personal preferences recorded on file were observed being met for the residents and residents’ individuality was recognised and respected. Residents are consulted about their care and are able to make, as far as possible, their own day to day decisions. They were asked where they would like to sit, sun bathe, rest in their rooms and go out for walks. Staff were observed carrying out residents’ requests. Cheddle Lodge F54 F04 cheddle lodge U s8546 v233650 130705 stage 4.doc Version 1.40 Page 10 Some residents have been supported by staff to go on holiday in this country and/or abroad. One resident has had a video made of his experiences and, where possible, professional photos were purchased to enable him and his family to capture the resident’s achievements and experience. Residents are informed that information about them is kept and that this information is kept confidential. The residents and their families have direct access to the day-to-day essential lifestyle plans, whilst more personal information is stored securely within the home. Cheddle Lodge F54 F04 cheddle lodge U s8546 v233650 130705 stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15, 16 & 17 Residents have the opportunity to take part in the life of the local community, from friendships and have appropriate leisure experiences. Residents’ rights are respected. EVIDENCE: Most residents at the home go to a skills centre, which enables them to join in a number of activities, including baking, crafts, computer and music. In addition, they are supported to swim and have hydrotherapy sessions. Records confirmed that residents join in community life and have the opportunity of meeting people without a disability. Cheddle Lodge F54 F04 cheddle lodge U s8546 v233650 130705 stage 4.doc Version 1.40 Page 12 Family parent join in served and friends are able to visit as often as they like, with at least one visiting the home daily. They were observed to be made welcome and some of the day to day tasks around the home. Meals and drinks are and provided free of charge. The rights of residents are recognised and, as stated previously, they are consulted about their personal preferences. However, due to their profound disability the home also consults with families to obtain agreements for care programmes and day to day activities. The home provides a varied menu, which is designed to ensure residents receive the correct nutrition. Specialist preparation is required for a number of residents whose diet is strictly monitored. Inspection of diet and fluid intake charts identified that they were not always fully completed. Cheddle Lodge F54 F04 cheddle lodge U s8546 v233650 130705 stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 & 20 Residents are supported to live the lifestyle they choose where choice can be identified. Support services ensure that the health and well being of residents is, as far as possible, maintained. EVIDENCE: Throughout the inspection residents received the care they required. Medical professionals are consulted regarding all aspects of the residents’ health and well being and they are, as far as possible, supported to maintain good health. Since the last inspection, the home has worked hard to comply with the 13 requirements previously given relating to medication management and administration. New procedures are in place and the medication policy has been reviewed. Where required, staff have received updated medication administration training and advanced training in medication management and administration is planned. Cheddle Lodge F54 F04 cheddle lodge U s8546 v233650 130705 stage 4.doc Version 1.40 Page 14 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) EVIDENCE: Neither of these standards were evaluated. The previous inspection in February 2005 identified that standards 22 and 23 were met with no issues arising. Cheddle Lodge F54 F04 cheddle lodge U s8546 v233650 130705 stage 4.doc Version 1.40 Page 15 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, 25, 29 & 30 Residents live in an inviting environment which is adapted to meet their specialist requirements. EVIDENCE: Cheddle Lodge has systems in place to ensure that all areas of the home are fit and safe for use. On the day of the inspection the home was clean, tidy and free from odours. The lounge and toilet areas are showing signs of general wear and tear and redecoration and investment is recommended. All residents have single room accommodation which, within the last year, have been upgraded to include hoist tracking systems to enable their safe and comfortable transference from their chairs to bed. Rooms are well equipped with fixtures and fittings befitting a younger person. Families have assisted residents to personalise their rooms. Where such support is limited, staff have helped residents to personalise their rooms. Cheddle Lodge F54 F04 cheddle lodge U s8546 v233650 130705 stage 4.doc Version 1.40 Page 16 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, 34 & 35 Residents receive care from trained staff who are aware of their responsibility to meet the specialist needs of individuals. EVIDENCE: The home completes appropriate recruitment and selection procedures. Staff complete induction training to the required standard and continue with their learning through NVQ training and courses run by the Society. Throughout the inspection it was evident that the staff team communicated well with each other regarding their whereabouts and issues arising concerning the residents. The staff team provided a relaxed and enjoyable atmosphere for residents. Cheddle Lodge F54 F04 cheddle lodge U s8546 v233650 130705 stage 4.doc Version 1.40 Page 17 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, 39 & 42 Residents benefit from a well run home and their health and wellbeing is safeguarded. EVIDENCE: The registered manager is competent and experienced to run the home and meet its stated purpose, aims and objectives. He has completed NVQ training at level 4 and recently obtained his Registered Manager’s Award. Cheddle Lodge completes quality assurance audits, which seek the views of residents, their families, staff and professional visitors involved in the care of residents. The outcome of the audit is published and available to the general public. Cheddle Lodge F54 F04 cheddle lodge U s8546 v233650 130705 stage 4.doc Version 1.40 Page 18 The home is well run by a dedicated staff team whose primary aim is to ensure residents’ health and wellbeing are maintained and that they support residents to live as full a life as they can. Cheddle Lodge F54 F04 cheddle lodge U s8546 v233650 130705 stage 4.doc Version 1.40 Page 19 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 3 x 3 x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 x x x 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 2 Standard No 31 32 33 34 35 36 Score 3 x 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cheddle Lodge Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x F54 F04 cheddle lodge U s8546 v233650 130705 stage 4.doc Version 1.40 Page 20 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. 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 17 24 Good Practice Recommendations The registered person should ensure that food intake and fluid records are correctly maintained where they are required. The registered person should upgrade living, toileting and bathing areas where signs of general wear and tear are evident. Cheddle Lodge F54 F04 cheddle lodge U s8546 v233650 130705 stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 2nd Floor Heritage Wharf Portland Place Ashton under Lyne, OL7 0QD 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 Cheddle Lodge F54 F04 cheddle lodge U s8546 v233650 130705 stage 4.doc Version 1.40 Page 22 - 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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