Inspection on 19/04/07 for Haven Lodge

This inspection was carried out on 19th April 2007.

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

Haven Lodge 03/02/06

Haven Lodge 09/06/05

Haven Lodge 18/01/05

Haven Lodge 09/09/04

Haven Lodge 09/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Haven Lodge 80 West End Road Morecambe Lancashire LA4 4DY Lead Inspector Mr Ajam Auckburally Unannounced Inspection 19th April 2007 10:00 Haven Lodge DS0000010079.V336922.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 Haven Lodge DS0000010079.V336922.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 Older People and 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. Haven Lodge DS0000010079.V336922.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Haven Lodge Address 80 West End Road Morecambe Lancashire LA4 4DY 01524 418309 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) Miss Sylvia Peters Miss Nichola Donaldson Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Haven Lodge DS0000010079.V336922.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd February 2006 Brief Description of the Service: Haven Lodge is situated in Morecambe and is registered as a home providing holidays and respite care for up to seven people with learning disabilities. Accommodation is provided in single bedrooms which are adequately fitted and furnished. Care and activities are provided after a thorough assessment. A team of well motivated staff is employed by the home to meet the social and care needs of the people who come to stay. Admission to Haven Lodge is strictly short term as no permanent residents are accepted. There were 5 people spending a holiday at the home at the time of the inspection. The cost of stay at Haven Lodge is based upon the assessments of the people, the level of personal needs and activities they require. The lower rate is £410 per week with no upper limit. Haven Lodge DS0000010079.V336922.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Under IBL (Inspecting for Better Lives) Haven Lodge was assessed as requiring a statutory key visit (inspection) between April 2007 and June 2007. An unannounced key site visit was carried out on 19th April 2007. The inspection lasted for 3.5 hours. The inspection was carried out against the National Minimum Standards for Adults (18-65). The inspection despite being an unannounced one was carried out in a friendly atmosphere and with the full cooperation of the manager, the staff and the residents. During the inspection, some records were looked at and all the five people on holiday and the staff were spoken to. The residents were very positive about the care and the level of activity they receive and the way the staff treat them. There were 5 people staying at the home at the time of the inspection and there were 3 care staff, the manager and the assistant manager on duty. The number of staff on duty is dependent upon the number of people staying at the home and the activities planned for the day. The residents appeared to be well cared for and free from neglect or abuse. What the service does well: The home provides a pleasant environment for the residents to live in. All the bedrooms are of good proportions to meet the different needs of the residents. Haven Lodge is a classed as a holiday home and as such provides a good level of outings and activities to meet the expectations of the people. The staff were found to be in good temperament to care for the residents. They were observed to be friendly and caring. Staff recruitment is good, with appropriate checks being made prior to new staff starting work. An administrator has been appointed to help the manager with some of the administrative work and thus giving her more time to manage the home more efficiently. Haven Lodge DS0000010079.V336922.R01.S.doc Version 5.2 Page 6 Residents were observed to be able to move freely around the home. They said that they are able to do what they want and that the staff are very supportive. 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. The summary of this inspection report can be made available in other formats on request. Haven Lodge DS0000010079.V336922.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Haven Lodge DS0000010079.V336922.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome is excellent. This judgement has been made using available evidence including a visit to this service. There are good practices to ensure that people are assessed properly. Prospective residents are provided with good and relevant information. EVIDENCE: The admission procedures involve all relevant information including medical history and assessments from relevant social workers being obtained. As most of the people coming to stay at Haven lodge are from out of Lancashire, accurate information plays an important in providing tailor made care. Haven Lodge DS0000010079.V336922.R01.S.doc Version 5.2 Page 9 Pre admission visits by prospective holiday makers or their families are not always practical, but the manager said if anyone wanted to, they would be made very welcome. The manager has produced a pictorial user friendly Service User Guide. These are sent to prospective clients, families and the social workers. When someone requests to come on holiday at Haven Lodge, he is sent a form to fill in. This form is usually completed by the social worker or carer. It asks for a lot of information about the person who is coming to stay, as the acceptance of the person will be dependent upon the answers given. The cost of the stay will also depend on the information received. The files of two of the people staying were seen and they clearly show that a lot of information was received. Information obtained is about mobility, ability to attend to personal care and other relevant areas to determine acceptance and cost. The manager said that she does not accept people for whom she and her staff could not provide good quality care and activities. The residents said that they were enjoying their holiday at Haven lodge and that that the staff are good and help them do what they wanted. The inspector observed good interactions between the residents and the staff. Haven Lodge DS0000010079.V336922.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14 and 33 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome is excellent. This judgement has been made using available evidence including a visit to this service. There are good policies and practices which allow residents to remain independent. Residents are encouraged to do as much for themselves as they are able to. EVIDENCE: The files of two residents were viewed and they contained clear care plans with each element being clearly identified and the intervention required from staff to meet their needs. Haven Lodge DS0000010079.V336922.R01.S.doc Version 5.2 Page 11 The manager said that the residents are given complete autonomy in choosing what they would like to do. She said that as the residents coming to Haven Lodge come for a holiday, they expect a wide programme of activities and outings. Risk assessments are carried out from knowledge of the residents either during previous stay or information provided by the social workers and families. The manager said that reviews are carried out on a daily basis due to residents staying a short while and because of their changing needs for activities and outings. Residents spoken to confirmed that they were able to make daily decisions in respect of their care and how they spend the day. The manager said that she ensures that the residents who are willing and able be involved in their care plans and reviews. The inspector chatted with several residents. All were very welcoming. Residents were very relaxed, and said that they were well cared for. The residents staying on holiday at the home said that they have come on holiday to have nice time and that their wishes were respected. They added that the staff have asked them questions of what they can and cannot do and also about their likes and dislikes. They said that they are able to do what they want within their own abilities, and that the staff are there to help achieve them. The residents were seen doing their own things and the staff helping them when needed. Haven Lodge DS0000010079.V336922.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Haven Lodge DS0000010079.V336922.R01.S.doc Version 5.2 Page 13 12,13,15,16 & 17 Quality in this outcome is excellent. This judgement has been made using available evidence including a visit to this service. The home promotes a good lifestyle for the residents. Their rights are protected and their relationships respected. EVIDENCE: As all the residents coming to stay at Haven Lodge come for a holiday and are from a different region, they are not involved in the local community. The only involvement they have is when they go to a local pub or club. The residents appeared to be very relaxed and content. They said that they have no worries and were able to do what they want. The manager said that all the residents’ rights are protected by ensuring that the staff are well trained. There are policies on protecting the rights of residents which include their rights to do what they want. This is only restricted by the residents’ own limitations. The manager said that the residents are consulted about their daily activities and are guided by herself and the staff where needed to choose age appropriate and suitable activities. The inspector was able to share a buffet style lunch with the five residents and the staff. This was a very relaxed experience and everyone was talking and eating. The food was good and a variety of sandwiches and tit bits were available. The residents were not inhibited and appeared to enjoy the meal and the conversation. The manager said that the main meal is served in the evening and although there is a menu, this is often changed to suit the residents’ wishes. The residents said that the food is always good and that they get plenty to eat and drink. Individuals are able to access the kitchen to make drinks and snacks should they wish. Haven Lodge DS0000010079.V336922.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 Quality in this outcome is excellent. This judgement has been made using available evidence including a visit to this service. There are good practices to ensure that residents’ personal and health care needs are met. The health care needs of the residents are met by staff providing support. EVIDENCE: The residents are supported with their physical, emotional and mental health needs. As most of the people staying at Haven Lodge are from out of the area, the home has made arrangements with local GP’s to look after their health should the need arise. Haven Lodge DS0000010079.V336922.R01.S.doc Version 5.2 Page 15 Residents are able to manage their own personal care needs, however staff will prompt and offer encouragement where necessary. Residents are consulted on admission regarding whether they wish to self medicate and they sign a form to this effect. A lockable facility is provided for each resident in their bedroom should they wish to keep their own medication. Most of the residents who come for a holiday at Haven Lodge prefer the staff of the home to keep and dispense their medications for them. The manager said that if a resident wishes to keep her own medications, then a full risk assessment is carried out. This will include the ability of the resident to take the medications at the prescribed times, store and look after them safely. All the staff who dispensed medications have had appropriate training. Personal care provided by the staff is based on the assessments and care plans. Each resident is cared for according to his needs and requirements. The staff were seen spending time and talking to the residents. They said that they are there to make sure that all the needs of the residents are met in a friendly and efficient way. The residents said that they do not have to stick to a rigid routine and can get up and go to bed when they want. They added that because they are on holiday and want to maximise their outings and other activities, they tend to get up according to the arrangements made. Personal care is provided in the privacy of the resident’s bedroom or the bathroom. They said that the staff always respect their privacy. Haven Lodge DS0000010079.V336922.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome is excellent. This judgement has been made using available evidence including a visit to this service. The arrangement for dealing with complaints is excellent. Residents are protected and safeguarded during their stay. EVIDENCE: The management of the home has produced policies and procedures for dealing with complaints and abuse. The complaint procedure is included in the Service User Guide. It is available to residents and their families. Since the last inspection in February 2006, there has been one complaint made via CSCI about poor care practices by the staff. The manager has investigated the complaint thoroughly and although the complainant is not completely satisfied with the outcome, it is felt that the home has done everything according to good practice. The home has a procedure in place for dealing with allegations of abuse. The person in charge and staff spoken to had a good understanding of the Haven Lodge DS0000010079.V336922.R01.S.doc Version 5.2 Page 17 procedures to be followed in the event of any allegations of suspicion of abuse or neglect. Some staff spoken to confirm and that they have had training in respect of abuse and some had covered this in their NVQ studies. Residents said that they are well looked after and that all the staff are kind and helpful. There were no visible signs of abuse or neglect. The staff spoken to said that that they would not harm the residents in any way and care for them with respect and dignity. The residents are given the opportunity on a daily basis to air their views. An informal meeting is held every morning after breakfast mainly to decide on the day’s activities, but any subject can be discussed. The residents were heard speaking their minds and did not appear to be frightened. The manager said that everyone is encouraged to participate in discussions. Any shy or withdrawn resident is given the opportunity to speak to staff in private. Haven Lodge DS0000010079.V336922.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. The home is kept to a good hygienic standard and is well maintained. Residents live in a clean and well kept home. Haven Lodge DS0000010079.V336922.R01.S.doc Version 5.2 Page 19 EVIDENCE: During a tour of the building, the home was found to be clean and in good hygienic order. Bedrooms are personalised and spacious. Residents are encouraged to bring as much of their own personal items as they will need during their stay. The occupied bedrooms were visited with the permission of the residents. The manager said that the residents are encouraged to look after their rooms if they are able to. Cleaning of the home is done by the staff during the course of the day. The residents can help if they want. All the staff have had training on the use of cleaning materials and hazardous substances. During the tour of the building, the inspector observed that the home is well maintained and that all areas were safe. There were no obvious hazards. All the communal areas were found to be clean and furnished with easy chairs and sofas and other equipments to make the residents’ stay comfortable. The residents were seen using all the facilities freely. There are policies and procedures on health and safety issues to ensure that the residents are kept safe from harm. The home is well maintained and there is a rolling programme of maintenance. Haven Lodge DS0000010079.V336922.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 & 35 Quality in this outcome is excellent. This judgement has been made using available evidence including a visit to this service. There is a robust recruiting and training procedures to ensure that staff employed are fit to care for the residents. Residents are cared for by a team of well-motivated staff. EVIDENCE: On the day of the inspection there were 3 care staff, the manager and the assistant manager on duty. Haven Lodge DS0000010079.V336922.R01.S.doc Version 5.2 Page 21 The manager said that the staffing level is flexible to meet the care and social needs of the people staying at the home. The staff rotas were checked and found to have an adequate number of staff on duty at all times. The staff spoken to said that the staffing level is good and that they found the owner willing to listen to them to improve the quality of care at the home. Two staff took 3 residents out in the home’s own transport for a shopping trip. The written recruitment policy gives detail of the way a member of staff is employed. This is done according to good practice ensuring that new staff have all the necessary checks done before they are offered a post at the home. All new staff are given an induction training which include orientation of the home, basic health and safety issues. The percentage of care staff who has completed their NVQ (National Vocational Qualification) is now 58 . The staff spoken to said that he has attended an induction course consisting of Moving and Handling, First Aid, Food Hygiene. The staff spoken to said that they enjoy working at the home very much. They said that the management is very supportive and listens to what they have to say. The residents said that the staff are marvellous and will do anything for them. There were good interactions between the residents and the staff. They all appeared to be happy and content Haven Lodge DS0000010079.V336922.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Haven Lodge DS0000010079.V336922.R01.S.doc Version 5.2 Page 23 37,39 & 42 Quality in this outcome is excellent. This judgement has been made using available evidence including a visit to this service. The home has an efficient management team. The residents and staff benefit from living and working in a well managed home EVIDENCE: The registered manager of the home has the day-to-day responsibility of running the home. She is well qualified and has the full support of the staff. The staff said that they are able to talk to the manager when they want and that she listens and acts upon their suggestions. They said that they all work as a team to provide a high standard of care and activities for the residents. The owner is also available to talk to the residents and the staff. The manager said that she is well supported by the owner and that she is trusted to manage the home. As most of the residents coming to stay at Haven Lodge come for holidays, they are consulted on a daily basis on what they would like to do. The manager said that the whole philosophy of the home is based around allowing residents to decide for themselves what they would like to do. The five residents who were at the home on holiday said that the staff ask them how they would like to spend each day. Activity programmes include shopping trips to local and other places such as Manchester, Preston etc. Leisure trips are arranged according to residents’ wishes. Residents and their families are sent questionnaires to complete following the stay. The manager said that information received helps the management of the home to improve the services provided and to ensure that residents coming to stay at the home have a great time and are well looked after. As most of the people staying at the home are from different part of the country, they are not registered with a local doctor. However, the home uses two local health centres to get a doctor, nurses and advice when required. All the residents coming to stay at the home are advised to bring their own medications and a copy of their prescriptions. Haven Lodge DS0000010079.V336922.R01.S.doc Version 5.2 Page 24 The manager said that this system works very well and that she has had no problems getting health care services for the residents. The manager said that the home was opened as a holiday home and as such provides a good service and ensure that the residents have a good time. She said that their safety and welfare are paramount. Haven Lodge DS0000010079.V336922.R01.S.doc Version 5.2 Page 25 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. Where there is no score against a standard it has not been looked at during this inspection. 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 4 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 4 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 4 35 3 36 X CONDUCT AND MANAGEMENT Standard No Score 37 4 38 X 39 3 40 X 41 X 42 3 43 x 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Haven Lodge Score 3 4 3 X DS0000010079.V336922.R01.S.doc Version 5.2 Page 26 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. Refer to Standard Good Practice Recommendations Haven Lodge DS0000010079.V336922.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. 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