Inspection on 02/08/05 for Melody Lodge

This inspection was carried out on 2nd August 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

Melody Lodge 09/08/07

Melody Lodge 30/05/06

Melody Lodge 19/01/06

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 2 August 2005 @ 9am 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 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 Stationary 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 C04 C53 S57722 Melody Lodge V240049 2-8-05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Melody Lodge Address West Keal Hall Hall Lane West Keal PE23 4BJ 01790 752700 Telephone number Fax number Email 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 Mrs Dawn Wigley PC Care Home Only 11 Category(ies) of LD - Learning Disability -11 registration, with number of places Melody Lodge C04 C53 S57722 Melody Lodge V240049 2-8-05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 18 March 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 within 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 C04 C53 S57722 Melody Lodge V240049 2-8-05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place over two days in August 2005. There were three requirements and five recommendations from the last report. All requirements have been achieved. A tour of the building took place and staff and service user files were looked at. Policies, procedures and general health and safety records were also looked at. Two service users, two members of staff, the manager and the responsible individual were spoken to. Responses from service users were positive regarding their experience of living in the home. 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. Melody Lodge C04 C53 S57722 Melody Lodge V240049 2-8-05 Stage 4.doc Version 1.40 Page 6 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Melody Lodge C04 C53 S57722 Melody Lodge V240049 2-8-05 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Melody Lodge C04 C53 S57722 Melody Lodge V240049 2-8-05 Stage 4.doc Version 1.40 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 standard(s) 2,5 Service users benefit from having terms and conditions, and contracts available for their placement at the home. They also benefit from comprehensive needs assessments that assure them of having their needs met. EVIDENCE: Two service user files were looked at. Terms and conditions were available on both files as well as placing authority contracts. Initial assessments were also available, and although the service users have resided at the home for a considerable length of time there was evidence that the assessments had been updated. Melody Lodge C04 C53 S57722 Melody Lodge V240049 2-8-05 Stage 4.doc Version 1.40 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 standard(s) 6,7,8,9 Service users are able to maintain as much control over their lives as they are able, and they are involved in all aspects of the running of the home. EVIDENCE: Minutes for service user meetings were seen. The minutes demonstrated that they are encouraged to make decisions and choices, for example they said that they did not want to make any changes to the menu at this time. Service users said that they are given choices regarding food and what they want to do. They also said that they have chosen to go to Centre Parks on holiday. Service users showed the inspectors around the new extension and demonstrated that they are involved in the planning process. Three service user files were seen. A person centred format is still being implemented (as at last report) and there is evidence that the service users are involved. Care plans include areas such as personal hygiene, work and leisure activities, communication, finance and behaviour. Risk assessments were also available on each file for areas such as behaviour, continence and nutrition. Melody Lodge C04 C53 S57722 Melody Lodge V240049 2-8-05 Stage 4.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,17 The home provides a range of opportunities for leisure and personal development as a result of consultation with service users. They also provide a wholesome and varied diet in accordance with service user likes and dislikes. EVIDENCE: The activities co-ordinator has produced a structured programme, which includes cooking, swimming, bowling, gym, concerts and parties. The home has a mini bus and car for the service users to make use of. Service users spoke about the support they receive from the activity co-ordinator to engage in gardening, football and barbeques. One service user said that the coordinator also helps with numeracy and literacy development. Two service users said that they are being helped to look for work placements, one service user said that they have recently completed a work placement. Within the new extension there is a flatlet being prepared to allow one service user the opportunity to develop their independence. Menus were varied and well balanced. Records of individual needs and a record of what is eaten are kept in the kitchen area. Food being served during the inspection was well presented and of ample portions. There was a pleasant and relaxed atmosphere in the dinning room. One to one support was being given Melody Lodge C04 C53 S57722 Melody Lodge V240049 2-8-05 Stage 4.doc Version 1.40 Page 11 where required and one service user was being supported to make drinks in the kitchen. Melody Lodge C04 C53 S57722 Melody Lodge V240049 2-8-05 Stage 4.doc Version 1.40 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 standard(s) 19,20 The home ensures that service users health needs are met and that there is a well-informed staff team. Records are well kept and service users are protected by a robust medicines policy. EVIDENCE: Medication records were looked at and found to be satisfactory. Medication was stored appropriately including self-administered cream. The home has a comprehensive medicines policy that includes guidance for self-administration. Care plans show details of health needs such as epilepsy. There was evidence of on going support from health professionals such as the continence advisor and GP. Service users said that if they are not feeling well they tell the staff and the staff take them to the doctor. Staff demonstrated that they have knowledge of service user needs including health requirements. Melody Lodge C04 C53 S57722 Melody Lodge V240049 2-8-05 Stage 4.doc Version 1.40 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 standard(s) 22,23 Service users benefit from robust policies and procedures and the staff team’s awareness of such. They also feel that they are able to air their views. EVIDENCE: No complaints or adult protection issues have arisen since the last inspection. There are policies available in the home for complaints, whistle blowing and adult protection, including local authority guidelines. Service users said that they could speak to staff and tell them when they are unhappy about an issue. Staff demonstrated a knowledge of what constitutes adult protection and what to do in they witnessed or suspected such. Melody Lodge C04 C53 S57722 Melody Lodge V240049 2-8-05 Stage 4.doc Version 1.40 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 standard(s) 24-30 Service users enjoy a range of private and communal areas within the home that is comfortable and personalised. Service users and staff maintain a high standard of cleanliness, although there may be increased risk to fire safety due to the use of door wedges. EVIDENCE: The home was clean and tidy on the day of inspection and domestic staff were on duty. Service users and staff said that service users help with domestic routines where they are able. Doors were seen to be propped open with wedges. This was raised with staff and they were removed. Bedrooms were personalised and one room with en suite has been redecorated. Service users showed the inspectors their bedrooms and talked about new stereo’s and CD’s and said that they liked their rooms. One service user said that they are looking forward to moving into a single room in the new extension. En suite bathrooms were well equipped and contained a range of personal toiletries. On the ground floor there is a games room with a pool table and a range of games and books. None of the service users currently require specialist equipment. Melody Lodge C04 C53 S57722 Melody Lodge V240049 2-8-05 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,34,35,36 There is an appropriately trained and supervised staff team, although improvements to the planning of training could be made. Service users now benefit from a more consistent staff team who undergo robust recruitment procedures. EVIDENCE: There was two staff on duty on the morning of the inspection. This corresponded with the duty rotas. There was no clear identification on the rota for who was leading the shift. One staff has left since the last inspection but several more have been recruited. Staff files were looked at and contained all information required including CRB checks, identification and references. Records demonstrate that staff receive training in basic food hygiene, fire safety, TOPPS induction programme, adult abuse and moving and handling. Two staff have achieved NVQ Level 2 and one member of staff is awaiting funding, and the manager is working towards NVQ Level 4 in Management. Staff said that they receive a good induction and ongoing training programme. There is no annual plan available to demonstrate what training has been planned. Melody Lodge C04 C53 S57722 Melody Lodge V240049 2-8-05 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,42 The home is well managed and the service users health and safety needs are maintained, although improvements could be made to range of regular checks undertaken. EVIDENCE: The home supports service users with their finances. Money is deposited into a non-profit making bank account and individual accounts are kept for each person. All money deposited into the bank account, and kept within the home is accurately recorded. The money kept within the home tallies with records and is stored securely. Service users said that they could get money when they want it and they can now check the balance with staff. Service user said that they get lots of support now and they like all of the staff. Staff said that they find it easy to talk to the manager and the responsible individual and enjoy working at the home. Fire safety records are maintained regularly including fire call point checks, emergency lighting checks and fire drills. Fire safety training was carried out in March 2005. There are a range of policies and procedures including general Melody Lodge C04 C53 S57722 Melody Lodge V240049 2-8-05 Stage 4.doc Version 1.40 Page 17 health and safety, and risk assessment. Food handling risk assessments were seen and fridge/freezer temperatures were recorded regularly. Water temperatures had not been recorded since February 2005. Melody Lodge C04 C53 S57722 Melody Lodge V240049 2-8-05 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x x 3 Standard No 31 32 33 34 35 36 Score x 3 x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Melody Lodge Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x 2 x C04 C53 S57722 Melody Lodge V240049 2-8-05 Stage 4.doc Version 1.40 Page 19 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. 1. Standard YA 24 Regulation 23 Requirement The responsible person must ensure that door wedges are not used within the home and suitable alternatives are provided where required. It is acknowledged that wedges were removed on the day of inspection but the issues should be reinforced with staff. The responsible person must ensure that water temperatures are checked regularly. It is recommended that this is done weekly. Timescale for action 30 September 2005 2. YA 42 13(4) 30 September 2005 3. 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 YA 6 YA 21 YA 33 Good Practice Recommendations It is recommended that periodic checks of service user files by the registered manager are recorded. It is recommended that all staff have training in respect of ageing, illness and death. It is recommended that in the absence of the manager, the duty rota indicates who is the lead person for the shift. C04 C53 S57722 Melody Lodge V240049 2-8-05 Stage 4.doc Version 1.40 Page 20 Melody Lodge 4. YA 35 It is recommended that the home develops an annual training plan.. Melody Lodge C04 C53 S57722 Melody Lodge V240049 2-8-05 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Unity House, The Point Weaver Road, off Whisby Road incoln 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. 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