Inspection on 21/07/05 for Sherringham Lodge

This inspection was carried out on 21st July 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

Sherringham Lodge 09/02/07

Sherringham Lodge 14/02/06

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 Peter Allcock Unannounced 21 July 2005 @ 09.00 am 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. Sherringham Lodge G59 S10809 Sherringham Lodge V239727 21.07.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Sherringham Lodge Address 70 Sherringham Avenue, London N17 9RP 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) 020 8376 0860 Mrs Seela Khadun Mrs Seela Khadun PC - Care Home 4 beds Category(ies) of LD - Learning Disability registration, with number of places Sherringham Lodge G59 S10809 Sherringham Lodge V239727 21.07.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 14 September 2004 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 home’s 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 G59 S10809 Sherringham Lodge V239727 21.07.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken between 10am and 12:30pm on an unannounced basis. The inspector read the pre-inspection information sent by the home, which was commendably detailed, and three service user questionnaires, which staff had assisted the service users to complete. These questionnaires described the home positively. The inspector also received a completed questionnaire from a relative who described the care in the home as being very good, and a positive view from one placing officer. During the inspection, the inspector spoke to the registered provider who is also the registered manager and one service user. The other two service users were attending day care services. The inspector was shown around the building, records were examined and practice issues discussed with the registered manager. What the service does well: What has improved since the last inspection? What they could do better: There are no practice recommendations or requirements made as a result of this inspection. The home has quality monitoring systems in place and it is important that these continue to be used to develop practice in the home. Sherringham Lodge G59 S10809 Sherringham Lodge V239727 21.07.05 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. Sherringham Lodge G59 S10809 Sherringham Lodge V239727 21.07.05 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 Sherringham Lodge G59 S10809 Sherringham Lodge V239727 21.07.05 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) 2, 4 Prospective service users know that their individual aspirations and needs are properly assessed, and benefit from the 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 one service users file, which contained an assessment of need undertaken by the professional staff of the local authority who are funding the placement. The registered manager told the inspector that the home also carries out their own assessment, which she undertakes personally and a copy of this was seen in the service users file. 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. The service user spoken to during the inspection confirmed this. Sherringham Lodge G59 S10809 Sherringham Lodge V239727 21.07.05 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, 7 Service users benefit from Individual Plans, which reflect their needs and goals, and are supported by staff to make decisions about their lives. EVIDENCE: The service user file 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 this plan is reviewed on a regular basis. The service user told the inspector that the registered manager talks to him about his care plan. The service user spoken to during this inspection said that the registered manager “asks me what I want”, and described how he is supported by staff when he is out in the local community for shopping trips or social activities. Sherringham Lodge G59 S10809 Sherringham Lodge V239727 21.07.05 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, 17 Service users are encouraged and supported to develop and maintain friendships, and to enjoy appropriate activities both within the home and in the community. The food provided 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; the third currently attends a local college where he is studying pre-employment skills. Records seen in the home show that service users have the opportunity to enjoy a number of activities inside and outside the home. The service user spoken to during this inspection said that he had particularly enjoyed a recent visit to the theatre. The registered manager told the inspector that two of the service users currently resident in the home do not have regular contact with their relatives. Discussion with the registered manager suggested that the home places great importance on encouraging them to develop and maintain friendships that they make in settings such as the day care centres they attend. One service user has contact with his father, and the home has supported travel arrangements for him to visit his mother who currently lives abroad. Sherringham Lodge G59 S10809 Sherringham Lodge V239727 21.07.05 Stage 4.doc Version 1.40 Page 11 The registered manager stated that service user’s preferences for meals were sought on the preceding day and recorded. 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. One service user told the inspector that the home provides him with a vegetarian diet. Sherringham Lodge G59 S10809 Sherringham Lodge V239727 21.07.05 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) 19,20 Service users 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: The registered manager stated that 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. Regular health checks are undertaken as required, and these were documented in service users files. Medication was appropriately stored in a lockable wall cabinet located in the staff sleeping in room. There is currently one service user who takes regular medication, and staff administers this. Self-medication is considered for service users following a risk assessment. Records demonstrate that the staff team have received training in the safe handling and administration of medication. The record of administration contained the initials of staff, and the registered manager has recorded in the medication record, the initials used by staff to record the administration of medication alongside the member of staffs full name, so as to facilitate an effective audit trail. Sherringham Lodge G59 S10809 Sherringham Lodge V239727 21.07.05 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, 23 Service users benefit from 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 and this was seen at the previous inspection. 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. The registered manager stated that there had been no incidents or allegations of abuse at the home since the last inspection. The service user spoken to during this inspection told the inspector that he felt safe living in the home. Sherringham Lodge G59 S10809 Sherringham Lodge V239727 21.07.05 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) 24, 30 Service users live in a homely and comfortable environment in which their safety is promoted by the systems in place in the home. EVIDENCE: The home is a converted domestic property that blends well with the immediate neighbourhood, and is conveniently located for shops and public transport. A tour of the building showed that the home was bright, comfortable, well decorated and maintained, and cleaned to a high standard. The laundry facilities have been upgraded, and a shower accessible to people with restricted mobility has been installed on the ground floor. The exterior of the home has been decorated since the last inspection. The inspector noted how attractive the front and rear gardens have been made with colourful displays of flowers, and in the rear garden the provision of outdoor furniture. Sherringham Lodge G59 S10809 Sherringham Lodge V239727 21.07.05 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) 35 The commitment shown by the home and individual staff to training and professional development ensures that appropriately trained staff care for service users. EVIDENCE: The home has a small staff team, which has remained consistent over the last three years. Two staff have completed the NVQ level 2 in Care. One of these two staff has gone on to complete her portfolio for the level 3 award, which is currently being assessed. The other of these two members of staff has recently commenced the induction for the level 3 award. A third member of staff is currently in the process of applying for a place on the NVQ level 2 in care. 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 since the last inspection have included: • 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 • Empowering Personal Care Sherringham Lodge G59 S10809 Sherringham Lodge V239727 21.07.05 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) 42 The health and safety systems in place ensure the promotion of service users welfare. EVIDENCE: A range of health and safety documentation was seen at the last inspection, when the inspector saw still current certification in respect of the homes electrical installation, portable appliance testing and gas safety. There are arrangements in place to ensure that fire equipment is regularly tested and serviced, and the records of fire drills are as required by the fire authority. Sherringham Lodge G59 S10809 Sherringham Lodge V239727 21.07.05 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 3 x 4 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 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 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Sherringham Lodge Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x G59 S10809 Sherringham Lodge V239727 21.07.05 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 There are no requirements made following this inspection 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 There are no good practice recommendations made following this inspection. Sherringham Lodge G59 S10809 Sherringham Lodge V239727 21.07.05 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 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 G59 S10809 Sherringham Lodge V239727 21.07.05 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. 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