Inspection on 04/10/06 for Cosy Lodge

This inspection was carried out on 4th October 2006.

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

Cosy Lodge 24/09/08

Cosy Lodge 03/01/06

Cosy Lodge 07/07/05

Cosy Lodge 01/02/05

Cosy Lodge 27/04/04

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

CARE HOME ADULTS 18-65 Cosy Lodge Cosy Lodge Westwell Leacon Charing Ashford Kent TN27 0EH Lead Inspector Paul Stibbons Unannounced Inspection 4th October 2006 10:30 Cosy Lodge DS0000023375.V307190.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Cosy Lodge DS0000023375.V307190.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Cosy Lodge DS0000023375.V307190.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cosy Lodge Address 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) Cosy Lodge Westwell Leacon Charing Ashford Kent TN27 0EH 01233 713 515 Counticare Limited Mrs Gillian Skinner Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Cosy Lodge DS0000023375.V307190.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd January 2006 Brief Description of the Service: Cosy Lodge is a detached chalet style property situated in a rural setting to the edge of Westwell Leacon on the outskirts of Ashford. Counticare are registered owners and have a number of other services in Kent. Cosy Lodge is registered to provide accommodation, personal care and support for up to six adults with learning disabilities. Counticare vehicles are available to use. To the front of the property there is gated access leading to parking for up to four cars. Cosy Lodge is on two levels. On the ground floor there are two bedrooms, lounge, dining room, office, kitchen, laundry room and staff toilet/shower room. There are four further bedrooms and two bathrooms on the first floor. There are secure gardens to the rear of the property. The fees for this service range between £950 and £1600 with additional charges for hairdressing, magazines and newspapers. Cosy Lodge DS0000023375.V307190.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Regulatory inspector Paul Stibbons conducted this site visit on the 4th October 2006 commencing at 1030 hours and concluding at 1300 hours. The acting manager was present and service users and staff were out for the day. The inspector obtained feedback over the telephone from relatives and staff after the visit. The completed pre-inspection questionnaire was received by the CSCI on the day of the visit. A tour of the building was carried out and a variety of records and documents were examined. What the service does well: What has improved since the last inspection? 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. Cosy Lodge DS0000023375.V307190.R01.S.doc Version 5.2 Page 6 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 Cosy Lodge DS0000023375.V307190.R01.S.doc Version 5.2 Page 7 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, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have the information they need to make an informed choice about where to live and each is provided with a written contract or statement of terms and conditions with the home. EVIDENCE: Care plans viewed evidence that a comprehensive assessment is made of service users needs prior to admission and a trial stay to assess suitability of the placement for both parties. A statement of purpose is available in printed format and a service users guide in printed and pictorial format, both documents have recently been reviewed. Each service user has an individual written contract detailing terms and conditions and applicable fees. Cosy Lodge DS0000023375.V307190.R01.S.doc Version 5.2 Page 8 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, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users changing needs and personal goals are reflected in their individual plans and they are supported in taking risks as part of an independent lifestyle. Their right to confidentiality is upheld. EVIDENCE: Service users life plans that were viewed clearly documented personal goals and evidenced input from individual and significant others. Service users are encouraged to make decisions in their daily lives through regular client meetings and on a daily basis. Sound risk assessments are in place and staff sign to acknowledge they are familiar with them. The home has implemented a system of informing visitors of any potential risks within the home when appropriate. The acting manager states there has been a significant reduction in negative behaviour particularly absconding of one individual. Records and documents of a confidential nature are secure in the managers office. Cosy Lodge DS0000023375.V307190.R01.S.doc Version 5.2 Page 9 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, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have the opportunity to participate in appropriate activities within the organisations day services and the wider community. They enjoy a varied and healthy diet of their choosing. EVIDENCE: The acting manager states that service users have access to a variety of activities that includes the company’s Martello day centre, ice skating, swimming, bowling, canoeing, trampoline and horse riding. The home also makes use of a nearby home for swimming and tutors come in for numeracy and literacy classes, current affairs sessions and music. Service users make use of local public houses and a Chinese restaurant within the local community. Family contact is promoted and most service users go home for the Christmas holiday and maintain regular contact and visits. Three service users have chose to go to the Isle of Wight for their annual holiday, one is going to Disneyland in Paris and another away with their mother for a week. Cosy Lodge DS0000023375.V307190.R01.S.doc Version 5.2 Page 10 Service users are involved in choosing meals and menus viewed appeared balanced and healthy. Special diets are catered for and other cultural specialities. Cosy Lodge DS0000023375.V307190.R01.S.doc Version 5.2 Page 11 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): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users physical and emotional health needs are met by using a range of healthcare professionals. They are protected by the homes policies and procedures for dealing with medication. EVIDENCE: Support plans viewed recorded service users preferred routines and keyworkers work closely with individuals to keep these updated for the guidance of workers. Plans evidence referral to other healthcare professionals where relevant including GP, Community nurse, Speech and language therapist. Psychiatric services are accessed where appropriate. Recommendations from a previous report in regards to separate storage for internal and external medications have now been implemented. Medication storage, documentation, and procedures examined comply with current legislation and guidelines. Cosy Lodge DS0000023375.V307190.R01.S.doc Version 5.2 Page 12 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users know their concerns will be listened to and acted upon and they are protected from abuse, neglect and self-harm. EVIDENCE: The home has a complaints procedure in place, and being aware of the difficulty some service users have in expressing themselves, facilitate meetings to encourage comments about the service. The acting manager states there have been no complaints since the last inspection. Staff records indicate that staff have received training on Adult protection issues and a copy of the Kent and Medway joint working adult protection protocol is available in the home. Cosy Lodge DS0000023375.V307190.R01.S.doc Version 5.2 Page 13 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, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a homely and well maintained home that provides adequate personal and communal space for their needs. EVIDENCE: The home is adequately furnished to a good standard and well maintained. There is ample communal space to meet the needs of service users with separate dining area, lounge and kitchen. The bedrooms are spacious and personalised reflecting the interests and lifestyles of individuals. There are two large bathrooms with separate shower cubicles and toilets on the first floor with separate facilities for staff on the ground floor. A laundry room is sited to the rear of the house with appropriate equipment and storage space. There are large secure and well maintained gardens laid to lawn with a patio area and seating, tables and barbeque for the enjoyment of service users. At the time of the visit the home was clean and tidy and free of any offensive odours. Cosy Lodge DS0000023375.V307190.R01.S.doc Version 5.2 Page 14 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): 32, 34, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by a competent and qualified staff team and are protected by the homes robust recruitment procedures. EVIDENCE: Training schedules viewed evidence that staff receive all core training and client specific training. Team members spoken to state that training received is appropriate to enable them to effectively fulfil their roles and responsibilities. Training received in the last 12 months includes SCIP, medication, food hygiene, diet and nutrition, health and safety, autism, fire, epilepsy, first aid, diabetes and insulin and adult protection. Future training includes infection control and 65 of the staff team hold NVQ qualifications. Staff rosters viewed show a minimum of three staff on duty during the day and staff members spoken to confirm this is adequate to meet the needs of service users. Personnel files evidence robust recruitment procedures including POVA and CRB checks and interview questions and answers are now recorded to evidence equal opportunities. There is a staff supervision procedure in place and staff confirm a minimum of six supervisions and an appraisal take place annually. Cosy Lodge DS0000023375.V307190.R01.S.doc Version 5.2 Page 15 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, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a well run home where their health, safety and welfare is promoted and protected. EVIDENCE: There is no registered manager for the home. The service is overseen by the registered manager of another home within the group, with the appropriate qualifications. The home has a deputy manager and two team leaders, one of whom is always on duty for the day-to-day running of the home. Discussions with staff confirm that the registered manager visits the home daily and is always on call if required. Relatives of service users spoken to commented “Always kept informed on health matters”, “consulted on all aspects of care”, and “they are all good carers”. Staff spoke positively about the leadership and management approach of the home and there has been a reduction in negative behaviours. The acting manager states that the provider conducts an annual quality assurance survey with relatives and service users and in addition a Cosy Lodge DS0000023375.V307190.R01.S.doc Version 5.2 Page 16 Regulation 26 visit monthly. Health and safety audits are conducted weekly and all staff have received relevant training in these areas. Food is stored appropriately and temperature checks carried out and recorded daily. The dishwasher has been replaced as recommended in the previous inspection Cosy Lodge DS0000023375.V307190.R01.S.doc Version 5.2 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 X X 3 X Cosy Lodge DS0000023375.V307190.R01.S.doc Version 5.2 Page 18 Are there any outstanding requirements from the last inspection? No 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. Refer to Standard Good Practice Recommendations Cosy Lodge DS0000023375.V307190.R01.S.doc Version 5.2 Page 19 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 Cosy Lodge DS0000023375.V307190.R01.S.doc Version 5.2 Page 20 - 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!