Inspection on 11/09/06 for Drake Lodge Care Home

This inspection was carried out on 11th September 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

Drake Lodge Care Home 21/02/06

Drake Lodge Care Home 10/11/05

Similar services:

Trevaylor Manor

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

Claremont Nursing Home

Althea Park House

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

CARE HOME ADULTS 18-65 Drake Lodge Care Home Drake Lodge 42 Meredith Road Peverell Plymouth Devon PL2 3QJ Lead Inspector Kim Fowler Unannounced Inspection 11th September 2006 01:50 Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 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 Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 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. Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Drake Lodge Care Home Address 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) Drake Lodge 42 Meredith Road Peverell Plymouth Devon PL2 3QJ 01752 773848 01752 773848 drakelodgepl23qj@btinternet.com Mr Adewale Michael Ileladewa Mrs Christianah Bosede Ileladewa Mrs Christianah Bosede Ileladewa Care Home 5 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (5) of places Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service must only accommodate service users between the ages of 25 and 65 Two named service users over the age of 65 Date of last inspection 21st February 2006 Brief Description of the Service: Drake Lodge Care Home was purchased by Mr and Mrs Ileladewa in August 2005. The home is a semi detached large Victorian Villa in the middle of a residential street, on the edge of the Peverell area of central Plymouth. A full range of amenities and facilities are within walking distance and Central Park is just across the road from the home. The service can accommodate up to five service users over two floors. The home is entered on the ground at the front. There is one bedroom with en suite bath and toilet on this level as well as the communal lounge, dining room and kitchen. On the first floor level is one double room with en suite shower and toilet, two double bedrooms and one single bedroom. The main bathroom with toilet is also on the first floor. There are no shared rooms and due to the age of the building all the ceilings are reasonably high giving an additional feeling of space in the home. There is a large area of patio garden to the rear of the building. The service offered by the home is registered for men and women with mental health issues between the ages of 25 and 65 years of age. Because of the layout of the home this service would have difficulty supporting residents with significant mobility difficulties. The present group of residents has a mixed range of ages and abilities. Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over 1 day. Mr and Mrs Ileladewa were available during the inspection. The site visit included a tour of the building and discussion with the residents and one relative, of a service user, who was visiting at the time of the inspection. Documentation relating to the care planning process and the management of the home were examined. Prior to the inspection, resident comment cards had been sent to the care home to allow residents to comment upon their experiences. Four cards were returned and no issues of concern were raised. One staff comment card was also received after the site visit was concluded. All comments were positive. What the service does well: What has improved since the last inspection? What they could do better: No recommendation or requirements were made during this inspection. Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 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. Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 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 Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 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): 2 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The service users who choose to live in this home can be confident that their assessed needs will be met because a full professionally conducted assessment is undertaken by the owners. EVIDENCE: A new service user was admitted to the home this year and another prospective service user was visiting the home during the inspection. The files of both of these people contained detailed assessments of the care required by both individuals. The files held both Care Plans that had been produced by the registered providers as well as Care Plans provided by the placing authority. A pre admission assessment was also held on file. The owners of the home stated that they had visited each service user and taken a detailed history which was necessary in order to ensure that the home was able to meet each service user’s needs. A Care Plan was held on file from the previous placement showing a full medical and mental health needs history. Service users said that they had been involved in the completion of assessment forms prior to admission. This provided the service users with Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 Page 9 information that the home can not only meet their health care needs but also their emotional, social, cultural and religious needs. Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 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 the following standard(s): 6/7/9 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Service users can be confident that the care plans and pre-admission assessments will provide information that enable staff to meet their care needs. EVIDENCE: Files examined showed that all service users have full and comprehensive care plans in place. The care plans included a detailed history of mental health needs. There was information about professional input as well as current medication. Information was also available from the care management team and the previous placement of one service user. Ensuring a full history is essential in order to map improvements and therefore assess if an individuals needs are continuing to be met. Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 Page 11 Information on self-harm issues recorded at a previous placement as well as current issues were well documented. This ensured that staff had as much information as possible to enable them to provide sensitive support. Risk assessments also considered self-harm tendencies. Information about everyday decisions that promote independence where recorded on service users records. Observed interaction between the homeowners and the service users showed that activities were discussed and planned before final decisions were made. Information was recorded on who manages service user’s finances. This included information on how the homeowners assist each individual service user to manage their own finances to the best of their ability. Care plans also recorded information about others who may act on a service users behalf, in relation to finances, such as if someone held Power of Attorney for a service user. All documents, statements and letters were held on files to show expenditure and current finance situation. Full comprehensive risk assessments are held on file and signed by individual service users. This included a signed risk assessment on a smoking policy put in place for a new service user. This policy ensures the health and safety of all service users in the home. One service user said that they had been involved in their risk assessment and the development of the smoking policy. Files, that were examined, described a missing person incident. The records showed that the home managed this incident well and all occurrences and outcomes were clearly recorded. Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 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 the following standard(s): 12/13/15/16/17 The quality in this outcome area is good. This judgement has been made using the available evidence including a visit to the service. The quality of life for residents is enhanced by the introduction of daily activities planners provides which create interest and stimulation. EVIDENCE: All of the service users were spoken with during this inspection. Some informed the inspector that they are assisted by the owners and staff and enabled to do things they are interested in, including going to the shops. One service user confirmed that they attend a local college and are taking courses of their choice. A prospective service user’s daily planner has already been developed and includes a list of planned activities that already occur and will continue after admission. The owners confirmed that these activities, which included swimming sessions, would continue following admission. During discussion with this service user they that they enjoyed swimming and definitely wished to continue. Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 Page 13 Information was held on file of what benefits each service user is able to obtain. Also, there was correspondence with a solicitor about claiming additional benefits. Information was available to show the support the staff had given to ensure all service users receive the benefits they are entitled to claim. All the service users said that they visit many places in the local community regularly. One service user takes regular walks around the local area. Another attends the local MIND and Crossways group set up for people with mental health issues. Another said that they go to the local snooker hall. Two service users have applied for bus passes from a local company. It is hoped that the use of bus passes will promote their independence. Records showed that service users are encouraged to vote and take part in local elections. Service users said that they are encouraged to maintain family links. The registered providers where clear that family contact is vital for the continued well being of service users. One service user described going on holiday with their family. One service user informed the inspector that they receive regular phone calls from a friend and arrange to visit them in the local town. Another service user confirmed that they have family that visit regularly. Two relative feedback cards were sent to the Commission and contained mainly positive feedback. However, one made comment that they had not been informed when the fees had risen. Care plans described how independence and individual choice is promoted, and one service user confirmed that they go out everyday for a walk. All service users are offered a key to the front door. Risk assessments have considered if individual service users are or are not able to hold a key. Service users said that they receive mail addressed to them, and the staff are available to assist them if they request it. During the inspection service users were freely going about the house. One service user chose to remain in their bedroom and the visiting service user remained in the lounge area with other service users. A daily planner system has been started that lists all domestic tasks. Two of the service users informed the inspector that they regularly undertake some domestic chores. An observed mealtime confirmed that all food is home cooked and that fresh products are used. The menus showed that the meals are nutritional and varied. Service users confirmed that the meals were very good and they are offered a choice of food. Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 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 the following standard(s): 18/19/20 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Service users can expect a high level of support that promotes privacy and dignity at all times. The wellbeing of the service users is promoted because there is good access to health care. EVIDENCE: Care plans had been reviewed and service users confirmed that they had been involved in drawing up these plans. They contained information about times of going to bed and getting up, which are flexible and suit individual needs. All the service users in this home are currently male and the male owner will assist when requested or required. Service users aids and adaptations, such as a hearing aid are serviced regularly. Information contained in care plans showed that an Occupational Therapist calls to see one service user. The planned activity is described in detail. A Community Psychiatric Nurse is involving in the placement of a new service user and files showed the involvement and planned visits which will assist the service user to settle in. Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 Page 15 Further files examined showed that other service users have input from the Community Psychiatric Nurse service. During this inspection a Social Worker was visiting the home to review one service user. This is recorded in the home’s significant events section, which maintains a record of all professional input. One service user has regular doctors visits and another service user has a chiropodist who they see regularly. Feedback cards received from the Occupational Therapist and the Pharmacist provided positive comments about the home. This included information that the home communicates clearly and works in partnership with these professionals. The home has a clear medication procedure in place and both the owners are qualified nurses and fully understand the principles of medication. This was evident in the recording system used at the home. The controlled drug record was well maintained and managed. The Pharmacist had completed their assessment recently and provided evidence that the system was indeed well maintained and recorded. Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The service users can be confident that any complaints or concerns raised will be listened to, acted upon and well managed by the home. EVIDENCE: The home has a complaints procedure in place and this is clearly displayed on the home’s notice board. This information included, how to contact the Commission for Social Care Inspection. It described the process that would be used if a complaint is made and included timescales. This information assists service users to understand how complaints are managed. One service user was able to inform the inspector that they were aware they could make a complaint and felt comfortable to do so if needed. They also stated that the owners were approachable and always available. The Commission has no recorded complaints on file. The owners and the staff have completed the Adult Protection training. Certificates confirming this were displayed in the main entrance area. There is an alerter’s guide available, for reference, if needed to ensure correct procedures are carried out. Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 Page 17 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 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The service users benefit from a homely, comfortable, clean and well maintained building that meets their needs. EVIDENCE: This home provides appropriate accommodation and facilities to meet the needs of the current service users. The home is well maintained and has new carpets. A new shower has been fitted in the main bathroom in order to meet the assessed needs of a prospective service user. The owners informed the inspector that decoration work is ongoing when needed. It is clear that the home is fit for purpose. A smoking shelter has been fitted for the comfort of a new service user who is a smoker. This is situated in the rear garden. Other service users are able to access this when required. Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 Page 18 A full tour of the premises showed the home to be clean and comfortable and that the furnishings are adequate. The homes laundry facilities are domestic in character and a sluice facility is available if required. Several service users confirmed that they use these facilities to do some of their own laundry which promotes their independent living skills. Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 Page 19 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): 34/35 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Well-motivated and caring staff meet the needs of residents. Good recruitment practices protect residents. EVIDENCE: As this is a small home and the current owners live on the premises, only 2 staff are employed. There is a regular list of bank workers that promotes continuity of care for service users. Staff files were examined and provided evidence that the necessary preemployment checks had been undertaken to ensure unsuitable staff are not employed. Both staff files examined, contained references and CRB checks. The Commission received one staff survey. This survey stated, under the heading what the care home does well, “good care for both residents and staff”. These files showed that regular supervision was also provided. It was evident from these files that the training and development of the staff is regularly provided to ensure the service users receive the best possible service from a well trained staff team. Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 Page 20 One of the registered providers has completed an Infection Control course, which will help to ensure that systems will be used to best advantage in order to minimise any spread of infection. Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 Page 21 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 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Management of this home is very good. Service users are happy and think highly of the registered providers. EVIDENCE: Mrs Ileladewa, one of the owners is near completion of the Registered Managers award. Mrs Ileladewa also has an NVQ in care and is a qualified Registered Mental Nurse. Evidence was available to show that the manager is continuing with her own professional development. Included was information about courses that had been taken in Infection control, Manual Handling and Adult Protection. All service users spoke highly of both owners. Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 Page 22 A quality assurance survey had been completed and the owners had received one thank you card. The quality assurance forms were sent to family, professionals and service users. These forms were examined and showed that they all contained positive comments. The home holds monthly meetings and the recorded notes showed that any concerns raised had action taken to resolve these concerns. The service users surveys clearly state how well the service users think of the owners, the food in the home and the care they receive. Sampling of records indicated equipment is serviced regularly and maintained in good order. The pre-inspection questionnaire stated that various Health and Safety checks had been carried out. This included gas appliances and domestic electrical equipment. The home has a Legionella risk assessment in place. None of the hot water outlets had been adapted but risk assessments are in place for each individual service user and held on individual files. All uncovered radiators also have risk assessments in place. A previous inspection report requested that an electrical wiring certificate covering the wiring of the building be obtained. A certificate relating to this was available during this inspection. The fire logbook was examined and clearly showed that weekly fire alarm testing was carried out. These files also showed evidence that the fire alarm system has had regular serviceing. All staff have completed Fire Safety training, and certificates were available to show that staff had attended other courses which included Safer Food Better Business. This course related to food hygiene. The Environmental Health Department had recently completed a visit and no requirements were made. Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 Page 23 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 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 X 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 Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 Page 24 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. 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 YA24 Good Practice Recommendations A bedroom whose décor is heavily stained with cigarette smoke should be redecorated when permitted by the occupant of the room. Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Drake Lodge Care Home DS0000064535.V302618.R01.S.doc Version 5.2 Page 26 - 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!