Inspection on 24/05/05 for Faro Lodge

This inspection was carried out on 24th May 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

Faro Lodge 30/03/09

Faro Lodge 02/08/06

Faro Lodge 10/10/05

Faro Lodge 14/01/05

Faro Lodge 14/07/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Faro Lodge Galyon Road Kings Lynn Norfolk PE30 3YE Lead Inspector Jerry Crehan Announced 24 May 2005 11.30am. th 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. Faro Lodge I55s37563farolodgev221469240505(4).doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Faro Lodge Address Galyon Road Kings Lynn PE30 3YE 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) 01553 679233 Norfolk County Council- Community Care Position Vacant Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Faro Lodge I55s37563farolodgev221469240505(4).doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 8 service users may be accomodated of either sex and who have a learning disability and are aged between 18 and 65 years That the manager of this establishment is responsible for the management of care to Service Users in this home only The length of stay of a service user shall not exceed 28 days. Where there is a need for this condition to be waived, the provider will consult with the Commission for Social Care Inspection, to agree and give reasons for any extension One Service User, who is named in the Commissions records, may be accommodated for a period of up to 6 months from December 27th 2004. Date of last inspection 14th January 2005 Brief Description of the Service: Faro Lodge was purpose built in 1999 to offer short term and respite care to adults with a learning disability. Owned and operated by Norfolk County Council it offers ground floor accommodation comprising 8 bedrooms, three communal lounge areas, dining room, kitchen, toilets and bathrooms. Faro Lodge is situated within a short distance of Kings Lynn town centre and is within easy reach of local amenities including shops and sports centre. There is easy access to local attractions, in particular the coastal town of Hunstanton and the royal home at Sandringham. The home has its own transport to support service users in accessing these facilities. Service users access a variety of day services and activities, often continuing to attend facilities accessed from their usual home or residence. Faro Lodge I55s37563farolodgev221469240505(4).doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 6 hours. Opportunity was taken to tour the premises, look at care records and policies, and talk to the two service users present and to the acting manager and staff. Comment cards were received from two service users and four relatives prior to the inspection that reflected favourably as to the quality of care received and provided by the home. What the service does well: What has improved since the last inspection? What they could do better: A requirement has been made in this report to ensure that no service user is accommodated by the home who’s needs the home cannot evidently meet. The home has now been without a registered manager in post for approximately two years. The proprietor has attempted to address the situation, advertising the post on three occasions without success. CSCI remain concerned about the situation and will be addressing the matter with the proprietor. Faro Lodge I55s37563farolodgev221469240505(4).doc Version 1.20 Page 6 The acting manager’s own assessment as to the ability to meet needs must be respected by all who wish to make a placement in the home, even if the Commissioner of service also works for the agency who own the home. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Faro Lodge I55s37563farolodgev221469240505(4).doc Version 1.20 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 Faro Lodge I55s37563farolodgev221469240505(4).doc Version 1.20 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) 1, 2, 3, 4 The information and admission process is effective, ensuring that there is a proper assessment prior to service users moving into the home. However, the emergency admission process is not adequate or effective. EVIDENCE: Faro Lodge provides clear information that would enable prospective service users to make an informed choice as to whether and how the home could meet their needs. Information can be made available in other formats to suit individual communication requirements. An example of this was service information in a pictorial format. Assessments of prospective service users needs by the placing authority were evident. There have been a number of emergency placements at the home over recent months. It was evident that a placement had been made at the home against the wishes of staff at the home by the placing authority. It the time the placement was made the acting manager indicated that the home could not demonstrate the home’s capacity to meet the individual needs of the service users placed, but this professional assessment was not respected by the placing authority who also own the resource. The opportunity for prospective service users to visit the home prior to admission has clearly been available. Service users who have been staying at the home for periods of respite care over several years indicated that they had been provided with this opportunity, one person recalling that they ‘came to look around before I came to stay for the first time’. Faro Lodge I55s37563farolodgev221469240505(4).doc Version 1.20 Page 9 Faro Lodge I55s37563farolodgev221469240505(4).doc Version 1.20 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 9 The care planning system in place affords service users with appropriate support and independence where appropriate. EVIDENCE: Individual care plans are developed from assessment information provided by the placing authority, and from information provided by service users and their relatives in ‘getting to know you’ forms. Service users spoken to were not necessarily familiar with their individual plans. However, service users were clear that staff at the home were clear is to their needs. One service user indicated that they could ‘dress, wash and shave by myself, but need help with my tablets’. It was apparent on discussion that the home respected service users right’s to make decisions. Individual risk assessments are undertaken at the home to support the independence of service users. There was evidence of this in the facility for a service user to take them self into the nearby town centre independently. Faro Lodge I55s37563farolodgev221469240505(4).doc Version 1.20 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 standard(s) 12, 15 The home caters adequately for the lifestyle of service users, albeit that the home offers relatively short periods of respite care. EVIDENCE: Service users usually only access Faro Lodge for respite care and therefore follow their preferred activities in their permanent residence. However, the home provides transport to help service users maintain access to local activities. Service users are supported where necessary or appropriate in maintaining contact with family or carers. A service user spoken to indicated that he uses his mobile phone to keep in contact with his family while staying at the home. Faro Lodge I55s37563farolodgev221469240505(4).doc Version 1.20 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) 18, 19, 20 Service users personal and healthcare needs are well attended to. Use of risk assessment should be expanded where service users self medicate. EVIDENCE: Individual care plans contain information as to where personal support is required. Service users spoken to indicate that they were satisfied that staff assisted them where appropriate and required. The home has access to a range of technical aids and equipment to maximise independence. At the time of the inspection there were no service users accommodated who had responsibility for administering their own medication. However, on discussion with the acting manager it is apparent that at least one service user has responsibility for looking after, and administering their own asthma medication. This arrangement should be the subject of a risk assessment to assist in ensuring safe management. On review of medication records no discrepancies were identified. Both records and storage arrangements were satisfactory. Staff have access to appropriate safe handling of medicines training. Faro Lodge I55s37563farolodgev221469240505(4).doc Version 1.20 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 & 23 Arrangements for protecting and responding to the concerns of service users and staff are satisfactory. Arrangements for making complaints are not fully satisfactory. EVIDENCE: The home has a complaints procedure operated by the proprietors who have a Compliments and Complaints Officer to oversee complaints about their services. The information provided by the home to prospective service users includes arrangements for making complaints. Four comment cards were completed by relatives of service users and received by the inspector before the inspection. In two of these relatives had indicated that they were not aware of the homes complaints procedure. It is recommended that the home consider other means of making this information available. A procedure for responding to allegations of abuse is in place. Staff spoken to appeared aware of the procedure and its function, and had received appropriate training. Service users spoken to appeared clear as to what action they would take if they had a concern. Faro Lodge I55s37563farolodgev221469240505(4).doc Version 1.20 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, 25, 26, 29 The home is well equipped to meet the needs of its service users and provides a very good standard of accommodation. EVIDENCE: The home provides a homely, comfortable and safe environment for service users that is furnished to a high standard and decorated to a good standard. Service users bedrooms that were occupied contained evidence of personal possessions. Service users indicated that they found their rooms comfortable. One service user indicated that ‘I like my room and I can lock it’, another that their room was ‘nice, with everything that I need’. The home contains a variety of specialist equipment including hospital type beds, portable hoists and level access shower. The acting manager described plans to further develop the bathroom with the installation of a ‘tracking hoist’ that would give access to each of the facilities in the bathroom. Faro Lodge I55s37563farolodgev221469240505(4).doc Version 1.20 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) 31 32 33 34 36 Staff at the home are well supported and employed in sufficient numbers to meet the service users needs. EVIDENCE: Staff spoken to were clear about their roles and responsibilities and confirmed that they had been issues with job descriptions. Job descriptions seen were appropriate to the needs of service users at the home. Staff rotas indicate the deployment of sufficient staff to meet service user need. Service users feel their needs are adequately met. There is currently only one NVQ 2 (or above) trained member of staff. However, it was apparent that further staff were hoping to undertake the NVQ programme, and would be starting the programme in the autumn. An effective staff team, who are well supported and supervised supports service users. The acting manager indicated that the proprietor has given permission to appoint to vacant staff hours currently covered by the existing staff group. It is hoped that this will further contribute to the effectiveness of the staff team. Staff files looked at showed that service users are protected by good recruitment practices. Faro Lodge I55s37563farolodgev221469240505(4).doc Version 1.20 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) 37, 38, 42 The home appears well run through the joint efforts of the acting manager and staff team. EVIDENCE: Service users responses throughout the inspection and comment cards completed by their relatives suggest that they are satisfied with the way the home is run, and have confidence in the acting manager. The acting manager indicated that the proprietors are in the process of revising the way in which respite care is allocated. Consequently reassessments of service users are taking place. This process has resulted in mixed occupancy levels. For example, there were only two service users present at the time of this inspection. Relevant health and safety training for staff was in evidence to promote the health and safety of service users. This includes moving and handling, first aid, and fire training. Faro Lodge I55s37563farolodgev221469240505(4).doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 2 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x x 3 x Standard No 11 12 13 14 15 Faro Lodge x 3 x x 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 x 3 I55s37563farolodgev221469240505(4).doc Version 1.20 Page 18 16 17 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 x Faro Lodge I55s37563farolodgev221469240505(4).doc Version 1.20 Page 19 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 3 Regulation Requirement Timescale for action Immediate and Ongoing 2. 20 12 The registered person must not (1)(a)&(b) offer a place to someone whos needs cannot be met by the home. 14 The registered person must 31st July undertake and record risk 2005 assessments for service users wishing to self-administer inhaled medicines in order to assist in ensuring such medicines are safely managed. 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. 2. Refer to Standard 22 32 Good Practice Recommendations It is recommended that the home consider other means of making information available to stakeholders as to how complaints can be made. It is recommended that the Registered Provider ensure continued progress toward meeting the 50 NVQ training requirement by 2005. Faro Lodge I55s37563farolodgev221469240505(4).doc Version 1.20 Page 20 Commission for Social Care Inspection 3rd Floor, Cavell House St Crispins Road Norwich NR3 1YF 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 Faro Lodge I55s37563farolodgev221469240505(4).doc Version 1.20 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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