Inspection on 13/10/06 for Court Lodge

This inspection was carried out on 13th 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Court Lodge 22/08/07

Court Lodge 03/11/05

Court Lodge 20/06/05

Court Lodge 17/02/05

Court Lodge 27/04/04

Similar services:

Southfields

Thorndene

Insight - Eastchurch

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 Court Lodge Church Road Mersham Ashford Kent TN25 6NS Lead Inspector Paul Stibbons Unannounced Inspection 13th October 2006 11:00 13/10/06 Court Lodge DS0000023374.V307193.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 Court Lodge DS0000023374.V307193.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. Court Lodge DS0000023374.V307193.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Court Lodge Address Church Road Mersham Ashford Kent TN25 6NS 01233 503117 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) Counticare Limited Post Vacant Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Court Lodge DS0000023374.V307193.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users who have an additional diagnosis of MD to be restricted to one whose DOB is 29/11/1955. 3rd November 2005 Date of last inspection Brief Description of the Service: Court Lodge provides residential care to up to 6 adults with a learning disability. The home is owned by Counticare Ltd, a provider of approximately 14 services throughout the East Kent area. The Home is situated in the village of Mersham, some 15 minutes drive from the town of Ashford where there is a variety of amenities such as shops, swimming pool, a cinema, churches, pubs, clubs and colleges . The home has access to a minibus and other vehicles owned by the company. Residents also make use of the day centre owned by the company. Court Lodge is a detached chalet bungalow which comprises individual bedrooms for each resident, a lounge, kitchen, dining room, laundry room and office. There is a large enclosed rear garden with seating and a barbecue area, and there is a large parking area to the front of the property. Staffing comprises the registered manager and support staff. Fees for this service range between £1020 and £1615 with additional charges for hairdressing, magazines and community based activities. Court Lodge DS0000023374.V307193.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 unannounced inspection on the 13th November 2006. The visit commenced at 11:00 and concluded at 16:45. The Area manager was present throughout and a tour of the building was carried out. Three service users and three members of staff were spoken with and a variety of records and documents were examined. Telephone conversations were held pre-visit with other social care agencies involved with the service. A pre-inspection questionnaire sent out by the CSCI for information was not returned as required by section 31(1) of the Care Standards Act 2006. 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. Court Lodge DS0000023374.V307193.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 Court Lodge DS0000023374.V307193.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 are provided with sufficient information to be able to make an informed choice on whether the service will meet their needs. EVIDENCE: Care plans examined evidence comprehensive joint assessments of service user needs have been carried out in conjunction with placing authorities. The Statement of Purpose and Service user guides are clear about the homes mission statement, policies and procedures and routines. Each service user has an individual written contract detailing the terms and conditions relating to the placement. Court Lodge DS0000023374.V307193.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): 6,7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users benefit from having their changing needs and personal goals documented in individual plans to guide care staff, however, they would benefit from being regularly monitored to ensure information remains current. They are supported in taking risks as part of an independent lifestyle and their right to confidentiality is upheld. EVIDENCE: Individual plans examined include the personal goals of service users and progress towards their achievement, there is no evidence of progress having been monitored of late. Staff spoken to explained that the individuals keyworker would monitor needs and activities, but due to significant staff changes, the present keyworker system is only temporary, it is a requirement of this report that personal goals are reviewed for currency. There is evidence of risk assessments in individual plans that include specific guidelines in supporting service users. Staff spoken with state that, meetings regularly take place where service users are consulted on all aspects of life in the home. Service users spoken with spoke positively about their life within the home. Court Lodge DS0000023374.V307193.R01.S.doc Version 5.2 Page 9 Staff members were seen to maintain confidentiality when discussing service users and all records were securely stored in the manager’s office. Court Lodge DS0000023374.V307193.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): 11,12,13,14,15,17 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 access to a range of activities that meet their educational, social and leisure needs both within the home and the local community. Relationships with family and friends is actively encouraged and promoted. They enjoy a varied and healthy diet of their choosing. EVIDENCE: Service users have access to an extensive range of activities that create opportunities for personal development, leisure and social interactions. Included in the current activities for the service are Pitman’s office training, Martello day centre, Ashford college, Bowling, dog walking, Monday club social evenings, cinema, gym, swimming, Gateway club at Folkestone and visits to local public houses. All of the service users have had an annual holiday this year and two have been on an additional camping trip. Family contact is maintained and service users have family photographs displayed in their rooms. Menus viewed were varied and nutritious and service users spoke about their choices being included. Court Lodge DS0000023374.V307193.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: Support plans viewed evidenced guidelines for staff to support service users in the manner they required and preferred with consideration for their well being. Records viewed evidence referral to other relevant health care professionals where appropriate. Staff members spoken with demonstrated a good understanding of service user needs and were observed interacting in a professional manner. Medication was seen to be stored in the required manner and records were accurate and complete. Records show that staff responsible for administering medication, have received training and a competence based assessment. Court Lodge DS0000023374.V307193.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 are listened to and acted upon and they will be protected from abuse, neglect and harm. EVIDENCE: The home has a complaints procedure in place. This procedure was demonstrated to be effective recently with the raising of an adult protection alert following allegations by a service user. The home has dealt with the incident appropriately and the Area manager has introduced several changes to procedures within the home as a result of lessons learned. Staff members spoken with are positive about the changes made and are confident about raising any future concerns. Service users spoken with spoke positively about the home and the remaining staff team and knew who to raise any concerns with. Training records viewed show that the majority of staff have not received training around Adult protection issues. This was discussed with the Area manager and the inspector was assured that the training has now been arranged. A discussion around sleep night cover in the light of recent events was held with the Area manager and it is a recommendation that the management review this cover. Court Lodge DS0000023374.V307193.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): 24,25,28,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a homely, comfortable and safe environment with adequate personal and communal space to meet their needs. EVIDENCE: A tour of the building revealed no obvious health and safety hazards and additional storage space has been created on the landing as recommended in a previous report. Access however to the storage area is through a service users bedroom and whilst the current user is in agreement with this arrangement future users may not be. Some bedrooms seemed rather full of personal possessions but service users spoken with confirmed it was how they preferred it and were pleased with their rooms. A previous requirement to replace a carpet and mattress has been resolved by installing a more appropriate form of flooring for the individual. Two bathrooms are due to be refurbished as part of the ongoing maintenance plan. There is ample communal space for the needs of service users and those spoken with liked the home. The home was clean and tidy at the time of the inspection with no offensive odours. Court Lodge DS0000023374.V307193.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 adequate. This judgement has been made using available evidence including a visit to this service. Service users individual and joint needs are met by a core group of competent and appropriately trained staff, there is however, a need to fill staff vacancies and review supervision processes. EVIDENCE: Due to recent events some members of staff no longer work at the home but the remaining workforce are competent and qualified. Two members of staff have completed NVQ3 and one is enrolled on NVQ level 4. There is a need to recruit and fill the vacancies with permanent members of staff rather than rely on agencies. Members of staff spoken with felt that issues raised with the previous manager were not appropriately dealt with. A discussion was held with the area manager around staff relationships and supervision and it is a requirement of this report that policies and procedures are put in place to ensure staff confidence in the process. Court Lodge DS0000023374.V307193.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): 37,38,39,42,43 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health, safety and welfare of service users will benefit from a review of the leadership and management approach of the home. EVIDENCE: Recent management concerns were identified by the provider and appropriate actions taken to address the issues by the provider. The Area manager is currently managing the home and discussions reveal that a Deputy manager has been recruited. Members of staff spoken with are positive about the future of the home and are comfortable with changes the Area manager has put in place. The home conducts surveys to seek the views of service users, relatives and staff to inform their self-monitoring and development planning. Interactions observed between service users and staff demonstrated they were at ease with each other. The homes records viewed were legible and complete. The pre-inspection questionnaire as required by section 31(1) of the Court Lodge DS0000023374.V307193.R01.S.doc Version 5.2 Page 16 Care Standards Act 2000 has not been completed and returned to the CSCI as requested. Court Lodge DS0000023374.V307193.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 X 27 X 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 2 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 2 X X 3 3 Court Lodge DS0000023374.V307193.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. 1 Standard YA6 Regulation 15 (2)b Requirement The registered person shall keep the service users plan under review. The registered person shall ensure that persons working at the care home are appropriately supervised. Timescale for action 31/12/06 2 YA36 18 (2) 31/12/06 3 YA39 Section Furnish the CSCI with the 18/11/06 31(1) CSA information requested in the preinspection questionnaire. 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 YA23 Good Practice Recommendations It is recommended that the service review the sleep-in cover arrangements and the vulnerability of both staff and service users Court Lodge DS0000023374.V307193.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 Court Lodge DS0000023374.V307193.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. 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