Inspection on 01/10/05 for Sobell Lodge

This inspection was carried out on 1st October 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

Sobell Lodge 12/08/08

Sobell Lodge 12/09/06

Sobell Lodge 25/04/05

Sobell Lodge 10/11/04

Sobell Lodge 31/07/04

Similar services:

Thorndene

Sutton Lodge Nursing Home

Wingham Court

Bethany Lodge

17 John Street

Red Oaks

Clare House Nursing Home

Broad Oak Manor Nursing Home

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Mote Lodge Sobell Cheshire Home Mote Lodge High Street Staplehurst Tonbridge Kent TN12 0BJ Lead Inspector Debbie Sullivan Announced Inspection 1st November 2005 09:30 Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 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 Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 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 Older People and 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. Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Mote Lodge Sobell Cheshire Home Address 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) Mote Lodge High Street Staplehurst Tonbridge Kent TN12 0BJ 01580 893996 01580 890109 tracy.haith@lc-uk.org Leonard Cheshire Mrs Tracy Jane Haith Care Home 21 Category(ies) of Physical disability (21) registration, with number of places Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Care of two persons with Physical Disability who are over the age of 65 years whose dates of birth are 19th November 1929 and 23rd October 1936 . Care for those with a physical and learning disability is restricted to 3 residents whose dates of birth are: 28/12/1936, 25/07/1977 and 10/05/1979 25th April 2005 Date of last inspection Brief Description of the Service: Mote Lodge is part of the Leonard Cheshire Foundation. The home is purpose built for people with physical disabilities and is on two floors, the ground floor is accommodation for residents; the upper floor contains training and other staff facilities. There are twenty-one ensuite bedrooms leading off a central entrance, a dining room and two communal living areas. The home is in easy reach of the village of Staplehurst that has local shops and other facilities; it is next door to the active village community centre. There is a bus stop nearby and the train station is half a mile away. The staffing of the home includes the manager, care supervisor, carers, activities coordinators, catering, maintenance, office and housekeeping staff and a physiotherapist. Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over eight hours. Information was gained from the manager of the home, residents, members of the care, housekeeping, office, maintenance and kitchen staff, and from reading documentation. Four residents and seven members of staff were spoken with individually and a tour of the accommodation took place. The pre inspection questionnaire completed by the home and comment cards sent in from residents, relatives and visitors and professionals provided additional information. Comment cards contained complimentary statements about the home and level of care. The lunchtime medication round was partially observed and lunch attended, as were an afternoon drama session and the staff handover. What the service does well: What has improved since the last inspection? Work has taken place to update care plans that is continuing. New kitchenettes that are accessible and will promote further independence have been fitted in the two communal areas. All the residents’ rooms are now fitted with locks. Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 Page 6 Consultation has continued with GP’s regarding them providing specific instructions for PRN medication, this is now in place. 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. Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 and 5 Prospective residents have access to comprehensive information about the home so that they can make an informed choice. Needs are fully assessed prior to admission. EVIDENCE: The home has a statement of purpose and service users’ guide; the service users’ guide was displayed in the entrance area, both had been revised this year. The needs of prospective residents are assessed by the manager prior to admission. The home had one vacancy and the manager was due to undertake an assessment of a prospective resident who was in hospital to establish that their needs could be met. Prospective residents have the opportunity to visit and spend time at the home before making a decision on moving in. One Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 Page 9 resident spoken with said that as soon as they visited the home they knew it would be suitable. Assessment in terms of specialist needs is part of the pre admission process; specialist support is provided either from within the home in the case of physiotherapy or from other professionals, for example a district nurse or speech therapist. Care plans contained signed terms and conditions of the home in formats accessible to individual residents such as large type. Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 and 10. Residents can feel confident that their needs are fully recorded and kept confidentially. Residents are supported to make individual choices and consulted about the running of the home. EVIDENCE: Several care plans were read including those for residents who were over 65. Care plans contain comprehensive information including risk assessments, evidence of reviews, personal care needs and preferences and health needs. Care plans are being updated so that information is more easily accessible and whilst currently information is thorough, the recording format is not always user friendly for staff. Care plans and other confidential information are kept Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 Page 11 securely; residents can request access to them at any time and had signed agreements that care plans can be kept locked in the care office. A key worker system is in operation with a buddy in some cases so that there is a second key worker as back up. There is a strong commitment to including residents in decisions and choices about the running of the home and to enabling individual choices to be made; this was seen during the inspection in terms of residents going out, choosing activities and meals. Statements on comment cards in relation to choice included “my (relative) can make their own decisions” and “they are open about information sharing and encourage dialogue with residents and families”. Residents make daily choices such as those regarding social and personal care needs, when to get up and go to bed, choice of meal and management of finances. There are regular residents’ meetings and involvement in the disabled peoples’ forum and health and safety meetings. Residents are included in the interviews for new staff and their views recorded. Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16 and 17. The home provides opportunities for residents to take part in a range of activities within the home and community. Personal rights, relationships and preferences are respected. EVIDENCE: Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 Page 13 The home offers opportunities for personal development and access to a range of activities within the home and the community. One full time and two part time activity coordinators are employed and residents are consulted about their personal interests. During the inspection a beauty therapy session and a well-attended drama group working on a Christmas production took place, an extension of which was work on props for the play, those involved were very enthusiastic having put on a play earlier in the year. Other activities available include a poetry group, newsletter group, gardening, sewing, art and craft and adult education classes in the community. In the New Year it is hoped that a numeracy session can be included on a regular basis. Community activities are provided such as visits to the cinema and theatre, shopping, visits to local places of interest and residents are enabled to access holidays. Some residents had attended a Halloween party at another Cheshire home the day before the inspection. Residents are supported to maintain contacts with relatives and friends and the home has a visitor’s room. Residents are now able to lock their doors, privacy is respected and throughout the inspection staff showed awareness of residents preferences in terms of choosing to spend time alone, in group activities or when time allowed having a one to one chat. The lunchtime meal offered a variety of choices with a vegetarian option. Special diets are catered for and the meal was well cooked and presented. Those needing assistance with eating were helped appropriately. Later at teatime tables were decorated and a cake provided for a resident celebrating a birthday. Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) 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. Residents are provided with personal and healthcare support that is flexible and meets individual needs. Medication administration procedures are good; the storage of medication needs to be improved upon. EVIDENCE: Residents personal preferences as to how they receive care are recorded on care plans; gender preferences are respected as far as possible. Support is given flexibly, for instance if a resident wishes to get up later than usual this is respected. Health needs are well documented and specialist needs are met by outside professionals such as a dietician and chiropodist. There is good liaison with health and other services, comment cards from health professionals included the statements “The home always reports changes and contacts for Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 Page 15 advice, they are open about information sharing”, and “ the care in Mote lodge is excellent”. If emotional support needs are identified staff support the resident in offering referral to services such as counselling. Residents are offered the choice to manager their own medication. The lunchtime medication round was observed, staff were administering medication correctly, two staff are always responsible for giving medication. Medication records now contain sheets to record PRN’s given. Medication is kept in various locations in the home, controlled drugs and the medication trolley are secure, but are stored in different rooms, the trolley being tethered in the care office or dining room. There is no designated medication room, additional medication or items that would not fit on the trolley were locked in a cabinet with a system of opening and key holding known to selective care staff that was not satisfactory in terms of security, or protection of residents and staff in case of any mishandling. Medication to be returned to the pharmacy was locked in another room. This makes for a complicated storage system and the provision of a dedicated medication room should be addressed. Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) 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 and 23. Residents can be confidant that complaints will be listened to and taken seriously and that they are protected from abuse. EVIDENCE: The Leonard Cheshire foundation’s complaints, whistle blowing and adult protection procedures are in place. There had been three complaints since the last inspection; related documentation inspected showed that they had been responded to according to procedures. Staff spoken with were aware of the procedure, a resident stated that they would always feel that they could take a concern to the manager and be listened to and a relative stated on a comment card that they would know who to speak to with any concerns. All staff receive adult protection training as part of their induction and update training is given every two years. There had been one adult protection alert since the last inspection that had been resolved, measures to improve the safety and security of residents were highlighted and acted upon as a result. A resident stated they felt very well protected at the home. Procedures for handling residents’ weekly spending money are well established and records and monies kept securely. Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 Page 17 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29 and 30. The home provides a safe, clean, well-decorated and well-maintained environment. Specialist equipment and refurbishment in communal areas aids independence. EVIDENCE: The home is purpose built and all accommodation for residents is on the ground floor. The North and South lodges lead off the entrance, each contains bedrooms and a communal area. The large dining room and a visitors/meeting Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 Page 18 room are near the entrance. Kitchenettes in the communal areas have very recently been replaced and are designed to enhance independence and daily living skills. Activity sessions take place in the communal areas, as well as general socialising. The home was well decorated and clean throughout, individual bedrooms all have ensuite facilities and are personalised to individual taste, those seen were very attractive. Full and part-time assistant maintenance coordinators undertake ongoing maintenance of the building and environmental safety checks are made twice weekly. A garden surrounds the property that is well-maintained, and accessible to residents. Bedrooms all lead onto the garden and have small patio areas. Bedrooms contain specialist equipment such as ceiling track hoists and there are sufficient disabled toilets in addition to those ensuite. Residents spoken with were happy with their rooms. The laundry was refurbished and extended in 2003; a team of 4 housekeeping staff are responsible for cleaning and laundry. Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 Page 19 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35 and 36. Staff are well supported and trained and the recruitment process is thorough. EVIDENCE: The home has a well-established staffing structure and employs care, kitchen, housekeeping, maintenance and office staff and activities coordinators. Care staff numbers have risen since the last inspection; agency care staff are used when necessary, the same agency carers are employed to give consistency as far as possible. Some staffing files were inspected, information was easy to find and included references, a tracking sheet for the recruitment process, evidence of CRB and POVA checks, records of interview responses clearly showing the involvement of a resident, training certificates and supervision recording. Staff attend a corporate induction day with new staff from other Cheshire Homes in which residents have involvement and induction training at the Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 Page 20 home. An area training coordinator is provides a programme of courses and a record is kept of each member of staff’s training, the programme for July to December 2005 included Moving and Handling, Health and Safety and key working. Staff spoken with said that plenty of training is given and that they felt well supported. Evidence was seen of POVA training updates being provided. Supervision is given regularly; meetings for staff are held and include meetings for care staff, team leaders’ meetings and health and safety meetings. Additional staff are employed to help in the kitchen at weekends and checks need to be made that that those handling food all have food hygiene training. All staff spoken with individually enjoyed working at the home and care and support was given in a professional but relaxed manner. One member of the care staff liked having time in the afternoons to talk with residents or engage them in activities. A comment card from a care manager said that “---- staff have a very good rapport with the clients”. Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42 and 43. The home is well managed and has an open and friendly atmosphere. Organisational policies and procedures protect the health and safety of staff and residents. Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 Page 22 EVIDENCE: Positive comments regarding the ethos and management of the home were made by staff and residents and were included on comment cards. Throughout the inspection comments, documentation and observation showed that importance is given to respecting each resident as an individual and providing a flexible service to meet the needs of residents with a fairly wide range of ages and abilities. Organisational quality audits take place and the views of residents and their families are sought. Leonard Cheshire policies and procedures are in place and related documentation kept up to date in respect of the home. Staff and residents’ records are stored confidentially, evidence and recording was seen of safe working practices such as temperature monitoring of freezers, fridges and cooked food, and risk assessments regarding manual handling. The home had a valid insurance certificate and fire procedures inspected were thorough with regular drills taking place and records kept of those involved. The full time maintenance coordinator checks the safety of the overall environment. Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 Page 23 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 4 35 3 36 3 CONDUCT AND MANAGEMENT 37 3 38 3 39 3 40 3 41 3 42 3 43 3 Standard No 6 7 8 9 10 LIFESTYLES 11 12 13 14 15 16 17 Score 3 3 4 3 3 3 3 3 3 3 4 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 Page 24 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. 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 3 Refer to Standard 6 20 42 Good Practice Recommendations It is recommended that the updating of care plans needs to include the development of a recording format that makes information easier to locate on care plans. It is strongly recommended that consideration be given to the provision of a dedicated medication storage area at the earliest opportunity. It is recommended that a check be made to ensure that all part time staff that handle food have food hygiene training. Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. Mote Lodge Sobell Cheshire Home DS0000023984.V263233.R01.S.doc Version 5.0 Page 26 - 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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