Inspection on 26/07/05 for Dean Lodge

This inspection was carried out on 26th July 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 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

Dean Lodge 06/10/06

Dean Lodge 04/01/06

Dean Lodge 23/11/04

Dean Lodge 18/05/04

Dean Lodge 04/12/03

Dean Lodge 09/07/03

Dean Lodge 16/12/02

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

CARE HOME ADULTS 18-65 Dean Lodge Dean Road Ferryhill Durham DL17 8AW Lead Inspector Belinda Parker Unannounced 9:00am 26 July 2005 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 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 Stationary 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. Dean Lodge B54 S31157 Dean Lodge V232490 260705 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Dean Lodge Address Dean Road Ferryhill Durham DL17 8AW 0191 3835151 0191 3835100 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Durham County Council Mrs Joan Million Care Home 7 Category(ies) of LD Learning disability - 7 registration, with number of places Dean Lodge B54 S31157 Dean Lodge V232490 260705 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 23rd November 2004 Brief Description of the Service: Dean Lodge is a purpose built home that provides a short break service for 7 people with learning difficulties. The home is a bungalow situated in a residential area close to the town of Ferryhill. At any one time the home can take up to 3 people who have multiple disabilities; the home has aids and equipment for this purpose. All service users are provided with a single bedroom (all of which exceed the National Minimum Standard) and have free access to lounge, conservatory, and dining room. There is a domestic style kitchen that service users can use with supervision. All accommodation is on ground floor level with good access. The home has easily accessible rear gardens that are used by service users in clement weather. There is parking for visitors to the front of the home. Dean Lodge B54 S31157 Dean Lodge V232490 260705 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced in spection took place on 26/7/05 over a period od three hours. During that time discussion took place with the manager and staff in the home. Service users in the home on the day of the inspection where unable to communicate verbally but where observed to be happy, relaxed and interacting with staff. A number of records where examined, there were no requirments made at the last inspection. What the service does well: What has improved since the last inspection? What they could do better: The manager is aware the service must continue to develop to provide service users and their relatives with a high standard of care service delivery. Dean Lodge B54 S31157 Dean Lodge V232490 260705 stage 4.doc Version 1.40 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. Dean Lodge B54 S31157 Dean Lodge V232490 260705 stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Dean Lodge B54 S31157 Dean Lodge V232490 260705 stage 4.doc Version 1.40 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 standard(s) 1, 2, 3, 4 and 5 The homes Statement of Purpose and Service User Guide are excellent providing service users and their relatives with details of the services the home provides enabling them to make an informed decision about admission to be made. The admission process to the home for prospective service users is clear, involving and informative. EVIDENCE: The home has in place an up to date Statement of Purpose and Service User Guide. These documents are produced in an appropriate format. The information included in these documents enables service users and their relatives to make an informed decision as to whether they wish to stay in the home. An attached service satisfaction questionnaire is included in the Service User Guide. Service users and their relatives are encouraged to complete this questionnaire when they leave the home. Care plans examined contained a pre – admission assessment. The manager said service users and their relatives are involved in the assessment process. The manager said the home only admits service users for whom they have the capacity to meet their needs for short breaks. Dean Lodge B54 S31157 Dean Lodge V232490 260705 stage 4.doc Version 1.40 Page 9 Service users and their relatives are invited to visit and spend time in the home prior to admission. All service users admitted to the home are given a copy of the Terms and Conditions of residency. Evidence was available to show that relatives had signed on behalf of service users as to their agreement with the terms of residency. Dean Lodge B54 S31157 Dean Lodge V232490 260705 stage 4.doc Version 1.40 Page 10 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 standard(s) 6, 7, 8, 9 and 10 There is a clear and consistant care planning process in place to provide staff with the information they need to satisfactorily meet service users needs. EVIDENCE: Care plans examined during the inspection where generated from a pre – admission assessment. Care plans were up to date and included risk assessments to enable service users to lead an independent lifestyle supported by staff in the home and out in the community. On discharge service users relatives are provided with a discharge summary to inform them if the service users needs had changed in any way from admission. Service users who visit the home for short breaks on a regular basis are asked to complete a pre – admission questionnaire. This form provides the home with information and make the manager aware of any change in the individual service user’s needs where the service may have to be adapted to meet their needs. Dean Lodge B54 S31157 Dean Lodge V232490 260705 stage 4.doc Version 1.40 Page 11 Staff spoken to during the inspection were able to demonstrate that they encouraged service users to make choices. Where verbal communication was difficult service users are encouraged and supported by staff to make their needs known and to lead an independent life style, assisting with small domestic tasks in the home if they so wish and out in the community. Dean Lodge B54 S31157 Dean Lodge V232490 260705 stage 4.doc Version 1.40 Page 12 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 standard(s) 11, 12, 13, 14, 15, 16 and 17 The range of activities and links with the community are good and support and enrich service users’ social opportunities. Staff support service users in such a ways to promote a fulfilling lifestyle. Meals in this home offer both choice and variety as well as catering for special dietary needs. EVIDENCE: Staff spoken to said they encourage and support service users to get involved in the daily routine in the home but it is their choice if they wish to do so. While staying in the home for a short break, service users are offered the opportunity to participate in a varied range of activties in and outside of the home. The home has transport available giving service users the opportunity to visit places of interest and social venues in the wider community. The manager said while staying in the home service users are encouraged to maintain contact with their relatives by telephone. Relatives are welcome to visit during the time the service user is staying in the home. Dean Lodge B54 S31157 Dean Lodge V232490 260705 stage 4.doc Version 1.40 Page 13 The manager said the daily routine in the home is flexible. Service users where observed to be moving freely around the home and interacting with staff. Service users in the home during the inspection where unable to communicate verbally, but where involved in activities with staff and were smiling and relaxed. The manager said service users are encouraged to participate in meal preparation if they so wish. Some service users like to set and clear tables at meal time. Meal times are flexible and service users can always get a snack if they so wish. Good pre – admission information ensures that service users dietary needs are met including special diets. Dean Lodge B54 S31157 Dean Lodge V232490 260705 stage 4.doc Version 1.40 Page 14 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 standard(s) 18, 19, 20 and 21 The staff have a good understanding of the service users support needs and offer personal care in such a way to promote privacy and dignity. It is evident that positive relationships have been formed between staff and service users. The medication in this home is well managed promoting good health. EVIDENCE: Staff spoken to during the inspection where able to demonstrate that they repected privacy and dignity and encouraged and enabled service users to lead an independent lifestyle of their choice. Some service users who come into the home for a short break are not from the local area. Arrangements are in place with a local GP and health authority walk in service to meet service users health needs if required. Service users who have been receiving continuing treatment from other health care professionals continue to do so while they are staying in the home. Due to service users lacking capacity the manager said all service users admitted to the home are administered medication by staff. A policy and procedure for the safe handling of medication was in place. A policy and procedure is in place in the event of serious illness or death. Dean Lodge B54 S31157 Dean Lodge V232490 260705 stage 4.doc Version 1.40 Page 15 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 standard(s) EVIDENCE: This standard section was not assessed at this inspection. Dean Lodge B54 S31157 Dean Lodge V232490 260705 stage 4.doc Version 1.40 Page 16 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 standard(s) EVIDENCE: This standard section was not assessed at this inspection. Dean Lodge B54 S31157 Dean Lodge V232490 260705 stage 4.doc Version 1.40 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: This standard section was not assessed at this inspection. Dean Lodge B54 S31157 Dean Lodge V232490 260705 stage 4.doc Version 1.40 Page 18 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: This standard section was not assessed at this inspection. Dean Lodge B54 S31157 Dean Lodge V232490 260705 stage 4.doc Version 1.40 Page 19 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 4 3 3 3 3 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Dean Lodge Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score x x x x x x x B54 S31157 Dean Lodge V232490 260705 stage 4.doc Version 1.40 Page 20 NA 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 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 Good Practice Recommendations Dean Lodge B54 S31157 Dean Lodge V232490 260705 stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection No.1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Dean Lodge B54 S31157 Dean Lodge V232490 260705 stage 4.doc Version 1.40 Page 22 - 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!