Inspection on 14/11/05 for Stanhope Lodge

This inspection was carried out on 14th November 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Stanhope Lodge 14/06/07

Stanhope Lodge 22/08/05

Stanhope Lodge 16/12/04

Stanhope Lodge 23/04/04

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Insight - Eastchurch

Southfields

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

CARE HOME ADULTS 18-65 Stanhope Lodge Poplar Road Durrington Worthing West Sussex BN13 3EZ Lead Inspector Mrs S Rodgers Unannounced Inspection 14th November 2005 15:00 Stanhope Lodge DS0000037453.V258567.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 Stanhope Lodge DS0000037453.V258567.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 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. Stanhope Lodge DS0000037453.V258567.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Stanhope Lodge Address Poplar Road Durrington Worthing West Sussex BN13 3EZ 01903 264560 01903 691987 barry.poland@westsussex.gov.uk 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) West Sussex County Council Mr Barry Poland Care Home 24 Category(ies) of Learning disability (24) registration, with number of places Stanhope Lodge DS0000037453.V258567.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 24 male and/or female service users age 18-65 years in the category of Learning Disability may be admitted. 22nd August 2005 Date of last inspection Brief Description of the Service: Stanhope Lodge is a Care Home providing care and accommodation for up to twenty-four residents between the ages eighteen to sixty-five years (18-65yrs) in the Category Learining Disability (LD). The registered providers are West Sussex County Council. Mr Barry Poland is the registered manager who is in charge of the day to day running of the home. The service provides accommodation in a number of units. Beech is an eight bedded unit which accommodates residents for short stay breaks, Rowan is also an eight bedded unit which provides permanent accommodation for residents. The service also has an Intensive Support Unit which provides care for residents with challenging and complex needs. The unit consists of two cottages, one for three permenant residents the other is for short term breaks which can accommodate up to two residents. There is also one bungalow and two flats which have been adapted spacifically for the individuals who occupy them. Stanhope Lodge is situated in Durrington and is close to local facilities and bus services. Stanhope Lodge DS0000037453.V258567.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place in November 2005. The inspection took 3.5 hours. Preparation for this inspection focused on a review of the previous inspection reports and general correspondence. During the course of the inspection the inspector toured the home and spoke with some residents in order to gain a sense of how the home is being run and how they experienced living at Stanhope Lodge. The length of time in each house/unit varied according the situation within the individual houses at the time of the visit. The majority of residents were spoken within the communal areas of the home. Staff were also spoken with to gain a sense of the support and training they receive in order to carry out their jobs and to gain insight into how their knowledge of the aims and objectives of the homes philosophy of care. Residents spoken with told the inspector that they were happy living at Stanhope comments included “staff are very kind” and “ I think we are looked after well here” and one short stay resident said “ I like it here as I can still go to college when I stay here”. Staff members were spoken with informally. One staff member confirmed that they are offered a wide range of training opportunities and undergo induction training. Those who were asked gave a good account of action they would take should they suspect abuse of a resident. The interaction between staff and residents was relaxed and positive. Since the last inspection one Adult Protection alert has been completed. The appropriate procedures were carried out to ensure the safety and wellbeing of residents. The Commission was informed in writing of the outcome of the investigation. The one requirement identified at the August inspection has been addressed in full. There was one requirement identified at this inspection. The manager is requested to provide the Commission with an action plan by the 9 December 2005 identifying action to be taken and timescales by which compliance with the regulations will be completed. Where standards have not changed from the previous inspections this report records that the findings were the same. The manager is requested to provide the Commission with an action plan by the 20 December 20005 which outlines action to be taken with regards the one requirement identified and timescales in which compliance will be achieved Stanhope Lodge DS0000037453.V258567.R01.S.doc Version 5.0 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Stanhope Lodge DS0000037453.V258567.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Stanhope Lodge DS0000037453.V258567.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,5 Residents or their representatives are provided with information about the service. The pre admission process ensures that staff, relatives, placing social workers and residents know that the care needs of the perspective resident can be met by the home prior to them being admitted. Written contracts are provided to all residents and/or their representatives. EVIDENCE: The Statement of purpose clearly outlines the services provided. This enables residents and/or their representatives to make an informed decision as to whether the service can meet their individual needs. The document is in both written text and symbol form. The document is in the process of being updated to reflect the recent changes i.e. the new accommodation and increase in numbers of residents accommodated. Pre admission documentation held on resident’s files clearly demonstrate that the resident’s individual needs and aspirations are assessed prior to them moving into the home. Records are kept of the admission process i.e. the visits made by staff to prospective residents and residents visits/short stays at the home. The admission process is not the same for each resident. The needs of the individual determines the length of the process and how many pre admission visits they have prior to admission. Stanhope Lodge DS0000037453.V258567.R01.S.doc Version 5.0 Page 9 Each resident is provided with a written contract again these documents are in written and symbol format. Staff also read the document to residents to enable them to understand more fully the roles and responsibilities of the provider and their own responsibilities. Stanhope Lodge DS0000037453.V258567.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 9 Care plans are in place. Residents are supported to take risks as part of an independent lifestyle. EVIDENCE: Care plans reviewed at this inspection indicate that residents are enabled and supported to lead an independent lifestyle within their assessed capabilities. Risk assessments on activities undertaken by individuals are carried out and action is taken to minimise identified risks and hazards. Stanhope Lodge DS0000037453.V258567.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15,16,17 Residents are supported to maintain contact with family and friends. The rights of residents are respected. A well-balanced and healthy diet is offered. EVIDENCE: Pre admission assessments and care plans clearly demonstrate that residents are encouraged and enabled to maintain contact with family and friends. Residents told the inspector that they can telephone their parents and friends as they wish. One care plan seen at this inspection clearly identified the strong relationship with a family member and set out how contact was to be maintained. Residents confirmed and the inspector witnessed that the rights of residents are respected. Staff were observed to knock on doors prior to entering rooms. Staff also asked individual residents if the inspector could tour their accommodation and go into their bedrooms. The interaction between staff and residents was relaxed and confident. Stanhope Lodge DS0000037453.V258567.R01.S.doc Version 5.0 Page 12 Menus seen at this inspection indicate that a balanced and varied diet is being offered. The meal being served on the day of inspection looked well cooked appetizing and hot. Comments from residents include “I like the food here” and “the food here is always nice”. Records indicate that alternatives to the main meal are provided, special diets are also catered for. Stanhope Lodge DS0000037453.V258567.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 The health and emotional needs of residents are met. Appropriate systems are in place for dealing with medicines. EVIDENCE: Care plans clearly demonstrate the all residents are registered with a GP. Records of visits to doctor’s surgeries, hospital and home visits from GP’S are recorded. Records also indicate that residents have access to other paramedical services such as opticians, chiropodists and dentists. The home has a pharmacy agreement with a local chemist who visits the home twice a year to review the systems and storage of medication. All staff who administer medication have had training provided by the pharmacist. They have also undertaken a distance-learning course in safe handling of medication. Records seen of the receipt, recording, storage, handling, administration and disposal of medication were in good order. Stanhope Lodge DS0000037453.V258567.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 A complaints procedure is in place. EVIDENCE: The homes complaints procedure clearly advises residents and/or their relatives of their right to complain. The procedure states each state of the complaint process and timescales by which the complaint will be dealt with. Residents spoken with told the inspector that they felt able to talk with all staff about any concerns that they may have. Stanhope Lodge DS0000037453.V258567.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 The home is laid out in an appropriate manner that meets the needs of the current resident. EVIDENCE: Whilst touring the home the inspector was able to see that resident’s personal accommodation is of a good standard. Residents are encouraged to personalise them with furniture and personal items giving each room an individual homely atmosphere. All radiators have covers to reduce the risk of accidental burning and the inspector was advised that valves to regulate the temperature of hot water to basins and baths have been fitted. All rooms have lockable safe so that valuables or medication can be stored safely. Stanhope Lodge DS0000037453.V258567.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 The staff training programme is appropriate to the needs of residents. EVIDENCE: The home has an induction programme that all new staff undertake. Staff are encouraged and supported to undertake NVQ Awards specific the needs of the current residents, the Learning Disability Award Framework. Training records and certificate were available. Staff also confirmed that mandatory training such as manual handling, food hygiene and fire training are provided. Stanhope Lodge DS0000037453.V258567.R01.S.doc Version 5.0 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 An effective quality assurance and quality monitoring system must be implemented. EVIDENCE: The home must develop an annual quality assurance and monitoring system based on seeking the views of residents and other stakeholders. Results of the survey must be published and made available. A development plan for the home must be produced. Stanhope Lodge DS0000037453.V258567.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x 3 Standard No 22 23 Score 3 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Stanhope Lodge Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 1 x x x x DS0000037453.V258567.R01.S.doc Version 5.0 Page 19 Yes 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 YA39 Regulation 24 Requirement A quality assurance and quality monitoring system must be implemented. Timescale for action 20/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Stanhope Lodge DS0000037453.V258567.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Stanhope Lodge DS0000037453.V258567.R01.S.doc Version 5.0 Page 21 - 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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