Inspection on 28/09/05 for Flora Lodge

This inspection was carried out on 28th September 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

Flora Lodge 09/12/08

Flora Lodge 17/01/07

Flora Lodge 22/06/05

Flora Lodge 18/01/05

Flora Lodge 06/05/04

Flora Lodge 12/01/04

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

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

CARE HOME ADULTS 18-65 Flora Lodge 21-23 Glenfield Road East Leicester Leicestershire LE3 5QW Lead Inspector Chris Wroe Unannounced Inspection 28th September 2005 10:15 Flora Lodge DS0000045403.V254386.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 Flora Lodge DS0000045403.V254386.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. Flora Lodge DS0000045403.V254386.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Flora Lodge Address 21-23 Glenfield Road East Leicester Leicestershire LE3 5QW 0116 2530279 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) Sudha Devi Rana Harbansh Rana Marika Halina Kozlowsky Care Home 14 Category(ies) of Learning disability (5), Mental disorder, registration, with number excluding learning disability or dementia (14) of places Flora Lodge DS0000045403.V254386.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. To be able to continue care for the named person of category MD(E) named in Variation V23781 application dated 5 August 2005 Service User Numbers No person falling within category LD may be admitted to the home unless that person also falls within category MD ie Dual disability. Service User Numbers No person falling within categories MD/LD may be admitted to the home when 5 persons falling within categories MD/LD are already accommodated within the home. 22nd June 2005 Date of last inspection Brief Description of the Service: Flora Lodge is a residential care home for up to fourteen people who experience mental ill health. Care can also be provided for up to five service users who have a learning disability also. The home is situated close to the city centre, located on a main road with bus links into the city. Shops, pubs and other amenities are situated within walking distance of the home. The rooms in the home are spread over four floors, which are accessed by stairs - there are no lifts in the home. There are ten single bedrooms and two shared rooms, one of which is currently used as a single bedroom. There is also a communal dining room and lounge, and a basement room for service users to smoke in. Flora Lodge DS0000045403.V254386.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on a weekday, 28th September 2005, starting at 10.15am and lasting for two hours. Four service users were spoken with during the inspection, and their views are included in the report. Comments made include: ‘The staff are good’. ‘I like the food. I can choose what to eat.’ ‘I like to go out’. The main method of inspection used was ‘case tracking’, which involved selecting four service users and tracking the care they receive through checking records, talking with the service users and with care staff, looking round the home and observing care practices. At the last inspection, most of the key standards were checked. At this inspection, the inspector checked the remaining key standards, to make sure good care was continuing, and followed up requirements and recommendations made at the last inspection. What the service does well: This section is based only on areas checked during this inspection. Care plans continue to be detailed and to give good information about service users’ needs. Staff show a good understanding of each individual and of what is important for them. Service users are involved in different community activities, according to their own choice. Staff help service users to have access to things they want to do. Service users are able to maintain links with family and friends. They are able to visit relatives and have visitors in the home. Good attention is given to offering service users choice and variety in meals. Service users are able to give their ideas for the menu. Staff are aware of nutritional and dietary needs of service users. Service users are able to make drinks and snacks for themselves. Flora Lodge DS0000045403.V254386.R01.S.doc Version 5.0 Page 6 Personal care is provided sensitively, according to the individual needs of service users. Access is given to other professionals who can support service users, such as community psychiatric nurses. Staff show good understanding of health and safety in relation to issues looked at, including food hygiene and infection control. Service users spoken with expressed satisfaction with the home, relating to those aspects checked at this inspection. What has improved since the last inspection? What they could do better: Staff could monitor the fluid intake of service users identified to be at risk, to ensure their health is fully maintained. Staff could seek views from service users about whether they have any particular dietary preferences related to their cultural background. It is strongly recommended that risk assessments are carried out in relation to any windows in the home which do not have restrictors, and that safety measures are put in place where a need is identified. Improvements could be made to the laundry room to ensure safe practices, including: • Repair/replacement of tumble dryer • Purchase of industrial washing machine in keeping with needs of home • Floor to be fitted with impermeable surface • Walls to be finished in a way that is readily cleanable • Facilities to allow for proper airing and storage of bedlinen Flora Lodge DS0000045403.V254386.R01.S.doc Version 5.0 Page 7 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. Flora Lodge DS0000045403.V254386.R01.S.doc Version 5.0 Page 8 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 Flora Lodge DS0000045403.V254386.R01.S.doc Version 5.0 Page 9 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): All key standards under this section were checked at the last inspection. EVIDENCE: Flora Lodge DS0000045403.V254386.R01.S.doc Version 5.0 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 the following standard(s): All key standards under this section were checked at the last inspection. EVIDENCE: Flora Lodge DS0000045403.V254386.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): 13, 15, 17 Service users have a good lifestyle in the home. EVIDENCE: Service users go into the local community when they want to, and the home is located close to the city centre, which allows easy access. Individuals are involved in different interests, such as church, college and day centres. Staff spend time with residents and go out with them sometimes. Service users have continuing relationships with relatives and friends as they choose. They are able to have visitors in the home, and some visit or stay with relatives in their own homes. A varied range of meals is provided for service users, who can choose what they would like to eat. Service users spoken with said that they like the food in the home. Staff are aware of the health needs of service user and encourage healthy eating. Service users are able to make themselves cups of tea and coffee throughout the day. Staff said that some service users possibly Flora Lodge DS0000045403.V254386.R01.S.doc Version 5.0 Page 12 drink tea and coffee excessively, and it may be helpful for staff to monitor fluid and caffeine intake to ensure service users health is maintained. One service user said that they enjoyed West Indian food, which is not provided in the home – this may be something the home could consider providing. Flora Lodge DS0000045403.V254386.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 Service users receive sensitive personal and healthcare support EVIDENCE: Service users are assisted or prompted with personal care, depending on what they need or prefer. Staff help service users to get support from other professionals, such as community psychiatric nurses and psychiatrist. General health care needs are also attended to, such as dental treatment and eye checkups. Service users spoken with said that staff help them. Flora Lodge DS0000045403.V254386.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): All key standards under this section were checked at the last inspection. EVIDENCE: Flora Lodge DS0000045403.V254386.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): 24, 30 Service users could benefit from some improvement to the environment. EVIDENCE: The safety of the premises was checked in greater detail at the last inspection. During this visit, one window on the first floor was noted to be wide open, with no window restrictor. No risk assessments were in place regarding safety of a potentially vulnerable group of service users in relation to this risk, and it is strongly recommended that these are developed. The laundry facilities are in need of some improvement. The impermeable floor surface is chipped and cracked, and paint on walls is also cracked, causing difficulties for cleaning. The tumble dryer is currently broken, which creates problems for staff in getting clothes dry. There is no heating in the laundry room, which is located in a separate block from the main home. Bed linen is stored in the laundry room. There is one washing machine in the home, which is able to wash at high temperatures, but is of domestic rather than industrial size. Staff were able to describe procedures for managing infection control. Flora Lodge DS0000045403.V254386.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): All key standards under this section were checked at the last inspection. EVIDENCE: Flora Lodge DS0000045403.V254386.R01.S.doc Version 5.0 Page 17 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): All key standards under this section were checked at the last inspection. EVIDENCE: Flora Lodge DS0000045403.V254386.R01.S.doc Version 5.0 Page 18 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 X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X 2 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Flora Lodge Score 3 X X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000045403.V254386.R01.S.doc Version 5.0 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. 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 3 Refer to Standard 17 17 30 Good Practice Recommendations It is recommended that staff monitor the fluid intake of identified service users, to ensure that their health is fully maintained. It is recommended that staff seek views from service users about whether they have any particular dietary preferences related to their cultural background. It is strongly recommended that risk assessments are carried out in relation to any windows in the home which do not have restrictors, and that safety measures are put in place where a need is identified. It is recommended that improvements are made to the laundry room to ensure safe practices, including: • Repair/replacement of tumble dryer • Purchase of industrial washing machine in keeping with needs of home • Floor to be fitted with impermeable surface • Walls to be finished in a way that is readily cleanable • Facilities to allow for proper airing and storage of DS0000045403.V254386.R01.S.doc Version 5.0 Page 20 3 30 Flora Lodge bedlinen Flora Lodge DS0000045403.V254386.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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. 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