Inspection on 13/09/05 for Franklyn Lodge 8 Forty Lane

This inspection was carried out on 13th 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

Franklyn Lodge 8 Forty Lane 24/11/09

Franklyn Lodge 8 Forty Lane 25/11/08

Franklyn Lodge 8 Forty Lane 08/06/06

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

CARE HOME ADULTS 18-65 Franklyn Lodge, 8 Forty Lane 8 Forty Lane Wembley HA9 9EB Lead Inspector Bernard Burrell announced 13 September 2005, 10:00am 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. Franklyn Lodge, 8 Forty Lane G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Franklyn Lodge, 8 Forty Lane Address 8 Forty Lane Wembley HA9 9EB 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) 0208 904 6821 Residential Care Services Ltd Ms Milly Suyi CRH PC Care Home only 9 Category(ies) of LD Learning Disability registration, with number of places Franklyn Lodge, 8 Forty Lane G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No Date of last inspection 13 September 2005 Brief Description of the Service: 8 Forty Lane was registered in June 2005 to provide accommodation and care support to 9 people with learning disabilities. The home is a detached property located near to Wembley Stadium and town centre. The home is suitable for people who would benefit from a group living while still maintaining their individualism and identities. The home is not suitable for people who are wheel chair users.Application to live at the home is normally made through relevant social services departments and completion of a multidisciplinary care needs assessment. The home has 9 ensuite bedrooms, a staff room, office, dining room, laundry area, large open plan communal lounge, play/relaxation room, a kitchen, seprate dining room and a large garden with storage sheds. It has a ground, fist floor and attic. The home is located near to public transport routes, shopping, leisure, health and social care failities and services. The home is staffed by a registered manager and a compliment of staff with relevant training, qualification and experience in residential care work. Franklyn Lodge, 8 Forty Lane G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home was registered and opened in June 2005 and has had major upgrading and decoration. The 9 bedrooms are all ensuite with additional communal and private space for residents and staff. At the time of this inspection, two residents were living at the home, one as a permanent resident and the other on respite. Two care staff plus the manager were on duty. The home was well maintained, good range of décor and furnishing plus up to date certification of gas, electric and fire inspection reports. What the service does well: What has improved since the last inspection? What they could do better: Review of the service users guide and statement of purpose to make them more user friendly They should also be written in communication format that meets the needs of people who have varying degrees of learning disability and skills. Complaints procedure for resident must be reviewed and written in a format and style that meets the communication needs of the residents. Improvement to the laundry area, including safeguarding of all exposed electrical wiring hooked to plasma screen television sets. These must be placed Franklyn Lodge, 8 Forty Lane G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 Page 6 in secure protective covering to minimise risk of danger to residents and others. More appropriate and larger size cabinet to store medication, plus improvement in recordings made on the MAR chart, including avoiding the use of tipex and ensure explanation is recorded of any gaps or correction made to the MAR chart. 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, 8 Forty Lane G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 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 Franklyn Lodge, 8 Forty Lane G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 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) 2, 4, 5. The service users’ guide needs to be more user friendly and written in language and format that meets the communication needs of people with learning disabilities. Good effort is been made to ensure each resident has a comprehensive care needs assessment, including the opportunity to visit the home before deciding whether to move in. EVIDENCE: The admission procedure was adequate with clear guidelines to staff on the actions to be taken to ensure that the needs of new residents are properly assessed and care support is adequately planned and understood. Two residents were living at the home at the time of this inspection. One was on a temporary respite care and the other moved to the home as a permanent resident after living in a children home. The inspector was not able to speak to either of the two residents because one was already out at a day care centre and the other was leaving to attend external day care activities as the inspection started. The staff member who assisted with the inspection process demonstrated good and clear insight in the care needs of both residents and was able to provide up to date records of their assessments, reviews and care plans. Records of their daily activities were also provided, including information about risk assessments. Franklyn Lodge, 8 Forty Lane G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 Page 9 The service user’s guide needed to be more user friendly and written in simpler format and language with the addition of pictorial references to aid better understanding by the residents. The section on complaints also needed to be re-written to make it more user friendly and meet the communication abilities and needs of people with learning disabilities. There was evidence on records to verify that relatives of the residents had input into the decision about the choice of home. The staff member on duty also confirmed that relatives are invited to take part in the lives of residents, including attendance at reviews and other significant events. There was a residential contract of for each resident. This was written in easy to understand language with appropriate pictorial graphics to aid better understanding by residents and their relatives/advocates. Franklyn Lodge, 8 Forty Lane G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 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, & 9. The residents’ care needs are adequately assessed with appropriate systems and plans in place to help ensure they are kept under regular reviews. Care plans are individualised and reflective of the assessments and needs identified. EVIDENCE: The information examined by the inspector, plus discussion with the staff member on duty, indicated that the residents are assisted to become aware of important information about their lives. These included, their daily living tasks and routines, the role of their key workers, awareness of individual private and shared spaces, areas of potential risks and help with settling to life at the home. The care plans were adequately organised with input from social workers/care managers. The plans were individualised with clear information about each residents likes/dislikes for example. The residents are also assisted to develop their understanding of resources in their local community and the home and how to communicate their wishes to staff for example. The staff appeared to have sound knowledge of the Franklyn Lodge, 8 Forty Lane G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 Page 11 residents and their backgrounds. This also helps staff to offer a more person centred care support that reflected the needs of each resident. The inspector was of the view, the home should continue to develop and provide different methods of communication tools to help each resident develop and communicate their feelings, views, emotions and moods. These should included pictorial references, large prints and other objects to aid communication and better understanding. Franklyn Lodge, 8 Forty Lane G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14, 15, 17. The residents are assisted to access a range of social, leisure and cultural activities inside and out of the home. Staff recognised each resident’s individuality and programmes are planned accordingly. Meal planning was organised and reflected the nutritional and dietary needs of the residents. EVIDENCE: There was weekly activity plan for each resident designed to meet their individually assessed needs and preferences. The inspector observed a staff member interacting and communicating with one resident in a respectful and positive manner. The information recorded on case files, plus observation made by the inspector, indicated good effort is made by the manager and staff to create a stimulating home environment plus the provision of supporting services. One room on the ground floor equipped with washbasin facilities is been used for games and relaxation. It has an electric keyboard, music system, games and television set. Franklyn Lodge, 8 Forty Lane G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 Page 13 The care plan for the permanent resident listed her leisure and social activities as choosing her clothing, listening to music, going on outings, the cinema, playing on the keyboard, swimming, computer play station, art work and participation in quiz games. She is also supported to attend church services. The care planning objectives indicated this resident will need on going support from staff to manage money. There was also plan to review her care needs 6 weeks after she moved to the home. The inspector’s observation indicated that the staff and manager work with the residents to build on their positive individual and collective characteristics and interests. These included their experience and knowledge rather than just managing negative features such as challenging behaviour and incapacity. The inspector noted there were two sets of menus on display in the kitchen. The staff informed that inspector that menus are changed to reflect resident’s choices and preferences. Special vegetarian dishes are also provided in addition to standard meals. Franklyn Lodge, 8 Forty Lane G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 Page 14 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. Staff support each resident to develop their personal choices and preferences in their daily lives. The physical and emotional care needs of each resident is adequately assessed, monitored, reviewed and looked after by staff. EVIDENCE: The inspection findings indicated the health and nutritional care needs of the residents are adequately assessed. The staff provided the residents with good access and assistance to a range of health and social care services and facilities. The assessments had information about how each resident prefered personal care support to be given. The staff informed the inspector that personal support is provided in a flexible manner and in ways that enable each resident to develop independent skills in the tasks. Staff also support each resident to develop good hygiene practices. In addition, personal and intimate care support is provided in the privacy of each resident’s room where adequate ensuite facilities are in place. There was evidence of risk assessments covering all aspects of the personal safety of each resident These were in addition to nutritional assessments. Franklyn Lodge, 8 Forty Lane G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 Page 15 The records of training showed that staff received relevant training and how to offer appropriate and dignified personal care to each resident. The health care procedures had guidelines on how staff are expected to administer medication, dispose of used materials and clinical waste plus storage of medicines. Controlled drugs and medication were stored in a locked cabinet that was very small and will need to be larger as the number of residents moving to live at the home increases. The administration of medicines was countersigned by at least two staff. Training has been provided to staff who administer medication. However, it was noted that several recorded information on the MAR chart was tipexed out. The manager must ensure this practice is stopped. Franklyn Lodge, 8 Forty Lane G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 Page 16 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) 23 The provider’s employment policy and procedures help to ensure that the protection of resident’s welfare and safety is promoted. EVIDENCE: The evidence examined indicated the home has relevant complaints policy and procedural guidelines in place. There was no record of complaints at the home during this inspection. The home maintains link with the Brent Learning Disability Partnership and other relevant agencies that advocates on behalf of people with learning disabilities. Staff have also attended training in adult protection issues. The resident’s welfare and safety is further enhanced by the home’s employment policy and procedures. The home is managed well and staff are supervised and accountable for their daily interactions and work with residents. Franklyn Lodge, 8 Forty Lane G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 Page 17 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) 24,25,27,28,30 The home underwent major upgrading and renovation work before it was opened in June 2005. It was adequately maintained. Additional upgrading is still to be carried out to some areas, including the office, laundry and staff areas. EVIDENCE: The home has been upgraded and all bedrooms are single occupancy with ensuite facilities. Residents have access to all areas of the home- including the upper floors- if they are independently mobile. There is no lift. There was adequate natural light to all bedrooms plus adequate heating, a communal bathroom and storage space. The dining area is interior with no natural light and the chairs were somewhat difficult to move about and could present physical difficulties for residents with limited to poor physical ability. The laundry area was also cramped and additional structural and repair work is still needed in this area, including safeguarding all loose electric wiring. Appropriate action was been taken to regulate fridge temperature, safe storage of food items, water temperature and disposal of waste materials. Franklyn Lodge, 8 Forty Lane G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 Page 18 Franklyn Lodge, 8 Forty Lane G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 Page 19 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) 33, 34,35,36. The procedures for staff recruitment are thorough and offer adequate safety and protection to residents. The staff work as a unified, skilled and effective team. EVIDENCE: At the time of this inspection, two care staff were on duty at the home and the manager was attending a training course but met with the inspector briefly. One resident had gone to a day care centre and the other resident was assisted to attend a day care centre. The inspector did not examine the staffing records as they were kept at the head office of the provider. However, the manager assured the inspector that all staff go through the same pre-employment screening and procedures when they apply to work at any of the homes operated by the provider. The home recruit staff who are skilled and experience in residential care work. Training opportunities are offered in a range of social care subjects and areas to help enhance staff’s professionalism and competence, including NVQ and statutory mandatory training in health and safety, risk assessment and food and hygiene. Franklyn Lodge, 8 Forty Lane G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 Page 20 There was evidence to show that each staff has clearly defined job descriptions and are familiar with the General Social Care Council (GSCC) standards of conduct and professional practice. The manager informed the inspector that each staff spend appropriate time getting to know individual residents. This has helped them to develop appropriate and relevant supportive relationships. The staff who assisted the inspector during the inspection confirmed that she received regular supervision and ongoing support from the manager. Franklyn Lodge, 8 Forty Lane G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 Page 21 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) 38, 40, 42. The home is managed well by the current manager with good support from the registered provider. The approach has worked to the benefit of residents and staff. It has also help to enhance the welfare and protection of the residents. EVIDENCE: The inspection findings indicated that the residents live in an environment that is managed well. The documented evidence inspected showed that the care needs of residents are adequately identified and appropriate care planning in place to support each resident. The home had appropriate risk assessment tools and systems to help monitor and control potential risks and health hazards. There was evidence of registration with the local borough council food and hygiene agency, the fire prevention service, gas and electric testing and control of the water supply system. Some of the policy and procedure documents needed reviewing. The provider will also need to ensure that the communal bathroom is upgraded, careful Franklyn Lodge, 8 Forty Lane G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 Page 22 monitoring of the storage facilities in the garden is carried out and consideration is given to ensuring the dining room chairs are easy to use by all residents. Franklyn Lodge, 8 Forty Lane G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 Page 23 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 2 3 x 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x 3 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 x x Standard No 31 32 33 34 35 36 Score x x 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Franklyn Lodge, 8 Forty Lane Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x 3 x 3 x 3 x G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 Page 24 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 1 Regulation 5, 6 Requirement Timescale for action 30 December 2005 2. 20 13 The registered provider must esnure that the service users guide and statement of purpose are reviewed and updated. They should also be written in language and communication format that meets the needs of residents with varying degrees of learning disabilities. 30 The registered provider must December ensure that all recordings in the medication administration chart 2005 (MAR) is carried out according to best professional practice. Gaps must be accounted for and the use of tipex should be avoided The registered provider must also esnure there is adequate storage facility for all prescribed medication. 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. Franklyn Lodge, 8 Forty Lane G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 Page 25 Refer to Standard Good Practice Recommendations Franklyn Lodge, 8 Forty Lane G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection 4th Floor, Aspect Gate 166 College Road Harrow, Middlesex 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, 8 Forty Lane G62-G11 S64186 8 Forty Lane V248894 130905 Stage 4.doc Version 1.40 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!