Inspection on 03/08/06 for Hastings Lodge

This inspection was carried out on 3rd August 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 no outstanding requirements from the previous inspection report, but made 1 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 23/01/06

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 Judith Roan Unannounced Inspection 3rd August 2006 10.00 DS0000012797.V306196.R01.S.doc Version 5.2 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 DS0000012797.V306196.R01.S.doc Version 5.2 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. DS0000012797.V306196.R01.S.doc Version 5.2 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 DS0000012797.V306196.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. To accommodate 11 services users at 20-22 Althorp Road, St James, Northampton, NN5 5EF To accommodate 3 service users at 6 Althorp Road, St James, Northampton 23rd January 2006 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 service users. A further 3 service users live in a smaller property a few doors away in the street. The properties blend in well with the surrounding houses in the area. Shops and other community facilities are close by. 12 service users are accommodated in single rooms and two in a double bedroom. The lounges, dining room and kitchen are freely accessible to all the residents. Fee levels differ according to needs of service users. DS0000012797.V306196.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for Service Users and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provisions that need further development. The primary method of inspection used was ‘case tracking’ which involved selecting three service users and tracking the care they receive through review of their records, discussion with them, the care workers and observation of care practices. The inspector also spoke with other service users at home on the day of the inspection. Questionnaires were sent to seek the points of view from service users, relatives / visitors and professionals as to the standard of care and service provided. All questionnaires returned provided a positive feedback of the quality of care and service. The homes registered manager also completed a pre-inspection questionnaire. What the service does well: What has improved since the last inspection? The main house was being decorated at the time of the inspection. Care worker training records are contained within their files. DS0000012797.V306196.R01.S.doc Version 5.2 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. DS0000012797.V306196.R01.S.doc Version 5.2 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 DS0000012797.V306196.R01.S.doc Version 5.2 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 Quality in this outcome area is good. The admission process ensures that needs are assessed and that service users are fully involved within the process. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The statement of purpose document available within the home and normally displayed in the hallway, gives clear information to enable prospective service users and/or their families to make an informed choice about whether to live at the home. Not displayed as the hall was being redecorated on the day of the inspection. In discussion the inspector established that all prospective residents are invited to look around the home, have a meal with current residents and have the opportunity to stay over night. Prospective residents are encouraged to try out the home for several weeks on admission before a final decision to remain at the home is made. During this time care workers check out on a daily basis how the new service user is settling into the home. During the admission process the Registered Manager and care workers work closely with other professionals involved in the prospective service users care to ensure all care and support needs are identified and met. Thorough assessments were included in care files inspected. DS0000012797.V306196.R01.S.doc Version 5.2 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): 6,7,8,9 Quality in this outcome area is adequate. Care plans are in place for service users but risk assessments need to be developed to fully meet their needs. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Comprehensive care plans are in place and those seen had recently been reviewed. During the inspection it was established that one service user that was thought to be at day services had returned home. In viewing their file risk assessments were not in place for being home alone. In discussion with the service user it was clear that they were safe being in the house, but there is no system in place whereby they indicated to staff at the other house that they had returned. It is recommended that the Registered Manager review how service users are supported to take on the responsibility of informing care workers that they have returned to the home as part of developing their independence skills. DS0000012797.V306196.R01.S.doc Version 5.2 Page 10 A home alone risk assessment must be developed to support this activity. Comprehensive information is obtained from service users, relatives and other professionals involved in their care to ensure that the care plan is relevant, up to date and identifies care and support needs. 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 dayto-day running of the home. Minutes are available to support this activity. DS0000012797.V306196.R01.S.doc Version 5.2 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): 11,12,13,15,16,17 Quality in this outcome area is good. Service users lifestyles could be further enhanced by the development of person centred plans and goals. This judgement has been made using available evidence including a visit to the service. EVIDENCE: At the time of the inspection several of the service users were away with the registered manager on holiday. The service users at home had already taken their annual holiday a few weeks earlier. There was evidence both on file and with discussion with service users that they are enabled to access and take part in range of activities of their choice. These include: Accessing local day centres Shopping Swimming Visiting the library Attending church Attending the local MENCAP club. DS0000012797.V306196.R01.S.doc Version 5.2 Page 12 One service user spoken with explained that they enjoyed being helpful around the home and assisting care workers with household tasks. They also liked to domiciliary the shopping and felt a valuable member of the house. As part of the pre inspection questionnaire the registered manager supplied a four-week menu for review. The menu offers a variety and choice of meal on a daily basis. Meals are served to suit the service users individual needs, whether this is in soft form or as a normal meal. The meal seen on the day of the inspection looked appetising and was well presented. The service users that could comment said that the meals were always good. A care worker was available throughout the mealtime to assist as and when needed. In observation staff appeared not to sit down with service users during the meal. The atmosphere for service users would be improved if care workers were at eyelevel with service whilst supporting them to eat. DS0000012797.V306196.R01.S.doc Version 5.2 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 Quality in this outcome area is adequate. Service users personal and health care needs are met well but recording of these events is poor. This judgement has been made using available evidence including a visit to the service. EVIDENCE: During the inspection it was noted that care and support is offered in a sensitive and flexible manner. Comments received during the inspection included: “ I like living at the home” “ The staff help me with my personal care and I enjoy being with them. Through inspection of daily records it was evident that residents are assisted to access healthcare services when needed. It was however difficult to track some of the records and it is recommended that the registered manager reviews how care workers complete these so that a history of key medical events are noted in one area of the care file. Services contacted on the service users behalf included GP’s, Community Nurses, and the Speech and Language Team at the local hospital. The inspector received several comment cards from health care professional that DS0000012797.V306196.R01.S.doc Version 5.2 Page 14 were positive and concluded that the health care needs of service users were well supported by the systems in place at the home. It was evident that the service users receive good support from health care professionals. The administration of medication was checked during the inspection and all records had been completed appropriately. DS0000012797.V306196.R01.S.doc Version 5.2 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 Quality in this outcome area is good. Service users are protected by the robust policies and practices used by care staff. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Records confirm that care workers have completed training on abuse awareness Systems within the home ensure that any abuse disclosure would be acted upon and dealt with professionally. The complaints procedure was seen and was found to include all the necessary information. A copy of this procedure is normally displayed in the homes entrance hall for all service users and visitors to see. It was not displayed at the time of the inspection due to decorators repainting the hall and corridors. On discussion with service users that could communicate they all knew how to complain and raise a concern, indicating that they would speak with the manager. DS0000012797.V306196.R01.S.doc Version 5.2 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): 24,25,30 Quality in this outcome area is good. The home is clean and hygienic and fit for purpose. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Service users were eager to show the inspector around the home. Bedrooms seen were clean, decorated to service users choice of colour and well maintained. Rooms contained personal belongings and were homely. The communal areas within the home provide space for service users to spend time together in comfort. These include two lounges and a dining room. The communal areas were being redecorated at the time of the inspection. In discussion with the deputy manager the use of colour and texture within the home was to be considered in the future for those service users that needed more support in identifying aspect of their environment as their senses diminished due to the ageing process. Furnishings and fittings in the communal areas are comfortable and domestic in character. DS0000012797.V306196.R01.S.doc Version 5.2 Page 17 All areas of the home seen on this occasion were clean, fresh and hygienically maintained. DS0000012797.V306196.R01.S.doc Version 5.2 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): 32,34,35 Quality in this outcome area is good. Positive recruitment and training ensures that service users are safe and supported by a consistent staff team. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Two care workers were on duty to meet the needs of two service users of which one needed one to one support. One service user was working alongside one care worker undertaking daily household duties within the home. It is evident that work rotas are developed to meet the identified needs of service users. Job descriptions are in place and evidence was seen to confirm that care workers have been made aware of the GSCC (General Social Care Council) codes of conduct as part of their induction training. There was evidence in care workers files that induction and basic training had been completed. Two care worker files were inspected. Both included two references and full CRB (Criminal Record Bureau) check. Proof of identity was in place for both care workers as was confirmation to work in the UK. DS0000012797.V306196.R01.S.doc Version 5.2 Page 19 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. DS0000012797.V306196.R01.S.doc Version 5.2 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): 37,39,42 Quality in this outcome area is good. Effective leadership ensures that the home is run in the best interests of service users. This judgement has been made using available evidence including a visit to the service. EVIDENCE: At the time of the inspection the Registered manager was away supporting service users on holiday. In her absence the deputy manager provided support to the care team and was available for emergencies. The Registered Manager has worked at Hastings Lodge since it’s opening in 1989 and holds the National Vocational Qualification level four in Care and Registered Managers Award. All care workers and service users spoken with stated that she was approachable and supportive. It was evident during the inspection that there is good system in place to ensure that the service is managed and run for the service users benefit DS0000012797.V306196.R01.S.doc Version 5.2 Page 21 Service user meetings and staff meetings are held on a regular basis, as are regular staff supervision sessions. These meeting and with feedback from others connected with the home the Registered Manager is able to gain an overview to influence the development of the service. DS0000012797.V306196.R01.S.doc Version 5.2 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 3 4 3 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 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 2 X LIFESTYLES Standard No Score 11 2 12 2 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X DS0000012797.V306196.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO 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 YA9 Regulation 13(4) Requirement Risk assessment need to be developed for service users that con remain at home alone. Timescale for action 30/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations DS0000012797.V306196.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 DS0000012797.V306196.R01.S.doc Version 5.2 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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