Inspection on 31/10/07 for Hope Lodge

This inspection was carried out on 31st October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

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

CARE HOME ADULTS 18-65 Hope Lodge 98 Farley Hill Luton Beds LU1 5NR Lead Inspector Mr Pursotamraj Hirekar Unannounced Inspection 31 October 2007 1:15 st Hope Lodge DS0000069703.V351637.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 Hope Lodge DS0000069703.V351637.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hope Lodge DS0000069703.V351637.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hope Lodge Address 98 Farley Hill Luton Beds LU1 5NR 01582 457599 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) hopelodge@professionaltrainingcenter.co.uk Hope Lodge Limited Mr Taka Edingtone Chipango Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Hope Lodge DS0000069703.V351637.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Male of the following age range: 2. 18-65 The maximum number of service users who can be accommodated is: 3 New Service Date of last inspection Brief Description of the Service: Hope Lodge Ltd is registered with NCSC in Wales with registration number 576938. The Responsible Individual for the company is Mrs. Edith Dyirakumunda. Hope Lodge is a new service for the company. It is a residential care home for up to 3 adults with Mental Disorder (MD) as their primary need and people with past or present drug or alcohol problem as their secondary need in the age of 18 – 65 years. Hope Lodge is situated at 98 Farley Hill Road Luton, LU1 5NR, close to local amenities, facilities, and transport. The home is a semi – detached house consisting of three individual bedrooms, lounge, dinning, shower cubicle with WC, separate bath room, utility room, kitchen, rear garden and parking to the front with a garage. Mr Taka Chipango is the Registered Manager. Hope Lodge DS0000069703.V351637.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the report of the first unannounced inspection carried out on 31/10/07 by Pursotamraj Hirekar over 3 ½ hours. The manager coordinated the inspection. The method of inspection included study of statement of purpose, service user guide, various assessment and planning tools and policy documents, discussions with manager and partial tour of the premises was undertaken. The annual quality assurance assessment self-assessment information provided by the home is included for analysis and preparation of this report as well. What the service does well: 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. Hope Lodge DS0000069703.V351637.R01.S.doc Version 5.2 Page 6 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 Hope Lodge DS0000069703.V351637.R01.S.doc Version 5.2 Page 7 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1& 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. All copies of the home’s statement of purpose, service user guide, and the handbook need to reflect appropriate registration category of service users. EVIDENCE: The home is new and has not admitted any service user as on the date of this inspection. All copies of the home’s statement of purpose, service user guide, and the handbook need to reflect that the home is a residential care home for up to 3 adults with Mental Disorder (MD) as their primary need and people with past or present drug or alcohol problem as their secondary need in the age of 18 – 65 years. The home had received a referral for a potential service user from Housing and Community Living, Luton Borough county Council. The manager and the provider had scheduled to undertake preadmission assessment of the service user on 01/11/07. The manager informed on this inspection that, he would provide all the relevant information to the potential service user and family about the home. And invite the potential service user and family for a trial visit and test drive for over a period of 2 to 3 weeks and if the potential service user and the home are convinced that the needs of the potential service user can be met by the home, then the home will enter into a contract with the potential service user. The inspector had an opportunity to look at the copy of the potential service user’s referral, which recoded under the psychiatrist consultant dated 22/01/07 that, the service user reclassed as having learning disability instead of mental disability problems. The manager confirmed on this inspection that, he would consult the psychiatrist and the Hope Lodge DS0000069703.V351637.R01.S.doc Version 5.2 Page 8 social worker to determine the actual category of the potential service user before decisions are made about the admission to the home, in order to meet the registration requirements. Hope Lodge DS0000069703.V351637.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: No service user admission has taken place, as on this day of the inspection. Hope Lodge DS0000069703.V351637.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: No service user admission has taken place, as on this day of the inspection. Hope Lodge DS0000069703.V351637.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: No service user admission has taken place, as on this day of the inspection. Hope Lodge DS0000069703.V351637.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: No service user admission has taken place, as on this day of the inspection. Hope Lodge DS0000069703.V351637.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 25, 27 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home was maintained clean and tidy without any offensive odours. However, the chairs for service user bedrooms are on their way to delivery and one of the bedroom window glasses was found broken needed fixing. EVIDENCE: The home was maintained clean and tidy without any offensive odours. The improvements made to the premises prior to the registration were verified on this inspection which included; temperature valve have been fitted to the hot water units, window restrictors have been installed, bed has been replaced in the first floor bedroom, shatter proof sheet fixed on the glass doors of the wardrobe in a bedroom, one layer of brick has been added to the rear garden wall, smoke resisters have been put on the doors, office room carpets replaced, fire extinguishers and fire alarm inspection was carried out on the 16/08/07, garage to the front of the premises repaired, rear garden side walls have been painted and some plantation was carried out. However, the chairs for service user bedrooms are on their way to delivery, the manager informed Hope Lodge DS0000069703.V351637.R01.S.doc Version 5.2 Page 14 on this inspection and one of the bedroom window glasses was found broken which needed fixing. Hope Lodge DS0000069703.V351637.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 34 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There were no issues with regard to staff recruitment process. EVIDENCE: As there was, no service user admitted as on this day of the inspection. The manger had not employed any staff yet. However, 2 staffs CRB checks were carried out and references verification by the manager was in progress. Hope Lodge DS0000069703.V351637.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There were no issues in the conduct and management of the home. However, the broken window glass of a bedroom needed fixing. EVIDENCE: Various tools for assessments, care plan preparation, care plan review, reporting of accident, medication administration record and sample service user contracts, staff recruitment tools such as job application, job description, staff induction programme check list, staff employment contracts, staff performance appraisal, staff supervision and training plan and copy of various policies and procedures with next planned review dates were provided on this inspection. One of the bedroom’s window glass was found broken, needed fixing. The home had submitted Annual Quality Assurance Assessment (AQAA) selfassessment to the commission. Hope Lodge DS0000069703.V351637.R01.S.doc Version 5.2 Page 17 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 2 2 2 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 X ENVIRONMENT Standard No Score 24 X 25 2 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 2 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X X X X 2 X Hope Lodge DS0000069703.V351637.R01.S.doc Version 5.2 Page 18 NA 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 YA25 Regulation 23 Requirement The home must ensure service user bedrooms have chairs prior to any admission of service users’. The home must fix the broken window glass of a bedroom prior to the admission of a service user. Timescale for action 25/11/07 2. YA42 23 25/11/07 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 YA1 Good Practice Recommendations The home must ensure all copies of the home’s statement of purpose, service user guide, and the handbook reflect appropriate registration category of service users. Hope Lodge DS0000069703.V351637.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF 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. Extracts may not be used or reproduced without the express permission of CSCI Hope Lodge DS0000069703.V351637.R01.S.doc Version 5.2 Page 20 - 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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