Inspection on 10/01/06 for Jacobs Lodge

This inspection was carried out on 10th January 2006.

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 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

Jacobs Lodge 02/12/08

Jacobs Lodge 06/06/06

Jacobs Lodge 06/01/05

Jacobs Lodge 22/07/04

Jacobs Lodge 18/03/04

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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 Jacobs Lodge Jacobs Gutter Lane Hounsdown Southampton Hampshire SO40 9FT Lead Inspector Debbie Oliver Unannounced Inspection 10th January 2006 10:30 Jacobs Lodge DS0000040573.V274841.R01.S.doc Version 5.1 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 Jacobs Lodge DS0000040573.V274841.R01.S.doc Version 5.1 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. Jacobs Lodge DS0000040573.V274841.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Jacobs Lodge Address Jacobs Gutter Lane Hounsdown Southampton Hampshire SO40 9FT 023 8066 1205 023 8066 1206 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) Hampshire Partnership NHS Trust Mrs Anita Kay McMillan Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Jacobs Lodge DS0000040573.V274841.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st July 2005 Brief Description of the Service: Jacobs Lodge is a short break service located just outside Totton on the same site as the Hythe and Waterside Day service The home is purpose built, all on one level, and allows easy access for people who use wheelchairs. The home is owned by Hampshire County Council and managed by Hampshire Partnership NHS Trust. There is a kitchen, dining room, lounge and laundry facilities and each service user has their own bedroom when they come to stay. There is also a large garden providing additional recreational space. Jacobs Lodge DS0000040573.V274841.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over three and a half hours. The new manager was available for the latter part of the inspection but the staff on duty also assisted with the visit. Many of the core standards were inspected during the previous visit on 21st July 2005; therefore referral to both reports will give a full overview of the service. An opportunity was taken to look around parts of the home, view some records and talk to four staff. Due to the nature of the service users’ disabilities who were staying at the home it was quite difficult to talk to them but observation enabled the inspector to gain a better understanding of how the needs of some service users were being met. On the day of the visit there were only three service users staying at the home. Throughout the visit it was evident there is a relaxed and supportive atmosphere. Relatives were not visiting on the day of inspection. What the service does well: What has improved since the last inspection? The home now ensures all service users have up to date risk assessments so ensuring they are being appropriately supported. The training records are now much clearer indicating when a staff member has attended a course. Jacobs Lodge DS0000040573.V274841.R01.S.doc Version 5.1 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. Jacobs Lodge DS0000040573.V274841.R01.S.doc Version 5.1 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 Jacobs Lodge DS0000040573.V274841.R01.S.doc Version 5.1 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): None of these standards were assessed on this occasion as the core standards were inspected at the last visit and found to be satisfactory. EVIDENCE: Jacobs Lodge DS0000040573.V274841.R01.S.doc Version 5.1 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): 7 and 9 Service users make decisions about their lives with assistance as needed. Risk assessments are in place and ensure service users are able to take risks as part of an independent lifestyle. EVIDENCE: Staff spoken to said service users are supported to make decisions by either asking them what they want or they will tell you directly. For the service users who have limited verbal communication decisions are made and it is trial and error to see if this is suitable for the individual and this is always recorded. Families are also involved as is needed. On the day of the visit one service user took themselves off to bed and then came to the dining room table when they were ready for a drink. One service user also requested they did not stay in the home if another service user was also staying and this has been fully supported by the home. Jacobs Lodge DS0000040573.V274841.R01.S.doc Version 5.1 Page 10 It is also detailed in the care plans how services users make decisions and what is important to them. The home had a recent service user meeting and the inspector viewed the minutes. It showed service user’s decisions such as needing assistance with healthy eating. There was also an action plan on how to support service users with their decisions. The three service users who were using the service on the day of the inspection had relevant risk assessments showing service users are able to take risks and there are regular reviews in place to show the information remains current. Jacobs Lodge DS0000040573.V274841.R01.S.doc Version 5.1 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): 15 and 17 Service users have good relations and support from friends and families. Service users are offered plenty of fresh food with lots of choices to enable a balanced and healthy diet but further documentation is needed to show this is what service users are actually eating. EVIDENCE: As the home offers a short break service there is constant input from families and friends as they will take their family member to the home and pick them up after their stay. They are also informed if any issues arise during the service user’s stay. Just before Christmas there was a carers meeting to discuss issues and a more informal meeting to get to know the home their family member stays at. The menu was seen and showed a varied and balanced diet with two choices available however it was discussed with the staff member there is no indication Jacobs Lodge DS0000040573.V274841.R01.S.doc Version 5.1 Page 12 what an individual has chosen as the area that should be ticked to show the choice has been left blank for at least three days in a row. Additionally roast beef was cooked on the previous Sunday and the temperature of the meat had not been recorded. Since the inspection the responsible individual has written to the Commission to inform the inspector that the recording of service users’ choice of meals are kept in their individual files. On the day of the inspection plenty of fresh fruit and vegetables were available. The staff member said for two of the service users who are currently staying at the home one uses flash cards to indicate what food they want but staff do need to persevere with this and the other service user tries different foods to see what ones they like. One service user has a Percutaneous Endoscopic Gastrostomy and so requires feeding through a tube. Some staff have been trained to do this and the training records were seen to confirm this. Jacobs Lodge DS0000040573.V274841.R01.S.doc Version 5.1 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): 20 The home has good systems in place that ensures the medication needs of service users are met. EVIDENCE: The home has a policy on medication and a copy of The Royal Pharmaceutical Society Guidelines. All the relevant documentation is in place relating to receiving, administering and disposal of medication and the inspector viewed this. All staff receive training through the Trust and are also assessed in the home as well as having refresher courses every twelve months. Some service users also require rectal diazepam and staff have attended the course, the certificates were seen by the inspector showing attendance. The two service users staying in the home take as required medication and this is detailed in their care plans when this should be given. None of the service users currently staying in the home self-administer. Jacobs Lodge DS0000040573.V274841.R01.S.doc Version 5.1 Page 14 It was discussed with the staff member that it should be recorded on the drug chart when a service user returns home. Jacobs Lodge DS0000040573.V274841.R01.S.doc Version 5.1 Page 15 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): 22 and 23 Arrangements for protecting service users and responding to concerns are generally satisfactory. EVIDENCE: These standards were checked at last inspection and the manager confirmed there has been one complaint and one allegation of abuse, both of which were dealt with satisfactory. Staff are continuing to receive training on adult protection as needed and those spoken to were clear on the procedure to follow if they become aware of an abusive situation. The complaints procedure is available but it was discussed with the manager the procedure in the hallway should include the details of the Commission so everyone knows how to contact the Commission. Again all staff spoken to were clear on what to do if they received a complaint or had a complaint themselves. Jacobs Lodge DS0000040573.V274841.R01.S.doc Version 5.1 Page 16 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 and 30 A comfortable and safe standard of accommodation is provided for the service users, which generally meets their needs but the home needs to ensure all the relevant equipment is in place to ensure service users are supported safely. The home is clean and hygienic EVIDENCE: Since the last inspection representatives from Hampshire County Council have visited to assess the bath where the hoist was removed and the shower room where there were some difficulties draining water. However to date they have not replaced the hoist or fixed the shower room. The inspector made this a requirement for this to be completed. The home was clean and tidy on the day of the inspection. The home has a suitable laundry room with all the necessary equipment available including gloves and aprons to reduce any risk of infection and protect staff. Jacobs Lodge DS0000040573.V274841.R01.S.doc Version 5.1 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 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): 32, 34 and 35 There is a good skill mix of staff with the appropriate training to support service users. The relevant recruitment practices in place ensure service users are protected. EVIDENCE: The inspector viewed three staff files and all contained a criminal records bureau check, application form, references and a health check. Since the last inspection the training records are much clearer now stating what training is booked and when the staff member has attended, there is also an area for training that is required. Some staff spoken to have many years experience in this field of work while others have only been in post just over a year but really enjoy what they do and were seen to be interacting positively with service users. Staff on duty have received lots of training including epilepsy, person centred planning and are booked on values training and positive risk taking. Staff spoken to confirmed they have received an induction and said it was very useful when they first started. Jacobs Lodge DS0000040573.V274841.R01.S.doc Version 5.1 Page 18 There are ten staff in the home that have achieved their National Vocational Qualification, two who have nearly finished and one who has been put forward to start. Staff spoken to confirmed the supervision has slipped of late but are all booked for January. Jacobs Lodge DS0000040573.V274841.R01.S.doc Version 5.1 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 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, 39 and 42 The home is managed efficiently and service users benefit from a well run home. Service users views are sought to ensure they are involved in the selfmonitoring, reviewing and development of the home. The health, safety and welfare of service users is generally promoted but staff must be well trained especially in the area of fire safety. EVIDENCE: The registered manager has recently left and the home has a new manager with the skills and experience to manage the home who has just completed her registration. One staff member spoken to said the manager is approachable and easy to work with. Jacobs Lodge DS0000040573.V274841.R01.S.doc Version 5.1 Page 20 There are regular service user meetings to gain the views of service users and ask if they are happy with the service. There is also an action plan to look at how areas discussed can be improved upon. The inspector saw the minutes of these meetings. Regulation 26 visits are undertaken on a monthly basis and staff and service users are involved in these visits and this is documented. Families are spoken to all the time to ensure their family members remain happy when they stay at Jacobs Lodge and there were also eleven compliments sent to the home since the last inspection. All areas of standard 42 were inspected during the last visit but not all staff had received fire training. On looking through the records there were still three staff members who had not received fire training during the year of 2004, this was therefore made a requirement. Jacobs Lodge DS0000040573.V274841.R01.S.doc Version 5.1 Page 21 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 X 2 X 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 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X 3 X 3 X X 2 X Jacobs Lodge DS0000040573.V274841.R01.S.doc Version 5.1 Page 22 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 YA24 Regulation 23 (2) (b) & (C) Requirement The registered person must ensure a new hoist is fitted to the bath and the shower room is repaired making it safe for service users to use. The registered person must ensure all staff receive fire training twice in a twelve month period. Timescale for action 30/04/06 2 YA42 23(4)(d) 10/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Jacobs Lodge DS0000040573.V274841.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Jacobs Lodge DS0000040573.V274841.R01.S.doc Version 5.1 Page 24 - 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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