Inspection on 13/08/07 for Magnolia Lodge

This inspection was carried out on 13th August 2007.

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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Magnolia Lodge 20/06/06

Magnolia Lodge 25/01/06

Magnolia Lodge 04/10/05

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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 Magnolia Lodge 42 Hollow Lane Shinfield Reading Berkshire RG2 9BT Lead Inspector Yvonne Souden Unannounced Inspection 13th August 2007 Magnolia Lodge DS0000065611.V344540.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 Magnolia Lodge DS0000065611.V344540.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. Magnolia Lodge DS0000065611.V344540.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Magnolia Lodge Address 42 Hollow Lane Shinfield Reading Berkshire RG2 9BT 01707 652053 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) www.caretech-uk.com Caretech Community Service Limited Miss Pauline Maxwell Care Home 10 Category(ies) of Learning disability (0), Physical disability (0) registration, with number of places Magnolia Lodge DS0000065611.V344540.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) 2. Physical disability (PD). The maximum number of service users to be accommodated is 10. Date of last inspection 20th June 2006 Brief Description of the Service: Magnolia Lodge provides residential care and accommodation for 10 Adults who have learning, and physical disabilities, and is a spacious detached purpose build having undergone a major refurbishment and extension in 2007. Magnolia Lodge has ten single bedrooms with en-suite facilities over two floors; rooms on the first floor can be accessed by a lift. An attractive landscaped garden with summerhouse can be accessed from patio doors at the rear of the property. The home is set back on a main road a few miles from both Reading and Wokingham town centres. There are local community facilities nearby and the home has its own transport as well as being on a public transport route to the local town centres. Magnolia Lodge has an information pack on Caretech services; the home is currently developing a Statement of Purpose and Service Users Guide that would be made available on application to the home. The home’s information flyer details a point of contact for further information on Magnolia Lodge email joan.bone@caretech-uk.com Information CSCI received 13/08/07 confirms that weekly fees start from £1,250 to £1,350. Magnolia Lodge DS0000065611.V344540.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Magnolia Lodge closed June 2006 to extend and refurbish the building and reregistered with CSCI July 2007 with a new manager and staff team. This inspection took place less than four weeks after the home was registered with only one permanent resident in residence, therefore information from health and social care professionals, residents and their representatives was not sought to support this report. The information gathered to support this report includes inspection records, documentation received from the home, and a 4-hour site visit to the home. The site visit enabled the inspector to observe care practice within the home and hear the views of the service from one resident, staff and management. The site visit also gave the inspector an opportunity to view further documentation, and view the care plans of one resident and the needs assessment of one resident and one prospective resident. From the evidence seen by the Inspector and comments received, the Inspector considers that the home would be able to provide a service to meet the needs of individuals of various religion, race, or culture. The home follows the organisation’s policy and guidelines to manage issues relating to equality and diversity. What the service does well: What has improved since the last inspection? The home has been refurbished to a high standard and has increased the number of residents that can be accommodated from 6 to 10. The home has a new manager and new staff team who have the experience and training to meet the needs of residents who have learning and physical disabilities. Magnolia Lodge DS0000065611.V344540.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Magnolia Lodge DS0000065611.V344540.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 Magnolia Lodge DS0000065611.V344540.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Prospective service users are not fully informed of the service provided within the home to enable them to make an informed choice. Service users needs are assessed prior to admission and are reviewed. Prospective service users have opportunity to visit the home. EVIDENCE: The home has limited detail of the service provided and has not developed a Statement of Purpose and Service Users Guide to ensure service users are informed. One service user who had lived in the home prior to its closure was resident at the time of the site visit. It was clear from discussions with management and records viewed that the assessment process of the service user’s needs is ongoing. Records identify an agreed date for the admission of a prospective service user following a thorough assessment of the service users needs by the home and by health and social care professionals. Discussions with management and records viewed also identify that the prospective service user has visited the home. Magnolia Lodge DS0000065611.V344540.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A support plan viewed was person centred and promotes the service users decision-making, independence and choice. Staff support service users to live their lives as detailed within the service users support plan of care. EVIDENCE: Support plans identify the service users needs and associated risks, and have an action plan that details how the service user would want those needs to be met; individual risks assessments detail associated risks and have an action plan to minimise those risks whilst promoting the independence of the service user. It was clear from discussions with staff that they are aware of the individual needs of the service user. Support plans are supported by health and social care professionals’ recommendations, and records identify that multi-agency reviews take place. Magnolia Lodge DS0000065611.V344540.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are encouraged to be as independent as possible, and are supported to access events within the local community, and maintain links with family and friends. Service users enjoy a healthy diet. EVIDENCE: Care plans and discussions with a service user confirmed that the service user is supported to maintain links with family and friends, and supported to attend community activities previously attended prior to moving back to Magnolia Lodge. The home has transport to assist service users to events, appointments and activities within the community. The home’s menu supports the choices made by the service user. Management and staff said the choices of ten service users would be met based on agreements made at residents meetings. The home has a policy and procedure on values of privacy, dignity, choice, fulfilment, rights and independence. Magnolia Lodge DS0000065611.V344540.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users preferences are taken into account in the delivery of their care, and staff assist service users to access health care services. Staff are trained in the administration of service users medication. EVIDENCE: Support plans give detailed information about how to meet the service users needs that reflects service users choice and preferences. The health care needs of the service user are highlighted within the support plan and records identify health and social care appointments attended. The home has a policy on the storage, administration, disposal of medication and records identify that staff have received medication training. The home has a medication room with medication cupboards attached to the wall as per pharmaceutical guidelines; medication in stock was observed to match records kept. Magnolia Lodge DS0000065611.V344540.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected from abuse, but the home’s complaints procedure is not readily available to the service user. EVIDENCE: No complainant has contacted the commission with information concerning a complaint made to the service. The home has a complaints procedure, but the procedure is not readily available through a Statement of Purpose and Service Users Guide that must be developed and implemented by the home. Records identify that staff have attended Safe Guarding Adults training. Staff demonstrated their knowledge of the home’s whistle blowing from discussions the inspector had with them at the site visit. Magnolia Lodge DS0000065611.V344540.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Magnolia Lodge provides a clean, comfortable and safe environment for the service users. Service users are protected by the home’s infection control policies and procedures. EVIDENCE: Magnolia Lodge was closed for a period of ten months and has re-registered with CSCI having undergone a major refurbishment, with extension having increased the number of rooms from 6 to 10. The home has two bathrooms and a toilet, all bedrooms have en-suite facilities that include shower, sink and toilet; one has bath, sink and toilet. There are two lounges and a separate dining room all furnished to a high standard. Records identify that systems are in place to ensure service users live in a safe environment, but the manager has not completed a detailed risk assessment of the building prior to service users moving in as had been agreed at the time of registration. Magnolia Lodge DS0000065611.V344540.R01.S.doc Version 5.2 Page 14 Prior to the home’s registration with CSCI on the 6th July 2007 building regulations were viewed, as were the certificates for gas, emergency lighting and electrics. Records viewed at this inspection confirm that relevant fire checks are undertaken and that staff receive fire safety training. There is a spacious garden with patio, sensory garden and summerhouse that can be accessed at the rear of the house from patio doors in the lounge and dining room. Individual risk assessments will be required to be completed relating to the pipe work in the laundry room that is not covered. The home has a laundry with equipment and systems that promote infection control; staff have received infection control training. Magnolia Lodge DS0000065611.V344540.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by the home’s recruitment policy, and have their needs met by trained and competent staff. EVIDENCE: Discussions with staff identified a caring staff team who were knowledgeable of the service users needs. The home is employing all new staff and recruitment has taken place, staff were sufficient in numbers on the day of the site visit to meet the needs of the service user and have been able to concentrate on an in-depth induction whilst service user vacancies exist in the home. Records identify that staff have attended mandatory and specialist training. All staff interviewed at the site visit have an NVQ in care. Discussions with staff and files viewed confirm recruitment procedures are followed to protect the service users, and the manager confirmed that further recruitment would be required to ensure a full complement of staff when the home is fully accommodated. Magnolia Lodge DS0000065611.V344540.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager follows clear corporate policies and procedures within the management of the home, and is supportive of the staff team to ensure the needs of the service users are met. The manager aims to work within the organisation’s policies to seek the view of service users and their representatives to develop the service. EVIDENCE: The home has quality assurance systems, and on the day of the site visit the home’s area manager was undergoing a Regulation 26 inspection of the home (the monthly inspection assesses standards within the home and reports their findings to the registered manager, and on request to CSCI). The home opened less than four weeks prior to this inspection and had one service user at the time of the site visit, therefore the manager has not undertaken a survey to gain the views of how well the service is managed. Records identify Magnolia Lodge DS0000065611.V344540.R01.S.doc Version 5.2 Page 17 that staff meetings take place to evaluate the service and promote policies and procedures in place. Staff said they are confident in the management team and feel supported in the work they do. The manager is new in post and records identify has the qualifications and skill to manage the care home. Magnolia Lodge DS0000065611.V344540.R01.S.doc Version 5.2 Page 18 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 1 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 2 ENVIRONMENT Standard No Score 24 4 25 4 26 4 27 4 28 4 29 X 30 4 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 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Magnolia Lodge DS0000065611.V344540.R01.S.doc Version 5.2 Page 19 Are there any outstanding requirements from the last inspection? No 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 YA1 Regulation 4 Requirement The manager must ensure a copy of the home’s Statement of Purpose is available to be given to service users and their representatives to ensure they are informed of the service provided. Timescale for action 13/09/07 2 YA1 5 The manager must ensure 13/09/07 service users have a copy of the home’s Service Users Guide so that the service users are informed of the service provided. The Service Users Guide must be in a format that is suitable to the service user. The manager must ensure the home’s complaints procedure is readily available to the service users and their representatives. 13/09/07 3 YA22 22.5 Magnolia Lodge DS0000065611.V344540.R01.S.doc Version 5.2 Page 20 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 YA24 Good Practice Recommendations The manager should complete a detailed risk assessment of the building as agreed within the registration process. The provider must ensure the exposed copper pipes in the laundry are covered to protect the service users as agreed within the registration process. Magnolia Lodge DS0000065611.V344540.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Oxford Office Burgner House, 4630 Kingsgate Oxford Business Park South Cowley Oxford OX4 2SU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Magnolia Lodge DS0000065611.V344540.R01.S.doc Version 5.2 Page 22 - 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. 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