Inspection on 03/11/05 for Court Lodge

This inspection was carried out on 3rd November 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 1 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 13/10/06

Court Lodge 20/06/05

Court Lodge 17/02/05

Court Lodge 27/04/04

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Southfields

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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 Mrs Sue Gaskell Announced Inspection 3rd November 2005 09.15 Court Lodge DS0000023374.V250159.R01.S.doc Version 5.0 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.V250159.R01.S.doc Version 5.0 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.V250159.R01.S.doc Version 5.0 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 Ms Anna Elizabeth Page Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Court Lodge DS0000023374.V250159.R01.S.doc Version 5.0 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. 20th June 2005 Date of last inspection Brief Description of the Service: Court Lodge provides residential care to up to 6 adults with a lerning 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. Court Lodge DS0000023374.V250159.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out over approximately 4 hours. The inspector toured the building and inspected a number of records, policies and procedures. The inspector met 4 of the 6 residents and spoke with the manager and two other members of staff. The inspector and manager also discussed the issue of the staffing needs of one resident who is very independent, and the manager is to provide further detail regarding this. 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.V250159.R01.S.doc Version 5.0 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.V250159.R01.S.doc Version 5.0 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 and 5 The homes’ Statement of Purpose and Service User Guides provide prospective residents with the costs of the services provided. Prospective residents’ health care, emotional and social needs are assessed prior to their admission to the home. Residents’ contracts provide prospective residents with the costs of the services provided. EVIDENCE: The Statement of Purpose and Service User Guides now show the fees charged by the home and residents’ contracts have been revised to show what is provided by the company and what residents have to pay for. The care plans included written pre-admission assessments that have been carried out in conjunction with the placing agencies. Court Lodge DS0000023374.V250159.R01.S.doc Version 5.0 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 and 10 The health, general care and social needs of residents are well met and residents are consulted and encouraged to contribute to any decisions that affect their lives. Residents are supported in taking risks in the daily domestic and social activities that are part of an independent lifestyle. EVIDENCE: All of the care plans include details on short and long term goals and how the home will assist residents in achieving their goals, and these are reviewed regularly. Residents have key workers who monitor their individual needs and activities and help them understand the contents of their care plans. Risk assessments are prepared and include specific guidelines. Court Lodge DS0000023374.V250159.R01.S.doc Version 5.0 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,and 17 There are good opportunities for personal development and residents have access to a wide range of activities. Meals in the home are good, offering a healthy, nutritious diet with choice and variety. EVIDENCE: Two residents attend college courses that are funded by the company. There are a variety of social activities on a daily basis, either on company premises or facilities within the community. Residents said that they have had either an annual holiday or special days out. The food storage cupboards contained a good range of foods including fresh fruit and vegetables, and the menu record indicated that the food provided is well balanced and beneficial to health. Court Lodge DS0000023374.V250159.R01.S.doc Version 5.0 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): 18,19 and 20 Staff have a good knowledge and understanding of residents’ physical, emotional and support needs and provide this according to residents’ wishes and preferences. The medication administration and storage systems are sound and appropriate to residents’ needs and wishes. EVIDENCE: There were specific guidelines in some residents’ care plans and the inspector saw staff applying the guidelines in a practical and sensitive manner. The residents were clearly comfortable with staff and able to talk about serious issues. There was also appropriate banter between staff and residents. The medication is stored safely and the administration of medication was clearly and appropriately recorded. Court Lodge DS0000023374.V250159.R01.S.doc Version 5.0 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 and 23 The home has a satisfactory complaints process and residents are protected from harm or neglect. The home makes every effort to seek residents’ views. EVIDENCE: Court Lodge DS0000023374.V250159.R01.S.doc Version 5.0 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 and 30 Whilst the general standard regarding the environment is adequate, there are specific areas requiring attention, one of which could affect hygiene. EVIDENCE: The kitchen has been refitted and now contains a separate hand wash basin. The maintenance log book showed that there are some areas requiring maintenance which have been outstanding for a while. The landing provides a useful storage space but would benefit from a cupboard or chest to contain the items stored there. Whilst the home is generally clean, one residents’ room, which was referred to in the previous inspection report, still has an unpleasant odour. Whilst the inspector was pleased to see that the carpet in that room has been cleaned, there is still a problem either with the carpet or the mattress. Other rooms were of an acceptable standard and 2 residents said that they like their rooms. Court Lodge DS0000023374.V250159.R01.S.doc Version 5.0 Page 13 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 and 36 The deployment, training and supervision of staff at the time of the inspection was sufficient to ensure good quality care. EVIDENCE: Although the staffing level was not that as shown on the staff rota, apparently due to staff sickness, this was sufficient for the care of the residents present in the home at the time. There are also staff at other homes within close proximity in the event of an emergency. Staff files included reference to induction training, training in core subjects, and on-going training in NVQs that is funded by the company. Staff receive regular supervision and staff morale appeared to be good. Court Lodge DS0000023374.V250159.R01.S.doc Version 5.0 Page 14 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 and 43 The home regularly reviews aspects of its performance, which includes seeking the views of residents, their relatives and staff. The welfare, health and safety of residents are taken seriously. EVIDENCE: The manager said that policies and procedures, including those related to recruitment, training, care practices and health and safety are regularly reviewed and there is an in depth spot check carried out by the quality assurance manager. Residents said that they are asked about how they feel about different aspects of the day to day management of the home and that their suggestions are listened to and acted upon. Various health and safety checks were recorded, such as fire alarm testing, and risk assessments had been prepared. Court Lodge DS0000023374.V250159.R01.S.doc Version 5.0 Page 15 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 3 3 X X 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 2 LIFESTYLES Standard No Score 11 4 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Court Lodge Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 3 DS0000023374.V250159.R01.S.doc Version 5.0 Page 16 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 YA30 Regulation 13 Requirement Replace soiled carpet and soiled mattress in Room 6 (this was a requirement in previous report) Timescale for action 01/01/06 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 Ensure any maintenance is attended to promptly. Provide storage facility on landing. Court Lodge DS0000023374.V250159.R01.S.doc Version 5.0 Page 17 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 Court Lodge DS0000023374.V250159.R01.S.doc Version 5.0 Page 18 - 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. 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