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Inspection on 30/06/05 for Loddon House

Also see our care home review for Loddon House for more information

This inspection was carried out on 30th 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The staff at the home have a good understanding of the residents needs. They keep good records of the things that happen in the resident`s lives and help them make choices and decisions that affect their lives. The residents that were spoken to say that staff treat them very well and that they are happy living at the home. They also said that staff and the manager resolve any issues if they are unhappy and will make changes at the home if needed. The residents visit the doctor and optician when required and the staff always make sure that the residents keep their appointments.

What has improved since the last inspection?

Staff now take the residents` to an evening club every Friday, where they take part in dancing and a variety of games and events. Residents` and staff have created a herb, salad and vegetable garden and use them when cooking meals. The staff at the home have completed training courses to enable them to continue to meet the residents needs.

What the care home could do better:

During this visit, the care provided by the staff and the record keeping at the home were of a good standard and no improvements were required at the time.

CARE HOME ADULTS 18-65 LODDON HOUSE Loddon Court Farm Beech Hill Road, Spencers Wood Nr Reading Berkshire RG7 1HT Lead Inspector Katy Brown Unannounced 30 June 2005 @ 09:20 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. LODDON HOUSE H52-H01 11378 Loddon House V227914 290605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Loddon House Address Loddon Court Farm Beech Hill Road Spencers Wood Nr Reading Berkshire RG7 1HT 0118 988 4647 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) New Support Options Mr Jay Benjamin Dixon Care Home 4 Category(ies) of Learning Disability (LD) registration, with number Learning Disability over the age of 65 years of places (LD(E)) LODDON HOUSE H52-H01 11378 Loddon House V227914 290605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The home may accommodate one named service user over the age of 65 years. Date of last inspection 04/02/05 Brief Description of the Service: Loddon House is a residential care home offering twenty-four hour personal care to four adults who have learning and associated behavioural difficulties. The home is a two-storey building and is not able to provide a service to people with severe physical disabilities, as there is no lift access to the first floor. The home has six single bedrooms, which have wash hand basins, but do not have en-suite facilities. The home is situated in a quiet residential area close to the town centre. There are local facilities within walking distance of the home. The home has its’ own vehicle and service users are able to access public transport, as appropriate. LODDON HOUSE H52-H01 11378 Loddon House V227914 290605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four hours. There have been no additional visits made since the last announced inspection. A tour of the premises took place and staff records, residents’ care records and some of the homes’ records were inspected. Four residents were spoken to and the three members of staff on duty and the manager were spoken to. What the service does well: What has improved since the last inspection? What they could do better: During this visit, the care provided by the staff and the record keeping at the home were of a good standard and no improvements were required at the time. LODDON HOUSE H52-H01 11378 Loddon House V227914 290605 Stage 4.doc Version 1.30 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. LODDON HOUSE H52-H01 11378 Loddon House V227914 290605 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 LODDON HOUSE H52-H01 11378 Loddon House V227914 290605 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) 3 The staff employed at the home and the services and facilities that are available to residents do meet their assessed needs. EVIDENCE: Individual records are kept for each resident and an inspection of the records for the four residents’ living at the home, confirmed that their identified needs were being met and that specialist support had been implemented when required. The four residents that were spoken to say that they are happy at the home and that staff and the manager treat them well and are able to meet their needs. Staff confirmed that they have received specialist training that meets the changing needs of the residents. LODDON HOUSE H52-H01 11378 Loddon House V227914 290605 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) 7 and 9 The residents do make decisions about their lives and are provided with a good standard of care and support that is consistent with the information within the risk management plans. EVIDENCE: Most of the residents are able to make their needs known through verbal communication, or gestures and the residents that were spoken to, confirm that they could and do, make decisions about their lives. Any changes or limitations to residents daily living have been discussed between the residents and the manager and a record is kept. Two residents have the support of an advocate and the manager confirmed that the other residents are currently on a waiting list for when advocates become available. Staff that were spoken to said that they always offer choices of clothes, meals and activities to the residents that are not able to express their needs verbally or through gestures. LODDON HOUSE H52-H01 11378 Loddon House V227914 290605 Stage 4.doc Version 1.30 Page 10 An inspection of individual records and discussion with residents’ and staff indicated that residents’ needs are being met and that clear risk management plans and appropriate guidance is in place. Residents are supported to take sensible risks and the manager has sought the advice of health professionals when required. Reviews of the risk management strategies are completed on a regular basis. LODDON HOUSE H52-H01 11378 Loddon House V227914 290605 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) 12, 15 and 17 Residents take part in a variety of activities and employment and maintain relationships with families and friends. Meals provided at the home are varied, well balanced and nutritious and meet the assessed needs of residents. EVIDENCE: All residents have individual activities programmes, which enable them to be aware of what things they will be doing each day. A resident said that evening activities had improved and that they now attend a club every Friday evening where they take part in raffles, line dancing and a variety of games. Two of the residents are in part time paid employment; one resident delivers leaflets in the local area and the other one makes poppies for the poppy factory in the London Borough of Richmond. Staff support residents’ to maintain contact with friends and family and residents confirmed that they are able to use the telephone and have visitors when they wished. Visits by friends and relatives are encouraged at the home and residents confirmed that staff always make visitors feel welcome. LODDON HOUSE H52-H01 11378 Loddon House V227914 290605 Stage 4.doc Version 1.30 Page 12 A record is kept of the residents’ dietary requirements and meals are provided in a way that reflects their identified needs. Residents’ likes and dislikes are incorporated in the menu planning process and residents confirmed that they are served with filling tasty meals that reflect their preferred tastes. The residents and staff have recently created a herb, salad and vegetable garden and the fresh produce is used when cooking meals. LODDON HOUSE H52-H01 11378 Loddon House V227914 290605 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) 18, 19 and 20 Staff adhere to policies and procedures that ensure that the residents’ are provided with a good standard of flexible care that reflects their identified wishes and meets their health needs. EVIDENCE: The residents’ needs, likes and dislikes are clearly identified and managed appropriately by staff. Up to date information is available that reflects the current changes in need for some residents’. Residents’ that were spoken to confirmed that they receive a good standard of care and said that staff know what they like and dislike. The home is dependent on agency and bank staff; however, residents confirmed that there is consistency with the staff that work there and that they are aware of their needs. Residents are encouraged to take control of their healthcare needs where possible and a record is kept of all health related visits. Records that were inspected indicate that care staff and the manager have a good relationship with healthcare professionals and referrals are made for specialist support when required. A resident said that he has recently been provided with a new pair of reading glasses. LODDON HOUSE H52-H01 11378 Loddon House V227914 290605 Stage 4.doc Version 1.30 Page 14 Staff have appropriate policies and procedures for the administration of medication. The pharmacist visited the home in June 2005 and no concerns were raised. LODDON HOUSE H52-H01 11378 Loddon House V227914 290605 Stage 4.doc Version 1.30 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 standard(s) 22 Resident’s views are listened to and residents’ are confident that their complaints will be taken seriously and investigated properly. EVIDENCE: Residents that were spoken to said that they would be comfortable making a complaint as they believed that their complaint would be taken seriously. All the residents have a copy of the complaints procedure and they confirmed that staff always resolved any issues or concerns that they had raised or identified. Both the manager and staff confirmed that they make complaints on behalf of the residents’. The manager and staff keep a satisfactory record of any complaints that are made. The CSCI has not received any complaints in respect of this service. LODDON HOUSE H52-H01 11378 Loddon House V227914 290605 Stage 4.doc Version 1.30 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 standard(s) 30 The home is clean and hygienic and free from infection. EVIDENCE: There are policies available for the control of infection that support staff in their day-to-day practice and a tour of the premises identified that the home is clean and hygienic. The residents’ said that they are supported by staff to clean their own bedrooms and staff also provide support with all other domestic tasks when required. The laundry facilities are situated in a separate part of the home and the laundry is washed and dried by staff within the premises. Residents are able to attend to their own laundry if they wish. LODDON HOUSE H52-H01 11378 Loddon House V227914 290605 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) 34 and 35 The procedures for the recruitment of staff are robust and provide safeguards for the residents. Staff receive an induction to the home and a variety of training that enables them to provide a good service to the residents that live there. EVIDENCE: The home has a satisfactory policy for the recruitment of staff. Residents’ said that they are not involved in the interview process, although they do meet new members of staff prior to their commencement of work. The member of staff most recently recruited at the home confirmed that all the necessary recruitment checks had been completed prior to his employment and that the home keeps all the correct information required by regulation. Staff that were spoken to, confirmed that they receive training that helps them meet the needs of residents and that they have completed mandatory refresher training courses. All staff receive an induction that is compliant with TOPSS specifications. LODDON HOUSE H52-H01 11378 Loddon House V227914 290605 Stage 4.doc Version 1.30 Page 18 LODDON HOUSE H52-H01 11378 Loddon House V227914 290605 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) 39 The staff at the home seek the residents views and opinions and ensure that they are reflected in the way that the home is run. EVIDENCE: The home has a satisfactory policy for quality assurance. Staff have completed questionnaires with the residents to seek their views and opinions of the service provided. The findings from the questionnaires are then collated by senior management and acted on, if changes are required. Resident’s said that the manager and staff do listen to what they say. LODDON HOUSE H52-H01 11378 Loddon House V227914 290605 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 x 3 x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 x x 3 x 3 Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 LODDON HOUSE Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x x x H52-H01 11378 Loddon House V227914 290605 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 Good Practice Recommendations LODDON HOUSE H52-H01 11378 Loddon House V227914 290605 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection 2nd Floor 1015 Arlington Business Park Theale Reading RG7 4SA 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 LODDON HOUSE H52-H01 11378 Loddon House V227914 290605 Stage 4.doc Version 1.30 Page 23 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!