Inspection on 05/07/05 for Ebor Lodge

This inspection was carried out on 5th 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

Ebor Lodge 28/01/09

Ebor Lodge 14/11/06

Ebor Lodge 24/11/05

Ebor Lodge 02/11/04

Ebor Lodge 27/07/04

Similar services:

Whiteley House

Tyndale Avenue

2-10 Norfolk Road

Bennfield House Nursing Home

Eastfield Residential Home

Sign Health

Springwood

Fairburn Mews

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

CARE HOME ADULTS 18-65 Ebor Lodge 92 Westbourne Avenue Princes Avenue Kingston upon Hull HU5 3HS Lead Inspector George Skinn Announced 5 July 2005 9:30 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. Ebor Lodge J54_s883_Ebor Lodge_v228100_050705_Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Ebor Lodge Address 92 Westbourne Avenue Princes Avenue Kingston upon Hull HU5 3HS 01482 342099 01482 342099 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) Mrs Rosina Clarke Mrs Rosina Clarke Care Home 13 Category(ies) of MD Mental Disorder (13) registration, with number of places Ebor Lodge J54_s883_Ebor Lodge_v228100_050705_Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection Brief Description of the Service: Ebor Lodge is a large corner house situated in a residential area in the west of the city of Kingston Upon Hull. The house has three floors on which service users’ bedrooms are located. There are sufficient bathrooms and toilets available as well as two lounges, one designated for smoking, and a dining room. A patio area to the rear of the house is available for service users. The home has a laundry and a kitchen and these services are provided. There are car park facilities for two cars. The home is close to two shopping amenities in the local area and has access to bus routes to the rest of the city.Ebor Lodge is registered to provide personal care and accommodation for a maximum of thirteen service users. The registration category allows the home to care for service users with a mental disorder, excluding learning disability or dementia. Ebor Lodge J54_s883_Ebor Lodge_v228100_050705_Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which took 5 hours. The home was measured against the national minimum standards for younger adults. The building was inspected and some records were inspected. What the service does well: What has improved since the last inspection? What they could do better: The manager acknowledges that they are not perfect but is always reassessing and auditing the service offered to see if there are areas for improvement. Ebor Lodge J54_s883_Ebor Lodge_v228100_050705_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. Ebor Lodge J54_s883_Ebor Lodge_v228100_050705_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 Ebor Lodge J54_s883_Ebor Lodge_v228100_050705_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) 2 Residents’ are assessed prior to moving into the home and know their needs and aspirations will be met. EVIDENCE: A copy of the care management assessment was seen with the homes own assessment. The acting manager is aware of the need to make sure this happens for all prospective residents. Evidence was seen of residents signing their own individual care programmes. The prospective residents are invited to the home to spend a day and have their meals with other residents. The home liaise closely with the residents care Co-ordinators prior to admission. Residents confirmed that they had been involved in the admission process and more than one thought it was the best place to live when they were choosing their home. Ebor Lodge J54_s883_Ebor Lodge_v228100_050705_Stage 4.doc Version 1.40 Page 9 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 & 9 Resident changing needs are well managed. Taking risk s is seen as part of the residents choice in how they wish to live their lives. EVIDENCE: Residents have individual plans of care. These documents now cover all aspects of personal and social support and healthcare needs. Plans of care also describe any restrictions of choice and freedom on residents. Residents are fully involved in the compiling of plans of care, which are reviewed every six months and are signed by the residents. Resident commented on being aware of care plans and two knew the date of their next review and who they wanted inviting. Risk assessments are completed on individual residents as well as on the home in general. These are reviewed six monthly on residents with plans of care and yearly on the home. The residents were fully involved with the formulating of risk assessments and one commented on being able to negotiate his own limitations and risk taking around alcohol. Ebor Lodge J54_s883_Ebor Lodge_v228100_050705_Stage 4.doc Version 1.40 Page 10 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) 13 &17 Residents’ are part of the local community and are enabled to take advantage of local facilities. Residents are offered a balanced and healthy diet and enjoy their meals. EVIDENCE: Information regarding available opportunities for residents to become part of and participate in the community is provided either verbally or by use of posters and leaflets one resident was being supported in finding singing lessons. Information relating to public transport and church services is posted in the home for residents to view. Residents are assisted to exercise their political rights by ensuring they register to vote and cast their votes at the poll station. Residents visit friends and relatives on a regular basis. Resident commented on being able to go out as they pleased as long as they let the staff know they were out of the building and where they were going, many were heard organising outings with the staff. Ebor Lodge J54_s883_Ebor Lodge_v228100_050705_Stage 4.doc Version 1.40 Page 11 Meal times are flexible and are set according to the residents’ wishes; there are a few sittings with residents choosing which time suites them best to eat their meals. The home offers a choice for meals with likes and dislikes responded to. Menus seen were varied and compiled with healthy eating in mind. Conversation with residents indicated satisfaction of the meals provided comments included “the food is really good with plenty of choice” “they always serve the food I like” Ebor Lodge J54_s883_Ebor Lodge_v228100_050705_Stage 4.doc Version 1.40 Page 12 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) EVIDENCE: Ebor Lodge J54_s883_Ebor Lodge_v228100_050705_Stage 4.doc Version 1.40 Page 13 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) 22 Residents felt their views are listened to valued and acted on. EVIDENCE: Resident said they knew who to complain to if they had any concerns and were confident that these would be taken seriously. When asked none of the residents had any concerns or complaints. The home has a written complaint procedure, which has a timescale of 24 hours to acknowledge any complaint made. The commission for Social Care Inspection address and telephone number are included in this. To provide greater confidentiality to complainants the complaint record is now on rather than the old A4 notebook. Ebor Lodge J54_s883_Ebor Lodge_v228100_050705_Stage 4.doc Version 1.40 Page 14 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) 24 & 30 Residents live in a home which is comfortable, safe and free from offensive odours. EVIDENCE: The home is suitable for the needs of the present residents. The home is well maintained generally. The main lounge is used by all the residents and as a consequence is in constant need of redecoration, there is now in place an extractor fan and this does alleviate some of the smoke. The residents’ rooms were generally well maintained and decorated. Residents took a pride in their own surrounding. One-resident spends the majority of the day in bed but the home has provided the appropriate equipment and a room which is suitable for their needs. The home was found to be generally clean and free from offensive odours. Ebor Lodge J54_s883_Ebor Lodge_v228100_050705_Stage 4.doc Version 1.40 Page 15 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) 34 Residents’ are protected by the homes recruitment process. EVIDENCE: Residents’ said that the staff were a “good bunch” and cared for them with dignity and respect. Those staff file inspected contained the information required; CRB checks have been applied for prior to starting work. All existing staff have had a CRB check done. Ebor Lodge J54_s883_Ebor Lodge_v228100_050705_Stage 4.doc Version 1.40 Page 16 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: Ebor Lodge J54_s883_Ebor Lodge_v228100_050705_Stage 4.doc Version 1.40 Page 17 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 3 x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x x 3 x x x 3 Standard No 31 32 33 34 35 36 Score x x x 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ebor Lodge Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x J54_s883_Ebor Lodge_v228100_050705_Stage 4.doc Version 1.40 Page 18 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. 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 Ebor Lodge J54_s883_Ebor Lodge_v228100_050705_Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Ebor Lodge J54_s883_Ebor Lodge_v228100_050705_Stage 4.doc Version 1.40 Page 20 - 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!