Inspection on 03/11/05 for Mar Lodge

This inspection was carried out on 3rd November 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.

Other inspections for this house

Mar Lodge 03/12/08

Mar Lodge 13/12/06

Mar Lodge 26/07/05

Mar Lodge 16/02/05

Mar Lodge 28/06/04

Mar Lodge 23/03/04

Similar services:

Hillside

Applegarth

122 Scorer Street

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 09/07/2008.

CARE HOME ADULTS 18-65 Mar Lodge 26 Nottingham Road Melton Mowbray Leicestershire LE13 0NP Lead Inspector Mr Steve Hunnybun Unannounced Inspection 3rd November 2005 09:30 Mar Lodge DS0000031542.V262962.R01.S.doc Version 5.0 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 Mar Lodge DS0000031542.V262962.R01.S.doc Version 5.0 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. Mar Lodge DS0000031542.V262962.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Mar Lodge Address 26 Nottingham Road Melton Mowbray Leicestershire LE13 0NP 01664 560302 01664 560302 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) Park Care Homes (No 2) Ltd Cheryl Ann Palmer Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Mar Lodge DS0000031542.V262962.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the home is registered to admit 1 named service user of category SI as specified in Variation Number V000000874 26th July 2005 Date of last inspection Brief Description of the Service: Mar Lodge is a residential home is situated in the town of Melton Mowbray on the main Nottingham Road, approximately 1 mile from the town centre. The home is within easy access to local shops and public transport. Mar Lodge is a detached old building which has been modernised whilst retaining its original features. It is registered to provide care for up to seven people with learning disabilities. The emphasis is on homeliness, and there is no feel of an institutional setting. The home has seven single bedrooms one with ensuite facilities. All rooms are decorated to an acceptable standard after consultation with residents regarding the décor. The home has one lounge and one dining area and a large kitchen. Outside the house is a paved seating area and a pleasant conservatory that provides additional space for residents to use when the weather is good. Mar Lodge DS0000031542.V262962.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s second statutory, unannounced inspection this year and took place over approximately two hours. The inspection focussed on the two standards that were not examined during the last inspection. The inspector spoke with the registered manager, staff and several residents. Comments from residents were very positive. The home was described as ‘good’, the food as ‘lovely’ and the staff as ‘great’. One resident showed the inspector her room, which was highly personalised with pictures and artefacts of her favourite football team. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Mar Lodge DS0000031542.V262962.R01.S.doc Version 5.0 Page 6 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 Mar Lodge DS0000031542.V262962.R01.S.doc Version 5.0 Page 7 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): None of the key standards in this section was inspected on this occasion. They were looked at during the last inspection and were met. EVIDENCE: Mar Lodge DS0000031542.V262962.R01.S.doc Version 5.0 Page 8 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): None of the key standards in this section was inspected on this occasion. They were looked at during the last inspection and were met. EVIDENCE: Mar Lodge DS0000031542.V262962.R01.S.doc Version 5.0 Page 9 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): 16 EVIDENCE: Issues around residents’ rights were discussed with the registered manager and several residents. Residents have access to all parts of the building apart from each other’s bedrooms. One resident did state that he does have access to another person’s room but only when invited. Any restriction to access to communal areas is recorded and risk assessed. Residents are permitted to enter the kitchen and several were observed doing so. There is a rota for household tasks such as clearing the table and washing up. This was proposed by residents and is flexible; residents can swap duties with each other if they wish. Residents who spoke with the inspector stated that they are happy with this arrangement. Staff knock on residents’ doors and await a reply before entering. The registered manager stated that staff would rarely enter a resident’s room without them being present but that they would always inform the resident first if they needed to do so. Residents are offered a key to their rooms; those who spoke with the inspector all had one. A risk assessment would be completed should it be felt that it was inappropriate for a residents to hold a key. Residents open their own mail and are encouraged to seek help to Mar Lodge DS0000031542.V262962.R01.S.doc Version 5.0 Page 10 Read it and deal with it. All files contain residents preferred form address and staff were observed using them. Staff were also observed interacting positively with residents. Mar Lodge DS0000031542.V262962.R01.S.doc Version 5.0 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): None of the key standards in this section was inspected on this occasion. They were looked at during the last inspection and were met. EVIDENCE: Mar Lodge DS0000031542.V262962.R01.S.doc Version 5.0 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): None of the key standards in this section was inspected on this occasion. They were looked at during the last inspection and were met. EVIDENCE: Mar Lodge DS0000031542.V262962.R01.S.doc Version 5.0 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): None of the key standards in this section was inspected on this occasion. They were looked at during the last inspection and were met. EVIDENCE: Mar Lodge DS0000031542.V262962.R01.S.doc Version 5.0 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): None of the key standards in this section was inspected on this occasion. They were looked at during the last inspection and were met. EVIDENCE: Mar Lodge DS0000031542.V262962.R01.S.doc Version 5.0 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 Residents’ views are taken into account when planning services. EVIDENCE: The registered manager stated that residents, their families and other stakeholders are sent questionnaires annually by the provider company. The results of these surveys are collated and used to plan future provision. The home also has residents’ meetings at which views and opinions can be expressed. Mar Lodge DS0000031542.V262962.R01.S.doc Version 5.0 Page 16 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 X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Mar Lodge Score X X X X Standard No 37 38 39 40 41 42 43 Score X X 3 X X X X DS0000031542.V262962.R01.S.doc Version 5.0 Page 17 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 Mar Lodge DS0000031542.V262962.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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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