Inspection on 27/10/05 for Franklyn Lodge

This inspection was carried out on 27th 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

Franklyn Lodge 06/03/07

Franklyn Lodge 22/02/05

Franklyn Lodge 27/04/04

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

CARE HOME ADULTS 18-65 Franklyn Lodge Kings Road Franklyn Lodge 58 Kings Road London NW10 2BN Lead Inspector Virginia Allen Unannounced Inspection 27th October 2005 08:00 Franklyn Lodge Kings Road DS0000017458.V261828.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 Franklyn Lodge Kings Road DS0000017458.V261828.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. Franklyn Lodge Kings Road DS0000017458.V261828.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Franklyn Lodge Kings Road Address Franklyn Lodge 58 Kings Road London NW10 2BN 020 8830 0142 020 8903 9860 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) Residential Care Services Ltd Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Franklyn Lodge Kings Road DS0000017458.V261828.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th June 2005 Brief Description of the Service: 58 Kings Road is registered to provide personal care and accommodation for up to four young adults with learning disability. At the time of this inspection, there were four service users living at the home. The home is operated by Residential Care Services Ltd and is one of seven care homes in the group. The home is still without a registered manager and the current acting manager will be transferring to manage another home in the group. She stated that the provider has started recruitment to find a replacement manager for 58 Kings Road. The home is a terraced property located in Willesden Green, Northwest London. It is close to a range of health and social care facilities plus a variety of shops, public transportation services, leisure, social and religious amenities and services. The home has a compliment of 7 care staff, including bank staff with a range of skills and experience in social care. Two staff are normally on each duty shift and one staff sleeps in as part of the night staffing cover. Additional support and professional input is also received from health and social care professionals who are located in the surrounding community. Franklyn Lodge Kings Road DS0000017458.V261828.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on a Friday. The acting manager assisted the inspector with the inspection that involved viewing documentation and touring the home. The inspector talked with three of the four service users. The home is well managed by the acting manager, who has a very good understanding of the needs of the service user and how those needs are best met. The inspector found the ambiance of the home was calm and the interaction between service user and staff as well as between individual service users was very comfortable. The inspector thanks the manager and the service users for their assistance with the inspection. What the service does well: What has improved since the last inspection? The home has been newly renovated and the upgrading of the bathrooms has been completed. The inspector viewed the service users guide to the home, which is being rewritten in a user-friendly format. Franklyn Lodge Kings Road DS0000017458.V261828.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. Franklyn Lodge Kings Road DS0000017458.V261828.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 Franklyn Lodge Kings Road DS0000017458.V261828.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): 1,2,3,4,5 Prospective service users are given appropriate information to assist them to make a decision about where they want to live. Their needs are fully assessed and the home assures the prospective service user before a decision is made whether or not they can meet their needs. Every service user has an individual contract with the home. EVIDENCE: The service user’s guide is clear. It sets out useful information for the prospective service user so that they can make an informed decision about where they want to live. Since the last inspection the home has commenced re writing the guide in a user-friendly format for the service user. The inspector viewed one of the files and could see that the assessment process is comprehensive and complete. The home aims to understand the needs of the service user to assist the prospective service users in making an informed decision about whether the home can meet their needs. All prospective service users are invited to visit and spend time at the home before they make a decision about whether or not to move in. The manager explained that they attempt to provide a trouble free transition to the home. A settling in period of three months is offered and this is followed by a review Franklyn Lodge Kings Road DS0000017458.V261828.R01.S.doc Version 5.0 Page 9 that includes the wishes of the service user, family and other service users in the home. The home endeavours to meet a range of specialised health needs and the inspector was given examples of when a service user has been referred to therapists such as an audiologist, a speech therapist or a psychologist. All of the current service users have family that visit regularly and take an interest in their progress. The home values the support of the families. Each service user has a standard tenancy contract that is kept in their files. This is in a format that is user friendly. Franklyn Lodge Kings Road DS0000017458.V261828.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): 6,7,8,9,10 Service users know that care plans reflect their changing needs. They make decisions about their lives and are consulted and participate in all aspects of life in the home. Service users are supported to take risks and are supported in their independence. They know that confidential information is only shared when they permit. EVIDENCE: The individual needs of the service user are comprehensively assessed by the home before the service user makes a decision about where they want to live. This assessment process is on going after they have moved into the home and continues throughout their stay. The aim of continuous assessment is to ensure that the changing needs of the service user are met. The inspector noted that the individual care plans set out how the service user’s needs are met in respect of his health and welfare. However, these would benefit from being more detailed. Documentation needs to reflect Franklyn Lodge Kings Road DS0000017458.V261828.R01.S.doc Version 5.0 Page 11 service user involvement in the devising of the care plan and service user agreement to the plan. This is also the case for the review process. Documentation shows that the service user makes their own choices about their daily routine. For example, how they shave, what clothes to wear or how to manage their oral hygiene. The service user is given support and assistance where necessary. Each service user also undergoes individual training. The service user meets with staff monthly and they talk about their choices. The home encourages a healthy lifestyle and the service user is encouraged to eat and drink a healthy diet. The manager explained to the inspector that the changes to the weekly food menu showed service user choice. Service user choice was also demonstrated when one of the service users showed that they no longer wished to go to the day centre. A thorough assessment revealed that the service user would benefit from participation in a person centred programme. This programme was then implemented. All of the service users have the opportunity to participate in community events. The service users go to the cinema, local concerts, day trips out of London and there is a fortnightly disco run by the group of homes. Every year the home takes the service users for a weeks holiday to Butlins. This year they attended Butlins at Minehead and the manager reported that they all had a good time. The manager reports that there is a significant improvement in service user affect and contentment over the last couple of years. This she contributes to the homes ability to understand the service user and the ability to meet their individual needs. The manager informed the inspector that all staff and service users are given a copy of the home’s policy regarding confidentiality. Family are made aware that confidential information will only be shared if the service user permits. Franklyn Lodge Kings Road DS0000017458.V261828.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16 Service users have the opportunity for personal development and take part in peer appropriate activities. They are part of the local community and engage in appropriate leisure activities. Service users have appropriate personal and family relationships and their rights and responsibilities are recognised and respected. EVIDENCE: Service users are offered a range of activities both within the home and without. The service user has a choice of what they would like to be involved in and the manager explained to the inspector that the service user is able to have support and assistance whenever necessary. The inspector talked with one of the service users about the range of activities he was involved in. This service user did not like going to the day centre and so he was working to a weekly programme of individual activities that he had chosen for himself. With the support of his key worker, he was able to enjoy and look forward to his daily routine. The service user appeared to be very excited about his activities Franklyn Lodge Kings Road DS0000017458.V261828.R01.S.doc Version 5.0 Page 13 and he detailed to the inspector what it was that he was doing each day of the week. Service users are given the opportunity to learn life skills. The manager informed the inspector that one service user enjoys doing tasks in the kitchen; another enjoys gardening. Several of the service users have undertaken computer courses. The home is happy to support the service user to engage in any religious activity of their choice. However, none of the current service users have shown any interest in involving themselves in church activities. The manager told the inspector that the service user is encouraged to pursue their own hobbies. During the assessment process a service user’s hobbies are identified. Service users are able to engage in hobbies such as dancing, singing, listening to music, reading the newspaper, doing jigsaw puzzles or swimming. All service users are given the opportunity to go on holidays for a week each year (as per page 11). Service users are regularly taken out and about in a group. They visit areas outside of London such as Brighton. Family and friends are welcome to visit the home at any time. The home values the input and support offered by family and friends. The manager told the inspector that the service user is able to choose who they wish to have visit them. However, none of the current service users have ever refused to see a visitor. The service user’s privacy is respected and staff only enters the service users bedroom after requesting admission. Each service user has a lockable bedroom door and the manager keeps the keys. When a service user receives mail, it is given unopened to the service user. The staff are happy to assist the service user in reading their mail. The manager told the inspector that although the home encourages the service users to engage in communal activities, they are able to choose for themselves whether they wish to be in company or whether they wish to spend time alone. Service users are called by the name of their choice. It is recommended that this name also be recorded in their care plan. While the inspector was at the home, the staff were observed interacting with the service users with dignity and warmth. There appeared to be good understanding between them. Franklyn Lodge Kings Road DS0000017458.V261828.R01.S.doc Version 5.0 Page 14 The service users have unrestricted access to the grounds and the home. The manager said that in the summer months they enjoy having barbeques outside on the patio. The service users share responsibility with the staff for upkeep of the home. Their individual responsibilities are recorded in their files but it is recommended that they be recorded in the care plans so that they can be part of the review and agreement process. Franklyn Lodge Kings Road DS0000017458.V261828.R01.S.doc Version 5.0 Page 15 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): 18,19,21 Service users receive personal support in the way they prefer and their physical and emotional health needs are met. The illness and death wishes of the service user are handled with respect. EVIDENCE: Service users are encouraged to make a range of decisions for themselves. They choose when they are ready to go to bed at night and they choose when to get up in the morning on weekends if they have no structured activities. Service users make meal choices and activity choices. They are able to decide whether to participate in day care activities or not. Service users choose their own clothes and their own hairstyles. They are able to choose the staff that work with them and are not expected to spend time with any staff that they do not wish to be with. The manager was able to give the inspector two examples where service users exercised this choice with the support of the home. The manager of the home monitors specialist health needs. One service user has been referred for speech therapy. The chiropodist visits the home every 6 weeks and a dentist visits regularly to assess their dental needs. Franklyn Lodge Kings Road DS0000017458.V261828.R01.S.doc Version 5.0 Page 16 The service user is able to choose their own GP who regularly assesses their health needs. The home supports the service user to attend outpatient appointments and referrals are sometimes made to community health services such as the district nurse. The service users are encouraged to understand the advantages of maintaining a healthy lifestyle and the manager of the home gives “up to date” healthcare information that helps the service user to make healthy lifestyle choices. The manager showed the inspector the questionnaire families have been asked to complete relating to the service users wishes in the event of illness or death. One family has documented their wishes. The other families are yet to return their forms. These will then be placed into the care plans. Franklyn Lodge Kings Road DS0000017458.V261828.R01.S.doc Version 5.0 Page 17 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 feel their views are listened to and acted on. They are protected from abuse, neglect and self-harm. EVIDENCE: The home has a complaints procedure. This is documented in the policy and procedure manual. Each service user and their family have a copy. There have been no complaints since the last inspection. The policy specifies that in the event of a complaint being received it would be investigated within 28 days. Care plans of the individual service users are reviewed monthly. At this time the service user has the opportunity to give their own views and discuss and changes they wish to make to their care plan. Monthly meetings are held with all staff and service users. Service users are asked for their opinions concerning any group activities or any changes they want. These meetings are documented. All staff have received Protection of Vulnerable Adult training. Franklyn Lodge Kings Road DS0000017458.V261828.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,30 Service users live in a homely, comfortable and safe environment, which is clean and hygienic. Their bedrooms suit their needs, promote their independence and are complemented by the shared spaces. Service users toilets and bathrooms provide sufficient privacy. EVIDENCE: The home is a terraced house located in a residential area. The house is in keeping with the rest of the houses in the street. It is located near to shops and community facilities. It is within walking distance to the bus or train services. The home has recently been refurbished. The communal areas of the home are well decorated and homely. The furnishings are domestic in nature and of good quality. The lounge dining area, the hallways and the bedrooms are all carpeted. The lounge/dining area is open plan and staff use the dining room table for administrative work. This allows them to spend more time amongst the service users. There is a dedicated office on the third floor. Franklyn Lodge Kings Road DS0000017458.V261828.R01.S.doc Version 5.0 Page 19 The bathrooms have recently been upgraded and at inspection were found to be clean and airy. There are adequate showers and baths and the doors are lockable to provide privacy. The service user’s bedrooms reflected the individuality of the service users. They are decorated with their own belongings such as family photos. They had a wardrobe, a cupboard, a bedside table and a lamp. They are well ventilated and heated. There is a small adequate kitchen and the inspector found the cupboards were well stocked with food. The fridge/freezer temperatures are documented daily and any food that has been opened is placed in a freezer bag and the “use by” date retained. This is good practice. The laundry is very small but adequate. The washing machine and dryer are domestic in nature. The inspector found the garden was well maintained and in the summer seating is provided. Franklyn Lodge Kings Road DS0000017458.V261828.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,35,36 Competent and qualified staff that forms an effective team supports Service users. Service users individual and joint needs are met by appropriately trained staff who are well supported and supervised. EVIDENCE: The current manager is to take up the management duties for another home in the group. Recruitment for a replacement manager for this home is progressing. There is usually two staff plus the manager working each morning and afternoon with one person sleeping overnight. As the service users are occupied away from the home on weekdays, this appears to be adequate staffing. The home staff is relatively stable. The inspector observed that the service users interacted comfortably with the support workers during the inspection. The support workers spoke to the service users with dignity and respect. They appeared to understand each other. Records showed that all staff are undergoing NVQ training. In addition, staff are involved in a programme of training that includes Protection of Vulnerable Franklyn Lodge Kings Road DS0000017458.V261828.R01.S.doc Version 5.0 Page 21 Adult training, first aid training, food hygiene, epilepsy training, diabetic training, autism awareness training, moving and handling, health and safety and fire safety. All new staff under-go structured induction and equal opportunity training. The home maintains a register of training. The manager assured the inspector that no staff is employed without two current references and a current CRB check. All staff receives a copy of the statement of terms and conditions of the home. The manager supervises the staff monthly. This is documented. Staff are appraised annually. The organisation’s service director supervises and appraises the manager. The manager assured the inspector that all staff are supplied with a copy of the grievance and disciplinary procedure. Franklyn Lodge Kings Road DS0000017458.V261828.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,42. Service users benefit from a well run home that has good management and leadership. The health and safety and welfare of service users are promoted and protected. EVIDENCE: The acting manager of the home is qualified as an MD having trained in USSR. She has an ophthalmology qualification from West Africa and a diploma in management of human and natural resources from Nigeria. She is doing the registered managers award and has undertaken all statutory training. The home is committed to person centred care and the promotion of independence of the service user. Management is open and positive and the inspector found that this gave the service user a sense of confidence. The service users were observed approaching management comfortably. Franklyn Lodge Kings Road DS0000017458.V261828.R01.S.doc Version 5.0 Page 23 The environment was safe. The inspector viewed the safety certificates including electricity inspected October 2005, Fire inspected April 2005 and Gas inspected 24th July, 2005. All of the safety checks were in order. Franklyn Lodge Kings Road DS0000017458.V261828.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 3 X 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Franklyn Lodge Kings Road Score 3 3 X 3 Standard No 37 38 39 40 41 42 43 Score 3 3 X X X 3 X DS0000017458.V261828.R01.S.doc Version 5.0 Page 25 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 Refer to Standard YA6 Good Practice Recommendations The service user care plan would benefit from being more detailed and the involvement AND agreement of the service user needs to be documented. This applies also to the monthly review process. The preferred name of the service user needs to be documented on their care plan. Service users responsibilities for housekeeping, although documented, needs to be documented on their care plan. 2 3 YA16 YA16 Franklyn Lodge Kings Road DS0000017458.V261828.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Harrow Area office Fourth Floor Aspect Gate 166 College Road Harrow HA1 1BH 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 Franklyn Lodge Kings Road DS0000017458.V261828.R01.S.doc Version 5.0 Page 27 - 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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