Inspection on 20/09/05 for Dorset Lodge

This inspection was carried out on 20th September 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

Dorset Lodge 17/04/07

Dorset Lodge 11/01/06

Dorset Lodge 28/03/05

Dorset Lodge 16/12/04

Similar services:

Chesham House

Argyll House

Acacia House

Falcon House

Dial House Nursing Home

Cromwell Avenue (9)

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

CARE HOME ADULTS 18-65 Dorset Lodge 5-7 Dorset Gardens Rochford Essex SS4 3AH Lead Inspector Ron Reeves Unannounced Inspection 20th September 2005 10:00 Dorset Lodge DS0000018109.V251898.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 Dorset Lodge DS0000018109.V251898.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. Dorset Lodge DS0000018109.V251898.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Dorset Lodge Address 5-7 Dorset Gardens Rochford Essex SS4 3AH 01702 545907 01702 541517 Julie@dorsetlodge.fsnet.co.uk 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) Dorset Lodge Limited Company Mrs Julie Turner Care Home 10 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (9), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (1) Dorset Lodge DS0000018109.V251898.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28 March 2005 Brief Description of the Service: Dorset Lodge is a care home which provides care and accommodation to ten adults with mental health problems.The home is situated within walking distance of local shops and within a bus ride of Rochford and Southend town centre. Public transport is easily accessible. The home is decorated, maintained and furnished to a high standard, there is a comfortable lounge, a separate smoking lounge, a large kitchen/dining area and eight single bedrooms and one shared bedroom. Most of the bedrooms have en-suite facilities the remaining bedrooms have their own designated bathrooms. The property has a small garden to the rear and there is limited parking to the front. Dorset Lodge DS0000018109.V251898.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection that took place on he 22/09/05 lasting 6.5 hours. The inspection process included discussions with the manager, two staff, three residents and a visiting professional. Opportunity was taken to tour the premises and grounds and examine a sample of policies, procedures and records. 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. Dorset Lodge DS0000018109.V251898.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 Dorset Lodge DS0000018109.V251898.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): 1-5 The home operates a thorough and responsible pre-admission assessment; care and attention is given to ensuring that the home can meet individual needs resulting in appropriate admissions. EVIDENCE: The home has an appropriate Statement of Purpose and service user guide. The manager described a thorough admission process, which involved an assessment and regular discussions with relevant professionals. Prospective residents are invited to visit the home as many times as they wish before making a decision. Evidence was available to indicate that the registered manager attends Care Programme Approach (CPA) meetings and reviews. Staff are well trained in mental health issues and managing violence and aggression. All residents receive a comprehensive contract detailing the terms and conditions of residence. Dorset Lodge DS0000018109.V251898.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): 6-8 Residents mental health needs are well provided for by the home. Residents are actively encouraged and empowered to participate in all aspects of life in the home. EVIDENCE: The care plan of the most recent admission was examined. The care plan was observed to be detailed, comprehensive and included information regarding personal details, past medical/psychological history and a full assessment of needs. Comprehensive risk assessments were seen to be completed and protocols for dealing with specific mental health needs were provided. From discussions with the resident it was clear that they were involved in all stages of the care planning process and were well supported by the staff. Residents are actively encouraged to participate in the day-to-day running of the home. They were all complimentary regarding the relaxed atmosphere within the home and felt their preferences; likes and dislikes were taken into account. Dorset Lodge DS0000018109.V251898.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): 11-17 Links with the community are good with a variety of evidence that indicates residents are supported to access social and educational opportunities and maintain friendships both within and outside the home. The planning of meals is flexible to suit residents’ wishes and needs. EVIDENCE: There was clear evidence that residents are given opportunities for personal development with college and day centre attendance encouraged. Residents have access to all community facilities and are assisted to pursue leisure pursuits of their choice. Residents are encouraged to maintain positive friendships with others and maintain family links. Basic house rules are included in the Service Users’ guide and any individual restrictions are only introduced on recommendations of the consultant psychiatrist and discussed with the resident. The home operates a 4 week rotating meals for meals. However menus were seen to be flexible, based on resident’s wishes. Dorset Lodge DS0000018109.V251898.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): 18-20 The health needs of the residents are well met with evidence of good multidisciplinary working taking place on a regular basis. EVIDENCE: All residents maintain their own personal care with minimal support from the staff. Records indicated that residents have access to a range of health care professionals and services. Close links are maintained with resident’s individual care co-ordinator and consultant psychiatrist. The homes medication systems, records and storage facilities were seen to be appropriate. However protocols for medication prescribed “as and when required” “(PRN)” require further development to ensure guidelines and clear and comprehensive. Dorset Lodge DS0000018109.V251898.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): Arrangements for protecting residents and responding to their concerns were satisfactory. However, staff should be provided with training for the protection of vulnerable adults. EVIDENCE: The home has appropriate complaints procedures in place. Residents spoken with said they can always discuss any concerns they have with the staff. One complaint regarding inappropriate care of a resident has been investigated by the Commission and was found to be “not upheld”. The home has policies and procedures for the protection of vulnerable adults and the Essex County Council guidelines. Although staff are aware of the homes policies and procedures, none had undertaken training for the protection of vulnerable adults. Dorset Lodge DS0000018109.V251898.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): 24-30 The standard of the environment within the home is to a good standard providing residents with an attractive and homely place to live in. EVIDENCE: The home continues to provide a well furnished, decorated and maintained accommodation for the residents. Most bedrooms have en-suite facilities, others have their own designated bathrooms. Communal space consists of two lounges (one designated for smokers) and a large kitchen/dining room. None of the residents require any aids or adaptations to the building. On the day of the inspection the home was found to be clean and tidy throughout. Residents spoken with said they were very satisfied with accommodation provided. Dorset Lodge DS0000018109.V251898.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): Staff at the home are well trained, supported and employed in sufficient numbers to meet residents’ needs. Staff moral is high resulting in an enthusiastic work force that works positively with the residents. EVIDENCE: Staffing levels within the home continued to be met as agreed with the previous registering authority. Staff spoken with said they felt that staffing levels were adequate to meet the needs of the residents. They felt that they had a good staff team who supported each other and the staff morale was good. Staff records indicated that staff receive a wide range of training, including NVQ level 2, with medication and moving and handling training introduced for all staff. Protection of vulnerable adults training has yet to be introduced. Staff appraisals and staff supervision are taking place. However supervision is not in line with the National Minimum Standards recommendations. Dorset Lodge DS0000018109.V251898.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): 37,38, 40-43 The home benefits from an experienced, qualified manager who provides stable leadership and guidance to staff to ensure a consistent quality of care. EVIDENCE: The manager is a Registered Mental Nurse who has many years experience with client group. She undertakes regular training to maintain her registration. She is at present undertaking the Registered Managers Award NVQ4. Staff spoken with said the manager is easy to approach and is very supportive. She holds regular staff meetings and provides in-house training for staff on mental health issues. A random sample of the homes policies and practices and records was inspected and seen to be satisfactory. Safety certificates for services were seen to be in place and regular checks maintained on the homes fire prevention equipment. The home is financially viable. Dorset Lodge DS0000018109.V251898.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 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 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 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 X 3 2 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Dorset Lodge Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 X X 3 3 3 DS0000018109.V251898.R01.S.doc Version 5.0 Page 16 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. 3. Refer to Standard 21 36 35 Good Practice Recommendations Develop the homes protocols for PRN regulation to ensure clarity. Staff individual supervision should be carried out six times a year. 50 of staff to achieve NVQ level 2 or equivalent by 2005. Dorset Lodge DS0000018109.V251898.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Dorset Lodge DS0000018109.V251898.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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