Inspection on 19/01/06 for Melody Lodge

This inspection was carried out on 19th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Melody Lodge 09/08/07

Melody Lodge 30/05/06

Melody Lodge 02/08/05

Melody Lodge 18/03/05

Melody Lodge 19/07/04

Melody Lodge 05/01/04

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 Melody Lodge West Keal Hall Hall Lane West Keal Lincs PE23 4BJ Lead Inspector Wendy Taylor Unannounced Inspection 19th January 2006 09:30 Melody Lodge DS0000057722.V278155.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Melody Lodge DS0000057722.V278155.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Melody Lodge DS0000057722.V278155.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Melody Lodge Address West Keal Hall Hall Lane West Keal Lincs PE23 4BJ 01790 752700 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) Skitini Care Homes Ltd, T/A Melody Lodge Mrs Dawn Wigley Care Home 11 Category(ies) of Learning disability (11) registration, with number of places Melody Lodge DS0000057722.V278155.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd August 2005 Brief Description of the Service: Melody Lodge is a care home providing services for up to 11 people below the age of 65 years who have a learning disability. There are currently 8 people living at the home. The home is set within the quiet village of West Keal. There is a village church and café nearby. The care staff support service users to access other amenities in the nearby towns of Spilsby or Skegness. The home is owned by Skitini Care homes Ltd. Mrs Dawn Wigley manages the home. The home has two shared rooms and four single rooms. It is a two-storey building, which is currently being extended with a two-storey building at the back of the home. Melody Lodge DS0000057722.V278155.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day in January 2006 and was conducted by two inspectors. There were two requirements and three recommendations made at the previous inspection. All the requirements have been achieved. The two inspectors spent time talking to service users, the responsible individual, the manager and staff members. A selection of records were looked at and a tour of the building was made in the company of service users. Feedback from service users and staff was positive and they displayed enthusiasm about the future plans for the home. Many of the key standards were assessed at the previous visit and have therefore not been looked at during this visit. What the service does well: What has improved since the last inspection? What they could do better: There was one requirement made at this inspection due to cleaning and laundry substances being openly accessible. As this could pose a risk to service users, the home should provide appropriate risk assessments and storage arrangements. Some recommendations were made in the interests of good practice and these were relating to care plans being reviewed at least every six months by the home, keeping a record of personal property for each service user and demonstrating that service users have been consulted about and involved in developing their care plans wherever they are able. Melody Lodge DS0000057722.V278155.R01.S.doc Version 5.1 Page 6 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. Melody Lodge DS0000057722.V278155.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Melody Lodge DS0000057722.V278155.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed at this inspection. The Key standards were inspected at the last visit and no shortfalls were found. EVIDENCE: Melody Lodge DS0000057722.V278155.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Service users benefit from being consulted about and involved in the running of the home and they benefit from detailed care plans, however improvements to the reviewing processes could be made. EVIDENCE: Care plans were looked at and found to be well written and in accordance with assessed needs. There were care plans and risk assessments in place for needs such as behaviour, communication, leisure, finances, oral hygiene and general personal care. Records demonstrate that annual multi-disciplinary reviews take place but there was no consistent evidence of the home reviewing care plans. There were health action plans on some files and the manager said that they were in the process of finishing others. Property lists were not completed on any of the files looked at and evidence of consultation with service users was not consistent. Minutes of service user meetings were seen and they demonstrated that the service users are encouraged to express their views and opinions on all aspects of the running of the home. Service user said that they now help to plan menus and activity plans. Menus and activity plans written by service users were displayed in the dining room and were in accordance with what was observed during the visit. One service user was helping a member of staff to Melody Lodge DS0000057722.V278155.R01.S.doc Version 5.1 Page 10 develop a landscaping plan for the front of the house and was using a gardening book to choose the plants. Another service user described the planning process for refurbishment of her bedroom and described the decisions she has to make. Service users were also able to tell the inspectors about new members of staff who will be coming to work at the home. Including service users in the formal interview process was discussed with the manager. Melody Lodge DS0000057722.V278155.R01.S.doc Version 5.1 Page 11 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): 15,16 Service users are supported and encouraged to maintain control of and take responsibilities in their everyday lives as far as they are able. EVIDENCE: A service user described how she was supported to spend time visiting her family and maintaining a good level of contact with them. Another service user described how he is supported to see his friends. Records confirmed this. The new extension to the home is to include an en-suit bedroom, which is for the use of visitors to the home. Service users were able to give the inspectors an up to date progress report on the building work for the new extension. Service users said that mail is given to them to open and then staff will help them to deal with it if needed. Service users were seen to be involved in household tasks and they said they helped to put laundry away, cook meals and wash dishes. Service users said that they help to feed and look after the pet cats within the home. The home has a card operated lock system for bedroom doors and each service user has their own card. Staff were seen to ask for permission to enter rooms for cleaning and maintenance purposes Melody Lodge DS0000057722.V278155.R01.S.doc Version 5.1 Page 12 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 Service users receive flexible personal support that respects their dignity and independence. EVIDENCE: Records show that service users are given support and guidance with personal hygiene to whatever level they require, for example one person needs full physical support whilst others need only gentle reminders. One service user described the support she receives and said that she has agreed the support level. Service users also said that they choose what time they go to bed and get up in the morning, one person said that if they have to go out early the staff will get them up on time. Staff were observed to give advice to a service user regarding suitable clothing for the weather conditions and how this would benefit them. Records show that a key worker system is in place and one service user said that he liked his key worker and she helped him a lot. Melody Lodge DS0000057722.V278155.R01.S.doc Version 5.1 Page 13 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): These standards were not assessed at this inspection. The Key standards were inspected at the last visit and no shortfalls were found. EVIDENCE: Melody Lodge DS0000057722.V278155.R01.S.doc Version 5.1 Page 14 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): 25,30 Service users benefit from comfortable and personalised private spaces that meet their individual requirements. They benefit from a good standard of hygiene within the home and from staff who have a clear understanding of infection control issues. EVIDENCE: Service users showed the inspectors around the house including their bedrooms. The house was found to be very clean and tidy and an additional cleaner has recently been employed. The home has a clear infection control policy and staff demonstrated their understanding of infection control procedures during discussions. They carried out hand washing and used protective clothing where appropriate. Records show that staff have received training in infection control issues. Service users said that they liked their bedrooms and they had personalised them with posters, photographs and ornaments. Service users said that Sky TV is being fitted in bedrooms and one service user said that they have chosen their own adjustable bed. Another service user said that they are having an en-suit fitted into their room. Melody Lodge DS0000057722.V278155.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 Service users benefit from being supported by a staff team that have a clear understanding of their roles and responsibilities and how they impact on the overall aims of the home. EVIDENCE: Job descriptions were available on staff files and the manager said that they are given to all new employees. Staff demonstrated that they were aware of their own roles and responsibilities and those of their colleagues for example they knew who was leading the shift, who was carrying out specific tasks for the day and what the responsibilities of the manager are. One member of staff clearly described her role and responsibilities as the activity co-ordinator. The manager said that each member of staff is given a copy of the General Social Care Council code of conduct and it is also available within the home in Makaton and British Sign Language so that service users also have access. Melody Lodge DS0000057722.V278155.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 41,42 Record keeping and health and safety procedures generally protect Service users although there is potential risk from storage arrangements for some hazardous products. EVIDENCE: Records kept within the home are stored in the main office, which is kept locked when no one is in there; they are also housed in lockable cupboards. The home uses a computer system to records some records and this can only be accessed by an individual password. Records for the maintenance of health and safety issues such as fire safety, hot water temperatures, electrical appliances and the Control of Substances Hazardous to Health (COSHH) were looked at and found to be satisfactory. Risk assessments were in place where potential hazards are identified for example Legionella. The door to the laundry area was open during a tour of the building and cleaning and laundry substances were openly accessible. The Melody Lodge DS0000057722.V278155.R01.S.doc Version 5.1 Page 17 manager said that these items were usually kept in a locked cupboard and the laundry door was kept shut. Melody Lodge DS0000057722.V278155.R01.S.doc Version 5.1 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 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 X 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X X X X X 3 2 X Melody Lodge DS0000057722.V278155.R01.S.doc Version 5.1 Page 19 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. 1 Standard YA42 Regulation 13(4)(a) Requirement The responsible person must ensure that COSHH substances are stored appropriately and risk assessments are in place. Timescale for action 30/01/06 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 2 3 Refer to Standard YA6 YA6 YA8 Good Practice Recommendations It is recommended that care plans are reviewed at least six monthly. It is recommended that the home keep a record of personal property for each service user. It is recommended that the home demonstrate that service users have been consulted about and involved in developing their care plans wherever they are able. Melody Lodge DS0000057722.V278155.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Melody Lodge DS0000057722.V278155.R01.S.doc Version 5.1 Page 21 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!