Inspection on 24/08/06 for Jenkin Lodge

This inspection was carried out on 24th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Jenkin Lodge 08/06/09

Jenkin Lodge 02/06/09

Jenkin Lodge 22/07/08

Jenkin Lodge 21/08/07

Jenkin Lodge 11/01/06

Jenkin Lodge 29/06/05

Jenkin Lodge 17/11/04

Jenkin Lodge 16/06/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Jenkin Lodge New Road Ingleton North Yorkshire LA6 3JL Lead Inspector Mrs Maggie Coxon Key Unannounced Inspection 24th August 2006 10:15 Jenkin Lodge DS0000007910.V307312.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 Jenkin Lodge DS0000007910.V307312.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. Jenkin Lodge DS0000007910.V307312.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Jenkin Lodge Address New Road Ingleton North Yorkshire LA6 3JL 01524 241745 01524 241745 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) jenkinlodge@st-annes.org.uk St Anne’s Community Services Mrs Margaret Keith Frankland Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (5) of places Jenkin Lodge DS0000007910.V307312.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for five service users with learning disabilities, some or all of whom may also have physical disabilities. 11th January 2006 Date of last inspection Brief Description of the Service: Jenkin Lodge is a care home registered by St Annes Community Services to provide personal care and accommodation for up to five adults with learning disabilities. The home consists of a detached, purpose built bungalow situated on a busy road on the outskirts of the village of Ingleton, in the Yorkshire Dales. The village is within walking distance of the home and has a wide range of public amenities including shops, churches and pubs. All of the five bedrooms are for single accommodation, none of which has en-suite facilities. Shared areas consist of a kitchen, a dining room/lounge and a conservatory. It also has a separate well-equipped laundry. The home has a large, wellmaintained garden surrounding the property and there is an area of hard standing for parking to the front. There is level access to the home. Information provided by the previous registered manager on 30th May 2006 indicated that the current monthly fee for the home is £1,074.81. Jenkin Lodge DS0000007910.V307312.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an unarranged site visit undertaken by one Regulation Inspector on the 24th August 2006. This visit took 4.5 hours plus 3 hours preparation time. This site visit forms part of the first key inspection of this home since April 2006. During the visit most areas of the home were seen as were a number of records. Discussions were held with all of the residents and several staff and how staff supported residents and spoke to them was seen. Information was also used from the pre inspection questionnaire provided before the visit. What the service does well: Residents and staff get to know each other very well and staff are kind and friendly so residents can be confident that they will get good help. Residents can have lots of contact with friends and family and see them at any time. Staff also spend a lot of time talking to the residents. This means that they can have company whenever they like. Residents meet with the manager to talk about the help they need and to find out about the home before they move in. They can also visit the home to see if they like it. This means that residents can decide whether or not they move into the home. Residents are asked to say what care they need and how they would like this to be given, this gives them the chance to have a say in planning services for themselves in the future. Residents see their GP, dentist, optician and chiropodist whenever they need to. This helps them stay in good health. Residents have a good choice of food and drinks all the time and staff help them at mealtimes if they want help so they can enjoy their meals. Residents and their relatives and friends are asked what they think about the home so that the staff team can make changes to make things better for residents. The home is very well run and staffed so residents’ are well looked after. They have plenty of activities both inside and outside of the home and spend lots of time out and about in town. Jenkin Lodge DS0000007910.V307312.R01.S.doc Version 5.2 Page 6 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. Jenkin Lodge DS0000007910.V307312.R01.S.doc Version 5.2 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 Jenkin Lodge DS0000007910.V307312.R01.S.doc Version 5.2 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): 1,2 and 4. Quality in this outcome area is good. Service users are fully informed and have their needs fully assessed so that they can exercise choice about living in the home. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The home’s detailed statement of purpose and service user guide, which are both produced in easy read and pictorial formats, have been updated. Every service user is given a copy of the service user guide. A detailed assessment had been taken on each of the service users before they moved in. The registered manager explained that a new assessment booklet has been developed by the organization and any prospective service user would have trial visits to the home and move in on a trial basis before the placement is made permanent. She also explained that any prospective service user would need to have an established package of day care or have one provided by the commissioner prior to admission to ensure that the amount and quality of activities currently enjoyed by the existing service users is not diminished due to a decrease in staff availability. Jenkin Lodge DS0000007910.V307312.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8 and 9. Quality in this outcome area is excellent. Service users make as many decisions and everyday choices as possible and have an active say about the running of the home. Service users can live the lifestyle of their choosing. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Case tracking confirmed that service users’ individual personal plans are very comprehensive and well organized and are being regularly reviewed. They contain sufficient detail to ensure that staff know how best to meet the diverse needs of the individual service user in a way that promotes their independence wherever possible. Person centred meetings have been held for each service user in which they have had a say in planning any changes to services. Individuals’ wishes and agreed outcomes have been recorded in a person centred plan document and the individual’s objectives have been recorded in a service agreement and Jenkin Lodge DS0000007910.V307312.R01.S.doc Version 5.2 Page 10 then actioned. This has resulted in an increase in the number and variety of activities provided for each service user. Every resident also has a choice charter and an activity diary is to be introduced. All these documents are very detailed and are regularly reviewed by all involved. Daily records and observations at the visit show that service users are able to make many choices and decisions in their daily lives and can take reasonable risks subject to a personal risk assessment the details of which are fully recorded. Jenkin Lodge DS0000007910.V307312.R01.S.doc Version 5.2 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): 12,13,14,15,16 and 17. Quality in this outcome area is excellent. Service users have many opportunities for personal development through taking part in appropriate activities both inside and outside of the home and through developing personal relationships. Meals are nutritious and offer a varied diet so service users can enjoy their meals. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Service users now have a much wider variety of activities that they participate in thanks to better staffing levels and staff have also arranged individual holidays for each service user. The registered manager and staff have met with the manager of the day service provision to plan new activities so that residents have an increased presence in their local community. Service users are also allowed personal space when they want it. Jenkin Lodge DS0000007910.V307312.R01.S.doc Version 5.2 Page 12 Staff have undertaken intensive interaction training and are using these techniques to improve communication and one to one interaction with residents. Sensory equipment for several of the service users has been increased through the development of one part of the home. Service users are well supported to develop and maintain personal relationships of their choosing and management and staff continue to seek an advocacy service for the individual who has no relatives. Relatives are kept well informed. Service users have a choice at mealtimes and are offered regular drinks throughout the day as was observed during the visit. The seating arrangements in the dining area have been changed from one large to two small tables, this has made mealtimes a more relaxed and enjoyable for all four service users. Staff were seen to provide support in a relaxed and unobtrusive way and to provide appropriate encouragement where necessary. Staff explained that service users discuss and choose menus in their meetings and records of meals provided identify that meals are varied and nutritious. Jenkin Lodge DS0000007910.V307312.R01.S.doc Version 5.2 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): 18,19 and 20. Quality in this outcome area is good. Each individual’s personal and healthcare needs are well met. This judgement has been made using available evidence including a visit to the service. EVIDENCE: One new staff member explained that a health care profile is being drawn up for each service user in liaison with the community nurse. Case tracking identified that each service user is registered with a GP. They attend regular appointments with chiropodists, dentists, psychologists and GPs etc. The staff team have been aware of a recent decline in appetite in line of the service users and advice has been taken and implemented in an attempt to address this. The new staff member also described the way that personal care is provided. This indicates that the service user’s privacy and dignity are respected and observations made during the visit confirmed this. Staff were also seen to knock on service users’ doors before entering. Jenkin Lodge DS0000007910.V307312.R01.S.doc Version 5.2 Page 14 All of the residents have their medication administered by staff. This is well recorded and all medication is securely stored. All staff except the most recently employed have undertaken appropriate medication training and training has been arranged for this individual who also explained that the community nurse had provided rectal diazepam administration training. The registered manager explained that the G.P has prescribed oral PRN epilepsy medication as an alternative for two service users. She is to draw up risk assessments for these individuals and arrange staff training prior to this medication being administered. Jenkin Lodge DS0000007910.V307312.R01.S.doc Version 5.2 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. Quality in this outcome area is good. Service users are freely able to complain and are protected from abuse. This judgement has been made using available evidence including a visit to the service. EVIDENCE: A comprehensive complaints procedure is followed and is made available to service users in easy read and pictorial form. Service users have regular meetings in which they can express any dissatisfaction. Where service users are unable to verbalize concerns staff observe behaviours and body language to identify any dissatisfaction. The new staff member explained that he has undertaken adult protection training as part of his induction training and was fully aware of the procedure he would follow should he witness or suspect the abuse of a service user. Daily checks of service users’ finances are undertaken and the registered manager explained that there is a policy of no physical restraint in the home. Jenkin Lodge DS0000007910.V307312.R01.S.doc Version 5.2 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): 24,25,26,28,29 and 30. Quality in this outcome area is good. The standard of the environment is good and provides residents with a clean, comfortable and safe home in which to live. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Communal areas in the home are well maintained, decorated and furnished. An area in the entrance lobby is being converted into a sensory area for the service users who were seen to enjoy activities there. Each service user’s bedroom was seen and was decorated and furnished to the individual’s personal taste. They are fitted with suitable aids to assist the individual to maintain their independence. The one vacant bedroom has been redecorated. The home was clean, warm and tidy throughout. Jenkin Lodge DS0000007910.V307312.R01.S.doc Version 5.2 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): 32,33,34,35 and 36. Quality in this outcome area is good. There are sufficient trained staff to ensure that service users are well looked after. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Sufficient staff were on duty at the time of the visit and staff rosters indicate that the home is well staffed at all times. Staff confirmed this to be the case. Robust recruitment procedures are followed including appropriate personnel checks. Held on staff files were 2 written references, CRB and POVA checks, health declarations and supervision records. Records of induction training were also seen. A new residential care officer said that he had undertaken the learning disability award framework induction and foundation training as well as basic training on adult protection and infection control. Each staff member has a staff training profile and basic training is up to date for all staff. The registered manager explained however that NVQ training is currently on hold until the new award is introduced. Although several staff have completed the award the target has yet to be met. Jenkin Lodge DS0000007910.V307312.R01.S.doc Version 5.2 Page 18 Staff said that they receive regular supervision from the registered manager and records of these meetings were seen. They said that the registered manager also holds regular staff meetings. Jenkin Lodge DS0000007910.V307312.R01.S.doc Version 5.2 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): 37,38,39,41 and 42. Quality in this outcome area is excellent. The home is extremely well managed with the quality of services being continuously monitored and improved for service users on an individual as well as group basis. Comprehensive health and safety systems and procedures are in operation with necessary improvements being addressed thereby ensuring the safety of service users. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The registered manager is fully qualified and very experienced in the management of care services. She has been the registered manager of Jenkin Lodge since 2001. Staff say that she is an extremely efficient manager who provides strong leadership, guidance and support in an open and inclusive style. Staff said they have regular supervision from the registered manager and deputy manager and are encouraged to contribute fully to team meetings. Jenkin Lodge DS0000007910.V307312.R01.S.doc Version 5.2 Page 20 The new service manager is undertaking monthly quality audits of the home and service users’ views ascertained through regular service user meetings facilitated by staff and through individual person centred planning meetings. Relatives’ views are also surveyed. Information gleaned from all sources has been fed into a team plan for the home that assesses in detail the current quality of services for individual service users and identifies how this is to be monitored and further improved. Service users are also involved in ‘making it happen’ and ‘taking part’ meetings where their views are discussed at an organizational level. All records are well maintained and stored. Monthly health and safety checks of the building are undertaken and fire safety is well maintained including regular fire safety training for all staff. Other health and safety systems and records are well maintained including accident records. Hot water temperatures are tested weekly and recorded. Fridge and freezer temperatures are recorded twice daily. The registered manager explained that St Annes Community Services are piloting a scheme for the prevention of Legionella in hot water stored in their registered homes; Jenkin Lodge is not part of pilot however although the hot water currently stored is done so at over 60°C and the system has also been disinfected. She also explained that either a new thermostat for the boiler or a new immersion heater is needed and that these arrangements are in hand. Jenkin Lodge DS0000007910.V307312.R01.S.doc Version 5.2 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 3 2 3 3 X 4 3 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 3 25 3 26 3 27 X 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 2 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 4 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 4 4 X 3 3 X Jenkin Lodge DS0000007910.V307312.R01.S.doc Version 5.2 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. 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 YA32 Good Practice Recommendations A minimum of 50 of care staff should be qualified to NVQ level 2 or above. Jenkin Lodge DS0000007910.V307312.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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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