Inspection on 19/05/05 for Hunters Lodge

This inspection was carried out on 19th May 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

Hunters Lodge 26/01/09

Hunters Lodge 14/11/06

Hunters Lodge 21/11/05

Hunters Lodge 14/10/04

Hunters Lodge 02/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Hunters Lodge 26 Berridges Lane Husbands Bosworth Leicestershire LE17 6LE Lead Inspector Everton Osbourne Unannounced 19 May 2005 10:00 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. Hunters Lodge D C51 C08 S1745 Hunters Lodge V227712 190505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Hunters Lodge Address 26 Berridges Lane Husbands Bosworth Leicestershire LE17 6LE 01858 880538 None hunters_lodge@lineone.net Peter Clifford Gilbert 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) Ms Claire Gilbert Care Home 17 Category(ies) of LD Learning Disability registration, with number SI Sensory Impairment of places Hunters Lodge D C51 C08 S1745 Hunters Lodge V227712 190505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: No person falling within category SI to be admitted to the home unless that person also falls within category LD - ie dual disability The home may not accommodate more than a maximum of 4 persons falling within the categories LD/SI (dual disability) The home to revert to 16 persons when/if one of the married couples leaves.. Date of last inspection 14/10/04 Brief Description of the Service: Hunters Lodge care home cares for seventeen young adults with learning disabilities in a property that was originally a farm house. The home is situated in the village of Husbands Bosworth close to the market towns of Lutterworth and Market harborough close to shops and other amenities. The home is easily accessible for private and public transport. The premise consists of two floors accessible by use of the stairs. There are a variety of facilities in the home including dining and lounge space. The home comprises eleven single bedrooms seven with ensuite facilities. There are three double bedrooms without ensuite facilities. A garden is situated to the rear of the premises. Hunters Lodge D C51 C08 S1745 Hunters Lodge V227712 190505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took four hours to complete. The outcome of the inspection was positive in that residents spoken to indicated that they are happy and satisfied residing in the home. Three staff members were spoken to including the registered manager and they appeared to be adhering to safe work practices. One Immediate Requirement Notification was issued regarding Standards 20 and 41 concerning keeping medication records up to date. A tour of the premises took place and the home throughout is maintained to good standards creating a homely environment. What the service does well: What has improved since the last inspection? 1) Photographs of individual residents are now placed in their care files. 2) Two care staff spoken to displayed sufficient knowledge concerning incident reporting. 3) The registered manager is now attending a training course to complete her National Vocational Qualification (NVQ 4) in care management. Hunters Lodge D C51 C08 S1745 Hunters Lodge V227712 190505 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. Hunters Lodge D C51 C08 S1745 Hunters Lodge V227712 190505 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 Hunters Lodge D C51 C08 S1745 Hunters Lodge V227712 190505 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) 1, 2, 3 and 5 The admission process is good. There is detailed information concerning the service provided the home. The assessment process is good and effective in giving sufficient information to staff members so that they can meet residents’ care needs. EVIDENCE: Inspection of the Statement of Purpose indicated that it accurately outlines the service provision in the home. Two residents spoken to indicated that they are satisfied that the home is meeting their care needs. Two residents’ assessments were inspected and the documents had sufficient information in identifying their care needs. Two residents’ admission records seen indicated that a contract of residence is given to them outlining the Terms and Conditions of their residency in the home. Both residents gave clear indications that they understood their Terms and Conditions of residency. Hunters Lodge D C51 C08 S1745 Hunters Lodge V227712 190505 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, 8 and 10 Residents’ care plans are written in great detail to enable staff members to promote independence for residents. Processes are in place to ensure that residents are consulted about all aspects of their daily lives to promote choice for residents. EVIDENCE: Two residents care plans were inspected. The documents contained sufficient information to give staff members’ guidance on how to meet residents’ care needs. For example monitoring the diet of residents who may have special dietary requirements. Two residents spoken to indicated that they are satisfied that the home is meeting their care needs. Two residents and two staff members spoken to indicated that residents’ views are paramount when making decisions about residents’ daily activities. Two residents indicated that they are going on holiday and that it was their choice where to go for their holiday. Hunters Lodge D C51 C08 S1745 Hunters Lodge V227712 190505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 16 and 17 The home provides good opportunities for residents to access educational and recreational facilities for their personal development. Meals are very good in meeting residents’ nutritional needs. EVIDENCE: Two residents care plans and their daily records seen indicated that the home has good support networks to enable residents to access day care for educational and recreational activities. Both residents have timetables that list a number of activities they access every week. One resident commented that he goes ‘ten pin bowling’. Discussion held with two residents and one staff member indicated that meals are varied and wholesome and given to residents according to their choice. Comments from five residents regarding meals were positive, for example one resident stated ‘I love my dinners’. Hunters Lodge D C51 C08 S1745 Hunters Lodge V227712 190505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 Suitable processes are in place so that residents can attend to their hygiene care needs and access health care provisions when needed. The medication process works well, however there is some weakness concerning consistent recording of medication records. EVIDENCE: Two residents care plans and their daily records seen indicated that they are able to independently attend to their personal hygiene care needs with support from care staff on duty. Two residents spoken to verbally confirmed that they attend to their own hygiene needs with assistance when they need it. This is documented in their daily care records, which was inspected. Two residents health care records seen indicated that health care professionals located in the community form part of the ongoing care process in the home. Community Nurses visit the premise in order to attend to residents’ nursing care needs for example taking blood tests. The medication policy seen contains sufficient information for staff members’ guidance concerning good medication practice. Two instances were noted where the medication records were not signed to indicate that the medication was given as prescribed. Hunters Lodge D C51 C08 S1745 Hunters Lodge V227712 190505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Robust processes are in place so that residents or their relatives can make a complaint if required. There is an adult protection procedure in place to respond to suspicion or allegation of abuse for residents’ protection. EVIDENCE: Detailed examination of the written complaint process indicated that good guidance is given to residents and their relatives on how to make a formal complaint. The guidance is contained in residents’ individual care files. The adult protection process was inspected. Clear guidance is written for staff members. Two staff members gave good verbal responses regarding protecting vulnerable adults from the risk of harm. Five residents spoken to indicated that they feel safe residing in the home. Hunters Lodge D C51 C08 S1745 Hunters Lodge V227712 190505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 27, 28 and 30 The home is maintained to a good standard with strong emphasis on creating a homely environment. Adequate communal space is provided in the home for residents’ comfort including toilet and bathing facilities. The home is clean and hygienic for residents’ comfort. EVIDENCE: An inspection of the walls, flooring and fixtures throughout the home indicated that the premise is being maintained in good condition. One resident stated ‘I like it here’. Five residents spoken to gave positive comments about having adequate shared space such as the dining room and a suitable number of toilet and bathing facilities for their use. Observations made indicated that there is an adequate number of toilet and bathing facilities in the home based on the number of residents accommodated in the home. An inspection of the premises throughout found it to be clean and hygienic in appearance. One staff member gave good verbal responses concerning suitable hygiene practices for example hand washing techniques. Hunters Lodge D C51 C08 S1745 Hunters Lodge V227712 190505 Stage 4.doc Version 1.30 Page 14 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) 33 The care hours and staffing numbers provided in the home are sufficient for the provision of residents’ care and protection. EVIDENCE: The staffing rota was inspected which indicated that sufficient skill mix and staffing hours are provided on a daily basis. Observations made indicated that there are staff members on duty even at times when residents are away from the home attending day care. Five residents spoken to indicated that staffing numbers are adequate so that they have access to a staff member when needed. One resident stated ‘The carers are good’. Hunters Lodge D C51 C08 S1745 Hunters Lodge V227712 190505 Stage 4.doc Version 1.30 Page 15 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) 40, 41 and 42 The procedures and written policies seen are sufficient in providing good guidance for staff members care delivery. Record keeping is generally good with the exception of two medication records, which were not kept up to date. EVIDENCE: A number of written policies and procedures were inspected. Some examples are, the medication, infection control, complaints and adult protection policies. Two staff members spoken to displayed good knowledge concerning policies kept in the home. Fire safety records seen indicated that fire safety equipments are routinely maintained including regular testing of the fire alarm for residents’ safety. Discussion held with the registered manager and two staff members indicated that staff members are adhering to safe work practices for example attending regular training to update their knowledge and experience. Hunters Lodge D C51 C08 S1745 Hunters Lodge V227712 190505 Stage 4.doc Version 1.30 Page 16 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 3 3 3 x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 x 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hunters Lodge Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x x x 3 2 3 x D C51 C08 S1745 Hunters Lodge V227712 190505 Stage 4.doc Version 1.30 Page 17 No 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 20 Regulation 13(2) Requirement The registered person mustl make arrangements for the recording of all medicines received into the care home In this instance, staff members must always sign the Medication Administration Record after administering medication to residents. The registered person must maintain in respect of each resident a record specified in Schedule 3(3)(i). In this instance all medication records must be kept up to date. Timescale for action 19/05/05 2. 41 17 20/05/05 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 None Good Practice Recommendations Hunters Lodge D C51 C08 S1745 Hunters Lodge V227712 190505 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Northamptonshire Office Newland House, First Floor Campbell Square Northampton, NN1 3EB 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. Extracts may not be used or reproduced without the express permission of CSCI Hunters Lodge D C51 C08 S1745 Hunters Lodge V227712 190505 Stage 4.doc Version 1.30 Page 19 - 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. 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