Inspection on 09/06/05 for Haven Lodge

This inspection was carried out on 9th June 2005.

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 03/02/06

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 Ajam Auckburally Unannounced 9 June 2005 10:30am th 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 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 Stationary 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 F57 F09 S10079 Haven Lodge V231522 090605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Haven Lodge Address 80 West End Road, Morecambe, Lancashire. LA4 4DY Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01524 418309 Miss Sylvia Peters Miss Nicola Donaldson CRH Care Home 7 Category(ies) of LD Learning Disability 7 registration, with number of places Haven Lodge F57 F09 S10079 Haven Lodge V231522 090605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th January 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 F57 F09 S10079 Haven Lodge V231522 090605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This statutory inspection was the first of two inspections to be carried out this year. The inspection was an unannounced one and took place on 9th June and lasted for 3.5 hours. The inspection was carried out against the National Minimum Standards for Young Adults (18-65) and the inspector looked at some records, tour the building, spoke to the staff and the residents. The inspection was carried out in a very friendly way and everyone at the home took part. There were 4 people who were spending 2 weeks holiday and 4 staff. The residents who have come from Liverpool said they were enjoying themselves. 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? A new kitchen to help provide good home cooking has been fitted. The kitchen is safe for the residents to use. They are all assessed as to their capabilities and safety. The recommendations made by the pharmacist inspector during the last inspection have been implemented. A form has been devised for people to sign stating that they can keep and take their own medications. People coming to stay at Haven Lodge are now bringing a copy of their prescriptions with them. Haven Lodge F57 F09 S10079 Haven Lodge V231522 090605 Stage 4.doc Version 1.30 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. Haven Lodge F57 F09 S10079 Haven Lodge V231522 090605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Haven Lodge F57 F09 S10079 Haven Lodge V231522 090605 Stage 4.doc Version 1.30 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 standard(s) 2 The pre admission procedures and information gathering are good. Residents benefit from having enjoyable stay with all their personal and social needs met. EVIDENCE: 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 were 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 F57 F09 S10079 Haven Lodge V231522 090605 Stage 4.doc Version 1.30 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 standard(s) 6 and 9 Care plans devised are good and take into account risk factors. Residents benefit from good assessments which enable them to enjoy their independence. EVIDENCE: The residents staying on holiday at the home said that they were not aware what exactly is written in the care plans, but know 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. One resident was observed making a hot drink for himself and he appeared to be very confident doing it. The staff said that everyone is risked assessed to ensure their safety and also to help them live as independently as possible. The case files checked confirmed that risk assessments are carried out. One resident was assessed as being able to go out by herself. The manager said that this person had Haven Lodge F57 F09 S10079 Haven Lodge V231522 090605 Stage 4.doc Version 1.30 Page 10 stayed at the home recently and during that stay, she was accompanied to the shops to ensure that she was safe and also for her to get to know the area. The residents were seen doing their own things and the staff helping them when needed. Haven Lodge F57 F09 S10079 Haven Lodge V231522 090605 Stage 4.doc Version 1.30 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 standard(s) 16 and 17 The policy to protect the rights of residents is comprehensive. A nutritional and flexible food system is operated. People staying at the home have their rights protected. They enjoy a good and varied diet. EVIDENCE: 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 inspector was able to share a buffet style lunch with the four 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 Haven Lodge F57 F09 S10079 Haven Lodge V231522 090605 Stage 4.doc Version 1.30 Page 12 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 menu examined appears to offer a varied and nutritional foods. The residents said that the food is always good and that they get plenty to eat and drink. Haven Lodge F57 F09 S10079 Haven Lodge V231522 090605 Stage 4.doc Version 1.30 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 standard(s) 18 and 19 The arrangements to meet the physical and emotional care for the individual are good. The residents stay in an environment where they have choices in their personal care. EVIDENCE: 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. One resident who needed personal care was seen being treated with sensivity and respect. The staff said that they are always around to talk to the residents if they have any problems. 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 F57 F09 S10079 Haven Lodge V231522 090605 Stage 4.doc Version 1.30 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 standard(s) 22 The arrangement to give residents the opportunity to speak their minds is good. Residents live in an environment where they can speak freely. EVIDENCE: 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 seen to speak their minds and did not appear to be frightened. The manager said that everyone is encouraged to participate in discussions. Any shy resident is given the opportunity to speak to staff in private. The complaint book was checked and it showed that no complaints were received. Haven Lodge F57 F09 S10079 Haven Lodge V231522 090605 Stage 4.doc Version 1.30 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 standard(s) 24 Haven Lodge provides good, safe and comfortable accommodation. The residents live in a home where they can feel safe and comfortable. EVIDENCE: 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. The bedrooms checked were found to be clean and as tidy as the residents wanted. Two of the residents present said that they liked their rooms as they were. They said that they can find their things easily if they are left where they put them. 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. He home is well maintained and there is a rolling programme of maintenance. Haven Lodge F57 F09 S10079 Haven Lodge V231522 090605 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Staff training is an important aspect of the home’s development and forward planning. Residents are cared for by a team of well trained staff. EVIDENCE: Eight care staff are employed by the home. Of those 2 have completed their NVQ level 2, 3 are currently on the course and another 2 are doing level 3. The manager said that because some of the staff who have completed this course have left, the home does not meet the recommendation to have 50 of the care staff with this course. She added that as a few more staff are on the course, she is confident that this target will be met by the end of the year. The staff spoken to said that he has attended an induction course consisting of Moving and Handling, First Aid, Food Hygiene. He said that he is looking forward to starting the NVQ course. The staff contract makes it a requirement for new staff to attend training courses. The residents said that they are cared by good staff who look after them well. Haven Lodge F57 F09 S10079 Haven Lodge V231522 090605 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 The health care arrangements and the promotion of the welfare of the residents are efficient. The residents feel safe and their health care needs are well catered for. EVIDENCE: 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. The manager said that this system works very well and that she has had no problems getting health care services for the residents. The residents who were at the home at the time of the inspection appeared well and were not in need of medical assistance. Haven Lodge F57 F09 S10079 Haven Lodge V231522 090605 Stage 4.doc Version 1.30 Page 18 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. There are policies and procedures to ensure that the staff are aware of this and they promote it fully. Haven Lodge F57 F09 S10079 Haven Lodge V231522 090605 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x x x x x 3 3 Standard No 31 32 33 34 35 36 Score x 2 x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Haven Lodge Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x F57 F09 S10079 Haven Lodge V231522 090605 Stage 4.doc Version 1.30 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. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 32 Good Practice Recommendations 50 of care staff need to obtain their NVQ level 2 by 2005 Haven Lodge F57 F09 S10079 Haven Lodge V231522 090605 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 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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