Inspection on 26/04/05 for Moray Lodge

This inspection was carried out on 26th April 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

Moray Lodge 16/09/08

Moray Lodge 27/02/06

Moray Lodge 26/01/05

Moray Lodge 13/07/04

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

CARE HOME ADULTS 18-65 Moray Lodge 5 Peveril Road Old Duston Northampton NN5 6JW Lead Inspector Sara Morrison Unannounced 26 April 2005 15:00 th 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. Moray Lodge C51 S32887 Moray Lodge V223012 260405 Stage 4 .doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Moray Lodge Address 5 Peveril Road Old Duston Northampton NN5 6JW 01604 753887 01604 750728 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) Northamptonshire County Council Ms Jacqueline Bird Care Home 18 Category(ies) of MD Mental Disorder (18) registration, with number of places Moray Lodge C51 S32887 Moray Lodge V223012 260405 Stage 4 .doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Within 1 Month of registration the Home is required to submit in writing a proposed redecoration/replacement/refurbishment plan that includes all areas for the next 12 months. 2. That the undersized bedroom identified in the Brown Flat will not be used as a bedroom. Date of last inspection 26.01.05 Brief Description of the Service: Moray Lodge Care Home offers respite and rehabilitative care and support for a period of no longer than 6 months to service users who have mental health needs, excluding learning disability and dementia. Northamptonshire County Council provides the service in partnership with the Northamptonshire Health Care Trust. Moray Lodge is located in the village of Duston, which is close to Northampton Town centre, with access to a range of community facilities and services. Private accommodation is currently within single and shared rooms and there is a range of communal areas including a games room. Currently there are only two shared rooms, although this will further reduce to one shared room with the remainder of the accommodation in single occupancy bedrooms. Moray Lodge C51 S32887 Moray Lodge V223012 260405 Stage 4 .doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 3 and a half hours during the afternoon and was carried out as part of the regular inspection visits required by law. During the visit the majority of service users were spoken to and 4 were interviewed in greater depth. Discussion took place with the manager and several of the staff on duty. A tour of all the communal areas and one bedroom took place and some care records were inspected. No requirements or recommendations were made at this inspection. What the service does well: Two service users were asked this question. One said that the attitude and approach of the staff is very good, the other person said that she found the encouragement she receives from staff to be very helpful. Both people said that they did not know what they would do without this service. Service users said that the staff are very kind and helpful and the food is good. Eight service users sent in written comments and all stated their satisfaction with the service. Everyone said they liked living at the home and felt well cared for. A relative sent written comments and said,” this is an excellent facility, very accommodating even in exceptional circumstances, excellent communication and a valuable resource for the community in Northamptonshire”. People are encouraged to be as independent as possible and live their usual lives with staff support as needed. Service users said that staff are very sensitive to their personal circumstances and help with a range of problems in their lives. There are good links with the community mental health teams and Doctors providing an ‘all round’ service. The home is well managed and run; there are good relationships between staff and service users and between the staff. Staff and service users said that the manager is very approachable and will sort out any problems that arise. Moray Lodge C51 S32887 Moray Lodge V223012 260405 Stage 4 .doc Version 1.30 Page 6 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. Moray Lodge C51 S32887 Moray Lodge V223012 260405 Stage 4 .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 Moray Lodge C51 S32887 Moray Lodge V223012 260405 Stage 4 .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 There is a thorough process for assessing the needs of prospective service users that is supported by written information. This ensures that the right people are admitted to the home and their needs are known to staff. EVIDENCE: Service users said that before they came to Moray Lodge they were assessed under the Care Programme Approach and by staff from Moray Lodge. One person said that prior to coming to stay the first time she visited with her key worker from the community team. During this visit a member of Moray Lodge staff assessed her needs and she was given information about the home. Another service user said that he had been given information about Moray Lodge in a booklet, and there is also information available around the house that can be picked up and read anytime. The information in individual service users case files included the Care Programme documentation and Moray Lodge assessment. It was also evident through discussion with staff that staff know people well and there are good systems for communication and handover of information. Moray Lodge C51 S32887 Moray Lodge V223012 260405 Stage 4 .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 The needs of each person are recognised and in consultation with service users plans for how their needs are to be met are decided upon. The process encourages service users to be as independent as possible, with staff supporting and not taking over people’s lives. EVIDENCE: Each service user has a care plan that sets out the support they need and how this will be provided. One service user said that he has goals in his care plan of things he is working on and wants to achieve during his stay. Another person said that she had come to Moray Lodge for a rest, she said that she had become unwell at home and had come to Moray Lodge to get better. Discussions with staff demonstrated their understanding of the different reasons a person may come to the home for a period of respite and how they would work with each person. Service users explained that the rules of the house are made clear to them at the start of their stay. Apart from this service users said they are able to make their own decisions and carry on with their lives as usual, for example going to work or day placement. Moray Lodge C51 S32887 Moray Lodge V223012 260405 Stage 4 .doc Version 1.30 Page 10 One service user said that she finds it very difficult to be motivated when she is at home and is very appreciative of the encouragement she receives from staff at Moray Lodge. Moray Lodge C51 S32887 Moray Lodge V223012 260405 Stage 4 .doc Version 1.30 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 standard(s) 12, 13 16 & 17 There is a good balance between providing activities and encouraging service users to continue with their routines ensuring that people do not become dependant on the home and take control of their own lives. EVIDENCE: Service users said that the staff arrange trips out from time to time. One lady said she had been to a garden centre with a group and had really enjoyed the day. Another person said that she likes to go to the local shops in the High Street a few minutes walk away as there is a lot of shops and it is not too far to go. Another person had been to town that day and was showing everyone her purchases. One service user said that staff are very sensitive to his personal situation and he appreciated that one member of staff had taken the time to talk with him that afternoon about going home the next day. He said he felt reassured and more able to cope. This person said that he had been due to go home a few days earlier however a family crisis had occurred and he was very grateful that Moray Lodge had been able to extend the period of his respite to get him over this bad patch. Moray Lodge C51 S32887 Moray Lodge V223012 260405 Stage 4 .doc Version 1.30 Page 12 Eight service users sent in written comments about the home seven of them said that they liked the food. Service users spoken to during the inspection confirmed this, everyone said that the food is very good and there is also a choice available. Moray Lodge C51 S32887 Moray Lodge V223012 260405 Stage 4 .doc Version 1.30 Page 13 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) No standards in this section were inspected. EVIDENCE: Moray Lodge C51 S32887 Moray Lodge V223012 260405 Stage 4 .doc Version 1.30 Page 14 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 Service users views are listed to and acted on and they feel encouraged and enabled to do so. EVIDENCE: Seven of the eight service users who made written comments said that they know who to speak to if they are unhappy with their care. Service users spoken to during the inspection also said that they would speak to staff or the manager if they had any concerns, and were confident that their concerns would be listened to. They felt that action would be taken where necessary or they would be given an explanation if this were not the case. Several service users knew that the home holds regular residents meetings however these may not take place during their stay. Moray Lodge C51 S32887 Moray Lodge V223012 260405 Stage 4 .doc Version 1.30 Page 15 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 The standard of the environment with in this home is good providing service users with an attractive and homely place to live. EVIDENCE: One bedroom and all the communal areas were viewed and are maintained and decorated to a high standard. There are a number of different areas and rooms for service users use, including a games room with a pool table and a quiet room. There are facilities for service users to make drinks and do their washing. Everyone said that they were pleased with their bedroom; they said the beds are comfortable and the rooms warm. One service user said that the house is spotlessly clean and several other people agreed with this. One person who made written comments and who has one weeks respite every six weeks said they have always found the home to be nice and clean. There had been problems with young people from the neighbourhood trespassing outside. CCTV has now been fitted to the outside of the building and staff said that both service users and staff feel safer particularly at night. Moray Lodge C51 S32887 Moray Lodge V223012 260405 Stage 4 .doc Version 1.30 Page 16 The community teams have now moved their offices from Moray Lodge and the manager and senior staff have re-located their offices into this area of the home. This has provided additional space and the manager said that she hopes a ground floor bedroom for people who may have poor mobility will be created. The health authority have set aside funding to improve the accommodation over the next year to further reduce the number of shared bedrooms and provide ensuite facilities in all rooms. Moray Lodge C51 S32887 Moray Lodge V223012 260405 Stage 4 .doc Version 1.30 Page 17 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) No standards in this section were inspected. EVIDENCE: Moray Lodge C51 S32887 Moray Lodge V223012 260405 Stage 4 .doc Version 1.30 Page 18 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 The manager has a clear vision for the home and is supported well by the senior and care staff. This approach enables service users to get better during their stay at Moray Lodge and return to the community to get on with their lives. EVIDENCE: A senior member of staff said that between 150 and 200 people use Moray Lodge throughout the year. There are good links with the community mental health teams and other health professionals providing a coordinated approach to the support of service users. The home also links up with other group homes and sheltered housing. There are now two flats within Moray Lodge each accommodating two people that provide sheltered housing under the supporting people scheme. These flats have a separate staff group but provide an opportunity for accommodation with support whilst more permanent accommodation is found. Moray Lodge C51 S32887 Moray Lodge V223012 260405 Stage 4 .doc Version 1.30 Page 19 Several service users said that they didn’t know what they would do if they were not able to have the regular respite service provided by this home. It was evident that the relationships between the all levels of staff and service users are good. Service users also said that the staff work well together, they felt that everyone was aware of their role and responsibilities and there are clear lines of accountability. Service users all knew the manager and said that she is approachable and although they do not see as much of her as other staff felt able to speak to her if necessary. Moray Lodge C51 S32887 Moray Lodge V223012 260405 Stage 4 .doc Version 1.30 Page 20 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 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x 3 3 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 Moray Lodge Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x x x C51 S32887 Moray Lodge V223012 260405 Stage 4 .doc Version 1.30 Page 21 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 None made 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 None made. Good Practice Recommendations Moray Lodge C51 S32887 Moray Lodge V223012 260405 Stage 4 .doc Version 1.30 Page 22 Commission for Social Care Inspection 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Moray Lodge C51 S32887 Moray Lodge V223012 260405 Stage 4 .doc Version 1.30 Page 23 - 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!