CARE HOME ADULTS 18-65
Drake Lodge Care Home Drake Lodge 42 Meredith Road Peverell Plymouth Devon PL2 3QJ Lead Inspector
Sheila Giblin Unannounced Inspection 21st February 2006 09:30 Drake Lodge Care Home DS0000064535.V284143.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 Drake Lodge Care Home DS0000064535.V284143.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. Drake Lodge Care Home DS0000064535.V284143.R01.S.doc Version 5.1 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.V284143.R01.S.doc Version 5.1 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 Brief Description of the Service: Drake Lodge care home was purchased by Mr and Mrs Ileladewa on 12/08/05. 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.V284143.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on the morning of Tuesday 21st February 2006. Neither the owner nor the manager was in the home at the start of the inspection as the manager was out carrying out a pre admission assessment. A bank care assistant was on duty. There were three residents at the home and the inspector was informed that another resident might be admitted in the near future. The inspection included a tour of the home and a talk with all three residents. The manager returned to the home before the inspection was ended and she was able to confirm that the recommendations from the previous inspection had been met. 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. Drake Lodge Care Home DS0000064535.V284143.R01.S.doc Version 5.1 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 Drake Lodge Care Home DS0000064535.V284143.R01.S.doc Version 5.1 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): 2 Prospective residents can be assured of an introductory visit as part of their admission process and assessment EVIDENCE: A prospective resident has visited the home and Mrs Ileladewa has assessed the person’s needs to ensure the home is suitable. Drake Lodge Care Home DS0000064535.V284143.R01.S.doc Version 5.1 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): 7, 8 Residents whose decision making ability has become impaired are assisted to make choices. EVIDENCE: The care assistant was observed working with one of the residents and helped him choose a drink. Residents help with domestic tasks ie laying up the table for lunch and tidying their rooms. Drake Lodge Care Home DS0000064535.V284143.R01.S.doc Version 5.1 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): 11,15,16 Residents have appropriate activities to ensure a good quality of life. EVIDENCE: The ownership of Drake Lodge changed approximately six months ago. Some residents have not yet got used to some changes made by the new owners. Residents are now being given the opportunity of going to the MIND centre and doing activities at home rather than going into town shopping as frequently as before. Mrs Ileladewa confirmed that she would like to encourage residents to enjoy a more social life but added that no one must accept these opportunities. Family members are welcome to visit at any time and evidence of this was seen in the visitors book and confirmed by a resident. Drake Lodge Care Home DS0000064535.V284143.R01.S.doc Version 5.1 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 Residents’ unable to care for themselves can feel confident that they will be prompted to undertake personal tasks for themselves in order to maintain self respect. EVIDENCE: Residents were seen to be receiving personal care support as stipulated in their care plan. Drake Lodge Care Home DS0000064535.V284143.R01.S.doc Version 5.1 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): 22 Residents felt they were able to air their views. EVIDENCE: No complaints were received during this inspection. Residents said they have a meeting with the manager every Wednesday and are encouraged to comment on the services being provided. Drake Lodge Care Home DS0000064535.V284143.R01.S.doc Version 5.1 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, 25, 30 Residents live in a suitable home which is clean and safe. EVIDENCE: Drake Lodge is a smaller home with single rooms set out on two levels. The living rooms are on the ground floor. Residents can spend their time in the lounge or in their rooms, whichever they prefer. Bedrooms were comfortably furnished. Throughout, the home was clean and tidy. The carer on duty ensured that the en suite bath/shower rooms were clean. Radiators have been guarded or risk assessed. One bedroom was heavily stained with cigarette smoke with brown paintwork and walls. The management of the home should continue efforts to persuade the client who uses this room to allow redecoration. Drake Lodge Care Home DS0000064535.V284143.R01.S.doc Version 5.1 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): 31, 32, 35, 36 Residents care needs are being met by qualified staff. EVIDENCE: The care assistant on duty at the beginning of the inspection was a qualified nurse who is employed on a sessional basis. This was her third shift working in the home. She was knowledgeable and competent and aware of the residents health care needs. The manager who lives in the home provides most of the care and support to residents. Residents were aware of the different roles of the staff. Mrs Ileladewa has undertaken a certificated Protection of Vulnerable Adults course. Mr Ileladewa has completed a certificated Manual Handling course. Drake Lodge Care Home DS0000064535.V284143.R01.S.doc Version 5.1 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): 38, 39, 42 Residents are assured of living in a well managed home. EVIDENCE: Residents said there is a good atmosphere in the home and they felt well supported by the manager and staff. Residents’ weekly meetings are held to gather their views and to encourage them to speak up about what they want. The electrical wiring has been checked and a completion certificate was seen. Risk assessments for the unguarded radiators and a hot water outlet where the water is not regulated have been written. A risk assessment has been written to cover the risk of Legionella. Drake Lodge Care Home DS0000064535.V284143.R01.S.doc Version 5.1 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 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 X ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 X 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 3 X X LIFESTYLES Standard No Score 11 3 12 X 13 X 14 3 15 3 16 2 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X X 3 3 X X 3 X Drake Lodge Care Home DS0000064535.V284143.R01.S.doc Version 5.1 Page 16 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.V284143.R01.S.doc Version 5.1 Page 17 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
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