Inspection on 13/05/05 for Minstead Lodge

This inspection was carried out on 13th May 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

Minstead Lodge 02/10/08

Minstead Lodge 04/10/06

Minstead Lodge 15/11/05

Minstead Lodge 19/10/04

Minstead Lodge 17/06/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Minstead Lodge Minstead Lyndhurst Hampshire SO43 7FT Lead Inspector Keith Hopkins Unannounced 13/05/05 13:00 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. Minstead Lodge H54 S11955 Minstead Lodge V220116 130505.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Minstead Lodge Address Minstead, Lyndhurst, Hampshire, SO43 7FT 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) 02380 812297 Minstead Training Project Limited Mr Martin Lenaerts CRH 18 Category(ies) of LD registration, with number of places Minstead Lodge H54 S11955 Minstead Lodge V220116 130505.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. 18 service users may be accommodated between the ages of 18 and 30 years only. Date of last inspection 19/10/04 Brief Description of the Service: Minstead Lodge is set in the village of Minstead, some twelve miles distant from the city of Southampton. There are limited local facilities. It provides residential care for up to 18 service users (students) between the ages of 18 and 30, who are provided with training and development opportunities through the use of horticultural and agricultural activities on its 11 acre site. The home is on ground first and second floors with bedrooms being grouped in small clusters around the building, each group having access to its own bathing and toilet facilities. Twelve of the bedrooms are single and three are doubles. There are communal areas on the ground floor which include dining and lounge facilities. The double bedrooms are usually only occupied on a single basis. There are well-maintained and accessible gardens around the building with car parking for a considerable number of vehicles. Minstead Lodge H54 S11955 Minstead Lodge V220116 130505.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Four hours were spent visiting the home, during which time the opportunity was taken to look around the home, view records and policies and to talk to the manager and the care manager. Two other members of staff were spoken with. Most of the students were seen, several were spoken with, and three students were spoken with at greater length in private. What the service does well: What has improved since the last inspection? What they could do better: Minstead Lodge H54 S11955 Minstead Lodge V220116 130505.doc Version 1.30 Page 6 The home needs to continue with its programme of redecoration to improve the physical environment. The room used to accommodate students staying for a trial period could be made more inviting. 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. Minstead Lodge H54 S11955 Minstead Lodge V220116 130505.doc Version 1.30 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 Minstead Lodge H54 S11955 Minstead Lodge V220116 130505.doc Version 1.30 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, 4, and 5. The admission process is well managed with an assessment of needs being done to ensure these can be met. Students are given clear information regarding the services offered to enable them to make an informed choice. EVIDENCE: Two assessments relating to more recently admitted students were examined and contained a good level of detail. One student referred to his trial period, saying that he had come into the home and then gone away before coming back. There is a comprehensive Statement of Service and Agreement of Residence, both those seen having been signed by the student and the service provider. Evidence of an induction programme was seen with, again, students having signed to confirm undertaking this. One student who had already had one period of short-term care was soon due to be admitted again for another such period. Minstead Lodge H54 S11955 Minstead Lodge V220116 130505.doc Version 1.30 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, and 9. Students have a good knowledge of how they will be helped to become more independent, and are able to undertake activities within a risk management framework. EVIDENCE: One student said that his review was in two weeks time and that things to help him were ‘written down’. Evidence of previous reviews and of an action plan was seen. A written personal statement had been made by a student about what he wanted to achieve, and he said he would like to have his own flat. One student was spoken with whilst undertaking an external day care activity independently, and several students were seen on-site being assisted by staff whilst undertaking woodworking activities. Risk assessments were in place, a student coming in and saying that he had just done the shopping. Another student said that he was going to do some cooking with help from his keyworker. Minstead Lodge H54 S11955 Minstead Lodge V220116 130505.doc Version 1.30 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) Outcomes for this group of standards were not inspected on this occasion. EVIDENCE: Minstead Lodge H54 S11955 Minstead Lodge V220116 130505.doc Version 1.30 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 standard(s) 18, 19, and 20. Students are well supported in respect of their health and personal care needs, and have their privacy and dignity respected by staff. EVIDENCE: Care documentation contained risk assessments, which referred to students being enabled to become more independent. One student said that he had been to hospital but was now better. The home has a Medication Policy, which includes a section on controlled drugs, with medication administration records and storage of drugs indicating a sound and safe procedure for dispensing. The head of care said that in the event of a student wishing to self-administer medication a specific risk assessment would be undertaken. Students access services such as the optician and dentist locally rather that these being provided in the building, to encourage independence. Minstead Lodge H54 S11955 Minstead Lodge V220116 130505.doc Version 1.30 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 standard(s) Outcomes for this group of standards were not inspected on this occasion. EVIDENCE: Minstead Lodge H54 S11955 Minstead Lodge V220116 130505.doc Version 1.30 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 standard(s) 24, 25, and 30. A comfortable and safe standard of accommodation is provided for students, which meets their needs. EVIDENCE: One student showed the inspector his room, which he said was nice, and also confirmed the maintenance that had recently been carried out. The new kitchenette has improved facilities available to students, and new carpets have also improved the environment in some bedrooms. Students were seen to be making use of both communal and private areas of the building, appearing comfortable and at ease in their surroundings. All areas of the home smelled pleasant and were cleaned to a high standard. Minstead Lodge H54 S11955 Minstead Lodge V220116 130505.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Outcomes for this group of standards were not inspected on this occasion. EVIDENCE: Minstead Lodge H54 S11955 Minstead Lodge V220116 130505.doc Version 1.30 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 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) Outcomes for this group of standards were not inspected on this occasion. EVIDENCE: Minstead Lodge H54 S11955 Minstead Lodge V220116 130505.doc Version 1.30 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 3 x 3 3 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Minstead Lodge Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x H54 S11955 Minstead Lodge V220116 130505.doc Version 1.30 Page 17 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 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 Good Practice Recommendations Minstead Lodge H54 S11955 Minstead Lodge V220116 130505.doc Version 1.30 Page 18 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton, Hampshire SO15 1GW 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 Minstead Lodge H54 S11955 Minstead Lodge V220116 130505.doc Version 1.30 Page 19 - 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!