Inspection on 20/02/06 for New Lodge

This inspection was carried out on 20th February 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

New Lodge 09/03/09

New Lodge 29/01/08

New Lodge 03/10/06

New Lodge 23/08/05

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 New Lodge 971 Lightwood road Longton Stoke on Trent Staffordshire ST3 7NE Lead Inspector Jane Capron Unannounced Inspection 20 February 2006 09:30 New Lodge DS0000064018.V284376.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 New Lodge DS0000064018.V284376.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. New Lodge DS0000064018.V284376.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service New Lodge Address 971 Lightwood road Longton Stoke on Trent Staffordshire ST3 7NE 01782 208590 01782 269187 chris@delamcare.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) Delam Care Ltd Philip Paul Baddeley Care Home 4 Category(ies) of Learning disability (4) registration, with number of places New Lodge DS0000064018.V284376.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd August 2005 Brief Description of the Service: New Lodge is registered for four younger adults with learning disabilities. The home was commissioned specifically for the four current service users. The service users have complex needs that include autism, severe learning disability, challenging behaviour and physical disability. The home is located on the main road in a semi-rural location on the outskirts of a small village. The home is a spacious four bedroomed detached house with a large front and a paved patio area at the rear. The home is set back from the road with parking facilities for staff and visitors. The home was generally well decorated in a domestic and homely manner whilst considering the needs of the service users. There are few facilities in the immediate area and the service users have their own transport that they fund that enables them to access a range of educational, social and leisure activities away from the home. The home provides single bedroom accommodation for all the service users. Three bedrooms are provided upstairs and one on the ground floor. The home is not suitable for permanent wheelchair users. New Lodge DS0000064018.V284376.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over a three-and-a-half-hour period. All of the residents were seen during the inspection. Discussions took place with the Care Manager, the deputy and several of the care staff. The environment was seen as part of the inspection. A sample of support plans were seen and checks were made on the arrangements for the home’s management and safeguarding of residents’ finances. A sample of staff files were seen. The home had received no complaints and there had been no additional visits. The home provided residents with a good standard of care. Support plans were in place that outlined the needs of residents and the actions needed to meet the needs. Support plans were being reviewed. The residents’ health care needs were being met, with the home involving a range of specialist health care staff. Residents were supported to be involved in domestic tasks such as doing the food shopping. The home’s routines were quite flexible. Residents were able to get up and go to bed when they wanted within the context if their agreed schedules. Residents’ choice was promoted with staff being aware of the methods that residents used to show things they liked or disliked. The staff supported contact with family to maintain family relationships. All residents went on holiday. The staff knew about the individual needs of each resident and how these were to be met. The staff were well motivated and interested in the residents and worked to provide them with a full and varied lifestyle that was based on the residents’ likes and dislikes. The home had some staff qualified in NVQ and some staff had been put forward for training specifically related to working with people with a learning disability. The home had some systems in place to review and monitor the service provided to the residents. What the service does well: The residents benefited from having a full lifestyle. Three of the residents attended college for several days a week undertaking such courses as gardening, independent living skills and community access. The home’s staffing levels were good enabling the residents to be suitably supported both within the home and in the community. The staffing levels ensured that all residents had good community access. New Lodge DS0000064018.V284376.R01.S.doc Version 5.1 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. New Lodge DS0000064018.V284376.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 New Lodge DS0000064018.V284376.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): 3 The home was meeting the needs of the residents through the knowledge and work of the staff and through the involvement of specialist healthcare, social care and educational staff. There were some practices in place to promote the cultural heritage of one resident. EVIDENCE: The home was meeting the needs of the residents. The staff were fully aware of the individual needs of the residents and how these could be met. They were aware of the likes and dislikes of the residents and were aware of the specialist communication methods of the residents. The home had a programme in place for staff to receive training in autism, challenging behaviour and a number of staff had undertaken training in person-centred planning. Some staff had been put forward for training accredited through the learning disability framework. The home had links with a range of professional staff including behavioural services, psychiatric services and college staff. The home had some practices in place to maintain the cultural background of one resident including the provision of culturally appropriate food. New Lodge DS0000064018.V284376.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): 6,7,10 The home had developed satisfactory support plans that were up-to-date and had been reviewed that provided staff with the necessary information to be able to meet residents’ needs. The home had practices in place that encouraged and supported to make the decisions they were able about their lives. The residents’ right to confidentiality was met through staff training and through personal files being kept securely. EVIDENCE: Residents had support plans in place. These covered residents’ health care and personal care as well as social and educational needs. Several residents exhibited some challenging behaviour and plans were in place explaining the methods to be used in response to any such incidents. These centred on diversion and distraction techniques and the home had a policy of not using physical intervention. The home had plans in place to address any restrictions and these were based on risk assessments. The home had a key worker system in place. New Lodge DS0000064018.V284376.R01.S.doc Version 5.1 Page 10 The examination of the support plans showed that the individual elements were being reviewed on a six monthly basis and that a multi-agency review was being held yearly. All residents had special communication needs but all were able to make their needs known and staff were aware of how each resident communicated likes and dislikes. The home supported residents to make the decisions they were able. Residents were able to indicate when they wanted to get up and go to bed, the foods they likes and activities they liked to do. The staff responded positively to these wishes. None of the residents were able to manage their own finances and the home managed amounts of money for residents. The home had procedures in place to record residents’ transactions. If larger amounts of money were involved the home consulted family and social workers before making decisions. New Lodge DS0000064018.V284376.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): 11,12,15,16 The residents have a varied lifestyle taking part in a range of educational and social activities and some independent living activities. The residents were supported to maintain personal relationships with relatives and relatives were welcomed to visit the home at any reasonable time. The home provided residents with a home where routines were flexible and residents were provided with choice. EVIDENCE: Residents were supported to develop as much as they are able and to undertake some independent living tasks. Some residents took some part in domestic activities such as when staff undertook cleaning in their bedroom, making beds and going with staff to do the weekly shopping. There were supported to maintain contact with family members and staff would take residents to visit family members. Visitors could visit the home at any reasonable time. New Lodge DS0000064018.V284376.R01.S.doc Version 5.1 Page 12 All residents had activity schedules in place and their daily activities were recorded. These showed that three of the four residents attended college with one attending four days a week. They undertook courses including gardening, swimming, trampolining, community access, craft and art. Their attendance was due to finish in July and the home was looking for other suitable day opportunities. The staff supported the resident that did not attend college to undertake activities during the day. They went out into the community regularly including going out to lunch one day a week. The home provided residents with a relaxed routine. They were able to decide when to get up and go to bed within the context of their college attendance. Breakfast was provided when a resident got up. The other meals were taken within a time framework but not at any specific time and depended residents’ activities. All bedrooms had a suitable locking system that could be over ridden by the staff. Staff were observed regularly speaking to the residents. They explained any care tasks they were to undertake and offered them choices. Residents were able to go into the communal rooms with staff providing any necessary supervision to ensure the residents’ safety. New Lodge DS0000064018.V284376.R01.S.doc Version 5.1 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 the following standard(s): 19 The home’s practices and the involvement of health care staff ensured that the health care needs of the residents were being met. EVIDENCE: The support plans showed the health care needs of the residents. They all had a GP and records showed that they attended the GP when unwell. They attended for dental checks and eye checks. The residents also received foot and nail care. The home involved specialist health care staff as necessary including psychiatric and behavioural services. Residents’ weight was monitored on a monthly basis and the home kept good records that enabled staff to identify any significant changes. The home supported residents to attend outpatient appointments. New Lodge DS0000064018.V284376.R01.S.doc Version 5.1 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 the following standard(s): 22 The home’s complaints procedure enabled concerns to be addressed and the staff’s knowledge of the residents was such that they were aware of they were not happy. EVIDENCE: The home had a complaints procedure in place. No complaints had been received since the last inspection. The residents were not able to raise complaints verbally on their own behalf and the home had contacts with an advocacy service and involved them when necessary. The staff were aware of residents’ methods of communication and were aware if a resident was not happy. All of the residents had external contacts including family members or college tutors who were in a position to raise issues on residents’ behalf. New Lodge DS0000064018.V284376.R01.S.doc Version 5.1 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 the following standard(s): 24, 26,30 The premises provided the residents with suitable accommodation but there may be actions that could enhance the environment for the residents. The home had procedures in place to control the risk of infection to residents but the home did need to ensure that the home was always kept dust free. EVIDENCE: The home was located in a semi rural area and the residents needed transport to access community resources. The home was generally satisfactorily maintained. Some of the residents had difficulty in coping with ornaments and items hung on walls, which had lead to the home looking quite bare in places. The home could be made more homely whilst taking into account the individual needs and behaviour of the residents. In addition the stairs carpet still needed to be repaired or changed and the home still needed to look at how curtains could be hung to take account of residents pulling them down. It was also noted that the curtain pole in one bedroom needed to be securely fixed to the wall to prevent it being hazard. New Lodge DS0000064018.V284376.R01.S.doc Version 5.1 Page 16 The standard of bedroom accommodation varied although all was satisfactory. Two were well decorated and furnished to a good standard, one was satisfactory but this was in the main due to behaviours exhibited by the resident which restricted what could be put into the bedroom. The forth bedroom whilst satisfactory would benefit from being decorated and this was planned for May when the resident was on holiday. The home had procedures in place to address the risk of the spread of infection. Aprons and gloves were readily available. Staff were observed undertaking effective hand washing and there were hand washing facilities provided. A number of staff were due to take an NVQ in cleaning that included issues of infection control. The home was clean throughout except for a few cobwebs were noted in one bedroom and in the stairwell. The home had laundry facilities in the garage and the washing machine was suitable for the premises. New Lodge DS0000064018.V284376.R01.S.doc Version 5.1 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 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): 32,33,35 Residents benefited from having staff that showed them respect and were aware of their individual needs. Whilst the home did not have 50 of the staff qualified to at least NVQ level 2 the home had plans in place for nearly half of the staff to receive Learning disability award framework accredited training. Whilst the residents were benefiting from staff that had received some training related to the needs of the residents there were staff that had not completed the mandatory training relating to safe working practices. The home’s staffing levels enabled staff to provide the residents with the necessary level of support to have their needs met. EVIDENCE: The home had suitable staffing levels that enabled residents to be both supported in and out of the home. The roster showed that during the morning there was a minimum of three staff on duty but this could rise to four/five during the day depending on the residents’ activities. Staff were provided to support the residents to attend college and to access the community with some residents needing the support of two staff. The staffing levels allowed for staff to be used flexibly to meet the needs of the residents. The home had one waking night staff and a sleep-in staff member on duty. New Lodge DS0000064018.V284376.R01.S.doc Version 5.1 Page 18 Staff spoken to were fully aware of the individual needs of the residents including how the residents made their wishes known. They were observed interacting with residents and speaking to them in a manner that showed respect. Residents were provided with choices. The home had 15 staff excluding the Care Manager working at the home. Of these four staff had achieved at least NVQ level 2. A further six had been nominated for training accredited through the Learning disability award framework. The company owning the home provided a range of relevant training. All new staff undertook induction training. An examination of a sample of personnel files showed that these staff had undertaken training in person centred planning, risk assessments, adult protection and non-crisis intervention. All staff were not up to date with their mandatory training in such areas fire, food hygiene and first aid. New Lodge DS0000064018.V284376.R01.S.doc Version 5.1 Page 19 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): 39,42,43 The residents benefited from a home that reviewed and monitored its performance. Whilst the home had procedures in place and was undertaking safety checks to promote the health and safety of residents the home needed to ensure that all staff received training in safe working practices including fire, food hygiene and first aid. The residents benefited from a home that had external management support and structures in place. EVIDENCE: The home had some procedures in place to monitor and review the quality of the service. Questionnaires had been sent to relatives but the response level had been low. New Lodge DS0000064018.V284376.R01.S.doc Version 5.1 Page 20 Monthly auditing was completed in respect of environmental issues such as food hygiene, fire safety measures and the state of the property. Audits were also undertaken in respect of medication and residents’ finances. The home was undertaking the necessary fire safety checks including weekly fire alarm checks and monthly checks on the emergency lighting. Regular fire drills had taken place. The home had a current electrical installation certificate and a valid gas safety certificate. The home had risk assessments in place for safe working practices. The home had some training in health and safety practices but some staff had not completed training in first aid, fire and food hygiene. Staff had received training in moving and handling. The home had current insurance cover. The Responsible individual was undertaking monthly visits. The care company provided systems for budget monitoring, management training and human resource planning and recruitment. New Lodge DS0000064018.V284376.R01.S.doc Version 5.1 Page 21 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 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 2 25 X 26 2 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 4 34 X 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X X 3 LIFESTYLES Standard No Score 11 3 12 4 13 X 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X X X X 3 X X 2 3 New Lodge DS0000064018.V284376.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 YA42YA35 Regulation 18(1)(i) Requirement Timescale for action 01/04/06 2. YA24 13(4)(a) To ensure that all staff receive the necessary updates in training including food hygiene, fire safety and first aid. To repair or replace the carpet 01/04/06 on the stairs (previous timescale not addressed) 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. 4. Refer to Standard YA24 YA24 YA24 YA30 Good Practice Recommendations To consider changing the method of hanging curtains to respond to residents pulling them down. To redecorate the back bedroom To look at methods that would make the accommodation more homely That the home ensures that cobwebs are removed. New Lodge DS0000064018.V284376.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 New Lodge DS0000064018.V284376.R01.S.doc Version 5.1 Page 24 - 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. 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