Inspection on 16/03/06 for Stroud Lodge

This inspection was carried out on 16th March 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

Stroud Lodge 16/04/07

Stroud Lodge 06/09/05

Stroud Lodge 21/02/05

Stroud Lodge 18/10/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

Honeybourne House

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

CARE HOME ADULTS 18-65 Stroud Lodge 319 Stroud Road Gloucester Glos GL1 5LG Lead Inspector Ms Tanya Harding Unannounced Inspection 16 March 2006 02:50 th Stroud Lodge DS0000055599.V285613.R01.S.doc Version 5.1 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 Stroud Lodge DS0000055599.V285613.R01.S.doc Version 5.1 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. Stroud Lodge DS0000055599.V285613.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Stroud Lodge Address 319 Stroud Road Gloucester Glos GL1 5LG 01452 306449 01452 312078 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) www.orchardendltd.co.uk Orchard End Limited Mr Mark Anthony Luce Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Stroud Lodge DS0000055599.V285613.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Mr Mark Luce must commence NVQ Level 4 in Care and the Registered Manager’s Award in September 2005. This must be completed by September 2007 6th September 2005 Date of last inspection Brief Description of the Service: Stroud Lodge is a residential home for 8 adults with learning disabilities and challenging behaviour. The home is a large detached building, situated approximately one mile from the centre of Gloucester. The home is close to local amenities and within easy access to public transport. Accommodation is provided over three floors, with communal areas on the ground floor and bedrooms on the other floors. There is a garden for the residents use and a parking area at the back of the house. Stroud Lodge is part of Orchard End Ltd, a subsidiary of C.H.O.I.C.E. Ltd. Stroud Lodge DS0000055599.V285613.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place on a Thursday afternoon and lasted just over two hours. The registered manager supported the inspection. The main focus of the visit was to assess the environment and to discuss the homes’ proposals to vary their registration categories. Limited standards were assessed on this occasion and this report should be read in conjunction with the last inspection report to provide a more comprehensive picture of the way the home functions. The majority of the service users were seen and spoken with briefly. The home is undergoing a major refurbishment and at the time of the visit building work was ongoing. One of the service users has temporarily relocated to another home within the Group as their room was being refurbished. The person was present during the visit and commented positively on the environmental improvements. 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. Stroud Lodge DS0000055599.V285613.R01.S.doc Version 5.1 Page 6 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Stroud Lodge DS0000055599.V285613.R01.S.doc Version 5.1 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 Stroud Lodge DS0000055599.V285613.R01.S.doc Version 5.1 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): 2, 3 and 4 The service users benefit from good admission and assessment practice that ensures the home is able to meet their needs. EVIDENCE: The home has made an application to very their current registration in order to accommodate two service users with mental health needs. The pre-admission assessments have been collated and a variety of relevant information has been obtained from involved professionals about the prospective residents. Clarification has been sought about how the specialist support will be continued once the service users have moved into the home and this is essential practice. Detailed transition plans were in place to ensure that the moves for both service users are well managed. The plans included reference to establishing whether the person wants to remain in their current GP practice, procedures for ensuring the benefits are transferred correctly and so on. There is a long trail period for each placement during which a variety of meetings are scheduled to take place to review how the service users are settling in. The service users have been given the opportunity to visit the home and to get acquainted with the people who live and work at Stroud Lodge. One service user confirmed that they have met the prospective residents and were able to say whether they would fit in to the home. The variation to add mental health category onto the existing registration for two specific service users has been approved on condition that staff are provided with training in mental health. Stroud Lodge DS0000055599.V285613.R01.S.doc Version 5.1 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 the following standard(s): Not assessed. EVIDENCE: Stroud Lodge DS0000055599.V285613.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not assessed. EVIDENCE: Stroud Lodge DS0000055599.V285613.R01.S.doc Version 5.1 Page 11 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): 20 Medication administration systems are robust and offer service users protection from potential errors. Where errors are noted, a responsible action is taken to prevent future occurrence. EVIDENCE: Medication administration in the home appeared well managed with a detailed handling and recording procedure was in place. There were protocols for ‘as required’ medication and evidence of recent review having taken place. The registered manager hopes to look into the possibility of supporting service users with self-administration within a risk assessment framework. Administration of all medication in the home is only carried out by a few select staff, who have received the necessary training. It is felt that this does reduce potential for error, although could be limiting. The registered manager felt that current procedures were working well, but would be reviewed if any problems arose in the future. A monitoring system has been implemented to ensure that all medicines held in the home are audited once a week by a competent member of staff. There Stroud Lodge DS0000055599.V285613.R01.S.doc Version 5.1 Page 12 was evidence of medication discrepancies being picked up by the manager. Steps were taken to address these discrepancies and evidence of this was given to the inspector. This showed that even minor discrepancies are thoroughly investigated and systems checked for effectiveness to prevent any future mistakes being made. This is a good example of monitoring and selfimprovement in the home. The registered manager advised that as a result of this all staff responsible for administering the medication in the home will receive retraining. In the future the home should advice the Commission of any medication errors. Stroud Lodge DS0000055599.V285613.R01.S.doc Version 5.1 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not assessed. EVIDENCE: Stroud Lodge DS0000055599.V285613.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25 and 26 Service users’ bedrooms reflect their individual preferences and work undertaken to refurbish the home should improve the living accommodation for all individuals. EVIDENCE: At the time of the visit the refurbishment of the home was in full swing. The improvements once completed will mean that some bedrooms will have en-suite facilities, which will increase the number of toilets in the building for the benefit of the residents. The kitchen is being relocated to a different part of the building and the new space will be larger and located more centrally to the communal areas. An additional bedroom is being created on the ground floor and in due course the home hopes to apply for variation to increase registered numbers to 9. Four service users were happy to show the inspector their rooms. One person was very happy as their room has been extended considerably and now accommodates extra storage space and a full en-suite bathroom. Another service user said they had chosen the theme and colours for their bedroom. There were many personal effects and evidence that the person was supported to pursue their hobbies. Stroud Lodge DS0000055599.V285613.R01.S.doc Version 5.1 Page 15 Another service user also said that they were happy about the changes in their bedroom, and were looking forward to moving back into the room once it is finished. The laundry room will also be re-housed to a room which is more spacious and suitable for its purpose than the current space under the stairs. From discussions with the registered manager it was clear that there has been ongoing close monitoring by all staff of hazards presented by the building work to ensure that the service users are given the information for keeping safe around the home. Stroud Lodge DS0000055599.V285613.R01.S.doc Version 5.1 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): Not assessed. EVIDENCE: Plans were in place to deliver mental health training for all staff shortly after the inspection. In addition to this, staff will be trained on the specific care plans and other care guidance which is relevant for the two new service user. This is to ensure that there is continuity of support and as least disruption as possible. The service users will be able to continue attendance to the respective day care establishments and maintain other established networks. The registered manager advised that to accommodate the additional service users staffing levels will increase by one on each day shift. Stroud Lodge DS0000055599.V285613.R01.S.doc Version 5.1 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): Not assessed. EVIDENCE: Stroud Lodge DS0000055599.V285613.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X X X X X X X X Stroud Lodge DS0000055599.V285613.R01.S.doc Version 5.1 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. 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. Refer to Standard YA20 Good Practice Recommendations In the future the home should advice the Commission of any medication errors. Stroud Lodge DS0000055599.V285613.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Stroud Lodge DS0000055599.V285613.R01.S.doc Version 5.1 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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