Inspection on 27/07/05 for Corben Lodge

This inspection was carried out on 27th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Corben Lodge 07/06/07

Corben Lodge 08/11/06

Corben Lodge 10/05/06

Corben Lodge 06/03/06

Corben Lodge 05/01/05

Corben Lodge 01/06/04

Corben Lodge 01/12/03

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOME ADULTS 18-65 Corben Lodge Moorings Way Milton Portsmouth PO4 8QW Lead Inspector Clare Jahn Unannounced 27 July 2005 10:00 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. Corben Lodge 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Corben Lodge Address Moorings Way, Milton, Portsmouth, PO4 8QW 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) 023 9273 1941 Portsmouth City Council Mr Michael Paul Collinge Care Home 19 Category(ies) of PD-19 registration, with number of places Corben Lodge 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The home may accommodate up to 19 male and female service users in the PD category between 18 to 65 years Date of last inspection 05/01/05 Brief Description of the Service: Corben Lodge is a local authority run home situated in a residential area on the eastern side of Portsmouth. The home is a purpose built single storey building with 24 hour staffing providing residential care for adults aged 18 to 65 years with a physical disability. There are facilities for nine permanent residents and in the remaining accommodation, the home offers short stay; respite care, weekend programmed care, rehabilitation and independence skills training. In addition there is are resources for people living in the community who may need use of Corben Lodge facilities, for example assisted bathing. Aspects of the home have benefited from refurbishment, and there are plans to develop some areas that now fail to meet the national minimum standards (NMS) for a service providing care to people with physical disabilities. Corben Lodge 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was undertaken over two days. The inspector spoke with eleven service users; five care staff members including the manager and deputy manager, and a healthcare professional, the chef and the maintenance person. The clients were observed making full use of the facilities and taking their meals. No letters in respect of the service were viewed and the home does not conduct a quality assurance programme so responses could not be sampled. The homes’ records and documents were accessible throughout the two days. Staff were spoken with individually and observed throughout the day providing support to the clients. A tour of the premises was undertaken with the manager and an adult protection strategy meeting held and attended on the premises. What the service does well: What has improved since the last inspection? Work has been ongoing throughout the premises and one unit of the four has been smartened up since the last inspection while waiting for full refurbishment. A new surround sound music centre has been purchased for the main living room and a raised flowerbed provided for in the garden. The staff are just trying out a new stand aid, which the home has the finance to purchase. The staffing level has been improved and there is more opportunity for permanent staff to undertake an national vocational qualification in care as Portsmouth City have been actively promoting and sponsoring staff to Corben Lodge 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Version 1.30 Page 6 undertake the course. This in turn was said by staff to give them “more confidence and the skills to do the job”. What they could do better: One of the units within the home needs full refurbishment, as it does not comply with specific standards for a service providing accommodation to people with physical disabilities. The heating system within the home needs urgent attention and the living room area requires immediate review due to service user complaints regarding the coldness. Portsmouth City Council have identified a budget to cover major issues windows falling out etc. The residents concerns regarding coldness in areas of the home must be addressed and a financial plan indicated how the windows and heating throughout the home will be sorted. The PCC are due to have an expenditure plan by 31st August 2005 and this issue must be addresses within this allocated budget. The manager is currently reviewing the care record documentation as it was agreed it does not meet the standard. The current documentation for the assessment of care needs requires expansion; the planning of individual care needs improvement. Assessments must include full assessments in relation to the social and emotional needs and preferences of the client. Plans of care must refer to the promotion of independence and the promotion of ADL skills with appropriate discharge planning and goals. Nutritional assessments must be undertaken. The homes’ stated purpose must be clear as to the allocation of beds for specialist services, and the contracts and terms of conditions must reflect what needs are to be met. The provision for rehabilitation services must be met by accommodating people in the appropriate facilities, planning and implementing a programme of care to meet their needs and supporting them with the appropriate personnel i.e. physiotherapists. The admission of clients must be in relation to the homes’ stated purpose and registration and appropriate to the facilities and their intended purpose. The homes philosophy to promote independence and choice must be reflected in the development of each unit to allow clients to undertake activities of daily living and to maintain skills they already have. This includes long stay clients. The home needs a process for seeking and monitoring the views of service users and their relatives and other professionals who use the services of Corben Lodge. Portsmouth City must ensure that all recruitment documentation is held on site and clarification of the homes current staffing provision is required as it has previously not included ancillary staff. Corben Lodge 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Version 1.30 Page 7 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. Corben Lodge 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Version 1.30 Page 8 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 Corben Lodge 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Version 1.30 Page 9 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) 1,2,3,4,5 The stated purpose of the home needs to reflect the allocation of beds to meet its stated purpose for respite, long term and rehabilitation for clients and their terms and conditions of stay must also reflect their current terms of residency. The assessment of clients needs must reflect the suitability of the facilities provided and the stated facilities must be utilised as they were intended. EVIDENCE: The statement dated January 2005 and other information materials (service users’ guide) set out its aims and objectives, the range of facilities and services it offers to residents. The document does not state the split in the number of its residential beds for long term stay and respite and the specific meeting of needs for those service users admitted are unclear as there are residents who remain on short term contracts who have been accommodated at Corben Lodge on temporary contracts for over a period of two years. The facilities at Corben Lodge meet the stated purpose for respite, long term and for rehabilitation but the matching of the clients admitted for the provision of the specialist facilities are not fully matched and available facilities utilized appropriately. Residents did confirm that they were provided with terms and conditions of occupancy and that they were able to visit the home so that as prospective residents they could make a fully informed choice about whether or not the home is suitable and able to meet their individual particular needs. Corben Lodge 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Version 1.30 Page 10 Records and discussion with staff did not clarify how and when service users with physical disabilities, admitted for rehabilitation were provided with a physiotherapy referral/ assessment. Clients stated they did not have a specific exercise plan though staff did state that some longer stay clients had assessments undertaken some years ago. There is an attending occupational therapist who staff were observed interacting with and seeking support and information from. The homes’ statement of purpose says, “The unit is able to offer intensive physiotherapy or nursing services “. This statement for providing nursing will need to be removed as it is not within the homes registration and intended purpose and there was no evidence to support that the home has the staff and resources to provide intensive physiotherapy when the inspector was informed by the senior staff it takes up to 13 weeks or more to get a physio referral through the GP and that there are no direct links or specialist physiotherapy support for this unit. The inspector was shown dedicated accommodation together with specialized facilities, equipment, to deliver intensive rehabilitation and enable service users to return home but did not observe it being utilized. Rehabilitation facilities are sited in dedicated space and include equipment for therapies and treatment, as well as equipment to promote activities of daily living and mobility but this was not being put to full use. The care planning and record keeping for service users did not identify the techniques for rehabilitation including treatment and recovery programmes, promotion of mobility, continence and self-care, and specialist programme to re-establish community living. Specialist services from relevant professions including physiotherapists were not evident so the evidence to identify that staff are provided or secured in sufficient numbers and with sufficient competence and skills, to meet the assessed needs of service users admitted for rehabilitation could not be established. Corben Lodge 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Version 1.30 Page 11 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, The current process to record individual plans of care and the service user’s health, personal and social care needs requires significant improvement before records indicate that service users’ health care needs are fully met. Service users are consulted on all aspects of life in the home. EVIDENCE: Discussions with staff and records identified that care documents are kept in relation to each client. Residents did confirm that these were discussed regularly at reviews with their consultation. It was agreed with senior staff that these plans do not accurately reflect the needs and aims and goals of the clients and need significant improvement. The process currently used for assessments and plans is cumbersome and details are difficult to access easily. Assessments and records have not been kept up to date or completed in full. The service user’s care plans did not set out in detail the action which needs to be taken by care staff to ensure that all aspects of the health, personal and social care needs of the service user are met nor did they indicate or reflect a Corben Lodge 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Version 1.30 Page 12 goal based programme to achieve skills for independent living, long term goals to maintain a level of independence or assessments for the promotion of mobility, exercise, nutrition. Residents confirmed they had concerns regarding weight gain whilst wheelchair dependent and it’s effects on mobility. Nutritional risk assessments have not been undertaken. The residents did confirm good support by staff who were appropriately informed and trained on how to manual handle them correctly and it was confirmed that one member of staff will be undertaking an exercise activity. The manager did discuss plans to improve care planning assessment documentation and record keeping. One new system was shown to the inspector and did address current shortfalls. Residents did confirm how they are supported to make decisions and that their personal choices are respected. Events regarding making complaints to local businesses regarding poor service and choices in respect of being able to eat soft-boiled eggs were discussed and residents relayed how staff and representatives from local disability groups have supported them. Residents confirmed that they are given regular opportunity to meet and discuss choices ideas, preferences and are also included in the panel for the recruitment of staff at the home. Corben Lodge 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Version 1.30 Page 13 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) 12,16,17 The skills of individuals are not actively maintained, promoted or developed as they could be. Residents are satisfied with the food provided but are not encouraged to involve themselves in the process. The homes provision for activities meets the expectations of the residents. EVIDENCE: The home is well designed to provide opportunities for service users to practice their independent living skills on a daily basis. However, it was not observed that any of the service users undertook any of the domestic tasks involved in daily living. The service users were provided with meals in a refectory style dining area, cooked, prepared and served by staff and all laundry and domestic cleaning in the home is carried out by the staff. Residents did confirm they were involved with the menu set out in the home. One resident takes recipes of the day from a national paper, which is incorporated in the choices. The menu offered does give plenty of choice and also discussion with the chef identified that there is an element of healthy living options so that the health Corben Lodge 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Version 1.30 Page 14 of residents is considered. The chef has also undertaken a talk on healthy food and diet for residents. He explained to the inspector how he aims to limit salt sugar and fat when cooking the healthy option choice. All residents spoken to were very complimentary regarding the food provided at Corben lodge. There are independent living areas on each wing of the home where service users could be supported to become more involved in these areas of daily living but this was not observed. Service users are supported to attend a number of different forms of daytime activities, in line with individual needs and wishes. There was evidence that service users attend local colleges and day centres where education, meaningful activities and interests may be pursued. Recent in-house events were described including BBQ and Karaoke and music events on the new sound system and one of the care staff was said to be shortly under taking the role of activities co-ordinator. Two residents confirmed having just completed college courses in maths and cooking and all residents spoken to were happy with the provision of activities. Corben Lodge 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Version 1.30 Page 15 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, The homes current system for documenting service users issues and needs are inadequate. Policies are needed for same gender care and the issues around relationships, staff/residents. EVIDENCE: Discussion with the occupational therapist and staff confirm that the service users needs are appropriately assessed and the technical aids necessary for them to promote maximum independence are provided. Observations indicated a process of discussion between service users, key worker and the occupational therapist in reviewing and adjusting aids to meet the needs of the individual. The manager was able to demonstrate a policy on relationships but this needs to be expanded to include the policy for same gender care. The manager said the staff have an unwritten understanding of this only. The review of the homes current documentation for residents needs to consider further expansion for the recording of individual’s daily choices, preferences and social and emotional needs as part of the care plan. The care plan documents seen did not address current needs adequately and the contact sheets were being used as the working document only. This makes tracking of issues and events very difficult. Corben Lodge 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Version 1.30 Page 16 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) 23,24 Policies and procedures are in place to protect service users from abuse. EVIDENCE: The inspector was involved in a strategy meeting regarding a recent allegation made by a service user whilst undertaking the visit at the home. The staff and manager of the home demonstrated that the adult protection procedures were put in place and the event investigated in the best interests of the service user. Staff demonstrated through meetings and discussions there awareness of abuse procedures and the protection of both service users and staff. Corben Lodge 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Version 1.30 Page 17 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) 24,25,26,29, The homes heating provision is totally insufficient and the home requires window replacement. Equipment is not stored appropriately and communal space must be used and fit for purpose. EVIDENCE: Visits and discussions with service users in their rooms identified that residents are able to personalise their own bedrooms, and had been consulted about the decoration in other areas of their home. Furniture, fixtures and fittings are in place relevant to the needs and wishes of the service users. Facilities throughout the home have been designed for people who need to use wheelchairs and have other physical disabilities, that require aids and adaptations to promote individual privacy, control and dignity. Residents confirmed their privacy and dignity is respected. During a tour of the premises the four individual units, which have lounge and dining facilities, were housing equipment and furniture. These units cannot therefore be used for there stated purpose and should be cleared so that more of an independent and smaller unit living can be promoted rather than congregation of all service users in the one main lounge/dining area. Corben Lodge 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Version 1.30 Page 18 One major issue identified by service users, records (meetings) and staff was the lack of comfortable heating provision in the main dining/living area. It was established that residents have to wear extra clothing and in colder spells put round blankets and wear coats. Discussion with staff indicated that there are no plans to address this prior to the onset of cold weather. There are only two staff pagers available to staff due to the loss and breakage of previous pagers and the cost of replacement. The manager said he is looking for alternative forms of call /alert system. The outside of the home, windows and sills have not been adequately maintained and a number of sills require urgent replacement, as there are visible gaps between the window and frame. The windows are not doubleglazed and there is significant heat loss. Portable heating systems are in use where possible but there is a risk to service users with some disabilities who this type of supplemental heating is not suitable or safe. The home is split into four units and in two of the units the heating is either on or off and there is no individual thermostatic adjustment. In the other units the thermostats are behind the covers and inaccessible for easy adjustment. The main heating controls for the home is in the boiler house and to turn the heating on and off is something only the maintenance man can do. It was confirmed it takes a few days notice and can take up to a week for the home to warm up after it has been switched on. Corben Lodge 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Version 1.30 Page 19 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) 31,32,33,34,35. The staff are supervised and given basic mandatory training but need to be provided with more service specific training. The organisation has not provided the home with the relevant recruitment documents to comply with Schedule 2. Service users feel supported by the training and supervision process for staff. The appropriate staffing levels necessary for the home remain unclear. EVIDENCE: Staff confirmed the recruitment process and stated they had clear job descriptions. The manager said that the home does not yet have all the recruitment records for staff as these are held centrally by Portsmouth City Human Resources. This is currently being addressed by the organisation for compliance to schedule 2. These documents will be audited at the next inspection and the manager is aware they must be kept on the premises. Records indicate that there is a commitment to the on-going training and development of staff, but there is continuing evidence to support the view that the training needs of the home are fairly specialist in nature, and members of the staff team believe some of their training needs were not currently met by the departmental training unit. These issues have been discussed with manager at the last and current visit and it will be made a requirement that staff are given service specific training especially in relation to rehabilitation and physical disabilities and the process for care planning. Corben Lodge 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Version 1.30 Page 20 At the last visit there was a shortfall of 161.15 care hours. Records indicate there continues to be 110-120 shortfall in care hours but the home does provide 260 hours in ancillary staff hours for laundry kitchen and domestic staff. Staff and records identify that there is an on going process for staff supervision and development. Residents confirmed that new staff are shadowed, given induction information especially in relation to the individual needs of the clients and that the home uses a buddy system. Copies of the General Social Council standards of conduct were seen accessible to staff. Staff did report that there is still a significant number of agency staff being employed and residents confirmed that these staff are aware of the needs of individuals especially in relation to moving and handling. Staffs were observed using a range of communication aids. Corben Lodge 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Version 1.30 Page 21 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) 37,38,39,41,42 The residents and staff feel supported by the management processes but there are no formal records of satisfaction or quality feedback having been undertaken. The current care needs documentation needs significant improvement. EVIDENCE: The registered manager confirmed he has completed the NVQ 4 in management qualification. Staff, residents and records confirmed that there are regular meetings where service users are consulted and asked their opinions regarding the running of the home and staff are also given the opportunity to voice their opinion. Staff and residents were very complimentary regarding the manager and the support he gives to both the staff and residents. They explained that there is consultation, an openness and approachability to the manager. Corben Lodge 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Version 1.30 Page 22 It was established that there is not yet a formal quality assurance process being implemented to record the opinions of service users, healthcare professionals, relatives and representatives. Due to the shortfalls in the care documentation for the assessment planning and recording of care the manager said he is reviewing new systems to improve the current documentation format. Discussions with the maintenance staff identified the major shortfalls in the current heating system complained about by service users and highlighted earlier in the report. Other wise records on the pre- inspection documentation indicate service checks have been and are on going. During the visit there was a fire alarm activation and evacuation undertaken. Staff demonstrated a good sound knowledge, calm and professional approach to the procedure for the evacuation of the premises, head count and fire procedure. Staff and residents did not enter the premises until fire officer checks had been made. Corben Lodge 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Version 1.30 Page 23 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 2 2 2 2 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 2 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 2 2 x x 2 x Standard No 11 12 13 14 15 16 17 x 3 x x x 2 3 Standard No 31 32 33 34 35 36 Score 3 3 3 2 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Corben Lodge Score 2 x x x Standard No 37 38 39 40 41 42 43 Score 2 2 2 x 2 2 x 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Version 1.30 Page 24 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 1 Regulation 4 Requirement The statement of purpose must describe the service provided. The provision of respite care including the number of beds must be detailed. For the home to provide rehabilitation, the statement of purpose, assessment process, specialist physiotherapeutic and other health care support and individual terms and conditions and service users plan must be designed to meet the specific needs of the people the service is intended. The actual numbers of beds allocated for this sevice must be established. For the home to provide long term care,the statement of purpose ,assessment process,physiotherapeutic and other health care support and individual terms and conditions and service users plan must be designed to meet the specific needs of the people the service is intended and be compatible with the other provision for care stated in the homes said purpose. The actual numbers of beds for this service must be 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Timescale for action 30/10/05 2. 1 4 30/10/05 3. 1 4 30/10/05 Corben Lodge Version 1.30 Page 25 established. 4. 7 16 Service users independence must be fully promoted. Care plans must be developed to focus on promoting independent daily living skills in such areas as; budgeting, money management, shopping, food preparation, cooking, laundry skills and house keeping and activities for daily living.Living skills for those long stay residents must also be preserved and promoted.Assessments must reflect social,emotional needs support ,interests,activities and preferences. There must be a written policy on same gender care. Feedback must be actively sought through a quality assurance process to seek the satisfaction of residents, healthcare professionals, care staff/managers and relatives for the services provided. The provision of specialist needs in rehabilitaion must be supported by the provision for specialist physiotherapeutic services. Care plans must reflect discharge plans for those service users on short term stay/respite or in a process of rehabilitation. Opportunities for education and activity must be recorded as part of the on going care plan. Service users nutritional status must be monitored through assessment ,regular weight and appropriate referrals to dietetic services. The main dining area must be warm enough for service users and their complaints regarding the cold must be addressed. 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc 30/10/05 5. 6. 40 39 13 24 30/10/05 30/10/05 7. 1 14 30/10/05 8. 6 15 30/10/05 9. 10. 13 17 16 14 30/10/05 30/10/05 11. 24 23 30/09/05 Corben Lodge Version 1.30 Page 26 12. 13. 14. 26 24 29 23 23 16 15. 25 23 16. 33 18 Service users must have control and choice of their environmental temperature. Windows, doors and window frames must be fit for purpose and adequately maintained. Staff must be provided with the appropriate call equipment so they can be alerted to service users who require their assistance. Equipment must be stored appropriately and the communal space used in line with its stated purpose. The registered person must advise the CSCI of the action they intend to take in order to ensure that staffing levels are in line with the NMS. This has been raised again from the last inspection report. 30/10/05 30/09/05 30/10/05 30/10/05 30/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Corben Lodge 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Version 1.30 Page 27 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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 Corben Lodge 20050927 H55-H03 S44248 Corben lodge V218648 270705.doc Version 1.30 Page 28 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!