Inspection on 12/09/06 for Sobell Lodge

This inspection was carried out on 12th September 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 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 01/10/05

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 Key Unannounced Inspection 12th September 2006 09:30 Mote Lodge Sobell Cheshire Home DS0000023984.V307625.R02.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Mote Lodge Sobell Cheshire Home DS0000023984.V307625.R02.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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.V307625.R02.S.doc Version 5.2 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 www.leonard-cheshire.org.uk 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.V307625.R02.S.doc Version 5.2 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 1st November 2005 Date of last inspection Brief Description of the Service: Mote Lodge is a part of the Leonard Cheshire Foundation. The home is a purpose built service for people with physical disabilities; it is on two floors with the ground floor for the use of residents. The upper floor has facilities for staff including training rooms and a studio flat. There are twenty-one single en suite rooms for residents which lead off a central entrance and dining room. The home is located near the centre of the village of Staplehurst and to local shops, a library, medical centre and pub; it is next door to the active village Community Centre. There is a bus stop nearby on the main road and a railway station half a mile away. The staffing in the home includes the Manager, Care Supervisor, Activities Co-ordinator, full and part time day and night Care staff, Domestic and Kitchen staff, Maintenance Co-ordinator and a Physiotherapist. The weekly cost of the service ranges from £936 to £1,853 per week. There are additional charges for chiropody, holidays and outings, transport and day centre attendance. Mote Lodge Sobell Cheshire Home DS0000023984.V307625.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced Key Inspection site visit took place over seven and quarter hours. Time was spent with the home’s manager, service users, care, kitchen and domestic staff and with relatives and volunteers. Service users were spoken with individually and in communal settings, as were staff. Information was also gained from the pre inspection questionnaire completed by the manager, reading of records and documentation, observation during the course of the day and from comment cards sent in by service users, health and social care professionals and relatives. A meeting of the home’s volunteers was attended for a short while, as was the afternoon care staff handover. Throughout the inspection all staff were very helpful in providing information and made time for discussion. At the time of the site visit there were no vacant beds, four service users were on holiday and one was in hospital. Comments received from service users during the site visit and on comment cards included, “I am really happy here” “Care is excellent could not ask for more” “Very kind and supportive when I was recently taken very ill” “Really excellent food” “Carers treat me well” “I like doing drama” Comments from relatives and visitors included, “Mote Lodge is a very happy home and my (relative) enjoys living there” “Mote Lodge is very well managed…staff are very caring and dedicated” “The care is superb, as is the food” “We have no complaints at all” “Staff are most helpful at all times” “It is like a little family” Mote Lodge Sobell Cheshire Home DS0000023984.V307625.R02.S.doc Version 5.2 Page 6 Comments from health and social care professionals included, “My experience in dealing with this home has always been positive.” “Very well managed caring home” “Always a pleasure to work in the home, it is a friendly, happy environment” “There is a nice atmosphere”. What the service does well: What has improved since the last inspection? Service users are being more involved in contributing to the writing up and content of their care plans. The new fully accessible kitchenettes in both lodges have been completed. A new barbeque has been purchased and has been well used during the summer. There is a new dishwasher in the kitchen. Plans are in place for the development of a sensory area. More care staff have completed NVQ training in care and six are enrolled on the course. A complaints and compliments book is available in the entrance area. Mote Lodge Sobell Cheshire Home DS0000023984.V307625.R02.S.doc Version 5.2 Page 7 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.V307625.R02.S.doc Version 5.2 Page 8 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.V307625.R02.S.doc Version 5.2 Page 9 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 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Prospective service users and their families are able to access information about the home and to visit prior to making a decision about moving in. Needs are fully assessed before agreement is given to an admission. EVIDENCE: The home’s statement of purpose and service users’ guide were both revised in 2005, the service users’ guide contains pictorial information and written information is clear. A service user who had very recently moved into the home said that they had visited before making a decision to move in and had chosen to come to Mote Mote Lodge Sobell Cheshire Home DS0000023984.V307625.R02.S.doc Version 5.2 Page 10 Lodge from another service as it was homely, they said that having moved in they preferred it to their previous home. Relatives spoken with said that they had visited the home and another service for comparison and Mote Lodge was much preferred, written information had also been supplied. They felt that the right decision for their relative had been made. The manager undertakes a full assessment of all potential service users; senior care staff can also be involved in assessments. Care plans read included assessment information, where there are specialist or complex needs these are included in detail on the care plan and the home involves outside professionals if they need support to provide for them. The nature of the service is that some service users are admitted with, or develop complex needs, and during the inspection health professionals arrived to offer input and advice. Contracts were included on care plans Mote Lodge Sobell Cheshire Home DS0000023984.V307625.R02.S.doc Version 5.2 Page 11 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 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users can feel confident that their needs are recorded on care plans and the information is securely stored. Service users are involved in making decisions about the home and encouraged and supported to make choices regarding their daily lives. EVIDENCE: Care plans of case tracked service users were read as well as one of a service user who is over 65. The plans included evidence that service users are being Mote Lodge Sobell Cheshire Home DS0000023984.V307625.R02.S.doc Version 5.2 Page 12 encouraged to be more involved in compiling the information, and whilst not all the plans include this yet, work is progressing as reviews take place. Individual care preferences were detailed and service users had signed agreements to these. Care plans also included thorough medical information, reviews, and assessments by other agencies. The review of the care plan of the service user over 65 was overdue due to recent staff sickness and annual leave. Care plans are stored securely in the care office, service users sign an agreement that they can be stored there if they wish, but are able to access them at any time. Service users are encouraged to make decisions about their daily lives and those spoken with confirmed that they can make daily choices such as when to get up and go to bed, meals, activities to take part in or to spend time alone. Service users are able to access the home’s three vehicles; if these are all booked taxis can be used. The home is highly committed to involving service users in decisions about it’s day to day running and any future plans, service user representatives attend a number of meetings including health and safety and volunteers meetings, one of which was held on the day of the site visit, and are included in interviewing for new staff. Service users are supported in managing their finances where necessary and again receive advice and encouragement to be independent in this area. Mote Lodge Sobell Cheshire Home DS0000023984.V307625.R02.S.doc Version 5.2 Page 13 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 and 16. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Mote Lodge Sobell Cheshire Home DS0000023984.V307625.R02.S.doc Version 5.2 Page 14 Service users are able to participate in a range of activities both within the home and the community. Service users are supported in maintaining links with friends and relatives. Meals are healthy and varied with plenty of choice available. EVIDENCE: Service users are offered opportunities to be involved in a range of activities within the home and the community. Activity co-ordinators are employed and sessions offered include beauty therapy, drama, sewing, gardening, art, a poetry group and a crossword club. A service user spoke of attending a day centre in the community twice a week. Other leisure or social activities on offer locally or further afield are trips to the cinema, coast, swimming, and local places of interest and to church. Two service users had recently taken place in a sponsored swim and this was acknowledged in posters displayed in the entrance. The service user’s notice board gave details of a party due and monthly disco as well as other social events. On the day of the site visit the drama and beauty groups took place and there was plenty of enthusiasm for the planning of the next drama production. Service users are supported to maintain links with friends and families, visitors arrived during the day and service users spoke of contact with relatives. Holidays are offered, four service users were away accompanied by staff, three had gone to Cornwall and one to another part of the country. A contracted catering company provides meals, daily choice is available and a vegetarian option is offered. Comments from service users and relatives made on the site visit and on comment cards were complementary about the meals. Special diets are catered for and a service user on a reducing diet was supported to plan and write their own weekly menu. Service users were joined at lunchtime; the meal was well presented for each person and in appropriate quantities and consistencies for their needs. The atmosphere was relaxed and care staff assisted when necessary supporting those who preferred to be as independent as possible in eating only by agreement. Mote Lodge Sobell Cheshire Home DS0000023984.V307625.R02.S.doc Version 5.2 Page 15 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 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The personal and healthcare needs of service users are met flexibly and personal preferences are respected. Medication administration procedures are good, whilst the storage of medication needs to be improved upon. EVIDENCE: The personal support preferences of service users are recorded on care plans, support is provided as flexibly as possible and service users can choose to change their usual routine. A member of the care staff said that every day some service users get up before and some after breakfast. Mote Lodge Sobell Cheshire Home DS0000023984.V307625.R02.S.doc Version 5.2 Page 16 Specialist health needs are well documented and catered for, during lunchtime a speech therapist from a specialist health team arrived to observe and advise a service user on eating, and a District Nurse arrived later for their regular weekly visit. Both professionals said that they found the home receptive and friendly, this view was echoed by other professionals on comment cards. Two service users are PEG fed, evidence that staff have been trained and assessed by a District Nurse as competent in the practice of PEG feeding is in place on care plans and reassessment of competence takes place. Any concerns regarding the health of service users are discussed at staff handover meetings and appropriate advice saught, the visiting District Nurse was asked to see a service user as a concern had been highlighted that day. Contact is maintained with service users who are in hospital and an update on the service user currently in hospital was given at the handover. A service user who was became quite distressed after lunch was supported promptly and sensitively by care staff. Those who wish to self medicate are supported in doing so. Medication is stored in several locations in the home as there is no designated medication room; this was highlighted at the last inspection. Whilst medication administration procedures are good and MAR sheets inspected were completed correctly, the lack of dedicated storage space where all medications can be kept together could compromise the health and safety of service users. Mote Lodge Sobell Cheshire Home DS0000023984.V307625.R02.S.doc Version 5.2 Page 17 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 22-23 (Adults 18-65) 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 The quality in this area is good. This judgement has been made using available evidence including a visit to the service. Service users can feel confident that any concerns or complaints will be listened to and acted upon. The home’s policies and procedures protect service users from abuse. EVIDENCE: Service users spoken with said that they felt able to approach the manager or senior staff with any concerns and that they would be listened to, one service ser who had mentioned a concern to the manager was satisfied with the response and action taken. Staff spoken with were also aware of the complaints procedure and relatives said they would feel confident in making any concerns known. There had been no formal complaints recorded since the last inspection. A “complaints and compliments” book is now in place in the entrance hall, so that comments can be invited from those who may not wish to complain more formally, entries were almost entirely complimentary. Staff receive Adult Protection training and the home has an adult protection procedure, staff spoken with were aware of it. Mote Lodge Sobell Cheshire Home DS0000023984.V307625.R02.S.doc Version 5.2 Page 18 Training is updated on a regular basis and the training database easily tracks and identifies which staff require updates. Procedures are in place for the recording and handling of service users money where they are supported with this. Mote Lodge Sobell Cheshire Home DS0000023984.V307625.R02.S.doc Version 5.2 Page 19 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): The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to the service. Service users live in a safe, well maintained, clean and homely environment. Independence is promoted by the availability of equipment throughout the home. Mote Lodge Sobell Cheshire Home DS0000023984.V307625.R02.S.doc Version 5.2 Page 20 EVIDENCE: The home is purpose built for people with physical disabilities and all service user accommodation is on the ground floor. Bedrooms and communal areas are situated in two lodges, North and South, and offices, the kitchen and dining room and disabled toilets are situated off the main entrance area. There is a small visiting room and the building is surrounded by garden and patio areas that are well-maintained and accessible to service uses via a path. Service users were enjoying the garden, as the weather was good. Each bedroom has patio doors leading onto the garden area and some service users had made their patio areas extremely attractive. The lodges each have a communal area where socialising and activities take place and they have recently been equipped with new accessible kitchenettes. The home was clean and well decorated and service users had personalised their own rooms. Each bedroom has en-suite facilities; the rooms visited during this site visit were very personalised and individual. A service user who had recently moved in had made their room very comfortable in a short space of time and was hoping to have it redecorated in their choice of colour. Relatives were redecorating another room whilst the occupant was on holiday in their chosen colour scheme. Rooms included computers, televisions, and musical equipment as well as personal furniture, pictures and ornaments. A range of equipment is available throughout the building for personal or communal use and there is a well-equipped physiotherapy suite. The home employs one full and one part time maintenance coordinator, they are responsible for the day-to-day maintenance of the premises and undertake regular safety and environmental checks. The home was cleaned to a good standard throughout and there is a sluice and laundry room, the laundry room was refurbished three years ago, is well equipped and systems are in place to guard against the risk of infection. Mote Lodge Sobell Cheshire Home DS0000023984.V307625.R02.S.doc Version 5.2 Page 21 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 The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to the service. A well-trained and competent staff team meets the needs of service users. The home’s recruitment processes are thorough and they protect service users. EVIDENCE: The home is well staffed and sufficient care staff were on duty during the site visit. The manager said that the use of agency staff had reduced and during July no agency staff were needed. Permanent and bank staff were on duty, bank staff know the service users well and this provides continuity. Mote Lodge Sobell Cheshire Home DS0000023984.V307625.R02.S.doc Version 5.2 Page 22 Some recruitment for care staff was due to take place due to recent changes in the permanent care team. The staffing structure is well established, with a team leader on each shift. Staff were clear of their roles and those spoken with enjoyed working at the home, felt well supported and said there were plenty of training opportunities offered. Comments from service users and relatives were positive regarding the staff and those observed had good rapport with the service users and presented as confident in their roles. An area training coordinator liaises with the manager about training needs and arranges courses; a training database tracks all training from induction to updates. Information included with the pre inspection questionnaire from the database showed that the home had made extremely good progress on training in recent months. Forty eight percent of care staff now have obtained an NVQ qualification in care and more are imminently starting the course. A sample of staffing files were read, these included recruitment, supervision, training and personal information. Recruitment procedures and documentation are tracked and the necessary documentation was on the files. One staff file included evidence of action taken where a member of staff was underperforming and of subsequent progress. The manager had provided a lot of support to enable this. Regular recorded supervision takes place as do staff meetings. Mote Lodge Sobell Cheshire Home DS0000023984.V307625.R02.S.doc Version 5.2 Page 23 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): The quality in this outcome area is good. This judgement has been made using available evidence, including a visit to the service. The home is well managed in the best interests of service users and staff. Mote Lodge Sobell Cheshire Home DS0000023984.V307625.R02.S.doc Version 5.2 Page 24 EVIDENCE: The home is well managed and the atmosphere is welcoming and inclusive. Feedback in comment cards and from service users, staff, volunteers, other professionals and relatives was positive and several mentions were made of the friendly atmosphere and caring staff. The views of service users are sought via surveys, their inclusion at meetings and on committees and opportunities to air concerns through the complaints procedure or in the comments and complaints book, service users were seen to come and go freely to the care or managers’ office and raise any issues or just have a chat. Policies and procedures are regularly updated and are available to staff. Records are held securely and service users can access personal information at any time. Equipment is regularly maintained; the home has a valid insurance certificate and staff and service users respect improved security measures put into place in 2005. This involves making sure their patio doors are secure if they are out of their rooms. Kitchen fridge and freezer temperatures are monitored daily, there were gaps in the recording of fridge temperatures in both lodges in respect of the kitchenette fridges. Safe working practices are employed and all accidents and incidents recorded. Regular Regulation 26 reports are received by the Commission. Mote Lodge Sobell Cheshire Home DS0000023984.V307625.R02.S.doc Version 5.2 Page 25 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 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 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 4 35 4 36 3 CONDUCT AND MANAGEMENT Standard No Score 37 3 38 3 39 3 40 3 41 3 42 2 43 3 2 3 4 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Mote Lodge Sobell Cheshire Home Score 3 3 2 X DS0000023984.V307625.R02.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO 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. Refer to Standard YA6 YA20 Good Practice Recommendations It is strongly recommended that the care plans of service users over 65 be reviewed at monthly intervals. It is strongly recommended that the home provide a dedicated medication room so that all medications can be stored together. Separate storage increases the risk of errors in security and administration. This recommendation is repeated from the last inspection. It is strongly recommended that the fridge and freezer temperatures in the kitchenettes must be recorded on a daily basis. It is recommended that very regular checks be made on foods stored in the dining room fridge to prevent the use of out of date food. DS0000023984.V307625.R02.S.doc Version 5.2 Page 27 3. 4. YA42 YA42 Mote Lodge Sobell Cheshire Home 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.V307625.R02.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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