Inspection on 14/02/06 for Sherringham Lodge

This inspection was carried out on 14th February 2006.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sherringham Lodge 09/02/07

Sherringham Lodge 21/07/05

Sherringham Lodge 14/09/04

Sherringham Lodge 27/04/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Sherringham Lodge 70 Sherringham Avenue London N17 9RP Lead Inspector Susan Shamash Unannounced Inspection 14th February 2006 03:50 Sherringham Lodge DS0000010809.V282314.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Sherringham Lodge DS0000010809.V282314.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Sherringham Lodge DS0000010809.V282314.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Sherringham Lodge Address 70 Sherringham Avenue London N17 9RP 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) 020 8376 0860 Mrs Seela Khadun Mrs Seela Khadun Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Sherringham Lodge DS0000010809.V282314.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st July 2005 Brief Description of the Service: Sherringham Lodge is registered as a care home providing care and accommodation for up to 4 people with a learning disability. It is a single private home with the registered provider also registered as the homes manager. The home is located in a quiet residential road and is close to a range of amenities including local and High Street shops as well as an effective public transport network. The home was opened in 1998 and is a converted domestic property that comprises two storeys. Two service user bedrooms and staff facilities are on the first floor with two further service user bedrooms, one with en-suite, and communal facilities are situated on the ground floor. The home has a well-kept accessible garden at the rear. The aim of the home is to provide a homely, domestic environment for service users with learning disabilities and to encourage them to live as independently as possible. Sherringham Lodge DS0000010809.V282314.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken on an unannounced basis and lasted approximately three and a half hours. At the start of the inspection, the inspector was assisted by a staff member on duty at the home and had the opportunity to meet and speak to all four service users including a service user staying at the home on a respite basis. The registered provider who is also the registered manager was available towards the end of the inspection. The inspector was shown around the building, records were examined and practice issues discussed with the staff member and the registered manager. What the service does well: What has improved since the last inspection? As noted at the previous inspection, the installation of a ground floor shower, refurbishment of the laundry and external decoration had further improved the quality of the environment in which service users live. Further NVQ training has also been provided to staff members. No requirements were made at the previous inspection. Sherringham Lodge DS0000010809.V282314.R01.S.doc Version 5.1 Page 6 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. Sherringham Lodge DS0000010809.V282314.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Sherringham Lodge DS0000010809.V282314.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 4. Prospective service users can be assured that their individual aspirations and needs will be properly assessed. They benefit from opportunities to visit the home and stay overnight so that they have the information they need to decide if they wish to live in the home. EVIDENCE: The inspector looked at all four assessments of needs undertaken placements. The registered manager which she undertakes personally, and users’ files. service users files, which contained by the local authority funding the also carries out her own assessments, copies of these were seen in the service The registered manager told the inspector that prospective service users have the opportunity to visit the home, undertake a tea visit and stay overnight so as to be able to make an informed decision as to whether they wish to live in the home. Service users spoken to during the inspection confirmed this. Appropriate assessments had also been undertaken for the service user staying at the home on a respite basis. Sherringham Lodge DS0000010809.V282314.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Service users benefit from individual care plans which reflect their needs and goals. Service users are supported to make decisions about their lives and to take appropriate risks in developing independence skills. However recording of safeguards, in place to protect service users, needs to be improved in order to ensure that any limitations placed on service users are necessary. EVIDENCE: The service user files seen during this inspection contained a care plan, which included all the matters as set out in national minimum standard 2.3. There was evidence on file that care plans are reviewed on a regular basis. Service users indicated to the inspector that they are consulted about the care and support provided to them as appropriate. One service user told the inspector that they were supported by staff for shopping trips and social activities in the local community. Another service user advised that staff assisted them to keep their rooms clean and tidy. Sherringham Lodge DS0000010809.V282314.R01.S.doc Version 5.1 Page 10 Risk assessments were in place for all service users including guidelines for a service user who uses a computer on a regular basis, to avoid eye strain and repetitive strain injury. However the inspector noted that no risk assessment could be found for one service user who had had the water to the sink in their room cut off, for safety reasons. A risk assessment must be recorded for this service user regarding access to running water in their room. An agreement form should also be drawn up regarding the restriction placed on this service user, including signatures of the service user (or an advocate if appropriate), the home manager and the service user’s social worker. The risk assessment should be reviewed at least six-monthly. Sherringham Lodge DS0000010809.V282314.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Service users are encouraged and supported to develop and maintain relationships, and to enjoy appropriate activities both within the home and in the community. They are treated respectfully and encouraged to take appropriate responsibilities. The food served in the home provides service users with individual choices, and supports them to enjoy a healthy diet. EVIDENCE: Two service users attend local day centres and one attends various courses at a local college. The service user staying at the home on a respite basis is currently not attending their usual day activities due to funding problems, but is supported to undertake some activities within the home and local area by staff from the home. Records seen in the home show that service users have the opportunity to enjoy a number of activities inside and outside the home. Two service users had been on holidays within the last year. Sherringham Lodge DS0000010809.V282314.R01.S.doc Version 5.1 Page 12 Two of the service users do not have regular contact with their relatives. Discussion with the registered manager suggested that the home continues to place great importance on encouraging them to develop and maintain friendships that they make. The registered manager indicated that efforts were being made to assist one service user in tracing their family members. The other service users are supported to maintain contacts with their family members on a regular basis. Service users are encouraged to make use of facilities in the local area including a disco club attended once weekly, visits to local shops and walks in the park. Service users told the inspector that they enjoyed the choice of meals served within the home. One service user told the inspector that the home provides them with a vegetarian diet. There was evidence on service users’ care plans that healthy eating is encouraged, and that the advice of specialists such as dieticians has been sought where appropriate. Sherringham Lodge DS0000010809.V282314.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Service users are supported appropriately with their physical and emotional health needs taking account of their preferences. They have access to the appropriate medical professionals to meet their health needs, and are protected by systems in place, which govern the administration and handling of medication. EVIDENCE: Service users spoken to indicated that they received the appropriate emotional and physical support from staff. Observation of the relationships between staff and service users during the inspection confirmed supportive interactions. All service users are registered with a local GP and evidence of appointments were seen in the home’s diary. The registered manager also stated that service users also had regular dental and optician tests and these were also documented as appropriate. Medication was appropriately stored in a lockable wall cabinet located in the staff sleeping-in room. Records demonstrates that the staff team have received training in the safe handling and administration of medication. The records of receipt, administration and disposal of medication were completed appropriately. It is recommended that the administration of homely remedies and dietary supplements such as cod liver oil, should also be recorded on the medication administration records for clarity. Sherringham Lodge DS0000010809.V282314.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Service users have the opportunity to complain and are protected by the homes adult protection policies. EVIDENCE: The home has a complaints procedure that meets the requirements of this standard. There have been no complaints made to the home, or to the Commission for Social Care Inspection in respect of this home since the last inspection. The registered provider has undertaken a one-day “training the trainer” course run by the London Borough of Barnet, which focussed on adult protection procedures. All members of staff have been trained by the registered manager in this area of practice. She stated that there had been no incidents or allegations of abuse at the home since the last inspection. Service users spoken to during the inspection indicated that they felt able to speak to staff or the manager if they were unhappy about anything in the home, and that they felt safe living in the home. Sherringham Lodge DS0000010809.V282314.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Service users live in a clean, homely and comfortable environment in which their safety is promoted. EVIDENCE: The home is a converted domestic property that blends in well with the immediate neighbourhood, and is conveniently located for shops and public transport. A tour of the building showed that the home was, comfortable, well decorated and maintained, and cleaned to a high standard. The laundry facilities have been upgraded, and a new shower accessible to people with restricted mobility has been installed on the ground floor. Service users spoken to indicated that they were satisfied with their private rooms and the communal areas within the home. Sherringham Lodge DS0000010809.V282314.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Safe recruitment procedures are in place to protect service users in the home. The commitment shown by the home and individual staff to training and professional development ensures that service users are supported by appropriately trained and experienced staff. EVIDENCE: The home has a small staff team, which has remained consistent over the last few years. Inspection of staff files during previous inspections indicates that safe recruitment practices are in place at the home. Two staff have completed the NVQ level 2 in Care. One of these two staff is now undertaking her level 3 award, and a further staff member is undertaking their NVQ level 2 qualification. The registered manager is a qualified NVQ assessor, and also holds the registered manager’s award at NVQ level 4. Training courses undertaken by staff include Communication Skills for Working with People who have Learning Disabilities and Challenging Behaviour, Basic First Aid, Principles of Fire Safety, Safe Handling of Medication, Infection Control, Care Planning, Manual Handling and Empowering Personal Care. Discussion with the staff member working in the home indicated that she was appropriately experienced and knowledgeable about the needs of service users within the home. Sherringham Lodge DS0000010809.V282314.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. The home is well managed, and service users can be assured that their views are taken into account. Health and safety systems in place ensure the promotion of service users welfare. EVIDENCE: The home’s manager has owned and managed the home since it opened in 1998. She is appropriately qualified and knowledgeable about the needs of the service users at the home. Observation of the running of the home and inspection of records indicated that the home is well run and that the service users’ wellbeing is central to all policies at the home. The inspector saw a number of completed service user satisfaction questionnaires within their files, indicating that they are consulted regularly. Regular staff meetings are also undertaken within the home as appropriate. Sherringham Lodge DS0000010809.V282314.R01.S.doc Version 5.1 Page 18 Safe practices are in place within the home including a range of current health and safety certificates and appropriate safety measures in place. Systems are also in place to ensure that fire equipment is regularly tested and serviced, and regular fire drills are undertaken. Sherringham Lodge DS0000010809.V282314.R01.S.doc Version 5.1 Page 19 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 3 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 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Sherringham Lodge DS0000010809.V282314.R01.S.doc Version 5.1 Page 20 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. 1 Standard YA9 Regulation 13(4a) 17(1a) Scd3 3q Requirement The registered person must ensure that a risk assessment is recorded for the identified service user regarding access to running water in their room. An agreement must be recorded regarding the restriction placed on this service user, including signatures of the service user (or an advocate if appropriate), the home manager and the service user’s social worker. The risk assessment should be reviewed at least six-monthly. Timescale for action 31/03/06 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 YA20 Good Practice Recommendations It is recommended that administration of homely remedies and dietary supplements such as cod liver oil, should also DS0000010809.V282314.R01.S.doc Version 5.1 Page 21 Sherringham Lodge be recorded on the medication administration records. Sherringham Lodge DS0000010809.V282314.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Sherringham Lodge DS0000010809.V282314.R01.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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