Inspection on 13/04/09 for Maple Tree Lodge

This inspection was carried out on 13th April 2009.

CQC found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Maple Tree Lodge 14/04/08

Maple Tree Lodge 23/01/08

Maple Tree Lodge 05/02/07

Maple Tree Lodge 08/11/05

Maple Tree Lodge 07/07/05

Maple Tree Lodge 22/02/05

Maple Tree Lodge 24/08/04

Maple Tree Lodge 28/02/04

Similar services:

Hillside

Applegarth

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Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 16/02/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: Maple Tree Lodge 87 Byron Street Loughborough Leicestershire LE11 5JN The quality rating for this care home is: one star adequate service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Debbie Williams Date: 1 3 0 4 2 0 0 9 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should:  Be safe  Have the right outcomes, including clinical outcomes  Be a good experience for the people that use it  Help prevent illness, and promote healthy, independent living  Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home:  3 stars – excellent  2 stars – good  1 star – adequate  0 star – poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Care Homes for Adults (18-65 years) Page 2 of 29 Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by:  Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice  Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983  Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services.  Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Maple Tree Lodge 87 Byron Street Loughborough Leicestershire LE11 5JN 01509269637 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : manager.mapletree@aermid.com Aspire Lifestyle Limited care home 3 Number of places (if applicable): Under 65 Over 65 3 0 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 3 The registered provider may provide the following categories of service: Care Home only - Code 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 - Code LD Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 29 A bit about the care home Maple Tree Cottage is a care home providing personal care and support for up to 3 residents with a learning disability. Two residents currently live at the home with the third room being used for storage. The home is a bungalow, located on a quiet residential road in Loughborough. Residents have their own bedrooms and there is a lounge/dining room, bathroom and kitchen. The home has a small garden to the rear with access via a portable ramp. Residents are supported to access a range of day care and leisure activities. The charges for living at the home vary depending on individuals assessed needs and level of support required. Details of what is included in the charges can be found in the service user guide (a document which provides relevant information about the home), which is given to all residents on arrival at the home. A copy of the last Commission For Social Care Homes for Adults (18-65 years) Page 5 of 29 Care Inspection (CSCI) inspection report is displayed in the kitchen of the home, and copies of this report are available from the manager. Care Homes for Adults (18-65 years) Page 6 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 7 of 29 How we did our inspection: This is what the inspector did when they were at the care home We talked with the people who live at the home. We looked around the home and looked at some of the papers and files in the office. We looked at care plans and other papers. We talked with the manager and other staff working at the home. What the care home does well The manager and staff knew about the needs, likes and dislikes of people living at the home. Care Homes for Adults (18-65 years) Page 8 of 29 There was a friendly homely atmosphere and staff appeared to get on well with people living at the home and helped them feel at ease. People are given copies of their care plans and other information about the home in an easy words and picture format. Staff keep peoples care plans up to date. People decorate their bedrooms how they like and have their own things around them. People living at the home are given lots of opportunities to go out and take part in leisure activities that they like to do. People can be taken out seven days of the week. The home is kept clean and comfortable and there is a nice garden that people can use. Care Homes for Adults (18-65 years) Page 9 of 29 Staff keep peoples money safe and receipts are kept for all money spent. What has got better from the last inspection The kitchen has been redecorated. More staff training has been provided in order to keep people safe and meet their individual needs. What the care home could do better The home could be redecorated and the carpet in the hall could be replaced. Care Homes for Adults (18-65 years) Page 10 of 29 All tests for safety such as electrical wiring tests should be done regularly in order to keep people safe. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Debbie Williams CPC1 Capital Park Fulbourn Cambridge Cambridgeshire CB21 5XE 01223771300 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. Care Homes for Adults (18-65 years) Page 11 of 29 The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535. Care Homes for Adults (18-65 years) Page 12 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 13 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Maple Tree Lodge had their individual aspirations and needs assessed and met. Evidence: A copy of the homes service users guide was seen within care records, this was produced in a format that was accessible to people living at the home. A contract and copy of terms and conditions of residency was also provided. People living at the home had a record of their needs assessment. This provided staff with a comprehensive assessment of needs and included a life and social history and a record of peoples preferences. We observed staff interacting with people living at the home. Staff were kind and helpful to people living at the home. A record was maintained of peoples communication needs and how staff should communicate using the individuals preferred mode of communication. Staff had the skills and experience required to meet the needs of people living at the Care Homes for Adults (18-65 years) Page 14 of 29 Evidence: home. There had not been any new admissions to the home for some time so assessment of the admission procedures was limited at this time. Care Homes for Adults (18-65 years) Page 15 of 29 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples assessed needs are reflected in individual care plans and people are supported to make decisions and take risks as part of an independent lifestyle. Evidence: We looked at care plans and care records. Care plans set out in detail the needs and preferences of people living at the home and the actions staff needed to take to meet these needs. Care plans were reviewed and reflected peoples changing needs. Social services care plans and care plan reviews were also in place. Care records were provided in formats that were accessible to people living at the home. Staff had the skills and experience to communicate effectively with people living at the home. Care plans include risk assessments and the actions staff needed to take to minimize risks. Care Homes for Adults (18-65 years) Page 16 of 29 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Maple Tree lodge were given opportunities to participate in appropriate leisure activities and take part in age, peer and culturally appropriate activities. Evidence: People living at the home participate in a full and varied programme of activities which include time outside of the home on a daily basis. People have access to activities and amenities in the local area. Activities provided meet the individual needs and preferences of people living at the home. A ratio of one to one staffing is provided and this ensures that activities and support are provided on an individual basis. Routines of daily living are made flexible to meet peoples needs. We observed staff interacting with people living at the home and found the interactions positive and respectfully. Staff spoke with residents in a kind and professional way. Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: People living at the home participate in the weekly food shopping and are able to choose what they would like to eat at each meal time. We looked at food stocks and found them to be sufficient to meet the needs of people living at the home. People are also given the opportunity to participate in meal preparation. Care plans were in place regarding peoples nutritional needs. Staff at Maple Tree Lodge were due to commence a distance learning course in nutrition shortly following this inspection. Care Homes for Adults (18-65 years) Page 18 of 29 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Maple Tree Lodge have their health care and personal support needs met. Evidence: Peoples personal support needs and preferences were set out in individual care plans. Staff spoken with had a good awareness of peoples needs and new the residents well. We looked at care records and found that people living at Maple Tree Lodge had good access to health care services and attended regular appointments with dentists, chiropodists and GPs as required. We looked at medication procedures and records and found that medication was being managed effectively and safely. Staff responsible for managing medication had received training in this area. Care Homes for Adults (18-65 years) Page 19 of 29 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Maple tree Lodge were protected by robust complaints and safeguarding policies and procedures. Evidence: The providers complaints procedure was included within the service users guide and this was in an easy read format so was accessible to people living at the home. Staff spoken with demonstrated a good knowledge of safeguarding procedures and were able to describe the correct actions to take in the event of suspected abuse. Staff had also received training in this area. Care Homes for Adults (18-65 years) Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in homely and comfortable environment but quality of life would be improved further with redecoration throughout. Evidence: Maple tree lodge is a semi detached bungalow in a residential area. While the service is registered to accommodate three people, at the time of this inspection the third bedroom was being used as an office and only two people were living at the home. Some redecoration was underway but the general decor throughout the home could benefit from being refreshed and the carpet in the hall appeared worn and threadbare. Peoples private rooms were personalized to meet individual preferences and furnished to meet individual need. There was a pleasant garden which was well maintained and accessible for people living in the home. All areas of the home were clean and tidy and staff had received training in infection control in order to minimize the risk of cross infection. Care Homes for Adults (18-65 years) Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Maple Tree Lodge are supported by a competent and effective staff team. Evidence: Staff had the skills and experience to meet the needs of people living at the home and had received training about peoples specific specialist needs. All care staff had achieved a National Qualification in care. All staff had undergone induction training when they first began working at the home. Staff turnover was low. The manager said she planned to introduce induction training which was specific to work with people with learning disabilities. During daytime hours staff were deployed to a one to one ratio. Staff were deployed in sufficient numbers to meet the needs of people living at the home. Recruitment procedures were robust and ensured that the relevant checks and references were obtained before people commenced working at the home. An ongoing programe of staff training and development was in place. We observed staff treating residents kindly and with respect. People living at Maple Tree Care Homes for Adults (18-65 years) Page 22 of 29 Evidence: lodge appeared comfortable with staff and appeared to have a good rapport and relationship. Care Homes for Adults (18-65 years) Page 23 of 29 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is run in the best interest of people living there and their health, safety and welfare is promoted. Evidence: The registered manager was qualified and experienced to run the home. A recommendation was made that more supernumerary time be given to the registered manager for management and administration duties. Staff spoken with felt the manager was supportive and approachable. People living at the home appeared to have a good relationship and seemed at ease with the registered manager. Regular quality assurance audits are carried out by the companies responsible individual and the results of these are sent to the CQC. Staff had completed all necessary health and safety training and information about safe working practices was available for staff at the home. Where possible people living at the home were involved in health and safety training such as fire safety training. Care Homes for Adults (18-65 years) Page 24 of 29 Evidence: Information provided confirmed that routine maintenance checks and servicing had been carried out. The premises is overdue an electrical wiring check and this was identified as a requirement at the last key inspection. The latest fire safety report of the home recommended that smoke detectors which are wired in should be fitted, at the time of this inspection, battery operated smoke detectors were in place. Care Homes for Adults (18-65 years) Page 25 of 29 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action 1 24 23(b) (d) The registered person shall 30/06/2008 having regard to the number and needs of the service users ensure that the premises to be used as a care home are of sound construction and kept in a good stated of repair externally and internally. all parts of the care home are kept clean and reasonably decorated. The registered person must ensure that the maintenance issues identified at both this inspection and previous inspections are dealt with. Residents need to be provided with safe and comfortable surroundings. Care Homes for Adults (18-65 years) Page 26 of 29 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 42 13 17/06/2009 An electrical wiring test is required. This requirement is unmet from the last key inspection. This is to protect the health and safety of people living and working at the home. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 28 It is recommended that the floor covering in the hall be replaced and consideration be given to general redecoration in order to ensure an attractive and homely environment is provided. It is recommended that the colour coded chopping boards used for food preparation be replaced, this is to minimize the risk of cross infection. It is recommended that the registered manager be given more more than three hours a week supernumerary time Page 27 of 29 2 30 3 37 Care Homes for Adults (18-65 years) Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations for administration and management of the home. Care Homes for Adults (18-65 years) Page 28 of 29 Helpline: Telephone: 03000 616161 or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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