Inspection on 24/01/07 for Oak Lodge

This inspection was carried out on 24th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Oak Lodge 01/11/05

Oak Lodge 07/07/05

Oak Lodge 09/03/05

Oak Lodge 27/10/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Oak Lodge Stanley Avenue Mablethorpe Lincs LN12 1DP Lead Inspector Julie Western Key Unannounced Inspection 24th January 2007 09:30 Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 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 Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 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. Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Oak Lodge Address Stanley Avenue Mablethorpe Lincs LN12 1DP 01507 479782 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) Linkage Community Trust Mrs Janet Elizabeth Skinner Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st November 2005 Brief Description of the Service: Oak Lodge is a modern detached house built on the same site as Beech Lodge in Mablethorpe, a small coastal resort on the east coast. The home is run by Linkage Community Trust and forms part of their long-stay project providing eight residential placements for younger adults with a learning disability. The home has a large lawned garden to the rear of the property and car-parking space to the front. It is centrally placed for service users to access shopping, recreation and work opportunities within a very short distance of their home. Public transport is readily available to Skegness, a larger resort, fourteen miles away. There is a community centre, bowling green with hire shop, café and amenity area directly opposite, also developed by Linkage, which provides further occupational options for the service users. The Trust also operates a day centre facility at Scremby Grange, approximately nineteen miles from Mablethorpe. The service users are able to access this facility and, as part of their personal development, are also involved in community work experience projects. Mablethorpe Business Centre also provides learning opportunities for some of the service users. Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced, was carried out over two hours and took into account any previous information held by CSCI including the home’s previous inspection reports, its service history, pre-inspection questionnaires completed by the Manager and residents’ questionnaires sent to the home by the Commission prior to the inspection. The site inspection consisted of case tracking a sample of residents’ records and assessing the care given. Some policies and procedures were examined and some records concerning the safety of the home were also seen. Two residents and two care staff were spoken with. The Manager was present throughout the inspection. At the time of the inspection the home confirmed that the weekly fees ranged from £482 - £514, depending on the assessed needs of the resident. Additional charges are made for services such as chiropody. Information about these costs as well as the day-to-day operation of the home, including a copy of the last inspection report is available in the manager’s office. The overall rating has been assessed as excellent, with four outcome groups being excellent and the rest good. What the service does well: Oak Lodge provides a very homely and well-maintained environment. One resident said the home was ‘good and we can do what we want as long as we tell them’ [the staff]. Another indicated that she liked living at Oak Lodge very much. Prospective residents receive a comprehensive assessment before admission to the home. Risk assessments are carried out and reviewed regularly following admission. Residents are well integrated into the community and their rights as individuals are respected. Residents who need personal care are supported in the way they prefer. The staff group is well trained and knowledgeable on all aspects of care. Residents are actively involved in any decisions about the way the home is run. The health and safety of both residents and staff is promoted through the home’s policies and procedures. Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 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 Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a range of accessible information about the service they receive. They are involved in an in-depth assessment process. EVIDENCE: Each resident’s folder contains an up to date statement of purpose and service user guide. Surveys from residents showed that they had all chosen to live at the home; one resident said her mother helped her choose the home and she came for a look round before making a final decision. Each resident had a contract, which was signed. Care plans, risk assessments and reviews were also signed, demonstrating that residents were involved in these processes. Personal profiles for each resident provided a detailed account of the residents’ personal history and other essential information. Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Comprehensive and detailed care plans enable staff to meet the needs of the residents in a way that suits them. The residents benefit from support that allows them to take control of their lives in a safe manner. EVIDENCE: Those care plans seen were very comprehensive and cross-referenced with need profiles making information easy for staff to locate. Care plans were divided into three sections covering daily living, behavioural management and medical support. One staff member said that these care plans gave clear information enabling her to meet the needs of the residents. Care plans were reviewed on a monthly basis by the key worker and resident and were signed where appropriate. Formal reviews, involving families and professionals involved with the resident, were held annually. Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 Page 10 Policies and procedures were available for risk management and the values of privacy, dignity and choice. These values were referred to throughout the care plans. Residents were very positive about the staff; one said ‘my key worker helps me with all my writing and shopping and money’. Surveys received from residents showed that they were able to make decisions about what they wanted to do from day to day. Throughout the inspection staff were observed communicating with residents with respect and sensitivity and residents demonstrated that they were confident and respectful with staff. Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents have access to a wide range of work and leisure activities. They are fully supported to maintain and develop their independence. Residents benefit from having a healthy and well balanced diet and they receive the information to help them maintain a healthy lifestyle. EVIDENCE: Each resident has a timetable of activities, including time set aside for house activities such as room-cleaning, laundry and cooking, which they were encouraged to do. On the day of the inspection two residents were going swimming with staff and residents from Beech Lodge, the next-door house. Weekly activities included bowling, visits to the cinema and local pubs and various crafts such as card making. Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 Page 12 Discussion with residents showed that their rights were respected in their everyday lives and they took responsibility for such things as independent travel, shopping, medication and their own finances. One resident said she liked going shopping with her key worker best. Another resident said he could go out with his friend whenever he liked, as long as he informed staff. Six of the residents had jobs in the local community; one was at a local care home on a work experience placement and two were undergoing work experience at the local sports hall. Another had a job at a local shop four days a week. Residents also created their own Children in Need fund-raising event, which the local community took part in. Residents described a forthcoming trip to London to see a show and this year’s summer holiday, which was to be in Wales. Menus were seen and residents described how they went shopping and cooked meals with assistance where needed. There was evidence of fresh fruit and vegetables in the kitchen. Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Clear and safe medical procedures ensure that residents’ health care needs are met. Residents’ preferences and requirements are discussed and recorded where personal support is required. EVIDENCE: Records showed that seven of the eight residents are mobile and six residents are responsible for self-medication. One resident received a package of care involving one-to-one support of 26 hours each week. The home does not provide nursing care and residents visit their own GP’s as necessary. Residents needing chiropody had chosen to have visits to the home from a local chiropodist rather than visit the NHS chiropody service; this cost £15. Medication policies and procedures were clear and the home received a visit from the local pharmacist in September 2006. the manager said that any issues from this had been addressed. Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 Page 14 All residents were regularly weighed and weight watching and keeping fit were actively encouraged to maintain healthy lifestyles. The manager said that all residents’ dying wishes had recently been recorded and that this had proved to be a very positive experience, with residents choosing songs to be sung at their funerals and where their money was to go following their death. Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s complaints procedure is clear and gives residents and their relatives the confidence that comments and concerns will be listened to; there is a robust adult protection procedure EVIDENCE: Records showed that the home had received three complaints in the last twelve months; one had been justified, one was part justified and the third was ongoing. All had been responded to appropriately and within the given time. There was a clear adult protection procedure, which was linked to the Local Authority procedures. All staff members spoken with had received training on safeguarding adults and were knowledgeable about complaints. One resident said he would complain to his key worker if he needed to. Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable, homely environment, which is safe and well maintained. EVIDENCE: The building is clean and spacious and the communal areas provide a homely atmosphere. Residents said they could choose their own furniture if they wished to. Rooms seen were clean and showed evidence of the hobbies and lifestyles of their occupants. One resident said he chose the colour for his recently decorated room. One of the stair treads was warped and very noisy when trodden on; the manager completed a maintenance request form, which she said would immediately be addressed by the maintenance staff from central office. Some tiles had blown off the roof in the recent gales; these were repaired on the day of the inspection and staff had taken the safety precaution of not Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 Page 17 allowing visitors in through the door directly under the loose tiles until they were replaced. It was recommended that the use of hand towels in staff rooms was risk assessed with regard to infection control. The gardens contained a greenhouse for residents wishing to grow flowers and the manager said there were plans to take a nearby allotment for residents to grow their own vegetables. Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is managed competently and the staff team are supported in carrying out their respective roles. The views of residents are listened to and they are involved in decisions affecting them. EVIDENCE: The rota showed that there was a minimum of two care staff on duty at all times with additional staff available to provide flexibility when needed. Residents and staff spoken with confirmed that there were enough staff members to attend to their needs. Linkage Community Trust has a company staff development officer, who is responsible for organising in-house training requested by the manager. There is a comprehensive training programme for all staff with mandatory training programmed on a continuing basis. Future specialist training included MAKATON, challenging behaviour, loss and bereavement, autism, HIV, principles of care and managing diabetes. Training records showed that 4 care staff had achieved the National Vocational Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 Page 19 Qualification at Level 2 with 1 working towards it and 1 was working towards level 3.. On the day of the inspection staff from Oak Lodge and Beech Lodge were holding a joint team meeting. Staff spoken with said they had regular supervision and records confirmed this. Staff folders were well maintained. Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is managed competently and the staff team are supported in carrying out their respective roles. The views of residents are listened to and they are involved in decisions affecting them. EVIDENCE: The registered Manager has the NVQ at level 2 and 3 and is currently working towards level 4. She has the assessors’ award. She has had 11 years’ experience in caring, 4 of these at Linkage and has been managing the home since August 2005. The Trust uses the quality assurance tool ‘Excellence for Quality Management’; this involves the views and opinions of all residents, staff and families/advocates. The results from surveys are fed into this system and are Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 Page 21 acted upon accordingly, particularly with regard to future plans for the home and for the Trust. The residents have their own committee called ‘Pointers’, which is run by the residents themselves and overseen by a manager and advocate where necessary. Comprehensive health and safety policies and procedures are in place and the residents are aware of the right and wrong way to perform many activities. Residents’ finances are well safeguarded; one resident described his two bank accounts and how he puts money into them. He also described how he obtained his weekly personal allowance. Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 Page 22 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 3 3 X 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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 4 4 X 4 X X 3 X Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 Page 23 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. 1. Refer to Standard YA30 Good Practice Recommendations The home should consider carrying out a risk assessment for cross-infection from the use of hand towels in the staff toilets. Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Oak Lodge DS0000002639.V327870.R01.S.doc Version 5.2 Page 25 - 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. 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