Inspection on 04/01/06 for Dean Lodge

This inspection was carried out on 4th January 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

Dean Lodge 06/10/06

Dean Lodge 26/07/05

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 Lodge Dean Road Ferryhill Durham DL17 8AW Lead Inspector Belinda Parker Unannounced Inspection 4th January 2006 08:50 Dean Lodge DS0000031157.V272614.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 Dean Lodge DS0000031157.V272614.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. Dean Lodge DS0000031157.V272614.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Dean Lodge Address Dean Lodge Dean Road Ferryhill Durham DL17 8AW 01740 652059 01740 651148 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) Durham County Council Mrs Joan Million Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Dean Lodge DS0000031157.V272614.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th July 2005 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 DS0000031157.V272614.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 4th January 2006 over a period of 3:5 hours. During the inspection time was spent speaking to the manager and the support manager. The building was toured and a number of records were examined. 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. Dean Lodge DS0000031157.V272614.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 Dean Lodge DS0000031157.V272614.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): EVIDENCE: This standard set was not assessed at this inspection. Dean Lodge DS0000031157.V272614.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): EVIDENCE: This standard set was not assessed at this inspection. Dean Lodge DS0000031157.V272614.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): EVIDENCE: This standard set was not assessed at this inspection. Dean Lodge DS0000031157.V272614.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): EVIDENCE: This standard set was not assessed at this inspection. Dean Lodge DS0000031157.V272614.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): Standards 22 and 23 The home has a satisfactory service user-friendly complaints system in place. Robust procedures for employment of staff are followed for the protection of the people who live in the home. EVIDENCE: The home has in a comprehensive, user-friendly complaints system in place. The manager said there has only been one informal complaint from a relative since the last inspection. The complaint and the outcome was recorded. The manager and the support manager said if service users were unhappy, staff would support them to make their views known. The manager said she ensures that service users are protected from harm or neglect. The manager provided evidence to show that all staff have attended POVA training. Staff personnel files examined included evidence to show that a Criminal Record Bureau check has been carried out. Dean Lodge DS0000031157.V272614.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): Standards 24, 25, 26, 27, 28, 29 and 30. The standard of the environment in this home is very good. And offers a high standard of safe, comfortable and accessible accommodation to the people who come to stay in the home. EVIDENCE: The home provides a very high standard of comfort in safe and accessible surroundings. The home offers a respite service only. Service users are encouraged to bring items from home to personalise their room for the duration of their stay. On touring the home it was observed that three specialist beds where available to meet the needs of individual service users. A range of disability equipment is in place to meet the needs of the people who may come to live in the home. Service users have a choice of bathing facilities. All communal toilets are located near to living and bedroom areas. The home was observed to be commendably clean and free from any offensive odours. A policy and procedure for the control and prevention of the spread of infection is in place. Dean Lodge DS0000031157.V272614.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): Standards 31, 32, 33, 34, 35 and 36. There is a good standard of vetting and recruitment of staff to ensure the people who come to live in the home are protected from abuse. The standard of training is good, equipping staff with the skills and abilities to provide a good standard of service to the people who live in and visit the home. EVIDENCE: Discussion with the manager and support manager plus evidence examined. Showed that the home employed staff in adequate numbers to meet the needs of individual service users who come to live there. There is low staff turn over in the home, therefore providing consistency of care to the people who come to live there. A training matrix was in place. The training programme ensures staff are equipped with the skills and abilities to provide a good standard of service to the people who live there. Training attended by staff was recorded. Evidence was available to show that staff receive formal supervision from their line manager on a Bi-monthly basis. The support manager said all aspects of care, philosophy of care and career development is discussed with the staff member during supervision. Robust procedures are in place to ensure service users are protected by the home’s recruitment policy. Dean Lodge DS0000031157.V272614.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): Standards 37, 38, 39, 40, 41, 42 and 43. The manager provides clear leadership throughout the home and is supported well by senior staff. There is a clear development plan and vision for the home, which the manager effectively communicates to service users, staff and relatives. Service users views are sought and acted upon. EVIDENCE: The manager has many years experience in working with people with Learning disabilities and has achieved the Registered Managers Award. During discussion the manager said she encourages an open door approach and would not ask staff to do anything she would not do herself. The support manager confirmed that the manager is always ready to listen to suggestions and ideas from staff, service users and visitors. And said “ She gets the best out of people”. The home has an effective quality monitoring and assurance system in place. All records for the protection of service users and policies examined were accurate and up to date. The manager said a satisfaction questionnaire is Dean Lodge DS0000031157.V272614.R01.S.doc Version 5.0 Page 15 currently being compiled and will be forwarded to service users and their relatives to enable them to make their views of the service delivery known. A health and safety policy statement is in place. All health and safety records examined were up to date. Certificates where available for the servicing and maintenance of major systems and disability equipment. The home is owned by the Local Authority who finances the everyday running of the home. Appropriate insurance is displayed to ensure the protection of people who live in, work in and visit the home. Dean Lodge DS0000031157.V272614.R01.S.doc Version 5.0 Page 16 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 x x x x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x x x x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Dean Lodge Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 DS0000031157.V272614.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? NA 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. Refer to Standard Good Practice Recommendations Dean Lodge DS0000031157.V272614.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Darlington Area Office 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. 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