Inspection on 15/06/06 for Cotswold Lodge

This inspection was carried out on 15th June 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cotswold Lodge 10/02/06

Cotswold Lodge 11/10/05

Cotswold Lodge 26/10/04

Cotswold Lodge 26/04/04

Cotswold Lodge 10/12/03

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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 Paul Stibbons Unannounced Inspection 15th June 2006 10:00 Cotswold Lodge DS0000023397.V297653.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 Cotswold Lodge DS0000023397.V297653.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. Cotswold Lodge DS0000023397.V297653.R01.S.doc Version 5.2 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.V297653.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th February 2006 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. Fees range between £877.98 and £1876 per week with additional charges for personal items, newspapers /magazines etc. Cotswold Lodge DS0000023397.V297653.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 15th June 2006. The visit started at 10:00 and concluded at 15:00. The pre-inspection questionnaire had been returned to the CSCI prior to the visit as well as survey responses from the GP and Care manager. The acting Home manager was present throughout the inspection and the inspector was able to speak to several members of staff on duty. Communication with service users was limited and some outcomes are therefore based on observations supported by other evidence. A tour of the premises was carried out and various documents and records were examined. What the service does well: What has improved since the last inspection? What they could do better: There are some members of staff who have not received training in safe working practice topics e.g. Health and safety, Fire and Food Hygiene, this must be addressed to ensure the health, safety and welfare of service users. The decoration around the home is starting to look a little worn. It is recommended that a programme of re-decoration and minor maintenance issues would create a more pleasant living and working environment. Cotswold Lodge DS0000023397.V297653.R01.S.doc Version 5.2 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Cotswold Lodge DS0000023397.V297653.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cotswold Lodge DS0000023397.V297653.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3, 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 follow a sound pre-admission assessment process and know the home is able to meet their needs and aspirations, and each has a written contract with the home. EVIDENCE: Care plans viewed evidenced that comprehensive assessments of needs and requirements had been carried out and support plans were in place as guidance for staff in delivering support. There is an individual written contract of terms and conditions with the home for each service user, these do need to be signed by the service user or their representative. Cotswold Lodge DS0000023397.V297653.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 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 assessed and changing needs and personal goals are reflected in their individual plan and their right to confidentiality is upheld. EVIDENCE: Individual care plans for service users reflect changing needs and personal goals. Appropriate risk assessments have been carried out and recorded. The home uses a person centred planning approach in identifying significant others and interests in the persons life. All confidential records are securely stored in the office. Cotswold Lodge DS0000023397.V297653.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 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 are able to take part in appropriate activities and are part of the local community. They are offered a healthy diet according to their preferences. EVIDENCE: Daily reports and activity charts for service users’ indicate a variety of activities that bring them into contact with the local community, e.g. cinema, tenpin bowling, swimming, public houses. The home also has access to a caravan sited on a local holiday park. Records indicate that family contact and in some cases home visits are promoted. Although there are some communication difficulties, service users are able to communicate their likes and dislikes for meals. Menus have variety and are in accordance with service users’ wishes. Cotswold Lodge DS0000023397.V297653.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 needs are met and they are protected by the homes policies and procedures for dealing with medication. EVIDENCE: Care plans viewed have service user requirements and routines clearly documented and evidence referral to other healthcare professionals where appropriate. Surveys returned from the GP and Care manager confirm that any specialist advice is incorporated into the individual care plans and that they are regularly reviewed. The Acting manager states that only designated trained staff are allowed to administer medication. Examination of staff training records confirm named personnel have received safe handling of medication training. Storage of medication complied with current guidelines and records examined were accurate and complete. Cotswold Lodge DS0000023397.V297653.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 views are listened to and acted upon and they are protected from abuse neglect and self-harm. EVIDENCE: There is a written complaints procedure on display in the home. The Acting manager states that he operates an “open door” policy and service users are encouraged to interact and voice concerns and ideas to staff at all levels. Observations during the inspection demonstrated a good rapport between staff and service users. Staff training records evidence training around adult protection issues and staff and manager show a good understanding of reporting procedures. Cotswold Lodge DS0000023397.V297653.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, 27, 28, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The premises are clean and tidy and adequate for the needs and demands of this service user group, they would however benefit from re-decoration and replacement of some furnishings. EVIDENCE: The home is clean and tidy and furniture is adequate to meet the needs of this service user group. Bedrooms are of a good size and reflect the interests and lifestyles of individuals. The acting manager states that new bed linen has been purchased as recommended in the last inspection report. One bathroom has been redecorated and a shower unit fitted. There is a planned maintenance programme to refurbish other bathrooms. There is adequate personal and communal space to meet the needs of service users including a large garden. The window locks in the managers office are broken and the Acting manager states that the repair is agreed and planned. Discussions with the staff team and acting manager report a vast improvement in service user behaviours resulting in much less damage to the environment. The acting manager and staff team are commended for the improvements they have brought about. Re-decoration of the home would keep the momentum of improvement going Cotswold Lodge DS0000023397.V297653.R01.S.doc Version 5.2 Page 14 in the environment and the acting manager has agreed to furnish the CSCI with a planned programme of maintenance and repairs. Cotswold Lodge DS0000023397.V297653.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by robust recruitment procedures and their needs are met by appropriately trained and supervised staff. EVIDENCE: Staff files examined evidence that robust recruitment checks are carried out including written references and CRB checks. All staff have undergone induction with the exception of one domestic member of staff, the manager addressed this at the time of the visit. Five members of staff have completed NVQ level2 or above and five are working towards completion. Records examined indicate that staff receive in excess of six supervision sessions per year. Staff members spoken to showed a good understanding of service user needs and have worked as a team with this group for sometime. They spoke positively about training opportunities and meaningful supervision. Cotswold Lodge DS0000023397.V297653.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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 is currently enrolled on the Registered Managers Award and has many years of experience with this service user group. The staff team spoke well of the leadership and management of the home and observation demonstrated an open and inclusive atmosphere within the home. Staff meetings are held every three months but an “open door” policy ensures issues can be addressed as and when they arise. The acting manager states that service users tend not to communicate their needs as a group but are encouraged to express their views individually. The acting manager conducts regular health and safety audits the most recent being May 06. There is a need to bring some members of staff up to date with statutory training requirements, this was discussed with the manager and is a requirement of Cotswold Lodge DS0000023397.V297653.R01.S.doc Version 5.2 Page 17 this inspection. The area Manager conducts Regulation 26 visits on a monthly basis for the company. Cotswold Lodge DS0000023397.V297653.R01.S.doc Version 5.2 Page 18 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 3 3 3 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 2 25 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Cotswold Lodge DS0000023397.V297653.R01.S.doc Version 5.2 Page 19 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. 1 Standard YA42 Regulation 18 (c) Requirement Staff to receive training on safe working practice topics. Timescale for action 20/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA24 Good Practice Recommendations Planned programme for re-decoration and maintenance of the home. Cotswold Lodge DS0000023397.V297653.R01.S.doc Version 5.2 Page 20 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. Extracts may not be used or reproduced without the express permission of CSCI Cotswold Lodge DS0000023397.V297653.R01.S.doc Version 5.2 Page 21 - 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!