Inspection on 29/11/05 for Mascotte Lodge

This inspection was carried out on 29th 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

Mascotte Lodge 14/05/07

Mascotte Lodge 14/03/06

Mascotte Lodge 23/03/05

Mascotte Lodge 03/03/05

Mascotte Lodge 24/02/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Mascotte Lodge Football Green Hornsea East Yorkshire HU18 1RA Lead Inspector Sarah Sadler Unannounced Inspection 29th November 2005 09:15 Mascotte Lodge DS0000019825.V264732.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 Mascotte Lodge DS0000019825.V264732.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. Mascotte Lodge DS0000019825.V264732.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Mascotte Lodge Address Football Green Hornsea East Yorkshire HU18 1RA 01964 534765 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) Mrs Judith Ann Major Mrs Judith Ann Major Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Mascotte Lodge DS0000019825.V264732.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd March 2005 Brief Description of the Service: Mascotte Lodge is a privately owned care home that is registered to offer care and accommodation to 3 service users with a learning disability. It is owned by Mrs. Judy Major and was first registered on the 17th July 1980. The home is located in the centre of Hornsea, a small seaside town on the coast of the East Riding of Yorkshire, and it is close to all local amenities. The home comprises of 1 single bedroom and 1 shared bedroom and provides the appropriate amount of bathrooms and toilets for the service users’ needs. All facilities required by service users are provided on the ground floor. The registered provider/manager and her husband live at the home and share all facilities with the service users. The ethos of the home is based on maintaining a family type atmosphere for the service users. Mascotte Lodge DS0000019825.V264732.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was undertaken over one day by one inspector. The inspection was part of the annual inspection programme from April 1st 2005 to March 31st 2006. During the inspection a tour of the premises was undertaken, the registered person assisted with the inspection. All service users were attending activities outside of the home. There are no staff employed. The majority of the inspection was divided between reading service user documents and discussion with the registered person. 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. Mascotte Lodge DS0000019825.V264732.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 Mascotte Lodge DS0000019825.V264732.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): 2 Service users are assessed prior to admission to ensure that the home can meet their needs. EVIDENCE: Each service users files included a copy of the Local Authority’s Community Care Plan which had been developed from an assessment. The care plan had been utilised to develop an individual care plan within the home, which is regularly reviewed and if necessary developed upon. Mascotte Lodge DS0000019825.V264732.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): 6,7,9 Service users are supported to make choices and to have their needs met. EVIDENCE: Service users have individual files which include details of the areas service users require support with, for example, personal care, communication, and religion. These files also include risk assessments to ensure service users are safe with activities undertaken. And are detailed to include different areas within the home, for example food. The care plan is reviewed monthly within the home and annually with the service user. Where possible the service users’ representative, a person from the service users’ adult education placement and the representative of the Local Authority also attend. The registered person detailed that service users are supported to make choices in their lives and this includes; the choice of breakfast, what to wear, when to go out, what to watch on television and when appropriate what time to get up. Mascotte Lodge DS0000019825.V264732.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): 12,13,15,16,17 Service users are supported to take part in activities and maintain relationships of their choice. Service users nutritional needs are met. EVIDENCE: All service users attend an adult education facility where they are supported to attend a variety of activities, which include; physical exercise, community education, writing and swimming. Service users files and the registered person confirmed that service users attend a local club, visit local public houses and have trips to the nearest town for shopping and lunch out. Service users personal profiles detailed the positive relationships that service users maintain with their relatives. Relatives visit service users at the home and service users contact relatives by telephone. Relatives are able to attend reviews and their comments are included in the minutes of these. The registered person also confirmed that relatives attend hospital appointments to continue to support the service user. Mascotte Lodge DS0000019825.V264732.R01.S.doc Version 5.0 Page 10 Service users rooms are downstairs to assist them in gaining access to all their personal and communal areas. Service users files reflect statements from individual service users that they do not wish to hold a key to their room. Including the reasons for this, for example if the service user would prefer not to hold a key in case they lost it. Service user files reflect that service users continue to assist with the clearing away of dishes after mealtimes and the registered person detailed that this is an activity that service users enjoy. Assessments are undertaken by a speech and language therapist as needed in order to assist service users with the eating of their meals. Service users have a 6 week menu to choose their meals from and the registered person stated that service users choose their own foods when dining out, for example at a burger restaurant. Mascotte Lodge DS0000019825.V264732.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): 18,19,20 Service users are supported to meet their health needs. EVIDENCE: Service user care plans detail the support required with any personal care. The registered person provides this support and no staff are employed. Adaptations are provided as necessary, for example a bath chair. The service user records included details of GP and other specialist appointments with the outcomes. This includes the occupational therapist, optician and dentists, with service users being referred to the specialist nursing team for learning disabilities as their needs required. There are medication policies and procedures within the home to support the service users and registered person with the receipt, administration and disposal of medicines. The registered person confirmed that no medicines have been disposed of recently, however if this were required in the future then these medicines would be returned to the pharmacist. The records for the receipt and administration of medicines were up to date, with medication being stored in a locked cabinet. There is now storage and record keeping facilities in place for if a service user requires any controlled medicines. Mascotte Lodge DS0000019825.V264732.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): 22,23 Service users are supported by the policies and procedures to make a complaint and be protected from abuse. EVIDENCE: There is a policy for the handling of complaints, which includes the timescales for action and the contact details of the CSCI. The registered person confirmed that no complaints have been received. Service users attend monthly meetings with the registered person and are involved in the quality assurance system within the home. There is a policy for the handling of any allegations of abuse which is complimented by the Local Authority Policy ‘ The Protection of Vulnerable Adults’ The registered person has undertaken training in the protection of vulnerable adults and has attended workshops to update their knowledge of the legislation relating to this. The registered person confirmed that no allegations of abuse have been raised. Individual finance records are kept for both bank and personal monies. Service users sign wherever possible when receiving their personal allowances and records and receipts are kept for expenditure. Mascotte Lodge DS0000019825.V264732.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): 24,30 Service users live in a clean warm and comfortable home. EVIDENCE: The service users continue to live in a very clean and homely environment. Service users have access to a lounge, dining area, and conservatory in addition to their individual rooms. There is one shared room, with a spare single room available should a service user decide that they no longer wished to share rooms. Service users rooms are well maintained and offer service users adequate space for the storing of personal items. The home is clean and well kept throughout with a separate utility room for the handling and washing of dirty laundry. There are policies within the home for the handling of clinical waste and the control of infection. Mascotte Lodge DS0000019825.V264732.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 Service users needs are met by the registered person. EVIDENCE: There are no staff employed. Mascotte Lodge DS0000019825.V264732.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): 37,39,42 Service users live in a well run and safe home, where they are enabled to be involved in any changes. EVIDENCE: The registered person is also the registered manager and has continued with this role for a number of years. Two service users have resided in the home for 17 years and one for 15 years. The registered person has trained in first aid, food hygiene, fire safety and The Protection of Vulnerable Adults (POVA).The registered person has been unable to complete the NVQ level 4 in management, as they do not manage any staff, which they stated is an essential part of this qualification. The registered person is to ascertain if they are able to complete the NVQ level 4 in care. There continues to be a quality assurance system within the home, which involves service users, relatives, care management and the staff at the adult Mascotte Lodge DS0000019825.V264732.R01.S.doc Version 5.0 Page 16 education centre. An annual report is completed by the registered person, which includes details of the plans for the forthcoming year. There are policies and procedures in place that cover a wide range of health and safety issues for the home. This includes a health and safety statement. The fire systems and water temperatures are checked weekly and an annual maintenance check is completed on all fire fighting equipment, gas and electrical systems. A valid insurance certificate was also in place. Mascotte Lodge DS0000019825.V264732.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 4 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score N/A N/A N/A N/A N/A N/A CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Mascotte Lodge Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 2 X 3 X X 3 X DS0000019825.V264732.R01.S.doc Version 5.0 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. 1 Refer to Standard YA37 Good Practice Recommendations The registered person should obtain a qualification at NVQ Level 4 in Care by 2005. Mascotte Lodge DS0000019825.V264732.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Mascotte Lodge DS0000019825.V264732.R01.S.doc Version 5.0 Page 20 - 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. 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