Inspection on 07/07/05 for Oak Lodge

This inspection was carried out on 7th July 2005.

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 24/01/07

Oak Lodge 01/11/05

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 Sue Daniells Unannounced 7 July 2005 10:00am 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. Oak Lodge C53 C04 S2639 Oak Lodge 237234 070705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Oak Lodge Address Stanley Avenue Mablethorpe Lincs LN12 1DP 01507 479782 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) Linkage Community Trust Mrs Julie ONeill PC Care Home only 8 Category(ies) of LD Learning disability (8) registration, with number of places Oak Lodge C53 C04 S2639 Oak Lodge 237234 070705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 9th March 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 area 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 C53 C04 S2639 Oak Lodge 237234 070705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on an unannounced basis in June 2005. The inspector was in the home for 2.25 hours. Eight residents were residing in the home on that day. Two residents were “case tracked” – a system which looks at the needs of the resident and follows this through by talking to the residents concerned and the staff who deliver the care, as well as observation of care practices. Two members of staff were spoken to and six residents. A sample of regulatory records and policies and procedures were seen and a partial tour of the premises took place. The Commission had also received a pre-inspection questionnaire from the home. All the residents spoken to were very happy with the home and the staff caring for them What the service does well: What has improved since the last inspection? What they could do better: N/A Oak Lodge C53 C04 S2639 Oak Lodge 237234 070705 Stage 4.doc Version 1.40 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. Oak Lodge C53 C04 S2639 Oak Lodge 237234 070705 Stage 4.doc Version 1.40 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 Oak Lodge C53 C04 S2639 Oak Lodge 237234 070705 Stage 4.doc Version 1.40 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) This outcome will be examined during the next inspection. EVIDENCE: Oak Lodge C53 C04 S2639 Oak Lodge 237234 070705 Stage 4.doc Version 1.40 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 and 7 Comprehensive care plans and person centred planning reflects the resident’s needs and aspirations, with residents making decisions about their own lives, although supported by staff if necessary. EVIDENCE: Residents spoken to were aware of their own needs and had a good knowledge of what was contained in their care plans. Monthly reviews reflect changing needs. The care plans were very comprehensive in their content with detailed risk assessments, daily living needs and a health action plan. Residents also have individual person centred plans (PCP) that highlights their aspirations and goals for the future. Discussions with staff and residents evidenced that the residents make decisions about all aspects of their lives with help from staff if needed, and are very happy with this process. If residents’ decision-making rights need to be limited, this is done through the comprehensive risk assessment process. Oak Lodge C53 C04 S2639 Oak Lodge 237234 070705 Stage 4.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 15 and 17. Residents are able to take part in appropriate and worthwhile activities, keep in contact with their families and make friends of their choice. Meals are nutritious with menus being planned by the residents. EVIDENCE: Residents in the home who have requested work placements are able to take them; one resident case tracked was on a work placement, and the other was receiving therapeutic earnings. Both of them said that they enjoyed the experience. All the residents attend the Day Centre at Scremby Grange or Mablethorpe Business College undertaking recreational and occupational training, which includes woodwork, art and craft, catering, information technology, sewing and weaving. The resident stated that they enjoyed these sessions. One of the residents case tracked stated that they had a girlfriend and saw her on a regular basis. Both residents had regular contact with their families and had made friends. Residents choose their own menus with a little guidance from staff if necessary. The dining room is able to seat all the residents at one time, Oak Lodge C53 C04 S2639 Oak Lodge 237234 070705 Stage 4.doc Version 1.40 Page 11 creating a family atmosphere. The residents stated that they looked forward to meal times and could eat whatever they wanted to. Oak Lodge C53 C04 S2639 Oak Lodge 237234 070705 Stage 4.doc Version 1.40 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 standard(s) 19 Residents have their physical and emotional care needs documented and are able to access all healthcare professionals with support from staff if necessary. EVIDENCE: Because of some of the residents having complex healthcare needs, the staff monitors these on a regular basis, which was documented in the care plans. The home has good relationships with the local GP practice and health professionals and the Trust employs its own psychiatrist and psychologist. Residents are able to attend healthcare appointments on their own if they wish, although staff will attend when requested by the resident. Oak Lodge C53 C04 S2639 Oak Lodge 237234 070705 Stage 4.doc Version 1.40 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 standard(s) 22 and 23 Residents know that staff will listen if they have a complaint and that the issue will get dealt with quickly. The home has appropriate policies and procedures to protect residents from harm and staff receive training on the subject. EVIDENCE: The home has a comprehensive complaints procedure and residents were aware of it and knew what they should do if they experienced problems including who to contact within the Commission. In addition, a CD is now available for residents to watch which outlines the complaint’s process and what to do, this being made by a home manager and some of the residents. Telephone numbers of social workers, the NCSC and CALL (an independent advocate service) are kept within residents’ own personal care plans, which they are able to access when they wish. The home has an adult protection policy in place, which refers to the Lincolnshire guidance for such issues. Staff receive training on this subject and were aware of the content of the policy. The residents stated that they would always tell staff if they thought that anyone was upsetting them or their friends. Oak Lodge C53 C04 S2639 Oak Lodge 237234 070705 Stage 4.doc Version 1.40 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 standard(s) 30 The home is clean and tidy, with policies and procedures in place for the control of infection. EVIDENCE: The home has policies and procedures for the control of infection with suitable equipment in the form of gloves and apron being provided. Laundry is taken to a designated laundry room. On the day of inspection there was no evidence of malodours and the home was seen to be clean. Residents informed the inspector that they clean and tidy their own rooms and help staff to clean the communal areas. Oak Lodge C53 C04 S2639 Oak Lodge 237234 070705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 Robust recruitment policies and practices are in place and residents’ involvement is part of that process. EVIDENCE: The home has comprehensive policies and procedures for the recruitment of staff. The personnel file for one member of staff was examined. This contained all the pre-employment documentation to ensure that residents are protected. Within Linkage, residents are now involved in the interview process, compiling their own questions to put to candidates. Residents stated that they were happy with the home’s staff but if they had a problem with anyone they would make sure someone listened to them. Oak Lodge C53 C04 S2639 Oak Lodge 237234 070705 Stage 4.doc Version 1.40 Page 16 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) These outcomes will be examined during the next inspection. EVIDENCE: Oak Lodge C53 C04 S2639 Oak Lodge 237234 070705 Stage 4.doc Version 1.40 Page 17 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 ENVIRONMENT Score 4 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 x x 3 x 3 Standard No 31 32 33 34 35 36 Score x x x 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Oak Lodge Score x 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x C53 C04 S2639 Oak Lodge 237234 070705 Stage 4.doc Version 1.40 Page 18 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Oak Lodge C53 C04 S2639 Oak Lodge 237234 070705 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Unity House, The Point Weaver Road, off Whisby Road Lincoln LN6 3QN 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 Oak Lodge C53 C04 S2639 Oak Lodge 237234 070705 Stage 4.doc Version 1.40 Page 20 - 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!