Inspection on 25/01/06 for Hales Lodge

This inspection was carried out on 25th January 2006.

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

Hales Lodge 03/03/09

Hales Lodge 09/03/07

Hales Lodge 08/08/05

Hales Lodge 28/02/05

Hales Lodge 14/06/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Hales Lodge Somerton Road Winterton On Sea Great Yarmouth Norfolk NR29 4AW Lead Inspector Hilary Shephard Unannounced Inspection 25th January 2006 4:20 Hales Lodge DS0000027468.V275883.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 Hales Lodge DS0000027468.V275883.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. Hales Lodge DS0000027468.V275883.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hales Lodge Address Somerton Road Winterton On Sea Great Yarmouth Norfolk NR29 4AW 01493 393271 01493 393271 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) www.mencap.org.uk Royal Mencap Society Mrs Beverley Jane Pitt Care Home 8 Category(ies) of Learning disability (8), Physical disability (8) registration, with number of places Hales Lodge DS0000027468.V275883.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. All service users have a learning disability; all or some may also have a physical disability Total number of service users not to exceed 8 Date of last inspection 8th August 2005 Brief Description of the Service: Hales Lodge is a purpose built care home providing care and accommodation for up to eight adults with learning and physical disabilities. The home is divided into two bungalows but residents share all facilities. Specialist equipment is in place to ensure that residents are able to receive the most appropriate care. All residents have single accommodation and there is a good range of communal space. Hales Lodge DS0000027468.V275883.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine unannounced inspection took place over 4 ¾ hours during which time the inspector spoke with 3 residents and 2 staff. The views of residents and staff, where appropriate, are reflected in the findings in the report. A tour was made of the building including some of the bedrooms and the inspector also looked at medication records. At the end of the inspection feedback was given to the Manager. One recommendation was made as a result of this inspection. What the service does well: What has improved since the last inspection? 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. Hales Lodge DS0000027468.V275883.R01.S.doc Version 5.1 Page 6 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 Hales Lodge DS0000027468.V275883.R01.S.doc Version 5.1 Page 7 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): Standards not assessed at this inspection. EVIDENCE: Hales Lodge DS0000027468.V275883.R01.S.doc Version 5.1 Page 8 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): Standards not assessed at this inspection. EVIDENCE: Hales Lodge DS0000027468.V275883.R01.S.doc Version 5.1 Page 9 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): Standards 12, 13, 15, 16 and 17 Residents enjoy attending various day centres; they are enabled to take part in leisure activities and are encouraged to maintain contact with family and friends. The residents’ abilities are encouraged and their rights are promoted. The food is well prepared from fresh ingredients. EVIDENCE: All residents are occupied by some form of activity or therapy during weekdays and most residents attend day centres locally. One resident said she enjoyed going out during the week often going bowling, sometimes went out at the weekends and liked going to church on Sundays. One resident said the food was good, and although most residents are unable to physically help prepare food, staff were involving them in food preparation. The evening meal was observed, and residents seemed to be enjoying themselves. A new kitchen has been installed creating more space enabling residents to get involved in food preparation. Hales Lodge DS0000027468.V275883.R01.S.doc Version 5.1 Page 10 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): Standard 20 Medication is generally managed safely, but one of the administration codes is not being used properly. EVIDENCE: Medication was inspected, and was in good order with one exception. One of the administration codes should be used in conjunction with a definition of why the medication was omitted. This definition was not being recorded, so that staff would not know why the medication had been omitted. All other administration codes were used properly, medication was stored safely and staff have received training. The manager regularly checks the medication charts. A recommendation has been made. Hales Lodge DS0000027468.V275883.R01.S.doc Version 5.1 Page 11 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): Standards 22 and 23 Residents feel safe, and are confident that concerns raised are listened to and dealt with. The complaints procedure is good and available in different formats, residents know who to raise concerns with and staff have a good understanding about adult protection. EVIDENCE: Because of their disabilities, some residents would not be able to verbalise their concerns, but staff said that as they knew them so well, they would quickly be aware if something was wrong. Some residents are able to express their concerns and said they would have no problem doing so with staff or the manager. One resident said she felt safe and staff said they would report any concerns immediately to the manager or deputy. Hales Lodge DS0000027468.V275883.R01.S.doc Version 5.1 Page 12 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): Standard 30 Residents benefit from living in a clean home, but one carpet is badly stained EVIDENCE: Generally the home was very clean and well maintained. One of the lounge carpets was badly stained, and the manager advised that this was due to be replaced soon, as were some other carpets. Hales Lodge DS0000027468.V275883.R01.S.doc Version 5.1 Page 13 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): Standard 32 Residents are well supported by properly trained and competent staff. EVIDENCE: Most of the staff are either working towards NVQ level 2, 3 or 4. All staff have completed Mencap’s induction programme which focuses on the specific needs of learning disabled people. Staff have also undergone training in moving and handling and first aid. Staff attend a variety of training courses specific to the needs of their residents which has recently included swallowing difficulties and communication. Staff interacted and communicated very well with all residents during the inspection and residents seemed comfortable and relaxed with them. One resident said the staff were nice and knew how to look after them and knew how to move them properly. Hales Lodge DS0000027468.V275883.R01.S.doc Version 5.1 Page 14 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): Standards 37, 39 and 42 The home is well managed by an experienced manager who makes every effort to involve residents in the running of the home and to provide a safe environment. EVIDENCE: The manager has worked in the home for three years, two as manager and is currently working towards NVQ level 4 in management. Two staff have recently completed training in communication and are now communication co-ordinators for the home. They organise residents meetings to discuss the home, plan outings and parties. Residents meetings are generally used as a way to involve all residents in how they want the home to be run. Mencap undertake a yearly quality survey involving residents and other people involved in the home. Staff undertake all mandatory health and safety training and the manager ensures that safety standards are maintained. Hales Lodge DS0000027468.V275883.R01.S.doc Version 5.1 Page 15 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 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X 3 X 3 X X 3 X Hales Lodge DS0000027468.V275883.R01.S.doc Version 5.1 Page 16 None 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 YA20 Good Practice Recommendations The Registered person is recommended to record the medication administration codes correctly. Hales Lodge DS0000027468.V275883.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 Hales Lodge DS0000027468.V275883.R01.S.doc Version 5.1 Page 18 - 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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