Inspection on 22/08/05 for Stanhope Lodge

This inspection was carried out on 22nd August 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

Stanhope Lodge 14/06/07

Stanhope Lodge 14/11/05

Stanhope Lodge 16/12/04

Stanhope Lodge 23/04/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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 Monday, 22 August 2005, 09:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Stanhope Lodge H60-H11 S37453 Stanhope Lodge V239157 220805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Stanhope Lodge Address Poplar Road, Durrington, Worthing, West Sussex,BN13 3EZ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01903 264560 01903 691987 barry.poland@westsussex.gov.uk West Sussex Social and Caring Services Mr Barry Poland CRH(PC) Care home only 23 Category(ies) of LD-Learning disability, 23 places registration, with number of places Stanhope Lodge H60-H11 S37453 Stanhope Lodge V239157 220805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16 December 2004 Brief Description of the Service: Stanhope Lodge is a Care Home providing care and accommodation for up to twenty-three (23) residents between the ages eighteen to sixty-five years (1865yrs) 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 (8) beded unit which accommodates residents for short stay breaks, Rowen is also an eight bedded unit (8) 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 (2) cottages, one (1) for three (3) permenant residents the other is for short term breaks which can accommodate up to two (2) residents. There is also one (1) bungalow and one (1) flat 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 H60-H11 S37453 Stanhope Lodge V239157 220805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over two (2) days in August 2005. Seven hours (7) in total was spent at the home. Preparation for this inspection focused on a review of previous inspection reports and general correspondence. During the course of the inspection the inspector toured the home and spoke with residents in order to gain a sense of how the home is being run and how they experienced living at Stanhope Lodge. The majority of residents were spoken within the communal areas of the home. Staff were spoken with in order 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. The one (1) requirement and two (2) recommendations identified at the previous inspection have been addressed. One (1) requirement has been identified at this inspection. What the service does well: What has improved since the last inspection? Since the last inspection recruitment records have been updated to include all information required by the Care Homes Regulations 2001 Schedule 2. An ageing and death policy has been developed that clearly demonstrate how the home intends to handle the changing needs of residents through the ageing process and or in the event of illness or death. All staff who undertake night duties have received fire safety instruction at the recommended interval of 3 months. Stanhope Lodge H60-H11 S37453 Stanhope Lodge V239157 220805 Stage 4.doc Version 1.40 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Stanhope Lodge H60-H11 S37453 Stanhope Lodge V239157 220805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Stanhope Lodge H60-H11 S37453 Stanhope Lodge V239157 220805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 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. EVIDENCE: 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 H60-H11 S37453 Stanhope Lodge V239157 220805 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 Residents are consulted and are involved in making decisions about their lives. EVIDENCE: Care plans reviewed at this inspection clearly demonstrated that residents are involved in the decision making process with regards their needs and personal goals. Care plans of residents living in the Intensive Support Unit clearly indicate that regular reviews take place. Residents are involved in their reviews to a level that is dependant on their individual capabilities. The care plans for residents living in The Rowans also demonstrate the needs and personal goals of residents however; there is no clear evidence on the files that regular reviews take place. Residents spoken with and who were asked told the inspector that they are able to make decisions regarding their own lives. One resident confirmed, “I can go to bed and get up when I want”. Also one resident does not like curtains so the curtains have been taken down from her bedroom window, the room is not overlooked so does not cause concern re privacy and dignity. Stanhope Lodge H60-H11 S37453 Stanhope Lodge V239157 220805 Stage 4.doc Version 1.40 Page 10 During the inspection the inspector was able to observe that residents were able to relax do what their own thing during the evening i.e. watch television either in their room or in the communal lounge, sit knitting, walk around the grounds of the home and generally interact with staff as and when they wished. The interactions between residents and staff were friendly, relaxed and appropriate. On the second visit the inspector was shown a new form which will clearly record that reviews have taken place. Mr Poland advised the inspector that this document will be used at all future reviews. Stanhope Lodge H60-H11 S37453 Stanhope Lodge V239157 220805 Stage 4.doc Version 1.40 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 standard(s) 11,12, 13 Resident’s are offered opportunities for personal development and are able access and take part in activities with in the local community. Residents are enable to undertake activities which are age, peer and culturally appropriate EVIDENCE: Care plans clearly demonstrate that residents are able to undertake activities that that are appropriate to their needs and wishes. Individual activity programmes clearly detail activities undertaken. The care plans clearly show that residents preferences taken into account. Residents spoken with told the inspector that she likes going to the disco on Fridays. Another told the inspector that they go to a day centre and the staff take them in the people carrier. When residents were asked what they liked about being at Stanhope a selection of replies were as follows, “its peaceful here”, “I like painting” and “I like watching the TV”. Risk assessments are also undertaken to identify risks associated with the activity and action to minimise risk is taken. . Residents spoken with told the inspector that they participate in the local community as and when they wish. Residents regularly go to the local shops Stanhope Lodge H60-H11 S37453 Stanhope Lodge V239157 220805 Stage 4.doc Version 1.40 Page 12 and leisure facilities. Whilst talking with staff it became clearly apparent that the home is an integral part of the local community. The children of the local school designed a garden area and people from the probation service carried out the groundwork. Stanhope Lodge H60-H11 S37453 Stanhope Lodge V239157 220805 Stage 4.doc Version 1.40 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 standard(s) 18, 21 Support is offered to residents in a manner they prefer. Residents and their representatives are informed of how the changing needs of residents will be handled. EVIDENCE: Each resident has a service user plan that is in pictorial format; residents and their key worker complete the document. The plans clearly demonstrate that support is provided in a manner preferred by residents. Should the residents preferred choice of how support is provided be detrimental to them or others in any way a risk assessment is carried out to demonstrate why the resident’s wishes cannot be adhered to. The home has a policy which clearly advises residents of how the ageing process, illness and death would be handled by the staff at the home. Stanhope Lodge H60-H11 S37453 Stanhope Lodge V239157 220805 Stage 4.doc Version 1.40 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 standard(s) 23 Systems are in place to protect residents form abuse, neglect and self –harm. EVIDENCE: Records seen demonstrated that care staff receive training in Adult Protection procedures. The homes West Sussex County Councils procedures are used for training purposes, staff sign the training record at the back of the book in confirmation of having received training. The members of staff spoken with gave a good account of action they would take if they had witnessed or suspected that abuse was taking place. There has been one recent Adult Protection alert. Appropriate procedures have been invoked. The outcome of the investigation is yet to be determine. Upon completion of the investigation the management are required to advise the Commission of the result. Stanhope Lodge H60-H11 S37453 Stanhope Lodge V239157 220805 Stage 4.doc Version 1.40 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 standard(s) 24, 30 The home is laid out in an appropriate manner which 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. The home was generally clean and free from offensive odours. Systems are in place to prevent spread of infection. Clinical wastes are disposed of in an appropriate manner. Stanhope Lodge H60-H11 S37453 Stanhope Lodge V239157 220805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 Staff were relaxed, confident and knowledgeable with regards the needs of residents. EVIDENCE: All new staff receive induction training and then progress to the foundation course. Staff are encouraged and supported to undertake NVQ Awards specific the needs of the current residents, the Learning Disability Award Framework. Certificates of courses completed are displayed in the home. Staff spoke with confirmed that they are encouraged and supported to undertake training one staff member said its “ brilliant here for training”. Stanhope Lodge H60-H11 S37453 Stanhope Lodge V239157 220805 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 The health, safety and welfare of residents are protected. EVIDENCE: Risk assessments are carried out and training is provided for ensuring safe working practices such as manual handling, fire safety, first aid, food hygiene and infection control are in place and understood. Maintenance records indicate appropriate health and safety checks identified in 42.3 of this standard are carried out. Stanhope Lodge H60-H11 S37453 Stanhope Lodge V239157 220805 Stage 4.doc Version 1.40 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 x 4 x x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 x x x x Standard No 31 32 33 34 35 36 Score x 3 x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Stanhope Lodge Score 3 x x 3 Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x H60-H11 S37453 Stanhope Lodge V239157 220805 Stage 4.doc Version 1.40 Page 19 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 6 Regulation 15 Timescale for action Care plans must be reviewed and 28.09.05 reflect the changing needs of residents every 6 months. Requirement RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Stanhope Lodge H60-H11 S37453 Stanhope Lodge V239157 220805 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 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 H60-H11 S37453 Stanhope Lodge V239157 220805 Stage 4.doc Version 1.40 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. 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