Inspection on 21/11/05 for Hunters Lodge

This inspection was carried out on 21st November 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 19/05/05

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 Linda Clarke Unannounced Inspection 21st November 2005 02:00 Hunters Lodge DS0000001745.V258375.R01.S.doc Version 5.0 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 Hunters Lodge DS0000001745.V258375.R01.S.doc Version 5.0 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. Hunters Lodge DS0000001745.V258375.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Hunters Lodge Address 26 Berridges Lane Husbands Bosworth Leicestershire LE17 6LE 01858 880538 01858 81185 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) Mr Peter Clifford Gilbert Mrs Christine Anne Gilbert Ms Claire Gilbert Care Home 17 Category(ies) of Learning disability (17), Sensory impairment (4) registration, with number of places Hunters Lodge DS0000001745.V258375.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 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. 19th May 2005 Date of last inspection 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 DS0000001745.V258375.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced Inspection that took place between 2.00pm and 5.30pm. When undertaking Inspections, the Commission for Social Care Inspection focuses on the outcomes of individuals staying in the home. To support this, two residents were ‘case tracked’. This means that the care records and care plans of residents were checked; the residents were spoken with where possible, as were two members of care staff. The Registered Manager and Deputy Manager also contributed to the Inspection. Opportunity was also taken to look around parts of the home. What the service does well: What has improved since the last inspection? What they could do better: Newly recruited staff would benefit from accessing Learning Disability Award Framework accredited training, which focuses on the client group residing at Hunters Lodge, and would provide them with a good foundation to understand the needs of individuals. Care plans could further be developed by the adoption of person centred planning, which provides focused care concentration on individual goals and aspirations. Hunters Lodge DS0000001745.V258375.R01.S.doc Version 5.0 Page 6 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 DS0000001745.V258375.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hunters Lodge DS0000001745.V258375.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 5. The assessment process is well managed with residents being aware of their terms and conditions of occupancy. EVIDENCE: The admission process is adequate in that social care professionals carry out assessments of individuals, as part of the referral process. The file of both residents viewed contained an assessment undertaken by a Social Worker. Annual reviews are undertaken of all residents residing at Hunters Lodge, of those viewed residents had attended and contributed to their views, both of which having positive outcomes. Residents receive a copy of the terms and conditions of occupancy, outlining fees payable. Hunters Lodge DS0000001745.V258375.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9. Care plans identify individual care needs; improvements could be made to reflect individual goals and aspirations. EVIDENCE: Two residents care plans were inspected. The documents contained sufficient information to give staff members’ guidance on how to meet residents’ care needs. Care plans could further be developed consistent with person centred planning; the focus would be on the achievement of goals and aspirations of individuals, and focus on how residents could be supported in achieving these. The Registered Manager confirmed that some staff have attended training on the development of such care plans. Residents are supported to achieve an independent lifestyle; areas of risk are assessed, and are incorporated within resident care plans. Hunters Lodge DS0000001745.V258375.R01.S.doc Version 5.0 Page 10 Records are kept of significant daily events affecting residents, which includes contact with medical professionals, relatives and friends and social and recreational pursuits. Residents were consulted by care staff as to day-to-day aspects of their lives, resident meetings, which are recorded, also evidence that residents wishes and expectations are central to the management and running of Hunters Lodge. Hunters Lodge DS0000001745.V258375.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15 and 16. Resident’s actively take part within the community, and are involved in the development of services. Residents access a range of social, leisure and recreational activities. EVIDENCE: Residents access a variety of recreational activities, these have included concerts and plays at Demontfort University Theatre to see the Four Tops and The Temptations, King and I and the Glen Miller Orchestra. One resident attended the Opera at Symphony Hall whilst others visited the National Indoor Arena to watch Disney On Ice. Residents spoke of their holidays this year, which included destinations such as Hunstanton and Spain. Residents are already planning their holidays for next year. Hunters Lodge DS0000001745.V258375.R01.S.doc Version 5.0 Page 12 The residents of Hunters Lodge have invited family and friends to their Christmas Party, which includes a pantomime performance and bell ringers accompanied by Carol singers. One resident spoke of visiting her family at Christmas. Residents participate within the community; one resident regular attends Leicester Tiger rugby matches, whilst one lady works at a local store. Records evidenced that one resident is the Chairperson of the Local Learning Disability Advocacy Group (Locality Group). An advocacy worker from Fairdeal supports the resident. Hunters Lodge DS0000001745.V258375.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 20. Residents are looked after well in respect of their health and personal care needs, which include the administration of medication. EVIDENCE: 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. One resident spoke of their trip to the dentist later in the week, whilst another spoke of their forthcoming hospital appointment. The medication storage and records of two residents were viewed all were found to be in good order. Hunters Lodge DS0000001745.V258375.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Standards within this section were not inspected on this occasion. Hunters Lodge DS0000001745.V258375.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24. The décor of the home is of a good standard providing a homely, comfortable and safe environment. EVIDENCE: Hunters Lodge is decorated to a good standard and is homely and comfortable for residents. The dining room had recently been decorated as has one of the lounges, the second lounge is scheduled for decoration, and a new suite has been purchased. Hunters Lodge DS0000001745.V258375.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34 and 35. Staff at Hunters Lodge are trained and supported, and employed in sufficient numbers to meet the needs of residents. EVIDENCE: The Inspector viewed the records of one member of staff recently recruited. All relevant documentation was contained within, which included evidence that a copy of General Social Care Codes of Conduct had been given to the staff member. A job copy of the individual’s job description was in place as was a copy of their terms and conditions of employment. The Registered Manager employs eight members of care staff, of which five have attained a level 2 National Vocational Qualification in Care, whilst three members of staff are working towards a level 3 National Vocational Qualification. Staff meetings take place regularly, with minutes being taken. Staff access training in a variety of subjects, which includes ASET courses in The Safe Handling of Medicines and Certificate in Conflict Management. Staff have also accessed training in Dementia Awareness, First Aid and Person Centred Planning. It is recommended that newly recruited staff access the Learning Disability Aware Framework accredited training. Hunters Lodge DS0000001745.V258375.R01.S.doc Version 5.0 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 39. The Registered Manager offers a clear sense of leadership, which reflects on the day-to-day delivery of care practices of residents and running of the home. EVIDENCE: The Registered Manager is currently working towards the Registered Managers Award and level 4 National Vocational Qualification in Care. The Registered Manager has appointed a Deputy Manager to support in the day-to-day running of the home. The Registered Manager in conjunction with Valuing People is designing a quality assurance questionnaire, which will provide residents with an opportunity to comment on all aspects of their care and their residence at Hunters Lodge, it is envisaged that individuals not linked to Hunters Lodge will support residents in completing the questionnaire to ensure impartiality. The Inspector at the next Inspection will view the results of these questionnaires. Hunters Lodge DS0000001745.V258375.R01.S.doc Version 5.0 Page 18 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 3 Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hunters Lodge Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X X X DS0000001745.V258375.R01.S.doc Version 5.0 Page 19 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. 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 2 Refer to Standard YA6 YA35 Good Practice Recommendations It is recommended that person centred planning be introduced for all residents residing at the home, focusing on goals and aspirations. It is recommended that newly recruited staff access the Learning Disability Award Framework accredited training. Hunters Lodge DS0000001745.V258375.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 DS0000001745.V258375.R01.S.doc Version 5.0 Page 21 - 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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