Inspection on 09/06/05 for Ivor Lodge Care Home

This inspection was carried out on 9th June 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Ivor Lodge Care Home 30/08/06

Ivor Lodge Care Home 23/09/05

Ivor Lodge Care Home 13/02/04

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

CARE HOME ADULTS 18-65 Ivor Lodge Limited 452-454 Hinckley Road Leicester Leicestershire LE3 0WA Lead Inspector Kim Cowley Unannounced 09 June 2005 12:00 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. Ivor Lodge Limited C51 C01 S43227 Ivor Lodge V222662 090605 STAGE 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ivor Lodge Limited Address 452-454 Hinckley Road Leicester Leicestershire LE3 0WA 0116 2547141 0116 2547141 ivorlodge@ntlworld.com Ivor Lodge Limited 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) Mrs Sobha Chooramun Care home only 14 Category(ies) of MD Mental Disorder (14) registration, with number of places Ivor Lodge Limited C51 C01 S43227 Ivor Lodge V222662 090605 STAGE 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 3.03.05 Brief Description of the Service: Ivor Lodge is a residential care home for people with mental health needs. It is situated in a large detached house on the Hinckley Road, close to a range of local amenities. The home has ten single and two double bedrooms. There are two lounges, a conservatory where smoking is allowed, and a dining room. To the rear of the house is a small garden with a patio area. Ivor Lodge Limited C51 C01 S43227 Ivor Lodge V222662 090605 STAGE 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on a weekday. The inspector talked to five residents, the Manager, and one of the care staff. The premised were toured. Care records were examined. There were no requirements outstanding from the last inspection, and no new requirements were made. The staff team and premises were commended. What the service does well: Ivor Lodge is owned and managed by experienced mental health professionals and a well-trained and established staff team is employed. The home has a relaxed and friendly atmosphere and visitors are made welcome. All residents interviewed made many positive comments about the home including, ‘I love living here – I’m ever so happy’, ‘This home is peaceful’, and ‘We can be independent here. I come and go as I want.’ Care plans are based on residents’ social work or care management assessments. Those inspected contained up to date information and had been regularly reviewed. Records showed that staff work closely with other health and social care professionals. Monthly residents’ meetings are held to involve residents in the running of the home and weekly meetings are held to discuss the menu. Residents who find it difficult to speak out in a group setting meet with staff privately to ensure their views are heard. Menu records showed a varied and wholesome diet being provided. All residents interviewed said they were happy with the food and the following comments were made, ‘The meals are beautiful. I’ve put on weight since I’ve been here’, ‘On Saturday we had a lovely curry that Sadna (the Manager) made. The rice was good’, and ‘The food is fine and there’s always an alternative if you don’t like the main course.’ Activities, education, and training are provided on a individual and group basis depending on residents’ needs. Care plans showed that some residents have a full programme of structured activities, others have more free time and come and go as they wish. Although all residents are encouraged to take part in activities, ultimately it is their choice whether they do or not. Ivor Lodge Limited C51 C01 S43227 Ivor Lodge V222662 090605 STAGE 4.doc Version 1.30 Page 6 The home is comfortable and homely throughout. All areas inspected were well decorated and immaculately clean and tidy. Residents made many positive comments about the premises including, ‘The home always looks nice’, and ‘My bedroom’s lovely. I’ve got it just how I want it.’ The premises are commended. The staff team are established and experienced. They have built positive and supportive relationships with the residents and are commended for this. Residents’ comments about the Manager and staff included, ‘The staff have time to sit and listen to us’, and ‘Sadna’s very fair. She never raises her voice. She’s always got time for us.’ 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. Ivor Lodge Limited C51 C01 S43227 Ivor Lodge V222662 090605 STAGE 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Ivor Lodge Limited C51 C01 S43227 Ivor Lodge V222662 090605 STAGE 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 Prospective residents are thoroughly assessed by a multi-disciplinary team and by staff at the home prior to admission. They sign assessments to show they agree with them. EVIDENCE: The home’s admission procedure was discussed in detail. Most residents are admitted under the ‘Care Programme Approach’ (CPA). This means a multidisciplinary team assesses them prior to admission, as do staff at the home. The Manager said assessments are always be signed by residents to show they agree with them. Ivor Lodge Limited C51 C01 S43227 Ivor Lodge V222662 090605 STAGE 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 Care plans are of good quality and residents are involved in compiling them. Residents are consulted on all aspects of their care and their views are respected. Opportunities are available for residents to contribute to the day-to-day running of the home. EVIDENCE: Care plans are based on residents’ social work or care management assessments. They are compiled in consultation with residents and with any professionals/family/friends involved in their care. Three residents’ files were inspected in detail. They contained up to date information and had been regularly reviewed. Appropriate care plans and risk assessments were in place. Records also showed that residents’ physical health care needs are identified and met. Ivor Lodge Limited C51 C01 S43227 Ivor Lodge V222662 090605 STAGE 4.doc Version 1.30 Page 10 Staff work closely with other health and social care professionals. On the day of inspection a multi-disciplinary team meeting was being held in the home to review medication. The Manager said reviews are held at Ivor Lodge because residents are more relaxed when at the home, and more likely to contribute to the reviews. These are attended by residents, staff at the home, social workers, community psychiatric nurses, consultants, and relatives/friends. Monthly residents’ meetings are held to involve residents in the running of the home. At these meetings residents can share their views about Ivor Lodge and make comments and suggestions. The Manager said residents who find it difficult to speak out in a group setting meet with staff privately to ensure their views are heard. Ivor Lodge Limited C51 C01 S43227 Ivor Lodge V222662 090605 STAGE 4.doc Version 1.30 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16, 17 Good opportunities are available for residents to take part in activities, education and training. Residents are encouraged to increase their independence skills by helping out in the home. Staff provide a varied and wholesome diet, which was praised by all the residents interviewed. EVIDENCE: Activities, education and training are provided on an individual and group basis depending on residents’ needs. Care plans showed that some residents have a full programme of structured activities, others have more free time and come and go as they wish. Although all residents are encouraged to take part in activities, ultimately it is their choice whether they do or not. The majority of Ivor Lodge Limited C51 C01 S43227 Ivor Lodge V222662 090605 STAGE 4.doc Version 1.30 Page 12 residents can leave the home unaccompanied (following a satisfactory risk assessment), but some need staff to support them when they go out. Residents’ comments about activities included: ‘We sometimes have bingo and play scrabble.’ ‘I like to watch television, particularly the soaps.’ ‘Chris (a care worker) is going to take me shopping in the car.’ ‘The staff took me to see my family in a taxi.’ ‘One member of staff brought her baby in for us all to see.’ ‘I like reading the paper every day.’ ‘I like playing draughts and scrabble – we’ve got them here.’ All residents are expected to help in the home, depending on their abilities. This helps them to increase their independence skills. They are encouraged to keep their rooms tidy, sort their washing, and help with the washing up. One resident said ‘I have my washing up day once a week when I do the washing up for everyone’, and another commented ‘I like to help out here. I cleaned up the yard.’ Service users are encouraged to maintain family links and to communicate with their families and friends through visits, letters and phone calls. Staff offer extra support to residents who do not have contact with their families. The care staff do the cooking in the home, and residents are encouraged to help them. Service users shop with staff so they can choose food for the home. There is a regular meeting every Monday when residents discuss and decide the menu. Records showed a varied and wholesome diet being provided. All residents interviewed said they were happy with the food and the following comments were made: ‘The meals are beautiful. I’ve put on weight since I’ve been here.’ ‘On Saturday we had a lovely curry that Sadna made. The rice was good’ ‘Jack (one of the Owners) did a lovely pork lunch last week.’ ‘Today we had fish fingers, tomatoes, and bread and butter for lunch, and we’re having ham salad for tea.’ ‘We have lovely Sunday lunches.’ ‘We have lots of fresh fruit.’ ‘Our diet is healthy.’ ‘The food is fine and there’s always an alternative if you don’t like the main course.’ Ivor Lodge Limited C51 C01 S43227 Ivor Lodge V222662 090605 STAGE 4.doc Version 1.30 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These Standards will be inspected at the next inspection. EVIDENCE: Ivor Lodge Limited C51 C01 S43227 Ivor Lodge V222662 090605 STAGE 4.doc Version 1.30 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These Standards will be inspected at the next inspection. EVIDENCE: Ivor Lodge Limited C51 C01 S43227 Ivor Lodge V222662 090605 STAGE 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 30 The premises are homely, comfortable and safe. All areas inspected were clean and well maintained. EVIDENCE: The home is comfortable and homely throughout. All areas inspected were well decorated. Records showed that the premises are properly maintained with all servicing and checks up to date. This was an unannounced inspection and the home was immaculately clean and tidy. The premises are commended. Since the last inspection the following improvements have been carried out: • Redecoration of some bedrooms • New lounge curtains • New leather suite in the lounge • New microwaves in the kitchen • New conservatory furniture Residents made many positive comments about the premises including: Ivor Lodge Limited C51 C01 S43227 Ivor Lodge V222662 090605 STAGE 4.doc Version 1.30 Page 16 ‘I use the smoking room and the staff are always in and out emptying the ashtrays.’ ‘The staff are always cleaning.’ ‘I keep my room tidy and the staff hoover and polish and clean the sink.’ ‘I like the new leather sofa we’ve got. I helped to unpack it when it arrived.’ ‘The home always looks nice.’ ‘MY bedroom’s lovely. I’ve got it just how I want it.’ Ivor Lodge Limited C51 C01 S43227 Ivor Lodge V222662 090605 STAGE 4.doc Version 1.30 Page 17 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) 31, 32, 33, 35 Ivor Lodge is owned and managed by experienced mental health professionals and a well-trained and established staff team is employed. Relationships between staff and residents are excellent. EVIDENCE: The Registered Manager is a Registered Mental Nurse (RMN), as is her husband who also works in the home. Both have current registrations and attend at least five study days each year to update their practice. Two senior carers and eight care assistants are employed. During the day there are generally two members of staff on duty plus a further member of staff if transport duties are required. At night there is one waking member of staff on duty and a further member of staff on call. Night staff are responsible for service user care and supervision, and also carry out light cleaning duties. The Manager and staff have built positive and supportive relationships with the residents and are commended for this. Residents’ made the following comments: ‘Sadna’s nice and so are the other staff.’ ‘The staff have time to sit and listen to us.’ ‘Sadna’s very fair. She never raises her voice. She’s always got time for us.’ Ivor Lodge Limited C51 C01 S43227 Ivor Lodge V222662 090605 STAGE 4.doc Version 1.30 Page 18 ‘Sadna notices if you’re down and helps you.’ ‘Sadna told me that if I every needed to talk the staff were always there for me.’ ‘Sadna’s a lovely person and she’s always friendly.’ Ivor Lodge Limited C51 C01 S43227 Ivor Lodge V222662 090605 STAGE 4.doc Version 1.30 Page 19 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) These Standards will be inspected at the next inspection. EVIDENCE: Ivor Lodge Limited C51 C01 S43227 Ivor Lodge V222662 090605 STAGE 4.doc Version 1.30 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x x x x 4 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 x 4 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ivor Lodge Limited Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x C51 C01 S43227 Ivor Lodge V222662 090605 STAGE 4.doc Version 1.30 Page 21 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 7 Good Practice Recommendations Ivor Lodge Limited C51 C01 S43227 Ivor Lodge V222662 090605 STAGE 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 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. 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