Inspection on 23/01/06 for Hastings Lodge

This inspection was carried out on 23rd 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Hastings Lodge 14/07/08

Hastings Lodge 03/08/06

Hastings Lodge 03/05/05

Hastings Lodge 25/10/04

Hastings Lodge 21/07/04

Hastings Lodge 27/01/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Hastings Lodge 20-22 Althorp Road St James Northampton Northants NN5 5EF Lead Inspector Mrs Diane Butler Unannounced Inspection 23rd January 2006 14:30 Hastings Lodge DS0000012797.V279518.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 Hastings Lodge DS0000012797.V279518.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. Hastings Lodge DS0000012797.V279518.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hastings Lodge Address 20-22 Althorp Road St James Northampton Northants NN5 5EF 01604 750329 01604 750329 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) Mr John Hastings Elliot Mrs Marie Marguerite Llandinaff-Elliot Mrs Marie Marguerite Llandinaff-Elliot Care Home 14 Category(ies) of Learning disability (14), Learning disability over registration, with number 65 years of age (2) of places Hastings Lodge DS0000012797.V279518.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To accommodate 11 services users at 20-22 Althorp Road, St James, Nothampton, NN5 5EF To accommodate 3 service users at 6 Althorp Road, St James, Northampton 3rd May 2005 Date of last inspection Brief Description of the Service: The home provides a service for 14 service users with learning disabilities and is situated within a residential area of Northampton. The home is divided into three properties situated in the same street. Two of the properties are adjacent and have been tastefully converted into one property, which is home to 11 residents. 3 further residents live in a smaller property further down the street. The properties blend in well with the surrounding houses in the area, and shops, and other facilities are close by. 12 service users are accommodated in single rooms with one double bedroom and the lounges, dining room and kitchen are freely accessible to all the residents. Hastings Lodge DS0000012797.V279518.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission of Social Care Inspection is upon the outcomes for Service Users and their views of the service provided. The main method of inspection used was ‘case tracking’ which involved selecting two service users and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. This inspection took place during the late afternoon of the 23rd January 2006. The Registered Manager was most helpful during the inspection process. What the service does well: What has improved since the last inspection? What they could do better: Devise a training matrix/record of all training completed by staff. This would enable the Registered Manager to evidence training offered and training completed by the staff employed at the home. Hastings Lodge DS0000012797.V279518.R01.S.doc Version 5.1 Page 6 Ensure doors are not wedged open unless this action has been cleared by the fire service. 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. Hastings Lodge DS0000012797.V279518.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 Hastings Lodge DS0000012797.V279518.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): 1,2,4,5 Prospective residents are given the opportunity to stay at the home before moving in and are given all the relevant information about the services offered to enable them to make an informed decision about admission to the home. EVIDENCE: • A statement of purpose document is available. This document, which is displayed in the resident’s hallway, includes all the necessary information to enable prospective service users and/or their families to make an informed choice about whether to live at the home. The Registered Manager stated that all prospective residents are invited to look around the home, have a meal with the residents already accommodated there and have the opportunity to stay over night. This enables the prospective resident to get a feel of what it is like to live at the home. This process was confirmed on speaking with the service users and on checking daily records. The Registered Manager explained that she works closely with other professionals involved in prospective service users care to ensure all care and support needs are identified and met. Thorough assessments were included in both care files inspected. Throughout the inspection staff were seen communicating effectively with the residents in their care. DS0000012797.V279518.R01.S.doc Version 5.1 Page 9 • • • Hastings Lodge Hastings Lodge DS0000012797.V279518.R01.S.doc Version 5.1 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): 6,8 Service users are consulted on, and participate in, all aspects of the home. EVIDENCE: • • Comprehensive care plans and risk assessments were in place and those seen had recently been reviewed. The care plan belonging to the newest service user was in the process of being developed. Comprehensive information has been obtained from the service users relatives and other professionals involved in their care to ensure that the care plan is relevant up to date and identified care and support needs included. Issues that arise are discussed on a daily basis and service user meetings are held at regular intervals, enabling the service users to be involved in the day to day running of the home. Minutes of the last meeting held on 9th January 2006 were seen. • Hastings Lodge DS0000012797.V279518.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17 Service users are offered a choice of suitable menus, which meet their dietary and cultural needs and respect their individual preferences. EVIDENCE: • Through discussion with the service users living in the home it was evident that they are helped to access and take part in valued and fulfilling activities. These include: Accessing local day centres Shopping Swimming Visiting the library Attending church Attending the local Mencap club. • One service user spoken with explained that he currently had two jobs, one working in a reception and another one working in a kitchen. Hastings Lodge DS0000012797.V279518.R01.S.doc Version 5.1 Page 12 • A varied menu is offered and a choice of meal is available on a daily basis. The food is served to suit the resident’s individual needs, whether this is in soft form or as a normal meal. The meal seen on the day of the inspection was well presented and enjoyed by all the service users. One service user spoken with stated, “The food is very nice here”. • A member of staff is available throughout mealtimes to assist the service users as and when needed. Hastings Lodge DS0000012797.V279518.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Service users receive assistance and support in the way they prefer and require. EVIDENCE: • • Care and support is offered in a sensitive and flexible manner. Comments received during the inspection included: “I am very happy here” “I have a bath every morning” “They [the staff] are very good” • Through inspection of daily records it was evident that residents are assisted to access healthcare services when needed. Services contacted on the resident’s behalf included GP’s, Community Nurses, and the Speech and Language Team at the local hospital. Hastings Lodge DS0000012797.V279518.R01.S.doc Version 5.1 Page 14 • The registered Manager explained that The Consultant Psychiatrist visits the home every other Thursday to review medication, monitor behaviour and changing needs and to offer advice to the staff working at the home. Service users weight is monitored on a regular basis. The procedures for the administration of medication were checked during the inspection. All records checked on this occasion had been completed appropriately. • • Hastings Lodge DS0000012797.V279518.R01.S.doc Version 5.1 Page 15 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 Staff awareness of actions to take should any form of abuse be suspected ensures the protection of the residents in their care. EVIDENCE: • • The deputy manager explained that training on abuse awareness has been provided to all staff in the home. Care workers spoken with confirmed this. Staff spoken with during the inspection were aware of what to do should they suspect any act of abuse and the Registered Manager is aware of her responsibilities with regard to adult protection. The homes complaints procedure was seen and was found to include all the necessary information. A copy of this procedure is displayed in the homes entrance hall and service users spoken with were aware of whom to speak to if they had any concerns. One service user stated, “I would speak to Ivy [The registered manager] I would discuss my problem and she would sort it”. • Hastings Lodge DS0000012797.V279518.R01.S.doc Version 5.1 Page 16 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): 24,25,26,30 The home meets service users individual and collective needs in a comfortable and homely way. EVIDENCE: • The communal areas within the home provide space in which the service users can spend time together in comfort. These include two lounges and a dining room. Furnishings and fittings in the communal areas are comfortable and domestic in character. Resident’s rooms seen on this occasion were clean, comfortable and included the resident’s personal belongings. All areas of the home seen on this occasion were clean and fresh. • • • Hastings Lodge DS0000012797.V279518.R01.S.doc Version 5.1 Page 17 Hastings Lodge DS0000012797.V279518.R01.S.doc Version 5.1 Page 18 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): 33,34,36 Sufficient numbers of staff are currently employed to meet the needs of the service users. EVIDENCE: • • • On the day of the inspection a relaxed atmosphere was evident with staff going about their work in an unhurried and professional manner. Care workers spoken with felt that there were currently enough staff on duty to meet the care and support needs of the service users. Job descriptions are in place and evidence was seen to confirm that staff have been made aware of the GSCC (General Social Care Council) codes of conduct. Two staff files were inspected. Both included two references (though it was noted that these were ‘to whom it may concern’ references). Only one of the two files included a CRB (Criminal Record Bureau) check. The deputy manager explained that a CRB had been collected by the recruitment agency that supplied the care worker but he had yet to obtain a copy. Proof of identity was in place for both care workers. • Hastings Lodge DS0000012797.V279518.R01.S.doc Version 5.1 Page 19 • The deputy manager explained that supervision sessions are offered to all staff on a two monthly basis. This was confirmed through discussion with two care workers on duty at the time of the inspection. A number of care workers also visited during the inspection to attend supervisions previously arranged. The deputy manager explained that all care workers receive the relevant training including moving and handling, fire safety, food hygiene. Training in dealing with epilepsy has also been provided. Two care workers spoken with confirmed that they had received the above training. At the time of the inspection there was no written record of training provided or completed by the care workers. • • Hastings Lodge DS0000012797.V279518.R01.S.doc Version 5.1 Page 20 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): 37,38,39,42 Resident’s benefit from the ethos, leadership and management approach of the home. EVIDENCE: • The Registered Manager has worked at Hastings Lodge since it’s opening in 1989 and has completed her National Vocational Qualification level four and Registered Managers Award. All staff and service users spoken with stated that she was approachable and supportive. It was evident during the inspection that the residents benefited from the ethos, leadership and management that the registered manager provides. Service user meetings and staff meetings are held on a regular basis and regular staff supervision sessions are held to enable the Registered Manager to gain their views of the service being provided. • • Hastings Lodge DS0000012797.V279518.R01.S.doc Version 5.1 Page 21 • It was noted during the inspection that a large number of doors were being wedged open. These included the door to the kitchen and other communal areas. Hastings Lodge DS0000012797.V279518.R01.S.doc Version 5.1 Page 22 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 3 2 3 3 X 4 3 5 3 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 3 25 3 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 2 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X 2 X Hastings Lodge DS0000012797.V279518.R01.S.doc Version 5.1 Page 23 Yes 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 YA34 Regulation 17 Requirement Timescale for action 30/01/06 2 YA42 13 The Registered Provider must ensure that a CRB is obtained for all care workers working at the home. The Registered Provider must 30/01/06 contact the fire service for advice on the use of door wedges and act on advice received. 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 YA35 Good Practice Recommendations It is recommended that a training matrix/record of all training completed by staff be developed. Hastings Lodge DS0000012797.V279518.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hastings Lodge DS0000012797.V279518.R01.S.doc Version 5.1 Page 25 - 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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