Inspection on 10/01/06 for Garden Lodge

This inspection was carried out on 10th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Garden Lodge 01/05/07

Garden Lodge 11/08/05

Garden Lodge 23/11/04

Garden Lodge 06/08/04

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

CARE HOME ADULTS 18-65 Garden Lodge Maureen Terrace Seaham Durham SR7 7SN Lead Inspector Ms Kathy Bell Unannounced Inspection 10th January 2006 2:15 Garden Lodge DS0000007472.V257745.R01.S.doc Version 5.1 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 Garden Lodge DS0000007472.V257745.R01.S.doc Version 5.1 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. Garden Lodge DS0000007472.V257745.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Garden Lodge Address Maureen Terrace Seaham Durham SR7 7SN 0191 5131185 0191 5130388 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) European Services for People with Autism Limited Ms June Naylor Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Garden Lodge DS0000007472.V257745.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th August 2005 Brief Description of the Service: Garden Lodge is a care home providing personal care and accommodation (but not nursing care) for eight people between the ages of 18 and 65 years with autism spectrum disorders. It is managed by the organisation now known as European Services for People with Autism Limited, which was established in 1987 and runs a range of services for younger adults with autism. The home was purpose-built and has eight single bedrooms, two living rooms, a dining room and its own garden. The premises are decorated and furnished to a good standard and in a domestic style throughout. Adaptations have been made to meet the needs of a resident with some disabilities. Garden Lodge DS0000007472.V257745.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place during one afternoon in January 2006. It was one of the two inspections scheduled for the year. The inspector saw all the residents but many have communication problems related to their autism and find it difficult to comment directly on their care. During the afternoon, the inspector looked around the building, looked at records, talked to staff and spent some time in the living areas used by residents, observing what was going on. She talked in more depth to two newer residents who were pleased with all aspects of the home. What the service does well: What has improved since the last inspection? Adaptations have been made to meet the needs of the new resident. Staff continue to work to develop the abilities of residents and make their lives rewarding for them. The lack of other specific improvements is not a negative comment about the home but reflects the high standards already in place. Garden Lodge DS0000007472.V257745.R01.S.doc Version 5.1 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. Garden Lodge DS0000007472.V257745.R01.S.doc Version 5.1 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 Garden Lodge DS0000007472.V257745.R01.S.doc Version 5.1 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): None of these standards were assessed during this inspection. EVIDENCE: Garden Lodge DS0000007472.V257745.R01.S.doc Version 5.1 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): 7 &9 The home encourages residents to make decisions about their daily lives as much as possible but where restrictions are necessary for their safety, these are recorded and justified. Residents are not able to have a great deal of independence but the home assesses the risks of activities they enjoy or would benefit from and provides staffing which enables the activities to take place safely. EVIDENCE: Residents who could comment said that the staff did ask them what they wanted to do. Staff confirmed that they are expected to always offer residents choices. Some people would find it difficult to make a completely open choice so they use their knowledge of individual residents to offer, for example, the choice of two options for how to spend an evening. Staff are using pictures to help residents express their choices. Comprehensive risk assessments are recorded, which describe the benefits a resident may gain from an activity and the safeguards which must be in place. These explain, for example, how many staff are needed for an activity. Where a resident can only go in the kitchen if they are supervised, the reasons for this were written down and seem justifiable. Garden Lodge DS0000007472.V257745.R01.S.doc Version 5.1 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): 16 The home acknowledges residents rights and tries as far as possible to enable them to exercise these rights. EVIDENCE: Where residents rights are restricted, for their own safety, the home records this and can justify its decision making. As far as possible staff have tried to explain to residents things like how to complain, so that they can exercise their rights. The manager is looking at further training in-house to increase staffs awareness of these issues. Garden Lodge DS0000007472.V257745.R01.S.doc Version 5.1 Page 11 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): These standards were not assessed during this inspection. EVIDENCE: Garden Lodge DS0000007472.V257745.R01.S.doc Version 5.1 Page 12 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 A satisfactory complaints procedure means that staff know how to respond to complaints and any relative or resident who wants to complain knows how to do this and how ESPA should respond. Staff respond when residents are unhappy about something, even though they are unable to complain formally. The home takes all reasonable steps to protect residents from abuse, by providing training, procedures and oversight by senior staff. EVIDENCE: The home has a satisfactory complaints procedure and this has been produced in a form which could be easier for some residents to understand. Staff have recorded when they have tried to explain this to residents. A full text version is also given to parents . Residents who commented said that they could tell the manager or staff if they were not happy about something. Staff receive regular refresher training on preventing abuse and the organisation has satisfactory policies and procedures to protect residents. Care plans include detailed guidelines on how staff can respond to any challenging behaviour, including the use of restraint . Senior staff check the records of any incidents involving restraint to make sure that residents are kept safe from harm. Full records are kept of money handled for residents and these are checked by ESPAs finance department. Garden Lodge DS0000007472.V257745.R01.S.doc Version 5.1 Page 13 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): These standards were not assessed during his inspection. EVIDENCE: Garden Lodge DS0000007472.V257745.R01.S.doc Version 5.1 Page 14 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): 34 & 35 Staff seemed to have the personal qualities, skills and training needed for this home. Comprehensive training is provided, including good support for new staff. This make sure that staff have the knowledge and skills to provide the specialised care needed in this home. Proper checks are carried out on new staff to make sure that only suitable people begin work in the home. EVIDENCE: Espa has an established system for recruitment, which includes all required checks. No new staff have been employed recently but records previously seen have shown that Criminal Records Bureau/POVA checks had been carried out and three references obtained. There is a comprehensive training system for new staff and existing staff. This includes key areas such as food hygiene and also subjects specific to the type of home, such as restraint and autism. The home is working towards meeting the target of 50 of care staff qualified to NVQ 2 and is making good progress towards this. Garden Lodge DS0000007472.V257745.R01.S.doc Version 5.1 Page 15 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): 39 & 42 Arrangements for making sure that the home provides a safe place to work and live are generally good. Espa has good systems to check how successful the home is in meeting the needs of residents. EVIDENCE: Good attention is paid to making sure that the health and safety of residents and staff are protected. Regular safety checks, fire drills and maintenance are carried out. Espa has a number of systems to make sure that the home provides a good service. There is an annual development plan which is linked to individual goals for each resident. Each year residents and their relatives complete a survey so that Espa knows what they think of the service. A senior member of the staff of Espa visits the home once a month to check how it is running. Garden Lodge DS0000007472.V257745.R01.S.doc Version 5.1 Page 16 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X 4 X X 3 X Garden Lodge DS0000007472.V257745.R01.S.doc Version 5.1 Page 17 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. Refer to Standard YA37 YA33 Good Practice Recommendations The manager should achieve NVQ 4 in care. 50 of the care staff should achieve NVQ 2 in care. Garden Lodge DS0000007472.V257745.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Garden Lodge DS0000007472.V257745.R01.S.doc Version 5.1 Page 19 - 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. 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