Inspection on 22/11/05 for Fenham Lodge

This inspection was carried out on 22nd November 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

Fenham Lodge 05/04/07

Fenham Lodge 16/05/05

Fenham Lodge 22/11/04

Fenham Lodge 24/05/04

Similar services:

Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

15 Bramble Close

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

CARE HOME ADULTS 18-65 Fenham Lodge The Street Hatfield Peverel Essex CM3 2EQ Lead Inspector Brian Bailey Unannounced Inspection 2.45pm 22 & 28 November 2005 nd th Fenham Lodge DS0000017816.V265166.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 Fenham Lodge DS0000017816.V265166.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. Fenham Lodge DS0000017816.V265166.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Fenham Lodge Address The Street Hatfield Peverel Essex CM3 2EQ 01245 381550 01245 381069 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) Miss Julie Sanderson Matthew James Larkin Care Home 7 Category(ies) of Learning disability (7), Physical disability (7) registration, with number of places Fenham Lodge DS0000017816.V265166.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home accommodates seven people with learning disabilities who may also have physical disabilities 16th May 2005 Date of last inspection Brief Description of the Service: Fenham Lodge is a modern detached bungalow that has been adapted and extended to provide accommodation for seven adults with learning and/or physical disabilities. Accommodation is in single bedrooms, with communal daily living space (lounge/dining room, kitchen, gardens, etc.). The home is homely and domestic in character, and in keeping with the local community. The home has established good links with the local community, and is within walking distance of the local facilities in Hatfield Peverel that include general shops, library, pubs, and public transport. The registered provider works alongside the registered manager within the home, and the current staff team has a wide range of experience and skills. The registered manager of Fenham Lodge is Matthew Larkin. Fenham Lodge DS0000017816.V265166.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on 22nd November 2005 at 2.45pm and 28th November at 9.00am. This was the second unannounced inspection of Fenham Lodge in the inspection year 2005/6. The majority of the key standards were assessed at the last inspection on 16th May 2005. This inspection therefore focused mainly on observation and discussion with residents and staff, which included the manager. A tour of the building was carried out and included all bedrooms, lounge/dining room and bathrooms and toilets. All residents indicated that they were very happy to live at Fenham Lodge and all contributed to the inspection process. All standards inspected were assessed as met. What the service does well: What has improved since the last inspection? Changes since the last inspection have included new carpets in some bedrooms and a corridor, new bedroom furniture; a cooker has been replaced in the independent flat and new showers fitted. Fenham Lodge DS0000017816.V265166.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. Fenham Lodge DS0000017816.V265166.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 Fenham Lodge DS0000017816.V265166.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): 3. Prospective residents would benefit from having the opportunities to visit and see for themselves whether or not the home would meet their needs. EVIDENCE: All seven residents have lived at Fenham Lodge for several years. The previous inspection showed that assessments of residents’ care needs had been obtained and records showed that staff continue to monitor and assess their needs on a regular basis. Any prospective residents considering the home, as a place to live, would have a trial period (a minimum of three months) before any decisions about permanent residency was agreed. Fenham Lodge DS0000017816.V265166.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): 8. Residents are enabled to contribute to the daily life and routines of the home. EVIDENCE: Residents were spoken to in a variety of settings including the privacy of their rooms, the kitchen and the lounge. They spoke of shopping and being supported to buy food and of preparing their own meals, normally twice each week, of getting their own breakfasts and one resident was looking forward to making the home’s Christmas cake having obtained the ingredients. Residents spoke about the holidays they had chosen and taken at Bognor Regis and in Norfolk. From observation, residents’ views were respected and welcomed by staff. A pictorial timetable of weekly activities is used within the home, making this information more easily accessible to most of the service users. Residents spoken to were aware of the activities they had planned and said they were happy to continue with them, although they felt they could change their minds if they wanted to. Fenham Lodge DS0000017816.V265166.R01.S.doc Version 5.0 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 the following standard(s): 15 & 16. Residents benefit from being supported as individuals and that they are given every opportunity to exercise their rights and to maintain contact with their family and friends. EVIDENCE: All residents at Fenham Lodge have family members who are involved in the home, and who visit regularly; several residents visit their parents on a regular basis. Staff encourage contact between residents and their families/friends, and there are no restrictions on visitors. Residents are able to meet with visitors in their own rooms, if they wish. Residents spoke about friends they meet at the clubs. From observation and discussion with residents, it was evident they are able to determine for themselves where they spend their time. Three residents had spent the afternoon at home either relaxing in their own rooms or spending time with staff. The residents that returned home in the late afternoon were welcomed home by staff and they were observed to come and go as they pleased. The atmosphere throughout the inspection was relaxed and goodFenham Lodge DS0000017816.V265166.R01.S.doc Version 5.0 Page 11 humoured. Residents were seen to act independently and to help in the kitchen with preparing the evening meal. When asked what they thought was good about living at the home, residents said they liked the food and the staff. Fenham Lodge DS0000017816.V265166.R01.S.doc Version 5.0 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 the following standard(s): EVIDENCE: The above key standards were assessed at the last inspection in May 2005. Fenham Lodge DS0000017816.V265166.R01.S.doc Version 5.0 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 the following standard(s): 22 & 23. The home has appropriate arrangements in place to protect residents and to respond to their concerns. EVIDENCE: The home has a complaints procedure. No complaints have been received by CSCI or the home since the last inspection. Residents spoken with again said that they would speak to any of the staff if they were unhappy about anything. From observation, residents were relaxed and looked at ease in the company of staff. The home has an adult protection procedure and had copies of the Essex Vulnerable Adult Committee guidelines. The manager stated that all staff had received training on the protection of vulnerable adults from abuse. It was recommended that staff apply for further training being provided by Essex County Council. The protection of vulnerable adults procedures were implemented recently following an incident involving a resident when away from the home. The home and staff are not implicated in the incident, which is still being investigated. Fenham Lodge DS0000017816.V265166.R01.S.doc Version 5.0 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 the following standard(s): 24, 26, 28 & 30. The home provides residents with a comfortable, well-maintained, safe standard of accommodation. It is ideally located and residents have good access to local amenities. EVIDENCE: The home is ideally suited to residents’ needs and is situated in a quiet and private area of the village. It continues to be well maintained and is decorated and furnished to a good standard that creates a homely, comfortable and welcoming appearance. There is a lounge/dining room that overlooks the rear garden. The residents’ bedrooms looked homely and individual in style, as they had been encouraged to personalise them with their own possessions. New carpets had been fitted in two bedrooms and a corridor and some bedroom furniture had been renewed. Residents said they liked their rooms. The building was clean, appropriately heated and free from unpleasant smells. The recently modernised kitchen was clean and tidy and well equipped and there were good food stocks available. Fenham Lodge DS0000017816.V265166.R01.S.doc Version 5.0 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 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): 35. Residents’ benefit from staff being provided with appropriate training. EVIDENCE: One new member of the support staff had joined the team since the last inspection. The staff member confirmed having received an in-house induction that covered the basic procedures and need to know information about the home and residents. In addition the staff member described an induction package that had been completed that was referenced to the TOPSS competencies. A certificate and contents of the training were not available however. The staff member had experience of working with adults with learning disabilities. Fenham Lodge DS0000017816.V265166.R01.S.doc Version 5.0 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 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): 37. The home is managed effectively and residents enjoy the benefits of a safe and secure setting. EVIDENCE: The above key standards were assessed as met at the last inspection in May 2005. Since that time, the manager has commenced the Registered Managers Award training and had arranged to take a Health & Safety course. Fenham Lodge DS0000017816.V265166.R01.S.doc Version 5.0 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 X 3 X X Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X 3 X 3 X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X 2 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Fenham Lodge Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X DS0000017816.V265166.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA23 YA35 Good Practice Recommendations The manager should ensure that the POVA training provided to staff meets the requirements of the adult protection guidelines. Evidence of all staff training should be kept on staff files and be available for inspection Fenham Lodge DS0000017816.V265166.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Fenham Lodge DS0000017816.V265166.R01.S.doc Version 5.0 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. 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