Inspection on 04/10/05 for Eleanor Lodge

This inspection was carried out on 4th October 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

Eleanor Lodge 27/06/07

Eleanor Lodge 26/04/06

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 Mrs Sara Morrison Unannounced Inspection 4th October 2005 02:00 Eleanor Lodge DS0000034974.V256693.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Eleanor Lodge DS0000034974.V256693.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Eleanor Lodge DS0000034974.V256693.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Eleanor Lodge Address 25 Camborne Close Delapre Northampton Northants NN4 8PH 01604 764583 01604 768920 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) Northamptonshire County Council Mrs Sally-Anne Greenfield Care Home 20 Category(ies) of Learning disability (20) registration, with number of places Eleanor Lodge DS0000034974.V256693.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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. 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. 2. Date of last inspection Brief Description of the Service: Eleanor Lodge is a home providing care and support for up to 20 adults with leaning difficulties, and is run by the Local Authority. The home is situated within a housing estate, with access to local amenities and transport. The home is divided in three distinct service areas, providing accommodation for assessment, respite and longer-term care. Assessment and respite are provided for a maximum of three people at any one time in houses 25a and 25b that are linked to the main unit by a door. The longer-term care is sub divided into three areas each with its own lounge/dining rooms, kitchen, bedrooms and bathroom. These areas accommodate 4 people in a first floor flat geared towards independence; 5 people in the ground floor west wing and 5 people in the ground floor high support unit. Eleanor Lodge DS0000034974.V256693.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four hours during the afternoon and early evening, was carried out as part of the regular inspection visits required by law and was unannounced. Prior to the inspection time was taken to review the information gathered since the last inspection and plan this inspection visit. The focus of the inspection was the high support unit and west wing and did not include the assessment or respite units or the first floor ‘flat’. The inspection included a tour of the majority of the communal areas and some bedrooms in the building; inspection of some records, discussion with three of the staff, several service users and the team leader. The method of inspection was to track the lives of several service users. This was achieved by speaking to them about the service they receive, talking to staff who provide their care and reviewing their records. Advice was given about some arising issues however no requirements have been made in this report as the manager has demonstrated a commitment to consider everything that the home does in line with the National Minimum Standards and make the necessary changes to ensure good outcomes for service users. What the service does well: What has improved since the last inspection? Since the last inspection extra staff have been appointed and are waiting for the necessary checks to be completed in order that they can start work. Less staff are taking time off sick and the team leader feels that this is due partly because the reasons for absence are being closely looked at and to staff feeling more included in the plans for the future of the service. Eleanor Lodge DS0000034974.V256693.R01.S.doc Version 5.0 Page 6 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. Eleanor Lodge DS0000034974.V256693.R01.S.doc Version 5.0 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.V256693.R01.S.doc Version 5.0 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): No standards in this section were reviewed at this inspection. EVIDENCE: Eleanor Lodge DS0000034974.V256693.R01.S.doc Version 5.0 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 the following standard(s): 7 Staff endeavour to enable service users to make decisions about their lives, however this is sometimes restricted by events outside the control of staff. EVIDENCE: It was evident through observation and discussion with service users and staff that people are enabled to make their own decisions. For example one service user did not want the meal that had been prepared and requested sandwiches. These were provided and he then chose not to sit at the dining table but to eat them whilst watching television. Three staff due to work the late shift had phoned in sick that day and only one person from an agency had been secured to cover. This meant that the two staff allocated to work in the high support unit also had to cover the west wing. A member of staff brought five mugs of tea into the west wing lounge at 4pm for service users who live in this area. The last person arrived home at 4:30pm by which time her tea was cold and she chose not to drink it. The kitchen was locked so she could not access another drink. It is assumed that Eleanor Lodge DS0000034974.V256693.R01.S.doc Version 5.0 Page 10 had there been a member of staff to cover this unit then this situation would not have occurred. Eleanor Lodge DS0000034974.V256693.R01.S.doc Version 5.0 Page 11 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 There is a range of day and leisure activities available that enable service users to lead full and active lives. EVIDENCE: All service users attend a variety of day placements. The team leader explained that each service user has the opportunity once a month to have a day at home and choose what they would like to do. Staff are available to offer support if required and some people choose to use this opportunity for a social evening out rather than a daytime activity. Staff said that a mini bus can be hired or some staff use their own cars to take service users to activities in the evening. Service users said they enjoy a number of different leisure activities one person said he enjoyed bowling and another person said he was on the committee of a social club that runs on a Wednesday evening. One member of staff said that he felt activities could be better planned as apart from regular clubs etc throughout the week activities are arranged on an ‘ad hoc’ basis. Advice was given that the home may wish to consider utilizing Eleanor Lodge DS0000034974.V256693.R01.S.doc Version 5.0 Page 12 the short stay planner devised by the staff team from the short stay unit run by Northants County Council in Wellingborough to plan for the people who access the respite service. Eleanor Lodge DS0000034974.V256693.R01.S.doc Version 5.0 Page 13 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 Service users physical and emotional health needs are met to ensure their health and well being. EVIDENCE: Service users said that staff help them in the way they prefer and they can choose times to get up/go to bed have a bath etc. The health of service users is monitored and problems are identified and referred to an appropriate specialist. One service user was recovering from having two teeth out. Staff were sensitive to her and gave her lots of reassurance. One service user said that he suffers from diabetes. Staff confirmed that they monitor his condition closely, currently he has tablets to control the condition and staff are anxious to maintain his well –being so that he doesn’t require injections for this. One service user said that he has been in hospital on several occasions; he said that staff help him to see the doctor and nurse and look after him if he is ill. Eleanor Lodge DS0000034974.V256693.R01.S.doc Version 5.0 Page 14 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. Service users are protected from abuse and their views listened to, they can feel confident that they are safe and any concerns they have will be dealt with. EVIDENCE: There is evidence that staff have received training in the protection of vulnerable adults and robust procedures for what to do if an incident is alleged are in place. Staff gave a good account of what they would do if they witnessed a service users being abused. Service users are enabled to use their right to complain and staff take any issues raised seriously. For example one service user had been complaining to staff about a number of issues and seemed generally unhappy about things. Her key worker spent time with her and assisted her to focus the issues. Staff then recorded these for her onto the complaints form. The team leader spoke to her and said she would be investigating the points raised and confirmation about the process and the outcome would be put in writing to her. Eleanor Lodge DS0000034974.V256693.R01.S.doc Version 5.0 Page 15 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): No standards in this section were reviewed at this inspection. EVIDENCE: Eleanor Lodge DS0000034974.V256693.R01.S.doc Version 5.0 Page 16 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): 33 In general there are sufficient staff to ensure effective support to service users however when emergencies arise it is sometimes difficult to cover the shifts, resulting in reduced support for service users and the remaining staff under a lot of pressure. EVIDENCE: The team leader explained that there have been some changes in staff due to vacancies in the senior team occurring, one person has emigrated and another is on maternity leave. Some care staff have been appointed to ‘act up’ into the senior positions and an external candidate has been offered a post. At the time of the visit the team leader was in the process of offering care positions to applicants. Staff said that three members of staff who were due to work the late shift had phoned in sick that day. Agency staff made the care team up to five instead of six and this meant that the two staff in high support also had to cover the west wing and duties included cooking and clearing away. The senior from the respite unit came to assist these two units at teatime and did the washing up however it was observed that staff were very stretched and some service users were left unsupervised for periods of time. Eleanor Lodge DS0000034974.V256693.R01.S.doc Version 5.0 Page 17 Northants County Council may wish to consider employing a team of bank/relief staff who are familiar with all units and able to cover shifts if necessary. Eleanor Lodge DS0000034974.V256693.R01.S.doc Version 5.0 Page 18 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): 42 The working practices ensure that the safety and welfare of service users are promoted and protected. EVIDENCE: There is a programme for training for the unit that lists staff and details when they have completed basic safety training. This training includes fire, first aid, health and safety and food hygiene. There were copies of certificates of attendance for some staff however the team leader said she had not got round to separating these into individual files. Staff confirmed they had been given training in emergency procedures as part of their induction and the shift leader was overheard giving the agency member of staff who was new to the home this information. The accident book and had been completed and there were no arising issues of concern. The records of fire testing showed that there are regular checks of equipment both internally and by external engineers although the weekly fire check had not been recorded since the 1st September 2005. Eleanor Lodge DS0000034974.V256693.R01.S.doc Version 5.0 Page 19 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 X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 2 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X 2 X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Eleanor Lodge Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000034974.V256693.R01.S.doc Version 5.0 Page 20 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. Refer to Standard Good Practice Recommendations Eleanor Lodge DS0000034974.V256693.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Eleanor Lodge DS0000034974.V256693.R01.S.doc Version 5.0 Page 22 - 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!