Inspection on 05/12/05 for Chipstead Lake Cheshire Home

This inspection was carried out on 5th December 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 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

Chipstead Lake Cheshire Home 19/08/08

Chipstead Lake Cheshire Home 16/08/06

Chipstead Lake Cheshire Home 06/12/04

Chipstead Lake Cheshire Home 29/06/04

Similar services:

Thorndene

Sutton Lodge Nursing Home

Wingham Court

Bethany Lodge

17 John Street

Red Oaks

Clare House Nursing Home

Broad Oak Manor Nursing Home

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

CARE HOME ADULTS 18-65 Chipstead Lake Cheshire Home Chevening Road Chipstead Sevenoaks Kent TN13 2SD Lead Inspector Alison Spreadbridge Announced Inspection 09:30 5 December 2005 th Chipstead Lake Cheshire Home DS0000023913.V254155.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 Chipstead Lake Cheshire Home DS0000023913.V254155.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. Chipstead Lake Cheshire Home DS0000023913.V254155.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Chipstead Lake Cheshire Home Address Chevening Road Chipstead Sevenoaks Kent TN13 2SD 01732 459510 01732 741059 chipstead.IK@lc-uk.org 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) Leonard Cheshire Vacant Care Home 22 Category(ies) of Physical disability (22) registration, with number of places Chipstead Lake Cheshire Home DS0000023913.V254155.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Care of two service users who are 65 years of age is restricted to two persons whose date of birth is 08/08/1931 and 28/12/1936. 31st May 2005 Date of last inspection Brief Description of the Service: Chipstead Lake is a purpose built home for people with a physical disability. It is one of the Leonard Cheshire Homes and was built in 1977. The home is in the village of Chipstead which is very close to Sevenoaks and can be accessed easily by the M25. The home can accommodate 22 people in single rooms. Eleven of the rooms have en-suite facilities. Service users have access to the day care facility on site. Chipstead Lake Cheshire Home DS0000023913.V254155.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection was carried out on the 5th December 2005 by Alison Spreadbridge. The inspector was in the home from 09.30 am to 2.30pm. During that time the manager, a number of service users and staff were spoken with. A tour of the home and day centre took place and a number of documents were viewed. No complaints about this home have been received. A number of comment cards from service users and their families were also received prior to the inspection. What the service does well: What has improved since the last inspection? What they could do better: The building is looking tired in places and is in need of refurbishment. A programme for refurbishing the home is planned and will take place in 2007. Chipstead Lake Cheshire Home DS0000023913.V254155.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. Chipstead Lake Cheshire Home DS0000023913.V254155.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 Chipstead Lake Cheshire Home DS0000023913.V254155.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): 1, 2, 3, 4, 5 Prospective service users are provided with the information they require to make an informed choice about moving into the home. EVIDENCE: Each prospective service user is provide with the terms and conditions, a contract and a service users guide prior to moving into the home, this information enables them to make an informed choice. The home is able to offer a respite room which provides prospective service users with an opportunity to come for a short stay prior to taking up occupancy. The home is able to offer service users their own room with rail hoists and some with en-suite facilities. Chipstead Lake Cheshire Home DS0000023913.V254155.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): 6,7,8,9,10 Service users’ care plans reflect their assessed needs. EVIDENCE: Each new service user is assessed prior to moving into the home. A care plan is then written by the staff and the service user together, which will meet their assessed needs. Each service user has a moving and handling assessment undertaken by the home’s physiotherapist. The physiotherapist is in the home five days a week. The home is purpose built to meet the needs of people with a physical disability. The service users said they were able to make choices for themselves and about the way the home runs. They hold monthly meetings which the service users run with the help of one of the staff. The meetings are fully minuted, the minutes were seen during the inspection. Service users were aware of their care plans and felt their information was being kept securely. Chipstead Lake Cheshire Home DS0000023913.V254155.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): 11, 12, 13, 14, 16, 17. Service users are able to participate in a variety of activities both within and outside of the home. EVIDENCE: The home now has a catering company that comes in to prepare the meals throughout the day. Staff are able to prepare snacks for the service users at other times. The service users said they were able to go out to the local pub and to the activities centre and sailing club nearby. They particularly liked the fact they could go to the activities centre when they wanted to and especially now the new computer room was up and running and there was someone there to help them access it. The service users spoken with felt their rights were respected by the staff. The majority of service users have televisions in their own rooms if they wish to be alone. Chipstead Lake Cheshire Home DS0000023913.V254155.R01.S.doc Version 5.0 Page 11 Chipstead Lake Cheshire Home DS0000023913.V254155.R01.S.doc Version 5.0 Page 12 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): Not inspected on this occasion EVIDENCE: Chipstead Lake Cheshire Home DS0000023913.V254155.R01.S.doc Version 5.0 Page 13 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 Service users felt their concerns would be listened to and action taken. EVIDENCE: Service users spoken with were aware of the home’s complaints procedures and they said they would feel able to speak with the home’s manager if they had a complaint to make. Service users have regular meeting where concerns regarding the running of the home can be aired with the management. The minutes of the meetings are recorded and were seen during the inspection. The manager said that if concerns are raised they were taken seriously and would be addressed as quickly as possible. Most concerns around the home, food or daily issues are raised at the service users’ meetings. Staff are aware of the home’s policies and procedures and are there to protect service users. Chipstead Lake Cheshire Home DS0000023913.V254155.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25,26,27,28,29, 30 The home will benefit from the plans to decorate and refurbish it as it is beginning to look tired in places. EVIDENCE: Service users live in a purpose built property which enables them to access the home, activities centre, and grounds easily. Each of the service users have their own bedroom with en-suite facilities, with tracking ceiling rails. Rooms are personalised by the service users with the majority having their own television and telephone facilities in their rooms. There are parts of the building which are beginning to look very tired and in need of refurbishment. Despite this the majority of service users spoken with were very happy to be living in the home and what the home and staff provide. Service users said they were happy with the equipment and particularly enjoyed the physiotherapy room and the activities centre with its new computer room. Chipstead Lake Cheshire Home DS0000023913.V254155.R01.S.doc Version 5.0 Page 15 Chipstead Lake Cheshire Home DS0000023913.V254155.R01.S.doc Version 5.0 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 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, 34, 35, 36 The service users benefit from a well motivated dedicated staff team. EVIDENCE: The home is now almost fully staffed. The staff go through a sound induction and are encouraged to continue to develop their skills through ongoing training. Service users were very complimentary about the staff team and their support to help them remain as independent as possible. Regular staff supervision is taking place. The service users spoken with said the staff were always willing to listen to their concerns and they knew they would be acted upon. It was clear that the staff spoken with had a good understanding of service users needs and are clear about their role in supporting residents to retain as much independence as possible. Chipstead Lake Cheshire Home DS0000023913.V254155.R01.S.doc Version 5.0 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 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, 40, 41, 42, 43 The service users are benefiting from a home that is well run and systems are in place to ensure their views are heard and acted upon. EVIDENCE: Over the last year, the home has been managed by the care manager with the support of the staff team, while the home’s manager was on maternity leave. The home’s staffing is up to almost a full compliment. The comment cards received prior to the inspection indicated that the home is run well and they are cared for well. The ethos of the home is to enable service users to participate in the running of the home as to remain as independent as possible. The home’s policies and procedures are there to help service users. Service users are encourage to meet monthly and discuss issues in the home this includes the home’s refurbishment plans for the coming year. Chipstead Lake Cheshire Home DS0000023913.V254155.R01.S.doc Version 5.0 Page 18 The home undertakes an internal audit as well as monthly visits from senior management to ensure the service users’ health and safety is maintained. Chipstead Lake Cheshire Home DS0000023913.V254155.R01.S.doc Version 5.0 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 3 4 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 4 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 4 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Chipstead Lake Cheshire Home Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 DS0000023913.V254155.R01.S.doc Version 5.0 Page 20 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 Refer to Standard YA24 Good Practice Recommendations That the plans for the home’s refurbishment are continued. Chipstead Lake Cheshire Home DS0000023913.V254155.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Chipstead Lake Cheshire Home DS0000023913.V254155.R01.S.doc Version 5.0 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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