Inspection on 15/11/05 for Minstead Lodge

This inspection was carried out on 15th 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

Minstead Lodge 02/10/08

Minstead Lodge 04/10/06

Minstead Lodge 13/05/05

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 Inspection 15th November 2005 13:30 Minstead Lodge DS0000011955.V263975.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 Minstead Lodge DS0000011955.V263975.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. Minstead Lodge DS0000011955.V263975.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Minstead Lodge Address Minstead Lyndhurst Hampshire SO43 7FT 023 8081 2297 023 8081 2297 mtp@milestonenet.co.uk 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) Minstead Training Project Limited Mr Martin Lenaerts Care Home 18 Category(ies) of Learning disability (18) registration, with number of places Minstead Lodge DS0000011955.V263975.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users may be accommodated between the ages of 18 and 30 years only 13th May 2005 Date of last inspection 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 DS0000011955.V263975.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Three hours were spent visiting the home, during which time the opportunity was taken to look around the home and other on-site facilities, view records and policies and to talk to three members of staff and the administrator. The inspector was unable on this occasion to speak with the manager or any visitors. Several students were seen to be taking part in external activities and a number spoke with the inspector whilst these were being undertaken. Two students were spoken with at greater length privately. What the service does well: What has improved since the last inspection? What they could do better: Residents’ comfort in communal areas could be improved by some redecoration. Minstead Lodge DS0000011955.V263975.R01.S.doc Version 5.0 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. Minstead Lodge DS0000011955.V263975.R01.S.doc Version 5.0 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 Minstead Lodge DS0000011955.V263975.R01.S.doc Version 5.0 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): Outcomes for this group of standards were not inspected on this occasion, as they were inspected on the previous inspection. EVIDENCE: Minstead Lodge DS0000011955.V263975.R01.S.doc Version 5.0 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): Outcomes for this group of standards were not inspected on this occasion, as they were inspected on the previous inspection. EVIDENCE: Minstead Lodge DS0000011955.V263975.R01.S.doc Version 5.0 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 the following standard(s): 11, 12, 13, 14, 15, 16, and 17. Students enjoy varied lifestyles and undertake activities of their choice. The provision of a wide range of opportunities for personal development and growth is appreciated by students and their families. EVIDENCE: Students are encouraged to maintain and develop independent living skills through undertaking various activities. Each student prepares his or her own breakfast and undertakes a ‘house’ job before attending day activities. One student who was being assisted by a staff member in preparing a meal confirmed that this was also for a small number of other students. A relative commented by way of a questionnaire that ‘he loves it and is very content and happy to be allowed his independency’. The home is run on a Christian ethos although the inspector was informed that there was no compulsion to attend events such as the service held on a regular basis. Various opportunities are made available to students to enable them to take part in valued leisure and other activities. One student was proud to show the inspector pictures of himself playing football, and other activities undertaken included swimming, walking and horseriding. Several other Minstead Lodge DS0000011955.V263975.R01.S.doc Version 5.0 Page 11 students were undertaking pottery in an adjacent building. Several students had also recently taken part in a ‘3 day challenge’, which had involved walking, cycling and camping. The inspector was also informed that a number of students worked in the public arena and that the home was proactive in seeking out opportunities for work experience. The home has grounds of some 11 acres and students are variously involved in horticultural activities. The inspector noted that three awards had been won by the home at the most recent New Forest Show. Local colleges are also used for further education. Although the home is not very conveniently located for students to access local facilities, transport is available and students are able to access facilities such as shops. One student said to the inspector that he was going shopping at the weekend. Where possible contact between students and family members is encouraged and there are no restrictions on visiting which may take place at all reasonable times although visitors are reminded that between 9.00am and 4.00pm it is likely that students could be at work. There is a guest room which may be used to entertain visitors, although students are able to use their bedrooms if they so choose. It was reported that as most students had families within travelling distance there was a good level of contact with families. One student said that she would be going home for Christmas, and staff confirmed that this would be the case for all students. The main meal of the day is taken in the evening with students having a choice from two alternatives. If neither of these alternatives were wanted then something else would be provided. Service users are taught as to what might constitute a ‘healthy’ diet. The inspector examined menus, which provided for a nutritious and varied diet. Minstead Lodge DS0000011955.V263975.R01.S.doc Version 5.0 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): Outcomes for this group of standards were not inspected on this occasion, as they were inspected on the previous inspection. EVIDENCE: Minstead Lodge DS0000011955.V263975.R01.S.doc Version 5.0 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): 22 and 23. The home has a suitable forum for obtaining and acting upon students’ views. Students are protected through an adult protection policy and procedure known and understood by staff. EVIDENCE: The inspector saw a copy of the home’s complaints policy, which included appropriate timescales. It is understood that staff were proactive in dealing with any minor issues or concerns that students might raise through informal discussion, or at the regular weekly students meeting. The inspector was of the opinion that students appeared to have a good degree of confidence in raising any concerns, with one student saying that he would ‘tell a member of staff’ if he had any concerns. The home has a ‘Complaints Log’, which is reviewed and signed by the registered manger. Comments made variously by relatives through distributed questionnaires included phrases such as, ‘ I could not have wished for a better care home’, ‘We are more than happy with the care’, and ‘We have been made aware of the complaints procedure but have forgotten it because we have never had to use it’. The home has an Adult Protection Policy and procedures to follow in the event of a disclosure of suspected abuse, which staff are aware of. In the past the home has made appropriate use of these procedures. Minstead Lodge DS0000011955.V263975.R01.S.doc Version 5.0 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): Outcomes for this group of standards were not inspected on this occasion, as they were inspected on the previous inspection. EVIDENCE: Minstead Lodge DS0000011955.V263975.R01.S.doc Version 5.0 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): 32, 34 and 35. Staff at the home are well trained, competent in supporting students, and employed through a robust recruitment procedure. EVIDENCE: The inspector examined two staff files, each of which included a copy of a job description and contract together with evidence of training undertaken. The home’s training plan continues to provide the opportunity for staff to receive training in any necessary specialisms such as Autism and Aspergers syndrome. Other training evidenced in the files examined included first aid, giving medication safely and dealing with personal relationships and sexuality. Staff confirmed the support given to them to meet personal training needs. At present two thirds of care staff have obtained NVQ level 2 or above. Evidence examined by the inspector indicated that the home operates a thorough recruitment procedure based on equal opportunities and on ensuring the protection of service users. There was, for example, evidence of written references being obtained following the completion of an appropriate application form and interview. The inspector also saw evidence of CRB disclosures having been obtained. New staff undertake an induction and sign to say they have read the home’s policies and procedures. There is a six-month probationary period. Minstead Lodge DS0000011955.V263975.R01.S.doc Version 5.0 Page 16 During the inspection the inspector observed staff interacting with service users in a friendly yet professional manner. A student said on his comment card that he was ’well looked after by staff’ and relatives commented variously that ‘the care staff are exceptionally kind and caring’ and that ‘the staff are wonderful and always eager to help’. Minstead Lodge DS0000011955.V263975.R01.S.doc Version 5.0 Page 17 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 and 42. The home is well run with students contributing to its continuing development. Students’ welfare is promoted through knowledgeable staff supported by sound policies and procedures. EVIDENCE: The home has an ‘inclusive’ approach towards the management of its services with structures and meetings allowing for input and comment by students and all levels of staff. There are, for example, weekly meetings for both students and care staff. Staff themselves said that the home was ‘well managed’ and that the manager was available at all times. It is understood that relatives of students are invited to attend placement reviews and to comment on the service provided by the home, and the inspector saw evidence that students themselves were fully involved in this process. The home has a number of comprehensive policies covering delivery of its services. This included a health and safety policy with the named person Minstead Lodge DS0000011955.V263975.R01.S.doc Version 5.0 Page 18 responsible for overall safety being clearly aware of her resonsibilities. COSHH records were available and the inspector noted that risk assessments had been undertaken in respect of students’ use of domestic items such as washing up liquid. Staff spoken with were aware of such policies and of how to access them if need be. Records at the home were kept secure within one or other of a number of offices. There were no indications that records of a confidential nature were on display in any of the public areas of the home. Various records required by regulation were inspected and were found to be in order and up-to-date. This included the home’s fire and accident books. Although environmental outcomes were not fully inspected on this occasion the inspector did not observe any immediate odvious hazards to health and safety during tour of the building, which could be enhanced through redecoration in some areas. Minstead Lodge DS0000011955.V263975.R01.S.doc Version 5.0 Page 19 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 3 3 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 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Minstead Lodge Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000011955.V263975.R01.S.doc Version 5.0 Page 20 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. Refer to Standard Good Practice Recommendations Minstead Lodge DS0000011955.V263975.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton 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 DS0000011955.V263975.R01.S.doc Version 5.0 Page 22 - 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!