Inspection on 23/02/06 for Cypress Lodge

This inspection was carried out on 23rd 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

Cypress Lodge 26/11/07

Cypress Lodge 06/11/06

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Cypress Lodge Station Road Potter Heigham Norfolk NR29 5HX Lead Inspector Mr Pearson Clarke Announced Inspection 23rd February 2006 09:30 Cypress Lodge DS0000063010.V275049.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 Cypress Lodge DS0000063010.V275049.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. Cypress Lodge DS0000063010.V275049.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Cypress Lodge Address Station Road Potter Heigham Norfolk NR29 5HX 01263 722469 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) Janith Homes Limited Position Vacant Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Cypress Lodge DS0000063010.V275049.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Cypress Lodge is an attractive and spacious home standing near to the centre of the village of Potter Heigham. It currently offers care to four service users with a learning disability. There is a good range of communal space and attractive gardens. All bedrooms are en-suite. The service is owned by Janith homes an established provider which has four other homes in the area. Cypress Lodge DS0000063010.V275049.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Cypress lodge was announced and was the first inspection of this new service. During the day the inspector met with all of the service users and their views have helped inform the judgements made. Time was also spent with the homes manager and the companies general manager. The premises were inspected and records were looked at. What the service does well: What has improved since the last inspection? What they could do better: The service manager would benefit from the formal management training afforded by the Registered Managers Award. Staff supervision needs developing and staffing levels will need review as registered numbers increase. Cypress Lodge DS0000063010.V275049.R01.S.doc Version 5.1 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. Cypress Lodge DS0000063010.V275049.R01.S.doc Version 5.1 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 Cypress Lodge DS0000063010.V275049.R01.S.doc Version 5.1 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): 1,2, The process of admission is based on assessment with prospective service users being provided with the information they need to make informed choices about the suitability of the home. EVIDENCE: The current service users at Cypress Lodge have all been admitted to the home from the providers other services and as such are well known. Their initial assessments all took place some time ago, however care was taken to match their needs and aspirations to the new setting. The providers normal assessment process is thorough and it was confirmed that should admissions be made directly to the home then this process would be followed. The service has a statement of purpose and a service user guide and the inspector was told that work was underway to produce these in compact disk format to improve service user accessibility. Cypress Lodge DS0000063010.V275049.R01.S.doc Version 5.1 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 Service users benefit from an approach to care which addresses their needs and wishes on the basis of an individual plan. Service users are encouraged to take control of their lives and are supported to develop their independence. EVIDENCE: Each service user has a plan of care and these were looked at by the inspector during the inspection. The plans contain a life history, identify strengths and weaknesses set goals and contain risk assessments where necessary. Service users have signed their plans to indicate acceptance. Discussion with service users indicated that people felt that they received good quality care and that they were very happy in their new setting. One person talked of the greater degree of independence offered by the move to Cypress Lodge. Discussion with the homes manager confirmed that she had noticed changes in each of those cared for and examples were given of greater independence being enjoyed including measured risks. Cypress Lodge DS0000063010.V275049.R01.S.doc Version 5.1 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 Service users are enabled to lead fulfilled lives, through a good range of activity and involvement in the local community. EVIDENCE: All of the service users accommodated have moved from the providers main service and have continued with their established day programmes which offer them a good range of appropriate activity including opportunities through the adult education service. The service manager confirmed that they are forging links with the local community and are hoping that one service user can join the residents association. The individual concerned would also like a part time job and options for this were being explored at the time of the inspection. Local shops, pubs and cafes are used by service users. The provider has an ethos which recognises the rights of the individuals cared for and the approach to care described to the inspector was consistent with this. Individuals are encouraged and supported to maintain relationships of their choice. Although the inspector did not observe any catering the approach used was described. As such service users are involved in menu planning, shopping and cooking with appropriate staff support. Cypress Lodge DS0000063010.V275049.R01.S.doc Version 5.1 Page 11 Cypress Lodge DS0000063010.V275049.R01.S.doc Version 5.1 Page 12 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 Service users receive the healthcare and personal support they need. The approach to the management of medication offers appropriate protection to those living at the home. EVIDENCE: Those currently cared for have limited direct care needs and enjoy good physical and emotional health. All service users are registered with the local doctors practice and their health care will be reviewed by the doctor on a regular basis. No one currently self medicates although the option to do so was explored with one service user who rejected the opportunity. The provider uses a monitored dosage system for medication and this is appropriately and securely stored in the homes office. Sample medication administration records were inspected and found to be in order. Cypress Lodge DS0000063010.V275049.R01.S.doc Version 5.1 Page 13 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 Appropriate policies, procedures and training help protect the homes residents are from abuse and neglect. EVIDENCE: There have been no complaints received since registration and a complaints policy and procedure is in place. The service has an adult protection policy and the homes manager has had adult protection training with the other staff employed scheduled to do so in the near future. Discussion with and observation of service users on the day showed people to be confident and relaxed and able to express their views. Cypress Lodge DS0000063010.V275049.R01.S.doc Version 5.1 Page 14 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 Service users enjoy a comfortable, homely and spacious home. EVIDENCE: The service operates from a large comfortable family house offering a homely and safe place to live. All of the bedrooms are en-suite and service users took great pride in showing the inspector their rooms which reflected their tastes and interests. The home has been newly converted and is in very good order with a good standard of decoration and furnishing. There is plenty of attractive communal space available. All areas seen were clean and hygienic. Cypress Lodge DS0000063010.V275049.R01.S.doc Version 5.1 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): 32,34,35,36 Staffing levels are adequate to meet current need, but will need review as numbers grow. Formal staff supervision needs development. EVIDENCE: At present there are only four service users at the home and the home is not staffed at times when they are out at day services. There is usually one member of staff on duty, however it was confirmed to the inspector that an extra member of staff is to be recruited at weekends to allow for more flexibility and the opportunity for service users to follow different interests. The company has a safe employment system with references taken and criminal record bureau checks in place. All staff have job descriptions and the company has an induction system which matches the expectations of skills for care. Staff who do not hold the qualification will be trained to a minimum of NVQ level 2. At present there is no formal supervision process although staff are seen regularly on an informal basis. The issue of supervision was discussed on the day and the service manager needs to develop a formal system for this. Cypress Lodge DS0000063010.V275049.R01.S.doc Version 5.1 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 The home is well run with the interests of service users to the fore. The provider needs to continue to develop its quality systems and priority should be given to the manager achieving the Registered Managers Award. EVIDENCE: Health and safety records and policies were examined on the day and indicated an appropriate approach to health and safety. Water temperatures are regulated and heating ,fire and emergency lighting are on service contracts. The company has recently achieved Investors in People status and are planning to survey service users for their views as part of the providers overall quality system. The service manager is newly appointed to her first management post and currently is qualified to NVQ level 3. It is understood that she will soon commence the Registered Managers Award and given her lack of management experience the inspector recommends that this is addressed as a priority. Cypress Lodge DS0000063010.V275049.R01.S.doc Version 5.1 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 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 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 2 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 3 x Cypress Lodge DS0000063010.V275049.R01.S.doc Version 5.1 Page 18 N/a 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 2 Refer to Standard YA36 YA37 Good Practice Recommendations It is recommended that formal staff supervision is introduced It is recommended that priority is given to the manager commencing the Registered Managers Award Cypress Lodge DS0000063010.V275049.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Cypress Lodge DS0000063010.V275049.R01.S.doc Version 5.1 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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