Inspection on 03/02/06 for Haven Lodge

This inspection was carried out on 3rd February 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

Haven Lodge 19/04/07

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 ADULTS 18-65 Haven Lodge 80 West End Road Morecambe Lancashire LA4 4DY Lead Inspector Mr Ajam Auckburally 3 rd Unannounced Inspection February 2006 10:30 Haven Lodge DS0000010079.V277532.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 Haven Lodge DS0000010079.V277532.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. Haven Lodge DS0000010079.V277532.R01.S.doc Version 5.1 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.V277532.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th June 2005 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 other needs of the service users. Admission to Haven Lodge is strictly short term as no permanent service users are accepted. The cost of stay at Haven Lodge is based on the assessments of the service users and what level of personal needs they require. Haven Lodge DS0000010079.V277532.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This statutory inspection was the second of two to be carried out this year. The inspection took place on 3rd February 2006 and was an unannounced one. It lasted for 3.5 hours. The inspection was carried out against the National Minimum Standards for Adults (18-65). The inspection was carried out in a relaxed atmosphere with the full cooperation of the manager, the staff and all the residents. The inspection took the form of looking at some of the records, talking to the residents and the staff and looking around the building. There were two residents staying at the home for a holiday and they said that they were having a good time. The home provides holidays and respite care for up to 7 people with a learning disability. The inspector found that the services provided are geared to people expecting to be on holiday and is not like an ordinary care home. What the service does well: What has improved since the last inspection? The level of care staff who have achieved their NVQ (National Vocational Qualification) level 2 has reached 57 . CSCI (Commission for Social Care Inspection) recommends that at least 50 of care staff gain this qualification. Haven Lodge DS0000010079.V277532.R01.S.doc Version 5.1 Page 6 A new gas fire has been fitted in the one of the lounges. A new car suitable for transporting the residents has been purchased. 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. Haven Lodge DS0000010079.V277532.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 Haven Lodge DS0000010079.V277532.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): The core standard was assessed during the previous inspection and was met. The home has good policies and procedures for admitting new residents. EVIDENCE: Haven Lodge DS0000010079.V277532.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 The procedures to involve residents in decision making are efficient. Residents can choose what to do within their own capabilities. EVIDENCE: There were two residents staying at the home for a holiday. They were fully involved in deciding what they wanted to do. They informed the inspector that they were having a good time and that the staff help them do what they like. Both of them have stayed at the home several times before and said that they enjoyed coming to Haven Lodge. One of them said that she likes shopping and that a member of staff was taking her to shop in the afternoon. The other resident likes watching television and was stopping in that afternoon. Haven Lodge DS0000010079.V277532.R01.S.doc Version 5.1 Page 10 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. Haven Lodge DS0000010079.V277532.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): 12,13 & 15 Arrangements to provide age appropriate activities and meeting personal needs are good. Residents can do activities they like and are assisted to achieve them EVIDENCE: The two residents were able to decide for themselves what they would like to do. The manager said that they are consulted about their daily activities and are guided by herself and the staff where needed to choose age appropriate and suitable activities. The manager said that there was an occasion when two residents staying on a holiday had a sexual relationship. She said although they were consenting adults, their respective social workers were informed. Both the residents had learning disabilities and the manager felt that the parents and the placing authority needed to know in order to safeguard everybody. Haven Lodge DS0000010079.V277532.R01.S.doc Version 5.1 Page 12 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. Haven Lodge DS0000010079.V277532.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): 20 There is a good procedure for dispensing and storing medications. Residents who are able and willing can keep and administer their own medications. EVIDENCE: 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 two residents on holiday at the home were not able to look after their own medications. 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 bedrooms have a lockable facility for the storage of medications or other personal items. All the staff who dispensed medications have had appropriate training. Haven Lodge DS0000010079.V277532.R01.S.doc Version 5.1 Page 14 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): 23 Policies and procedures on abuse are thorough. Residents feel safe and protected. EVIDENCE: The management of the home have produced a stringent and detailed written policies and procedures on adult abuse. The manager and the staff have had training on adult abuse. The manager was able to describe accurately the steps she would follow in the event of an abuse to a resident. The staff spoken to said that they would never abuse any resident in their care and that they would report if they saw any form of abuse. The residents said that they feel safe and secure staying at the home and that everyone treats them well. Haven Lodge DS0000010079.V277532.R01.S.doc Version 5.1 Page 15 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): 30 The standard of cleanliness is good. Residents live in a clean environment. EVIDENCE: A tour of the building was carried out and everywhere was found to be clean and hygienic. 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. The two residents’ rooms were found to be clean and as tidy as they wanted them to be. 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. Haven Lodge DS0000010079.V277532.R01.S.doc Version 5.1 Page 16 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): The core standard was assessed during the previous inspection and was met. There are good policies and procedures for recruiting and training staff. EVIDENCE: Haven Lodge DS0000010079.V277532.R01.S.doc Version 5.1 Page 17 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 The management of the home are efficient and have a good system for consulting service users. People staying at the home are well looked after and their opinions sought. EVIDENCE: The owner and the manager are well experienced in caring for people with learning disabilities. 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. Haven Lodge DS0000010079.V277532.R01.S.doc Version 5.1 Page 18 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 two residents who were at the home on holiday said that the staff ask them everyday how they would like to spend the 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. Haven Lodge DS0000010079.V277532.R01.S.doc Version 5.1 Page 19 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 X 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 X 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 3 X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X 3 X 3 X X X X Haven Lodge DS0000010079.V277532.R01.S.doc Version 5.1 Page 20 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.V277532.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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. 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