Inspection on 27/06/07 for Eleanor Lodge

This inspection was carried out on 27th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Eleanor Lodge 26/04/06

Eleanor Lodge 04/10/05

Eleanor Lodge 04/04/05

Eleanor Lodge 06/09/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Eleanor Lodge 25 Camborne Close Delapre Northampton Northants NN4 8PH Lead Inspector Linda Clarke Key Unannounced Inspection 27th June 2007 09:15 Eleanor Lodge DS0000034974.V337373.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 Eleanor Lodge DS0000034974.V337373.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. Eleanor Lodge DS0000034974.V337373.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Eleanor Lodge Address 25 Camborne Close Delapre Northampton Northants NN4 8PH 01604 764583 01604 768920 SAGreenfield@northamptonshire.gov.uk www.northamptonshire.gov.uk Northamptonshire County Council 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) Mrs Sally-Anne Greenfield Care Home 20 Category(ies) of Learning disability (20) registration, with number of places Eleanor Lodge DS0000034974.V337373.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. That 25a is a separate facility providing respite services for up to 3 service users within the Learning Disability Category. The Unit to have its own dedicated staff team. That 25b is used to provide an assessment service for up to 3 service users within the Learning Disability Category and to have its own dedicated staff team when in use. 26th April 2006 Date of last inspection Brief Description of the Service: Eleanor Lodge is a care home providing a respite service (short stay), an Assessment service (to establish the ability of service users to live independently) and long-term service users who require in some instance significant input with regards to complex needs associated with their learning disability. The bedrooms are single and without en-suite facilities, dedicated areas are in place for the different services, which Eleanor Lodge provides, all having dedicated communal areas, including kitchen and bathing facilities and bedrooms. Eleanor Lodge is surrounded by a small garden, and has a patio area with seating. Information is located on site detailing the range of services offered, which includes the Statement of Purpose and a copy of the Commission for Social Care Inspections, Inspection Reports, which are located in the office. The individual contribution of fees payable is dependent upon an assessment undertaken by Care Management, which will determine the level of contribution payable by the service user. The weekly fee as detailed by the Registered Manager prior to the site visit is £604.00. There are additional costs payable for activities and purchasing of personal items. Eleanor Lodge DS0000034974.V337373.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process consisted of pre-planning the inspection, which included viewing the previous Inspection Report, reviewing of the pre-inspection questionnaire, and Comment Cards sent to service users by the Commission for Social Care Inspection, fifteen service user and ten relative Comment Cards were returned. The unannounced site visit commenced on the 27th June 2007 and lasted 1 day. The focus of the inspection is based upon the outcomes for the service users. The method of inspection was ‘case tracking’. This involved identifying service users with varying levels of care needs and looking at how these are being met by the staff at Eleanor Lodge. Four service users were selected and discussions were held with two of them, additionally one service accessing the Assessment Service was spoken with, as was one service user accessing Respite Services along with several service users who reside at Eleanor Lodge long term. The method of case tracking included the review of service users’ individual care records, discussions with staff of various delegated responsibilities within the home and reviewing the records, training records and the minutes of service user and team meetings. Of the Comment Cards returned by relatives comments received were generally complimentary about the care. Comments incorporated within Relative Comment Cards included: • • • • • My brother thinks of Eleanor Lodge as his home, he is happy there and the staff do their best to make sure all his needs are met. They look after my daughter well. They look after the people in there care. Staff are understanding, catering to individuals needs. Under the circumstances I don’t think they can improve, because they are well looked after and seem to have a very good social life. What the service does well: Eleanor Lodge meets the needs of service users with a variety of needs, who receive support from staff that have the necessary skills and experience. The services offered enable service users to have short breaks from home and to undertake an assessment of ability with a view to independent living. Eleanor Lodge DS0000034974.V337373.R01.S.doc Version 5.2 Page 6 Care plans are tailored to meet the individual needs of service users, they focus on the aspirations of service users, their abilities, and how staff are to support service users with consideration given to specific physical and mental health issues which impact on their quality of life. Eleanor Lodge enables service users to participate in all aspects of daily living, including daytime activities and recreational and leisure pursuits. Service users benefit from a staff team that is lead by a Registered Manager who has a clear understanding of her role, and is committed to consulting with service users and encouraging them to participate into the local community. All staff have a clear understanding of their role in supporting service users, and are able to speak with authority and confidence on individual needs. 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. The summary of this inspection report can be made available in other formats on request. Eleanor Lodge DS0000034974.V337373.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 Eleanor Lodge DS0000034974.V337373.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals considering accessing Eleanor Lodge benefit from documentation detailing the services offered. The admission process it well managed, giving prospective service users the opportunity to visit and ‘test drive’ the home to ensure that care needs can be met. EVIDENCE: Eleanor Lodge has a Statement of Purpose which details the range of service it offers which includes information as to whom the service is aimed at, its aims and objectives, the environment, activities and details as to how referrals are made to the Home and information on staffing including their numbers and training. The format of care plans could be revised to enable service users to better understand their content, for example through the use of pictures, symbols and the use of plain English. Service users are supported by staff that have a clear understanding of their needs, and have the appropriate skills and experience. Staff are able to Eleanor Lodge DS0000034974.V337373.R01.S.doc Version 5.2 Page 9 communicate with service users effectively, as was observed on the day of the site visit. Service users who wish to access Eleanor Lodge for a short break or for an assessment are assessed through the Care Management Team of Northamptonshire County Council who identifies individual needs and their eligibility to receive services. When the level of need and eligibility has been determined the service user and their relatives/carers are visited by a member of staff of Eleanor Lodge, who through discussion gathers more detailed information as to the individuals needs. Prospective service users and their relatives/carers are encouraged to visit the Home, spending time including overnight stays to ensure that the Home is suitable for their needs and meets their expectations. Prior to planned respite stays the ‘keyworker’ (a member of staff that takes the lead in liaising with family and reviewing care plans and attending meetings) of a service user contacts the service user and their family/carer by telephone, to establish as to whether there are any issues which staff need to be aware of, a form is completed which provides an over view of general needs and specific goals for the stay. The four files viewed contained a Contract signed by the Registered Manager and the service user/representative, which details the day to day living arrangements, codes of behaviour, period of notice (long term service users only) and the arrangements for dealing with concerns and the consultation process. Eleanor Lodge DS0000034974.V337373.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users independence is promoted and they are supported to make individual decisions in all aspects of their life that have a direct impact on the quality of care and choice of daily lifestyle. EVIDENCE: The care plans and records of four Service User were viewed, of which one was currently accessing a short break, one being at Eleanor Lodge for an assessment, and two residing at the home long term. Care plans gave a detailed account of the support individual service users require, including personal and emotional support, lifestyle preferences including information on activities and day care. Service user care plans also provided guidelines on how to support service users with their emotional and health care needs and modes of communication. Eleanor Lodge DS0000034974.V337373.R01.S.doc Version 5.2 Page 11 The service user accessing Eleanor Lodge for a period of assessment had a care plan, which identified the areas of daily living, which needed to be assessed in order that staff could encourage and offer guidance in these areas to promote independence with a view to living independently. Care plans were signed by the service user or their representative, and were regularly reviewed, the involvement of service users in the review process is dependent upon their individual needs, on the day of the site visit the Registered Manager facilitated the review of two service users, for which the service user was present, one service user spoke with the Inspector about her review, stating that she would be attending as would her parents. Risk assessments are in place where an activity, event or the environment may present a risk to a service user, the assessment enables staff to support the individual to participate in daily living whilst not restricting their independence or choices. The daily records of the four service users were viewed, written information confirmed service users day to day decisions, for example what they wished to eat, when they wanted to go to bed and the choices of activity which they wished to participate in if any. Service users have the opportunity to take part in regular meetings, minutes of meetings are taken, which detail who took part and the issues discussed along with a record of any action, which need to take place. As a matter of routine the fire and complaints procedure is discussed. Information regarding advocacy services and the complaints procedure was displayed on the service user notice board. The Commission for Social Care Inspection (CSCI) sent out surveys to a number of service users/relatives additional comments were recorded within surveys. • • • • They make sure my son is content and have meetings with me to keep updated as to his needs. They have attended our son’s review meetings, this enables them to get know him better and voice any issues of concern. I like living at Eleanor Lodge and I am very happy here. I have lots of friends here. I have been at Eleanor Lodge a long time and I love it Eleanor Lodge DS0000034974.V337373.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users enjoy, experience and participate in different activities of interests and are supported to maintain their preferred individual daily routines and choice of lifestyle with the support of the staff, if required. EVIDENCE: The care plans of service users focus on personal development for individuals, with regards to social, emotional, communication and independent living skills; achievements are recorded, and communicated to relatives where appropriate. Care plans also include information as to their daytime occupations, which vary for each service user and include attendance at various day centres, colleges and places of employment and detail transport arrangements. On arrival at Eleanor Lodge a majority of service users were preparing to go out for the day, one lady upon her return said she worked in a local cafeteria, Eleanor Lodge DS0000034974.V337373.R01.S.doc Version 5.2 Page 13 others returned from day care placements. One service user had a day off and went shopping for clothes in preparation for his holiday to Torquay, whilst one service user went to Tesco supermarket supported by a member of staff for some personal items. Other service users relaxed at home watching television and videos. A service user in for an assessment said they’d taken the day off work, but spoke of there meeting with a Support Worker about returning to work. Participation in activities both internal and external to Eleanor Lodge are recorded, and include bingo, shopping, eating out, swimming, visiting family, and excursions to the cinema and Wickstead Park. Service users are encouraged to prepare snacks within their separate kitchen facilities, main meals are prepared and cooked by a member of staff, with service users eating their meals in the various dining rooms. Service users accessing Eleanor Lodge for assessment take it in turns to prepare and cook the evening meal, one service user spoken with said that due to budget implications they no longer undertook their own shopping, but took food from Eleanor Lodge’s central supplies, the service user said they missed going shopping as it was part of gaining independence skills. The Commission for Social Care Inspection (CSCI) sent out surveys to a number of service users/relatives additional comments were recorded within surveys. • • • • • They give our son the opportunity to go out and about. They take him to his weekly club, which he enjoys. I can do things I want to at the weekend as long as we’re not short staffed. I like going to the shops and get the paper The staff at Eleanor Lodge know my brother well and are therefore in an ideal position to facilitate him living in the manner he wishes to, they have been the enabling force in bring him to achieving his full potential. A service user accessing respite said he enjoyed staying at Eleanor Lodge as he met many of his friends. He said he liked going out and that the staff were nice. He said the food was good, but he didn’t help to prepare it. Eleanor Lodge DS0000034974.V337373.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service user health care needs and independence is promoted by receiving timely care and support provided in the preferred way. EVIDENCE: Care plans highlight the way in which service users require support, including specialist hair products and health related concerns. Eleanor Lodge has a walk-in shower in the high support area of the home, but service user accessing Eleanor Lodge do not have a significant physical disability and therefore do not require specialist equipment. Service user records detailed service users access to health care professionals, for some service users this was significant, the care plans were detailed and gave clear and concise information as to the support staff would need to provide in order to promote the health of service users. Care plans record the medication service users are prescribed; in addition all service users have a medication profile, which records the medication arriving Eleanor Lodge DS0000034974.V337373.R01.S.doc Version 5.2 Page 15 into the home, in order that an audit trail is possible. Doctor’s letters confirming a change to service users prescribed medication is kept within their medication profile, along with information about the potential side effects. The medication and records of two service users were viewed, in one instance the medication record for one service user from the previous day had not been signed, the medication had been administered. The Registered Manager confirmed she would discuss this with the members of staff. The Commission for Social Care Inspection (CSCI) sent out surveys to a number of service users/relatives additional comments were recorded within surveys. • The staff know my son very well and in all the years he has been there they have treated him with kindness and respect. Eleanor Lodge DS0000034974.V337373.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by a complaints procedure and by staff trained in safe guarding adult processes. EVIDENCE: Documentation submitted by the Registered Manager prior to the site visit detailed that there have been three complaints with regards to the service, the concerns had been recorded and copies of the response to the complainant were kept on site. Staff spoken with during the site visit confirmed they had received training in safeguarding adult protocols, and training records detailed staff attendance at the training, the training enables staff to recognise and respond to allegations or suspicion of abuse, policies and procedures developed by the Local Authority and offer guidance and support to service users and staff. The Commission for Social Care Inspection (CSCI) sent out surveys to a number of relatives additional comments were recorded within surveys. • I was consulted and made aware that my son had complained about a member of staff using foul language. I was told he did this appropriately and maturely and it was dealt with straight away. Eleanor Lodge DS0000034974.V337373.R01.S.doc Version 5.2 Page 17 • If I have any worries problems or concerns I ring up and speak to a Care Manager, they are always polite, friendly and will look into anything. Eleanor Lodge DS0000034974.V337373.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are provided with a warm, safe, clean, comfortable and wellmaintained environment suitable for their needs. EVIDENCE: Eleanor Lodge has five distinctive areas, one being the respite unit, which has a separate external entrance, and an internal entrance through the office. Communal areas are located on the ground floor, with bedroom and bathing facilities to the first floor. The communal areas were decorated to a good standard, the bedrooms were sparse although service users are encouraged to bring with them personal items, rooms would benefit from being more ‘homely’ through the provision of soft furnishings and pictures where appropriate. Staff working with service users in respite do so exclusively and have a separate staffing rota. Eleanor Lodge DS0000034974.V337373.R01.S.doc Version 5.2 Page 19 There are three areas within Eleanor Lodge which provide long term care provision, one area being for those service users that require a higher level of support, the communal area for this group of service users is centrally located in the home, with their bedroom facilities leading off. Communal areas for this group of service users was decorated to high standard, as were bedrooms, which were decorated as to the individual preferences of service users. Service users privacy, peace and quiet when in their communal area is compromised as this area provides access to other areas, and therefore is a walk through for service users and staff. Staff do attempt to minimise the disruption. From the central communal area other areas can be accessed, one area is referred to as the ‘West Wing’, which is self contained having its own communal areas, kitchen and bathing facilities and bedrooms. The ‘West Wing’ was decorated to a high standard, as were the bedrooms, which were decorated as to the individual preferences of service users. From the central communal area access to 25b can be accessed which is located on the first floor, and provides communal areas which include living and dining space, kitchen and bathing facilities and bedrooms which are decorated to service users individual taste and preferences. From the central communal area access to 25a which is for those service users accessing Eleanor Lodge for assessment, this area is self contained, providing a living/dining room, bathing and kitchen facilities and bedrooms, all areas were decorated to a good standard. The Commission for Social Care Inspection (CSCI) sent out surveys to a number of service users/relatives additional comments were recorded within surveys. • • Eleanor Lodge has a wonderful homely atmosphere. I like to help tidy up my room Three service users showed me their bedrooms, and were proud that they had chosen the décor; service users proudly showed me photographs of their relatives, certificates of achievement and medals. Eleanor Lodge DS0000034974.V337373.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient numbers of trained staff are recruited through a robust recruitment process ensuring that service user care and social needs are individually, collectively and safely met. EVIDENCE: The number of staff on duty at any one time is between four to five dependent upon the number of service users staying at the Home, and their needs. A Team Leader, Residential Support Workers and Assistants support the Registered Manager, with further assistance from ancillary staff. Records of monthly visits undertaken by a member of the Quality Team, confirmed that an improvement to staffing and their attendance has significantly if not eradicated the need for relief staff. The Commission for Social Care Inspection (CSCI) sent out surveys to a number of service users/relatives additional comments were recorded within surveys. Eleanor Lodge DS0000034974.V337373.R01.S.doc Version 5.2 Page 21 • Eleanor Lodge has improved of late; there is not such a turnover of staff now, and now employ more male staff, they are good role models for male service users. The Statement of Purpose submitted by the Registered Manager prior to the site visit declared that the Team Leader holds a National Vocational Qualification at level 3, and is working towards level 4 and the Registered Managers Award. There are five Residential Support Workers employed, of which four have attained a National Vocational Qualification at level 3, with one working towards the Qualification. Eleanor Lodge employs fifteen Residential Support Assistants of which five have a National Vocational Qualification at level 2. Staff meetings take place regularly with minutes being taken, staff also receive formal one to one supervisions from their line manager and annual appraisals. The Registered Manager confirmed that formal supervisions are not in all instances taking part with the frequency they should however Managerial staff are always on hand if staff have any queries. The files of four members of staff were viewed, discussions with the Registered Manager confirmed that all members of staff have a Criminal Record Bureau check disclosure; disclosure numbers are kept for reference. New members of staff have a formal induction referred to as Learning Disability Award Framework (LDAF), which is specifically designed for staff working with adults with a Learning Disability. The Registered Manager stated that service users take part in the recruitment of staff, which includes devising their own questions, service users take it in turn to take part in the staff recruitment process, and a system of recording candidates response to questions is in place which reflects service user abilities. A facilitator sits with service users during the interview process offering support where necessary. The training staff receive is reflective of the duties they are employed to undertake and include topics, which promote the health, safety and welfare of service users, health related topics, food hygiene and medication. Staff receive regular training updates. Eleanor Lodge DS0000034974.V337373.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Manager offers a clear sense of leadership, ensuring service user health; safety and welfare are promoted. Service users are provided with opportunities to comment on and affect the service they receive, however this does not formally extend to all relatives and carers. EVIDENCE: The Registered Manager, Mrs Sally Greenfield has 15 years managerial experience working with children and adults with a Learning Disability mainly within a residential setting. Mrs Greenfield has attended various courses and has a Higher National Certificate (HNC) in Management and Social Care and the holds the Registered Managers Award. Eleanor Lodge DS0000034974.V337373.R01.S.doc Version 5.2 Page 23 Northamptonshire County Council (NCC) has a monthly monitoring report, which is in part the responsibility of the Registered Manager to complete. A member of the NCC Quality Team, will visit the home unannounced, visits will incorporate weekends and evenings to undertake an audit of the service being provided, which will include speaking with services and visitors, viewing records, speaking with staff on duty, viewing the environment and following upon issues identified at the previous visit. The two most recent reports were viewed, which demonstrated that issues identified by the Quality Team are acted upon by the Registered Manager, which ensures that service users continue to have their needs met. Service users are also able to raise issues at weekly meetings, whereby minutes are taken and any action required is noted. Service users accessing respite services take home with them a discharge form which summarises the service users stay providing information on activities they have participated in, any achievements, and information which may affect the well-being of the individual. Service users and their relatives/carers could influence the service with greater effect if they were to take part in a formal quality review process, this could include questionnaires being sent to parents/carers and service users. An audit of responses to be published and copied to relatives/carers and service users including an action plan of any issues raised. The Pre Inspection Questionnaire submitted prior to the CSCI prior to the site visit detailed the regular maintenance of health and safety systems within the home, including fire systems and equipment, environmental health visits, central heating systems and emergency call systems. Records detailing fire drills and checks were viewed, and found tests to be carried out on a regular basis. Eleanor Lodge DS0000034974.V337373.R01.S.doc Version 5.2 Page 24 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 3 2 3 3 3 4 3 5 3 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 3 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 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 2 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 1 X X 3 X Eleanor Lodge DS0000034974.V337373.R01.S.doc Version 5.2 Page 25 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 YA39 Regulation 24 (1) Requirement A Quality Assurance process to be introduced, which provides service users, relatives/carers a formal opportunity to comment as to the service they receive. The Quality Assurance process should be open and transparent, with participants being given a report as to the outcome of the process, which details any actions the Home intends to introduce as a result of the audit. Timescale for action 28/08/07 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 YA6 Good Practice Recommendations Service users may benefit from the presentation and format of care plans being reviewed, to enable service users to better understand their content, through the use of pictures, symbols and plain English. Service users accessing Eleanor Lodge for assessment should have their independence promoted by being given DS0000034974.V337373.R01.S.doc Version 5.2 Page 26 1 YA11 Eleanor Lodge 2 YA26 the opportunity to undertake shopping for their groceries and provisions. Consideration to be given as to how the bedrooms for service users receiving respite could be made to be more ‘homely’ giving consideration to the individual needs of service users. Eleanor Lodge DS0000034974.V337373.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Eleanor Lodge DS0000034974.V337373.R01.S.doc Version 5.2 Page 28 - 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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