Inspection on 01/02/07 for Palm Lodge

This inspection was carried out on 1st February 2007.

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

Palm Lodge 12/09/07

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Palm Lodge Palm Lodge 59 Kings Road London Colney Hertfordshire AL2 1ES Lead Inspector Jeffrey Orange Key Unannounced Inspection 1st February 2007 10:00 Palm Lodge DS0000067751.V329144.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 Palm Lodge DS0000067751.V329144.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. Palm Lodge DS0000067751.V329144.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Palm Lodge Address Palm Lodge 59 Kings Road London Colney Hertfordshire AL2 1ES 07759402987 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) Bowmans Lodge Limited Maleega Pyneandee Care Home 5 Category(ies) of Past or present alcohol dependence (5), Past or registration, with number present drug dependence (5), Learning disability of places (5), Mental disorder, excluding learning disability or dementia (5) Palm Lodge DS0000067751.V329144.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: There are none Date of last inspection This is the first inspection for this service. Brief Description of the Service: Palm Lodge is a privately owned and run care home, registered to provide care and accommodation for up to five adults between the age of 18 –65 who have had a past drug or alcohol dependency and /or have a learning disability or a mental health disorder. The home aims to offer a supportive environment, to enable service users to gain or regain skills and to recover the confidence necessary for them to be able to move on and live even more independently within the community. The home is situated in a residential area of London Colney, with accommodation over two floors, including communal areas and office/sleep-in provision for staff. The home has a rear garden which is accessible to service users. There is limited parking available to the front of the home with additional on street parking subject to availability. There are good local public transport links and local shops and the home is also close to a large retail park. The home has a statement of purpose and service user guide, which includes contact details for the Commission for Social Care Inspection (CSCI). Fees are expected to be in the range £700- £800 per week. Palm Lodge DS0000067751.V329144.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Palm Lodge was registered by the CSCI in August 2006 following a registration process that included a site visit and submission of a full application by the home detailing its aims, policies and procedures. A satisfactory fit person interview for the manager was held in July 2006. The home does not currently have any service users and this report is therefore limited in its scope, drawing heavily on information obtained during the registration process and from previous experience with the Registered Providers in respect of other services registered with the CSCI. It is understood that the assessment process for potential service users is under way and that it is expected that the first service users will move into the home during the first quarter of 2007. What the service does well: What has improved since the last inspection? What they could do better: Palm Lodge DS0000067751.V329144.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Palm Lodge DS0000067751.V329144.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 Palm Lodge DS0000067751.V329144.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): Standard 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a preregistration visit to this service. The home has policies and procedures in place to ensure that only those prospective service users whose needs can be adequately met are admitted. EVIDENCE: An assessment process is currently under way in respect of potential service users. The registered providers have previously demonstrated a commitment to a thorough and robust assessment process in respect of other registered services. The standard of the home’s assessment process will continue to be monitored at future inspections. Palm Lodge DS0000067751.V329144.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): Standards 6 7 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service as part of the registration process for this service and discussions with the registered manager and provider. EVIDENCE: The judgement has been made in the light of discussions with the registered manager and the provider and also by reviewing policies and procedures as part of the registration process. However, in the absence of any service users, it is not possible to base this judgement on anything other than the information obtained during the registration process and the experience of the provider gained in respect of other similar care services registered with the CSCI. The above judgement will be re-assessed once service users are admitted. Palm Lodge DS0000067751.V329144.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12 13 15 16 17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service as part of the registration process for this service and discussions with the registered manager and provider. EVIDENCE: The judgement has been made in the light of discussions with the registered manager and the provider and also by reviewing policies and procedures as part of the registration process. However, in the absence of any service users, it is not possible to base this judgement on anything other than the information obtained during the registration process and the experience of the provider gained in respect of other similar care services registered with the CSCI. The above judgement will be re-assessed once service users are admitted. Palm Lodge DS0000067751.V329144.R01.S.doc Version 5.2 Page 11 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): Standards 18 19 20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service as part of the registration process for this service and discussions with the registered manager and provider. EVIDENCE: The judgement has been made in the light of discussions with the registered manager and the provider and also by reviewing policies and procedures as part of the registration process. However, in the absence of any service users, it is not possible to base this judgement on anything other than the information obtained during the registration process and the experience of the provider gained in respect of other similar care services registered with the CSCI. The above judgement will be re-assessed once service users are admitted. Palm Lodge DS0000067751.V329144.R01.S.doc Version 5.2 Page 12 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): Standards 22 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service as part of the registration process for this service and discussions with the registered manager and provider. EVIDENCE: The judgement has been made in the light of discussions with the registered manager and the provider and also by reviewing policies and procedures as part of the registration process. However, in the absence of any service users, it is not possible to base this judgement on anything other than the information obtained during the registration process and the experience of the provider gained in respect of other similar care services registered with the CSCI. The above judgement will be re-assessed once service users are admitted. Palm Lodge DS0000067751.V329144.R01.S.doc Version 5.2 Page 13 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): Standards 24 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service as part of the registration process for this service and discussions with the registered manager and provider. EVIDENCE: The judgement has been made in the light of discussions with the registered manager and the provider and also by reviewing policies and procedures as part of the registration process. However, in the absence of any service users, it is not possible to base this judgement on anything other than the information obtained during the registration process and the experience of the provider gained in respect of other similar care services registered with the CSCI. The above judgement will be re-assessed once service users are admitted. Palm Lodge DS0000067751.V329144.R01.S.doc Version 5.2 Page 14 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): Standards 32 34 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service as part of the registration process for this service and discussions with the registered manager and provider. EVIDENCE: The judgement has been made in the light of discussions with the registered manager and the provider and also by reviewing policies and procedures as part of the registration process. However, in the absence of any service users, it is not possible to base this judgement on anything other than the information obtained during the registration process and the experience of the provider gained in respect of other similar care services registered with the CSCI. The above judgement will be re-assessed once service users are admitted. Palm Lodge DS0000067751.V329144.R01.S.doc Version 5.2 Page 15 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): Standards 37 39 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service as part of the registration process for this service and discussions with the registered manager and provider. EVIDENCE: The manager has been registered by the CSCI. The judgement has been made in the light of discussions with the registered manager and the provider and also by reviewing policies and procedures as part of the registration process. However, in the absence of any service users, it is not possible to base this judgement on anything other than the information obtained during the registration process and the experience of the provider gained in respect of other similar care services registered with the CSCI. Palm Lodge DS0000067751.V329144.R01.S.doc Version 5.2 Page 16 The above judgement will be re-assessed once service users are admitted. Palm Lodge DS0000067751.V329144.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 2 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 2 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 X 2 X LIFESTYLES Standard No Score 11 X 12 2 13 2 14 X 15 2 16 2 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 2 X 2 X 2 X X 2 X Palm Lodge DS0000067751.V329144.R01.S.doc Version 5.2 Page 18 N/A Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Palm Lodge DS0000067751.V329144.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Hertfordshire Area Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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. 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