Inspection on 10/02/06 for Cotswold Lodge

This inspection was carried out on 10th February 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

Cotswold Lodge 15/06/06

Cotswold Lodge 11/10/05

Cotswold Lodge 26/10/04

Cotswold Lodge 26/04/04

Cotswold Lodge 10/12/03

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Insight - Eastchurch

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33 St John`s Church Road

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

CARE HOME ADULTS 18-65 Cotswold Lodge Coast Road Littlestone New Romney Kent TN28 8SB Lead Inspector Geoff Senior Unannounced Inspection 10 February 2006 14:00p th Cotswold Lodge DS0000023397.V281006.R01.S.doc Version 5.1 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 Cotswold Lodge DS0000023397.V281006.R01.S.doc Version 5.1 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. Cotswold Lodge DS0000023397.V281006.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Cotswold Lodge Address Coast Road Littlestone New Romney Kent TN28 8SB 01797 367453 01797 367453 cotswold.lodge@craegmoor.co.uk www.craegmoor.co.uk Parkcare Homes (No. 2) Limited 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) Mr Keith Yarnley Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Cotswold Lodge DS0000023397.V281006.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th October 2005 Brief Description of the Service: Cotswold Lodge is registered to provide care and accommodation for up to 8 adults with learning disability. Parkcare Homes no 2 (Craegmoor Healthcare ) are the registered providers. Mr K Yarnley the registered manager has recently been transferred to another home within the organisation. Mr P Jones is Acting Manager in the day-to-day control of the home. The home is a large detached property situated adjacent to the seafront promenade. The accommodation comprises 8 single bedrooms on the ground and first floor. There are no en suite facilities or washbasins in the bedrooms. The service users have access to two day rooms and the kitchen area and the use of 4 WC’s, 3 bathrooms and a shower. Externally there is a reasonably well-maintained garden to the rear of the property that backs on to the local golf course. Local facilities (e.g. shops, pubs, church etc) are approx 1 mile away in New Romney with further facilities in the nearby towns of Ashford and Folkestone. The home has two MPVs available for residents. Cotswold Lodge DS0000023397.V281006.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection visit on the 10th Feb 2006. The Inspector was able to speak with the Acting Manager and staff on duty and observe staff interaction with a number of service users. There was limited opportunity for communication directly with the majority of the service users. The Inspector also viewed a range of records and toured the premises. The home provides a reasonably clean, tidy, comfortable and varied environment for the service users. Communal areas and bedrooms appeared to be adequately furnished and. reflected service user need, choice and involvement Any areas where action is required or recommended in order to comply with current National Minimum Standards are incorporated in the report. 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. Cotswold Lodge DS0000023397.V281006.R01.S.doc Version 5.1 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 Cotswold Lodge DS0000023397.V281006.R01.S.doc Version 5.1 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): Not assessed at this visit. EVIDENCE: Cotswold Lodge DS0000023397.V281006.R01.S.doc Version 5.1 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 Service user files contain information pertinent to the ongoing care of the service users. The care documentation and records are undergoing review by the acting manager and keyworkers to ensure they are up to date and relevant to the current service user status. EVIDENCE: Each service user has an individual Care plan. Support needs are identified and guidelines are in place to help staff address the requirements. Goals are identified and staff note in the daily records whether or not the targets have been met. The Manager reported that he is in the process of reviewing the care plan to ensure that they remain up to date and relevant to the current status. Cotswold Lodge DS0000023397.V281006.R01.S.doc Version 5.1 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): 17 The menu record showed a varied and balanced selection of meals. Staff are aware of service user likes, dislike and preferences and cater accordingly. EVIDENCE: The menu record showed a varied and balanced selection of meals. Staff are aware of service user likes, dislike and preferences and cater accordingly. The Inspector observed service users accessing the kitchen for drink making facilities. Levels of supervision and assistance were in accordance with the risk level assessed. Cotswold Lodge DS0000023397.V281006.R01.S.doc Version 5.1 Page 10 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): 18-20 Service users are treated with respect and their privacy maintained. Healthcare needs are addressed. Medication systems appear adequate. EVIDENCE: Service users are encouraged to do as much as they can for themselves in order to maintain their dignity and a level of independence and control over their lives. Staff are however, on hand to offer help and guidance where appropriate. Service users may exercise choice over what to wear, when to get up etc. The health needs of the service users are supported by the local health care agencies and specialist as required. Service users are supported to attend appointments. Staff are expected to note and record the general health and demeanour of the service users on a daily basis. Any changes or particular issues are brought to the attention of the manager/team leader for further action. Medication administration records appeared clear and up to date. The organisation has policies and procedures in place and staff are offered medication training before any involvement in handling and administration. Cotswold Lodge DS0000023397.V281006.R01.S.doc Version 5.1 Page 11 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. The home has a complaints procedure with written information available to service users and visitors. Staff have received training in the protection of vulnerable adults. EVIDENCE: There is written information relating to complaints, on display in the home. A company complaints procedure and record form is held in the policy folder. Staff have attended training in the understanding of adult protection issues in order to protect service users from possible harm or abuse. A whistle blowing policy is in place for staff reference. The complaints procedure is available for families/visitors etc and inclusion the Service User Guide. The Acting Manager reported that he operates an ‘open door’ policy and service users are encouraged to interact and voice concerns and ideas to staff at all levels. Cotswold Lodge DS0000023397.V281006.R01.S.doc Version 5.1 Page 12 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): 24,30. The premises reflect the needs and demands of the service user group. They are subject to ongoing redecoration. Some improvements were recommended. The premises appeared to be clean and reasonably maintained at the time of inspection. EVIDENCE: The staff endeavour to provide a reasonably homely environment at Cotswold Lodge given the needs and demands of the service user group. The Acting manager spoke of planned changes and upgrades to communal and private rooms. Redecoration is undertaken by staff as time and duties permit. Consequently it is a slow process to effect change. The service users own rooms reflect the character and interest of the occupant. The acting manager agreed that, although the basic furnishings are generally reasonable and suit the purpose, much of the soft furnishings and bed linen would benefit from replacement. Shared spaces are adequate for the activities of the home with a choice of lounges providing alternative rooms for TV, music and computer use. Bathrooms and WCs seen at this visit were noted as in need of upgrade and redecoration, as discussed at the time with the acting manager. Cotswold Lodge DS0000023397.V281006.R01.S.doc Version 5.1 Page 13 The home appeared to be generally clean and free from any unpleasant odours. ‘COSHH’ related materials and data sheets are stored in a locked cupboard. Cotswold Lodge DS0000023397.V281006.R01.S.doc Version 5.1 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): Not assessed at this visit. EVIDENCE: Theses standards were not assessed at this visit. The Acting Manager reported however that there have been few changes to the staff group. His own promotion and one recruit to the service. The recruit has undergone all relevant checks and is awaiting induction. Training was not discussed at this visit. Cotswold Lodge DS0000023397.V281006.R01.S.doc Version 5.1 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): 37,39,42. The home appears to be well managed and provides a caring and supportive service that promotes development, health and welfare of the service users.. EVIDENCE: The Acting manager (formerly senior team leader) has taken on his new role with enthusiasm and appears to have maintained the open and inclusive atmosphere within the home. He has commenced NVQ level 4 training. The staff have the opportunity to express views and opinions individually and at team meetings. The service users tend to communicate their needs individually and have not found group meetings beneficial. Monthly monitoring visits are carried out by the organisation ensuring that the standard of care and relevant documentation is in order. Cotswold Lodge DS0000023397.V281006.R01.S.doc Version 5.1 Page 16 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 X 2 X 3 X 4 X 5 X 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 2 26 3 27 2 28 3 29 x 30 3 STAFFING Standard No Score 31 X 32 x 33 x 34 x 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 x 3 x x 3 x Cotswold Lodge DS0000023397.V281006.R01.S.doc Version 5.1 Page 17 no 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 YA25 Good Practice Recommendations The acting manager agreed that, although the basic furnishings are generally reasonable and suit the purpose, much of the soft furnishings and bed linen would benefit from replacement Bathrooms and WCs seen at this visit were noted as in need of upgrade and redecoration, as discussed at the time with the acting manager 2 YA27 Cotswold Lodge DS0000023397.V281006.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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. 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