Inspection on 20/05/05 for Cosin Lodge

This inspection was carried out on 20th May 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cosin Lodge 08/08/07

Cosin Lodge 15/09/06

Cosin Lodge 08/11/05

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Cosin Lodge Cambridge Avenue Willington Co Durham DL15 0PW Lead Inspector Bill Drumm Announced 20 May 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. Cosin Lodge CS0000062455.V218426.R01.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Cosin Lodge Address Cambridge Avenue Willington Co Durham DL15 0PW 01543 416106 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) Milbury Care Services Miss Caroline Anne Cadywould CRH 4 Category(ies) of MD Mental Disorder (4) registration, with number LD Learning disability (4) of places Cosin Lodge CS0000062455.V218426.R01.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection No previous inspections have taken place. Brief Description of the Service: Milbury care services are the owners of Cosin Lodge which is based in Willington, County Durham. The home is situated in a quiet residential area within close reach of the town centre and all the resources which it has to offer. The home was first registered in January 2005. The home is registered to provide 24hr care for 4 residents who have a Mental Disorder or Learning Disability. Accomodation is provided in a purpose built bungalow with all bedrooms offering en-suite facilities. The home is fully adapted to meet the needs of residents who have a physical impairment. Cosin Lodge CS0000062455.V218426.R01.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on Friday 20th May 2005 over 5 hours and at the time of the inspection the home provided accommodation and care to one resident whilst a second resident was in the process of being introduced to the home. During the inspection time was spent talking to the homes’ manager and members of staff. Attempts were made to discuss the inspection with the current resident although this proved to be difficult due to communication difficulties. All communal areas of the home were examined, as were the unoccupied bedrooms. The grounds of the home were also inspected. What the service does well: What has improved since the last inspection? What they could do better: Care plans inspected were both detailed and thorough although did not give any indication of the involvement or agreement of the resident in the care planning process. The manager of the home confirmed that Regulation 26 visits are undertaken copies of which were available within the home however, copies have not been received by the CSCi, in addition to this the manager was Cosin Lodge CS0000062455.V218426.R01.doc Version 1.30 Page 6 unable to confirm that routine quality monitoring systems which seek the views of residents are routinely undertaken. 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. Cosin Lodge CS0000062455.V218426.R01.doc Version 1.30 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 Cosin Lodge CS0000062455.V218426.R01.doc Version 1.30 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 and 3. Each resident is admitted to the home only after a comprehensive assessment of need has been carried out by a person competent to do so, this process helps to ensure that residents’ living at the home have their individual needs met. EVIDENCE: An inspection of the residents’ case file contained a comprehensive assessment of need carried out by a local authority Care Manager and Occupational Therapist. Individual records are kept for each resident and an inspection of these records contained a Service User Guide and Contract. Each resident has an up to date and comprehensive care plan, which highlights areas of risk and actions to be taken to minimise risk. Care plans examined were not signed by the resident or their representative to confirm their involvement or agreement. Cosin Lodge CS0000062455.V218426.R01.doc Version 1.30 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 and 9. The individual needs of residents are recorded within their own care plans and, within the limits of their own abilities are supported to make decisions, which affect their own lives. Each care plan contains an up to date risk assessment to support the residents in leading an independent lifestyle. Care plans have not been signed by the resident or their representative to confirm their involvement or agreement in this process. EVIDENCE: Records examined confirm that residents have a thorough and comprehensive care plan, which includes a full risk assessment and highlights those areas where the support of staff is required. A daily log is kept, which is completed by staff at the end of each shift. The information recorded within the log helps to quickly identify changing needs. The care plan and risk assessments are amended as a result of this recorded information. Cosin Lodge CS0000062455.V218426.R01.doc Version 1.30 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 standard(s) 12, 13,15, 16 and 17. Residents are encouraged and supported to participate in a wide range of community activities in order to promote their independence. Family members of residents are welcomed into the home and are encouraged to remain in contact with their relative. Residents choose their own individual menus and are encouraged to follow a healthy diet in order to promote positive health and wellbeing. EVIDENCE: Each resident has unrestricted access to the home and staff rotas confirm that each resident receives 1:1 support from care staff for 14 hours each day. Staff members spoken to at the time of the inspection described a range of community outings and other activities enjoyed by the residents for example, visits to the local pub, swimming, knitting and baking. On the day of the inspection a trip had been arranged to a local bowling alley. Cosin Lodge CS0000062455.V218426.R01.doc Version 1.30 Page 11 The manager confirmed that family members of residents are encouraged to remain in contact with them and to play an active role in their lives. During discussions the manager and staff members confirmed that mealtimes within the home are flexible with residents eating meals when they are hungry and not at set times. Each resident will, choose what they wish to eat although are encouraged to follow a healthy diet which promotes positive health. The menu planner for 1 resident was observed and had been adapted in order to make it easier to understand and follow with regard to their individual capacity and ability. Cosin Lodge CS0000062455.V218426.R01.doc Version 1.30 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 standard(s) 18, 19 and 20. The health needs of residents are well met with evidence of good multi disciplinary working taking place on a regular basis. The systems for the administration of medication are good with clear and comprehensive arrangements being in place to ensure service users medication needs are met. EVIDENCE: One resident has dual sensory impairment. From direct observation it was evident that the staff within the home have developed a unique style of “sign language” in order to understand and the support the resident and to meet their needs. An individualised system of “braille” has also been developed in order for the resident to familiarise themselves within the home environment. Individual care plans are available and were found to be both thorough and comprehensive. Care plans contained up to date risk assessments for the residents. However, the care plans were not signed, they did not therefore indicate the involvement of the resident or their relative/representative in the care planning process. Cosin Lodge CS0000062455.V218426.R01.doc Version 1.30 Page 13 All staff within the home receive training in the safe handling and administration of medication. All medication is administered by utilising the Boots blister pack system. Cosin Lodge CS0000062455.V218426.R01.doc Version 1.30 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) 22 and 23. Residents have formal meetings with key workers in order to ensure that any concerns they may have are dealt with quickly and efficiently. The home has good policies and procedures for dealing with any issues relating to adult protection. EVIDENCE: A complaints policy and procedure is in place. There have been no recorded complaints made since the home was first registered. Residents’ meetings are planned but have not yet taken place. The first residents meeting will be held following the next admission to the home. A key worker system also operates within the home and formal meetings are held on a monthly basis. The home has a clear and understandable adult protection policy, which includes whistle-blowing. All staff members receive training in the Protection of Vulnerable Adults (POVA). Cosin Lodge CS0000062455.V218426.R01.doc Version 1.30 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 and 30. The standard of the environment within this home is very high, it is clean and hygienic and provides residents with an attractive and homely place to live. EVIDENCE: The home is well furnished, fully accessible and adapted to meet the needs of residents who may have a physical impairment. Residents are encouraged and supported to personalise their own bedrooms and to keep their own rooms clean and tidy. A rota has been developed for waking night staff to follow in order to help ensure communal areas are regularly cleaned and maintained. The grounds of the building were tidy and well maintained and the manager described a number of further improvements, which are planned for later this year. Cosin Lodge CS0000062455.V218426.R01.doc Version 1.30 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) 35 Records viewed and discussion with staff showed that staff are trained and competent to do their job maintaining the safety and well-being of service users. EVIDENCE: The home currently has eleven staff members including the manager. One staff member has achieved NVQ level 2 the others have registered for the course and have commenced their of studies, it is anticipated that they will complete this training toward the end of this year. The manager is currently undertaking the NVQ level 4 Registered Managers award and Health and Social Care, she expects to complete this study in the Spring of next year. Individual records of training were viewed for staff, which were up to date and applicable to the skills needed to deliver the care service to the people living in the home. Cosin Lodge CS0000062455.V218426.R01.doc Version 1.30 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) 39 and 42. The systems for residents’ consultation within the home are adequate although no formal quality monitoring systems, which seek residents’ views are routinely undertaken. Records in general including health and safety were up to date EVIDENCE: The manager and staff members confirmed that an annual survey of residents’ views with regard to how the home is run would not be routinely undertaken. Feedback on the quality of the service is gained both formally and informally during meetings between residents and key workers. Information regarding the availability of a local advocacy services for residents was not available in the home. The manager was able to demonstrate that as far as reasonably practical the health and safety and welfare of residents, staff and other visitors to the home Cosin Lodge CS0000062455.V218426.R01.doc Version 1.30 Page 18 are maintained. Health and safety records inspected were current and up to date. Staff during discussion said they had completed training on moving and handling, fire safety and first aid. Cosin Lodge CS0000062455.V218426.R01.doc Version 1.30 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 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x x x x 4 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cosin Lodge Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 2 x x 3 x CS0000062455.V218426.R01.doc Version 1.30 Page 20 N/A 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 YA39 Regulation 26 Requirement The homes owner must ensure that monthly visits to the home are undertaken and copies of the reports of these visits are forwarded to CSCi. The registered person shall establish and maintain a system for reviewing the quality of care provided at the care home. Timescale for action 20/08/05 2. YA39 24(1) (3) 20/08/05 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 YA2 Good Practice Recommendations The home should ensure that residents care plans are discussed with them and that they or their representatives sign the care plans to indicate their agreement. Cosin Lodge CS0000062455.V218426.R01.doc Version 1.30 Page 21 Commission for Social Care Inspection No 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Cosin Lodge CS0000062455.V218426.R01.doc Version 1.30 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. 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