Inspection on 09/12/08 for Heath Lodge

This inspection was carried out on 9th December 2008.

CSCI found this care home to be providing an Good service.

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

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 13/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Heath Lodge Heath Lodge 34 Green Lane Padgate Warrington Cheshire WA1 4JA     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Val Flannery     Date: 0 9 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Heath Lodge 34 Green Lane Heath Lodge Padgate Warrington Cheshire WA1 4JA 01925816702 F/P01925816702 heathlodge@googlemail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Potensial Limited Type of registration: Number of places registered: care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category of service only: Care Home only Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following category: Learning Disability, Code LD, maximum number of places 6 Date of last inspection Brief description of the care home Heath Lodge is a care home for six adults with a learning disability. The home is located in a residential area of Warrington, close to shops, other local facilities and is on the bus route to Warrington town centre. Five of the bedrooms for the people living in the home are on the ground and first floors of the three storey building. Access between the ground and upper floors is by the stairway. There is a self contained flat next to the main building that accommodates one person. The bedrooms in the main Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 6 Brief description of the care home building are single and contain an en-suite toilet and shower. There is a shared bathroom and toilet on the first floor and a communal toilet on the ground. There is a large communal lounge and separate kitchen on the ground floor as well as a dining room which is located in the conservatory. The garden to the rear of the home provides a secure area for use by the people who live in the home. The area to the front of the home is used as a car park. Staff are on duty twenty four hours a day to support the people who live in the home. The information provided by the manager for the home at the inspection carried out on the 24 May 2007 was that fees for the home start from £735.00 per week. Further information on the fees and other charges can be obtained by contacting the home. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The overall quality rating for this service is 2 stars. This means that the people who use the service experience good quality outcomes. The visit took place on the 9 December 2008 and took four and half hours. It was carried out by one inspector. During the visit we spoke with the people living in the home, the manager covering the home until a new manager has been appointed and staff. We looked around the premises, sat with people in the lounge and looked at various records held by the home. Care Homes for Adults (18-65 years) Page 6 of 28 The visit was just one part of the inspection. Before the visit the home manager was asked to complete a questionnaire to provide up to date information about the home. CSCI questionnaires were made available to the people living in the home and staff so they could tell us what they think of the home. There were three people living in the home on the day of the inspection. The last inspection of this service was completed on the 24 May 2007. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Adults (18-65 years) Page 8 of 28 following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Assessments of peoples needs and plans of care are made available to the home before the person moves in so the the person and the staff at the home can make sure their needs can be met there. Evidence: We looked at the records of the person who had most recently moved into the home and we also spoke with the this person during our visit. The records showed that a copy of the assessment of the persons care needs had been provided by the NHS Trust. The information showed that the person had been spoken with about moving to the home. The records also contained personal details and other information about the person and care plans on how the persons care needs were to be met by the home. We spoke with the senior member of staff who was on duty and she said that the statement of purpose and service user guide to the home are being updated to show improvements in the service offered by the home. It will also include information about the change of manager. Care Homes for Adults (18-65 years) Page 11 of 28 Care Homes for Adults (18-65 years) Page 12 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people living in the home are consulted on how they wish to live their daily lives so they are enabled to make decisions and choices and be as independent as possible. Evidence: We saw a copy of the essential lifestyle plan and other plans of care of one person who lives in the home. Information in the plans showed how the person wished to live their life, the level of support they needed with daily living and how this support was to be provided. Risk assessments were seen to show how the specific care needs of the person were to be met to ensure their safety and well being. We spoke with this person during our visit and they told us they like living in the home and that staff help them when they need it. Two people living in the home chose to stay in their rooms during our visit whilst the other person sat in the lounge watching TV and talking with staff. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at the home receive the support they need to attend their chosen daily activities and maintain contact with their families so they are able to retain links with the local community and with people who are important to them Evidence: We looked at the weekly activity plan for the three people living in the home. These showed that they go shopping, have trips to local beauty spots, carry out household chores and have time to relax in the home watching DVDs and TV. We saw one of the people who live in the home returning from a trip to the local shops, they were supported by a member of staff as they have mobility difficulties. The daily routines for the people living in the home are dependent on their planned activities and whether they wish to take part. These activities can be in the local community, in the home or if they have planned medical appointments. We spoke to one of the people who said Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: they were going to see their parents in a few days. The care records show the level of contact the individual people have with their families. We saw one of the people who lives at the home preparing his evening meal with support from staff. Another person said they were having their favourite meal which they had chosen and was been prepared by staff. Care Homes for Adults (18-65 years) Page 15 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are aware of the healthcare needs of the people who live in the home and how these needs are to be met so they are able to ensure advice and treatment is provided to keep people well and healthy. Evidence: The essential lifestyle plans and other care plans seen for one of the people who lives in the home included details on how the person wished to be supported with personal care by staff. Also included were details on the persons healthcare needs, including input from specialist healthcare professionals, and how these are to be met. We saw records in the file of the person to show his healthcare needs are monitored and reviewed. We spoke with staff during the visit and they said the three people living in the home do require different levels of help with daily living tasks. This can range from helping with dressing, bathing to prompting to carry out household chores. We saw staff help the people living in the home with moving about the home, with their evening meal and visits to local shops. We saw staff administer medication to one of the people living in the home and we saw the records of medication administered to two of the people living in the home. These were satisfactory. Records were seen to Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: show that the people had agreed to the home looking after their medication. Medication is kept in a locked cupboard in a secure room in the home. Care Homes for Adults (18-65 years) Page 17 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Procedures are in place to ensure the safety and well being of the people who live in the home so staff know what to do to make sure people who live in the home are protected from abuse and their concerns are listened to. Evidence: The record of complaints we saw during the visit showed that any complaints or issues raised by the people living in the home and others were recorded. The record also showed that the home had dealt with these issues satisfactorily. We saw a copy of the complaints procedure that had been provided in picture format in the care file of one of the people living in the home. The senior member of staff spoken with during the inspection said a copy of the complaints procedure is given to the people who live in the home. A copy of the complaints procedure was seen in the policy and procedure folder, this did not contain details on how to contact the Commission for Social Care Inspection. The senior member of staff who was on duty during the inspection said they have not made any referrals under the safeguarding adults procedures. A copy of No Secrets was seen in the home on the day of the inspection. Staff spoken with during the inspection said they knew what to do if they received a complaint or had any concerns about the safety and well being of the people living in the home. Certificates of attendance at Protection of Vulnerable Adults training were seen on the two staff files inspected during the visit. This helps make sure that staff know what to do to protect Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: the people who live in the home from abuse. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well maintained and people are accommodated in single bedrooms so they live in comfortable surroundings that suit their needs. Evidence: The home is located on the outskirts of Warrington, close to a bus route to the town centre and is within easy reach of shops and other community facilities. On the day of our visit the home was clean, tidy, well maintained and free from bad odors. The furnishings, fittings and other equipment are of good quality throughout the home. The appearance of the home is in keeping with the local community. On the day of the inspection we saw people who live in the home moving freely between their bedroom and the communal lounge and kitchen/dining area. People who live in the home all have single rooms and can have keys to their bedrooms if they wish. All the bedrooms have their own toilet and shower. We saw one of the bedrooms during out visit, it contained personal possessions belonging to the person living in the home. There is also a self contained flat attached to home which accommodates one person. One of the people who lives in the home choses to staff most of his time in his bedroom watching DVDs and TV. Policies and procedures are in place for the control of infection. We saw staff training records that showed all the staff have received training on infection control. Care Homes for Adults (18-65 years) Page 20 of 28 Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A record to show what action was taken by the home regarding an incident involving a member of staff was not available so as to ensure the safety and well being of the people living in the home. Evidence: During our visit we saw staff talking with and supporting people who live in the home. The people who live there were comfortable in the company of staff and were seen receiving staff assistance with meals, drinks and moving about the home. One of the people was chatting about their past history and where they had lived before coming to live in the home. There is normally two members of staff on duty during the day and evening and one staff on waking duty during the night. We saw the personnel file for one of the staff who works in the home. This contained information that included two references, information that a criminal record bureau check had been carried out and an application form. It also had details of training courses that the person had attended. Included was POVA, moving handling, first aid and medication awareness. The training details contained in the file and a training list of course attended by staff, provided by the senior member of staff during the visit, showed conflicting information. Neither of the training lists are up to date. The personnel file also showed that there had been an incident involving a member of staff Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: but there was no record available to show what action had been taken by the home following the incident. We saw no documentary evidence on the persons file to show they had achieved an NVQ Level 3. The senior support worker said she is providing individual supervision for members of staff until a manager has been appointed. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Management support systems are in place within the home whilst a new manager is appointed so ensuring the health, safety and well being of the people who live in the home is maintained. Evidence: The registered manager for the home has transferred to another home within Potentsial. The senior support worker is managing the home with support from another manager within the organisation. We spoke with that manager who was in the home on the day of the visit. He said they are in the process of appointing a new manager for the home. The senior support worker said she is receiving support and guidance from senior staff in the organisation and that she is also receiving individual supervision. We spoke with the senior support worker who said they seek the views of the people who live in the home on the quality of the service offered. This is done by talking with the people who live in the home, house meetings where issues of concerns and worry can be discussed and from keyworkers who do a monthly report where issues /worries Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: are recorded and acted upon. We spoke with one of the people who live in the home and they said they like living there and that they have lived there for some time. Potentsial have provided policies and procedures on maintaining the health and safety of the people who live in the home, staff and other visitors to home. We spoke with the senior member on duty during the visit, she said a gas safety check and portable appliance tests were carried out in April of this year. We saw the fire log book during the visit. This showed that there is a fire risk assessment in place and that there are individual evacuation plans for the people who live in the home, staff receive fire training and fire safety checks are carried out. The recording of the tests on the emergency lighting system needs to be reviewed and made clearer. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action 1 32 19 The registered person must 27/02/2009 ensure procedures are in place to manage incidents involving staff that may influence their ability to care for the people living in the home. The member of staff has a drink driving offence which requires investigation by the home Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 22 42 That the complaints procedure includes information on how to contact the Commission for Social Care Inspection The system for recording tests carried out on the emergency lights should be reviewed. Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - 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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