Inspection on 17/02/06 for Lodge Hill (167)

This inspection was carried out on 17th February 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 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

Lodge Hill (167) 26/09/06

Lodge Hill (167) 15/12/05

Lodge Hill (167) 22/11/04

Lodge Hill (167) 05/04/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Lodge Hill (167) 167 Lodge Hill Abbeywood London SE2 0AS Lead Inspector Keith Izzard Unannounced Inspection 17th February 2006 01:15p Lodge Hill (167) DS0000036908.V282163.R02.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 Lodge Hill (167) DS0000036908.V282163.R02.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. Lodge Hill (167) DS0000036908.V282163.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Lodge Hill (167) Address 167 Lodge Hill Abbeywood London SE2 0AS 02088548888 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) Greenwich Council Mrs Michelle Capar Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Lodge Hill (167) DS0000036908.V282163.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st May 2003 Brief Description of the Service: 167 Lodge Hill is a modern chalet style building situated in the grounds of the former Goldie Leigh Hospital, close to the facilities of Welling and Bexleyheath. There are five single bedrooms for service users with physical and severe learning disabilities. The accommodation is arranged on one floor with a large sitting room/ diner, a large kitchen and level access to a small garden at the rear of the house. The home has its own mini bus to facilitate outings and other appointments for service users. The home is run by Greenwich Living Options part of the London Borough of Greenwich Social Services provision. Twenty- four hour care is provided by care staff and this is supplemented by regular daily visiting by District Nurses to provide peg feeding to two service users requiring this intervention. Service users are provided with a good level of activities and all attend local day centres on a four or five day basis. Lodge Hill (167) DS0000036908.V282163.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of two planned but unannounced inspections for this home in the year 1st April 2005 – 31st March 2006. The inspection took place over a period of two hours and included a tour of the building and examination of service user care files, an interview with the deputy manager and two members of staff. Most of the Standards were assessed at the last inspection and any remaining key Standards were assessed on this occasion. Both reports should, therefore, be read in conjunction with each other. Several service users were at home and the Inspector was able to observe staff interaction with them and noted this to be caring and professional. Service users were appropriately dressed for the cold weather and their personal appearance had been attended to. The Inspector managed to have a limited conversation with one service user whilst playing football in the garden. It was evident that he was happy and content within his home. What the service does well: What has improved since the last inspection? Lodge Hill (167) DS0000036908.V282163.R02.S.doc Version 5.1 Page 6 Both the staff and the deputy manager continue to work with residents to meet their individual needs and provide residents with a lifestyle suited to them. No requirements or recommendations were made at this 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. Lodge Hill (167) DS0000036908.V282163.R02.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 Lodge Hill (167) DS0000036908.V282163.R02.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): 5 Standards 1-4 were all assessed as met at the previous inspection on 15/12/05 All service users have individual written contracts. EVIDENCE: Please see the previous report dated 15/12/05 for Standards 1- 4. Individual Contracts for service users have been provided on and the documents seen met Standard 5. Lodge Hill (167) DS0000036908.V282163.R02.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): These Standards were all assessed at the previous inspection on 15/12/05 as met and have not therefore been assessed on this occasion. EVIDENCE: Please see the previous report dated 15/12/05. Lodge Hill (167) DS0000036908.V282163.R02.S.doc Version 5.1 Page 10 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): These Standards were all assessed at the previous inspection on 15/12/05 as met and have not therefore been assessed on this occasion. EVIDENCE: Please see the previous report dated 15/12/05. Lodge Hill (167) DS0000036908.V282163.R02.S.doc Version 5.1 Page 11 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): These Standards were all assessed at the previous inspection on 15/12/05 as met and have not therefore been assessed on this occasion. EVIDENCE: Please see the previous report dated 15/12/05. Lodge Hill (167) DS0000036908.V282163.R02.S.doc Version 5.1 Page 12 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): 22-23 Adequate systems were in place to ensure residents were protected from abuse and to manage complaints about the service. EVIDENCE: In respect of Standard 22 no complaints have been received either by the home or the CSCI. In respect of Standard 23 the deputy manager stated that no incidents in respect of adult protection have occurred since the previous inspection and none have been reported to the CSCI. Lodge Hill (167) DS0000036908.V282163.R02.S.doc Version 5.1 Page 13 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): These Standards were all assessed at the previous inspection on 15/12/05 as met and have not therefore been assessed on this occasion. EVIDENCE: Please see the previous report dated 15/12/05. Lodge Hill (167) DS0000036908.V282163.R02.S.doc Version 5.1 Page 14 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): 36 These Standards except Standard 36 were all assessed at the previous inspection on 15/12/05 as met and have not therefore been assessed on this occasion. EVIDENCE: Please see the previous report dated 15/12/05. Four staff members interviewed confirmed that the frequency of supervision met this Standard that team meetings are held on a regular basis, the minutes of these meetings were seen by the Inspector. Lodge Hill (167) DS0000036908.V282163.R02.S.doc Version 5.1 Page 15 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): 39,41 &42 The policies and procedures in place ensured the safety and protection of residents were addressed. The health and welfare of service users are promoted and protected. EVIDENCE: In respect of Standard 39 the home has still not implemented an annual survey of the views of service users, their relatives and visiting professionals, however the Inspector was informed that this is underway and due to be implemented shortly. The policies and procedures in place ensured the safety and protection of residents were addressed. A sample of safety records including fire safety were inspected and showed systems and equipment were maintained and regularly serviced. Lodge Hill (167) DS0000036908.V282163.R02.S.doc Version 5.1 Page 16 Lodge Hill (167) DS0000036908.V282163.R02.S.doc Version 5.1 Page 17 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 3 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 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X 3 X 3 3 X Lodge Hill (167) DS0000036908.V282163.R02.S.doc Version 5.1 Page 18 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. Refer to Standard Good Practice Recommendations Lodge Hill (167) DS0000036908.V282163.R02.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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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