Inspection on 13/09/05 for Preceptory Lodge

This inspection was carried out on 13th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Preceptory Lodge 23/10/08

Preceptory Lodge 15/11/06

Preceptory Lodge 06/03/06

Preceptory Lodge 01/03/05

Preceptory Lodge 14/09/04

Preceptory Lodge 04/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

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

CARE HOME ADULTS 18-65 Preceptory Lodge Temple Hirst Selby North Yorkshire YO8 8QN Lead Inspector Mary Slattery Unannounced 13 September 2005 15:00pm 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. Preceptory Lodge J53_J04_S38302_Preceptory Lodge_V243978_stage 4_130905.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Preceptory Lodge Address Preceptory Lodge Temple Hirst Selby North Yorkshire YO8 8QN 01757 270095 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) Mr Donald Smith Post Vacant. Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Preceptory Lodge J53_J04_S38302_Preceptory Lodge_V243978_stage 4_130905.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 1st March 2005. Brief Description of the Service: Preceptory Lodge provided personal care and accommodation for two adults with Autism. Preceptory Lodge is a single storey building providing accommodation for service users in a domestice environment and is situated in the private grounds of Preceptory Farm. The home is located between Selby and Doncaster and transport is provided for access local amenities and leisure activities. The home was first registered in March 2003 and is provately owned by Mr D Smith. Preceptory Lodge J53_J04_S38302_Preceptory Lodge_V243978_stage 4_130905.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report relates to an unannounced inspection of the home carried out on the 13th September 2005. The inspection took two and a half hours plus two hours preparation time. A tour of the premises was carried out which included service users private accommodation. A selection of the homes’ records were looked at and time was spent observing the activity in the home, talking and listening to service users and staff. The focus of the inspection was on a number of key standards, inspecting the case records of service users to see if they corresponded with their experience of life in the home. The acting manager was available throughout the inspection and the findings were discussed with her at the close of the inspection. What the service does well: Provides an environment in which service users can develop new skills that will help them cope with daily living and experience new social and leisure activities. Selects staff that are suitable and provides staff with the training and supervision they need to ensure that they have the skills to deliver care and support to the service users. The home is managed in such a way that service users are involved in making decisions about their lives, the daily activity in the home and looking at ways to ensure risk is minimised to keep them safe from harm. Good relationships have been developed with external agencies that are involved with the service users. Gathers good information about the service users and has in place informative care plans with clear guidance for staff about all aspects of the service users personal and developmental needs. Regularly reviews the care plans and updates all staff on any changes to service users care. Preceptory Lodge J53_J04_S38302_Preceptory Lodge_V243978_stage 4_130905.doc Version 1.40 Page 6 The home is well maintained, warm, clean and comfortable at the time of this inspection. The service users are involved in choosing the décor for their bedrooms and arranging the room to suit their tastes and interests. The records looked at were in good order and service users have access to their own records. 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. Preceptory Lodge J53_J04_S38302_Preceptory Lodge_V243978_stage 4_130905.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 Preceptory Lodge J53_J04_S38302_Preceptory Lodge_V243978_stage 4_130905.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) 1, 2, 3, 4, and 5. People are provided with considered information in suitable formats to help them make an informed choice about moving into the home. Information is gathered about people prior to them moving in to ensure that there needs can be met in a safe manner. EVIDENCE: There is a statement of purpose and a service user guide and these are made available for prospective service users, their families and or representative. The contents of the documents are discussed with the service users and alternative formats will be made available to assist them in understanding what the service offers. All prospective service users needs are assessed prior to them moving in and the gathering of information is carried out over a period of time. This involves meeting with the service user, their representatives and family where appropriate to ensure that all their needs and aspirations are identified and can be met by the staff before an agreement is reached to arrange a trial visit to the home. The home accommodates two service users so it is important that the mix of service users is considered both to help them to settle in and to minimise disruption to the others. Preceptory Lodge J53_J04_S38302_Preceptory Lodge_V243978_stage 4_130905.doc Version 1.40 Page 9 All service users are issued with a contract/terms and conditions document and copies of these are kept on their personal files. Preceptory Lodge J53_J04_S38302_Preceptory Lodge_V243978_stage 4_130905.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8,9 and 10. Service users are supported and encouraged to live as independently as possible taking into account any risks that need to be considered. EVIDENCE: The service users are fully involved in the development of their care plans, their needs and personal goals are discussed and the arrangements for the support they will need in achieving these are agreed and recorded. The plans describe what is going to happen, when and what levels of support are needed from the staff. Action plans are agreed as to the level of involvement they will have in the daily running of the home such as cooking, shopping and domestic duties around the house. The policy of the home is that the staff will work alongside the service users to enable and support them in living as independent a life as possible. All risk is assessed and the actions that need to be taken to minimise risk are identified and recorded. The service users do not go out of the home independently they need one to one support from the staff to take part in any activities outside the home. The service aims to provide opportunities for them to develop confidence, try new activities and experience new adventures. The skill mix of the staff is Preceptory Lodge J53_J04_S38302_Preceptory Lodge_V243978_stage 4_130905.doc Version 1.40 Page 11 important to ensure that all the service users care needs are met and that they can enjoy a wide variety of leisure activities. The service users are fully aware that information is held about them and they have access to their care plans. Preceptory Lodge J53_J04_S38302_Preceptory Lodge_V243978_stage 4_130905.doc Version 1.40 Page 12 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) 11, 12, 14, 15, 16 and 17. Service users have a varied lifestyle and enjoy a wide range of social activities. EVIDENCE: Service users told me about what they do and what they enjoy, this included the involvement in the day to day domestic tasks in the house, going walking and swimming, watching television, meeting with family and going out socially with the staff. Opportunities are given to the service users to develop interpersonal skills, to care for their own personal hygiene, to choose their mode of dress and to enjoy social and leisure activities. As the staff work very closely with the service users the staff recruitment and selection process is such that staff are carefully chosen and that the mix is suitable to meet the complex needs of the service users. The care plan records detailed what the service users had done and the type and level of support they were given. Staff were observed interacting well with the service users, enabling the service users to make decisions and listening to what they were saying. Preceptory Lodge J53_J04_S38302_Preceptory Lodge_V243978_stage 4_130905.doc Version 1.40 Page 13 The service users have access to all communal areas in the house and are involved in deciding what to buy for the house and in choosing the decor and furnishings. The service users and the staff discuss the menu, which is based on the likes, dislikes and nutritional needs of the service users. The shopping and cooking is a joint venture between the staff and service users. Preceptory Lodge J53_J04_S38302_Preceptory Lodge_V243978_stage 4_130905.doc Version 1.40 Page 14 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) 18, 19 and 20. There are good systems in place to ensure that the service users personal and health care needs are met. EVIDENCE: The care plans gave information about the service users health and personal care needs and the arrangements that are in place for these to be met. This information included their personal care and the type and level of supported needed from the staff. The service users are registered with a general practitioner and have input form external health care professionals including the psychiatric services with regard to their mental health and behaviour management. Risk is assessed and plans were in place to assist both the service users and the staff in minimising risk without to much restriction on freedom and independence. Regular reviews of health care concerns had been carried out including medication reviews. The outcomes of all reviews are recorded and where indicated the care plans are changed in line with changing needs. Preceptory Lodge J53_J04_S38302_Preceptory Lodge_V243978_stage 4_130905.doc Version 1.40 Page 15 The monitored dosage medication system is operated by the home and all medication is safely stored and the records were accurate. Preceptory Lodge J53_J04_S38302_Preceptory Lodge_V243978_stage 4_130905.doc Version 1.40 Page 16 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. There was a relevant complaints procedure and staff’s awareness of abuse ensures that service users are protected form harm. EVIDENCE: The home has a clear and comprehensive complaints procedure and it is produced in a format that helps the service users understand that they can make complaints about all aspects of their life in the home and who they can refer their complaints to. No complaints have been made to the home or the CSCI within the last twelve months. Service users and the staff meet regularly where people air their views about all aspects of the service and can influence changes to be made. Records of all meetings and of any actions taken are kept. The staff have attended abuse awareness training and were aware of the adult protection policy and whistle blowing policy and procedure. The required checks are carried out on all staff prior to employment to minimise risk to service users. Preceptory Lodge J53_J04_S38302_Preceptory Lodge_V243978_stage 4_130905.doc Version 1.40 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27 and 30. The standard of the environment is good and provides service users with a safe, comfortable and clean place in which to live. EVIDENCE: Preceptory Lodge is a bungalow and is situated in an expanse of wellmaintained grounds and away from a main road. Transport is needed for the service users to access local facilities and the proprietor provides this. There is a day service facility in the grounds and this is available to the service users if they wish to take part in the activities provided. Each service users have their own bedroom and have the choice as to how their room is decorated and furnished. There is a lounge, a bathroom with toilet and shower and a well-equipped kitchen/dining room. Preceptory Lodge J53_J04_S38302_Preceptory Lodge_V243978_stage 4_130905.doc Version 1.40 Page 18 The decoration and furniture is good, there is a written programme for the routine maintenance and all the required safety certificates were in place, which showed that all equipment is tested and upgraded as required. The home was meeting the requirements of the fire safety department and has a fire risk assessment in place. The home was clean and free from offensive odours, all dangerous substances were stored correctly and the insurance certificate was current. Preceptory Lodge J53_J04_S38302_Preceptory Lodge_V243978_stage 4_130905.doc Version 1.40 Page 19 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) 31, 32 34 and 36. The service users receive a good standard of care from a staff team that is well trained and motivated. EVIDENCE: The staff recruitment and selection process is robust and the required staff records were in place including evidence that CRB and POVA checks had been completed before the staff take up their post. There is a staff training programme in place which includes NVQ, health and safety, medication, abuse awareness, Autism, care planning and challenging behaviour. All staff undertake an induction to the home, they have one to one supervision and attend staff meetings. Records of staff supervision and meetings were in place. The home currently accommodates one service user and there is one member of staff on duty at all times. Preceptory Lodge J53_J04_S38302_Preceptory Lodge_V243978_stage 4_130905.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 40, 42 and 43. The service users benefit from a well managed home in which their needs and wishes are put first. EVIDENCE: There is currently no registered manager in post and arrangements have been made for a manager of another home belonging to the proprietor to undertake the interim management responsibilities. These arrangements ensure that all aspects of the service are managed, monitored and that staff are supervised. There is a suitable on call system in the event of any emergency and the proprietor lives within close proximity of the home. The home has a quality assurance and monitoring system in place and the views of the service users and other stakeholders are gathered and recorded. Preceptory Lodge J53_J04_S38302_Preceptory Lodge_V243978_stage 4_130905.doc Version 1.40 Page 21 This information enables the service to continually develop and identifies areas of concern. The proprietor visits the home on a regular basis to monitor the activity and produces a report on the conduct of the home. During these visits the views of the service users and the staff are sought and recorded. All of the required records were in place they were in good order and are kept secure. There is a health and safety policy and procedure in place and all staff have attended the required training. Preceptory Lodge J53_J04_S38302_Preceptory Lodge_V243978_stage 4_130905.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 x x 3 Standard No 11 12 13 14 15 16 17 3 3 x 3 3 3 x Standard No 31 32 33 34 35 36 Score 3 2 x 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Preceptory Lodge Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 3 2 3 x 3 3 J53_J04_S38302_Preceptory Lodge_V243978_stage 4_130905.doc Version 1.40 Page 23 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. 2. Refer to Standard 32 37 Good Practice Recommendations It is recommended that 50 of the care staff are trained to NVQ Level 2. It is recommended that a manager be appointed and an application for registration be submitted Commission. Preceptory Lodge J53_J04_S38302_Preceptory Lodge_V243978_stage 4_130905.doc Version 1.40 Page 24 Commission for Social Care Inspection Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Preceptory Lodge J53_J04_S38302_Preceptory Lodge_V243978_stage 4_130905.doc Version 1.40 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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