Inspection on 02/12/05 for Sunny Lodge

This inspection was carried out on 2nd December 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 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Sunny Lodge 31/10/07

Sunny Lodge 28/11/06

Sunny Lodge 08/08/05

Sunny Lodge 28/02/05

Sunny Lodge 14/09/04

Sunny Lodge 19/01/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Sunny Lodge 132 The Commons Prettygate Colchester Essex CO3 4NR Lead Inspector Andrea Carter Unannounced Inspection 2nd December to 23 December 2005 09:30 Sunny Lodge DS0000017948.V279599.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 Sunny Lodge DS0000017948.V279599.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. Sunny Lodge DS0000017948.V279599.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Sunny Lodge Address 132 The Commons Prettygate Colchester Essex CO3 4NR 01206 571419 01206 866136 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) Mrs Dewantee Balgobin Mrs Dewantee Balgobin Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Sunny Lodge DS0000017948.V279599.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th August 2005 Brief Description of the Service: Sunny Lodge is a four bedroomed bungalow situated in a residential area of Colchester, close to local amenities and public transport. The single storey accommodation is offered to adults who have a learning disability. There is adquate communal space and bathing facilities. The accommodation is well decorated and furnished to meet the assessed needs of the service users. At the front of the property there is a hard standing area for vehicles. At the rear of the building there is a garden that is mostly laid to lawn. The service is intended for those persons who would benefit from living within a domestic environment, which enhanced independence. The service does not purport to accommodate persons with complex needs such as severe challenging behaviour. Sunny Lodge DS0000017948.V279599.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over a three week period a site visit took place over one day. This involved discussion with service user’s and staff. Fieldwork included case tracking of individual service user files and the sampling of records and associated documentation. A full tour of the premises and grounds was undertaken. A sample of comment cards were sent to service users, relatives and health and social care professionals. All were returned over a three week period and indicated a positive view of the home and service provided. The inspection focused on eight national minimum standards. The unit’s senior staff member supported the inspection, in the absence of the manager who was on holiday. Therefore the sections 31-36 (Staffing) and 37-43 (Conduct of Management of the home) were unable to be inspected. What the service does well: What has improved since the last inspection? One of the statutory requirements from the previous inspection had been met. Suitable furnishings were in evidence during the tour of the building. The purchase of new chairs along with pictures located to both bathrooms enhanced the homely feel of the unit. Sunny Lodge DS0000017948.V279599.R01.S.doc Version 5.1 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. Sunny Lodge DS0000017948.V279599.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 Sunny Lodge DS0000017948.V279599.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): These standards were not inspected during this inspection. These standards were not inspected during the inspection. EVIDENCE: Sunny Lodge DS0000017948.V279599.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): Thse standards were not inspected during this inspection. EVIDENCE: Two service user files were case tracked and clearly outlined regular access to community facilities, both locally and within the wider community These covered a wide range of resources from local shops to the town centre, adult education courses and social groups. Transport is provided by the home in the form of a people carrier, but on the day of the inspection both the proprietor and the manager were on holiday and, no other staff were insured to drive this vehicle therefore, public transport, and taxis were the current means of transport until their return. Positive examples of strategies of care were evident within service users files. Thse clearly identified the independent living skills of individuals and the ongoing review of these areas. One to one key worker sessions support the community access of individuals and appropriate risk assessments were in place to support this. Two service users were interviewed and they outlined the activities that they enjoy and participate in. One individual spoke how they chose their course attendance from the local adult education brochure and was supported to enrol. Sunny Lodge DS0000017948.V279599.R01.S.doc Version 5.1 Page 10 Another individual attends an activity centre, travelling independently to the venue and socialising with others of the same interest. Trips out are planned on both an individual basis as well as collectively if interests are the same. Both individuals were clear about their likes and dislikes and how their daily routines are reflected by their personal choices. Staff interviewed supported the promotion of choice in the daily routines of service users, outlining positive examples of its implementation across the day-to-day running of the home, such as waking, retiring to bed, food choice and individualised activities. Participation in the home is encouraged and taking responsibility for ones own room is evident in conversation with service users. Sunny Lodge DS0000017948.V279599.R01.S.doc Version 5.1 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): 13 14 and Service users are supported to access the local community. Service users are supported to participate in a wide variety of leisure activities of their choice. Service users rights are respected and responsibililties recognised in their daily lives. EVIDENCE: Sunny Lodge DS0000017948.V279599.R01.S.doc Version 5.1 Page 12 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): 18 and 20 Service users receive personal support in the way they prefer and require. Service users are protected by the home policies and procedures for dealing with medicines. EVIDENCE: Case tracking of files indicated that personal support to individuals is based on assessed need; conversations with service users confirmed this. Individualised sheets contained within the care plan, gave a clear record of the skills of the individual and associated support to achieve specific areas was evident. The key worker system enhances the service users choice of hairstyle, clothing and community access, as appropriate identified support is given. The previous inspection outlined that a clear audit trail should be evident for all medication within the home. The service has now commenced the use of a blister pack system for its prescribed medication for service users. This has been in place since August 2005, the system could be used more effectively to ensure medication amounts are recorded and the total received, thus enabling a full audit trail of all medication received by the home in respect of individual service users. Sunny Lodge DS0000017948.V279599.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): These standards were not inspected. EVIDENCE: Sunny Lodge DS0000017948.V279599.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): 24,26 and 27 The home was clean and comfortable. Independence was encouraged through appropriate use of bedrooms. Toilets and bathrooms were appropriate for the need of the individual and helped to ensure privacy. EVIDENCE: The previous inspection identified that there were areas of the home that required the furnishings to be upgraded due to general wear and tear. This had been addressed and was evident during the tour of the premises; the bathroom had benefitted from the addition of pictures, creating a more homely feel. One service user was interviewed and the individual occupants gave access to their rooms, to observe the décor and personalisation. The individual spoken to had chosen her own colour scheme and recently had new flooring fitted to her room. She outlined that she had purchased her own furniture and personalised the room to her individual preference. There was clear evidence of each person’s choice reflected in the décor and personal items within each room. Sunny Lodge DS0000017948.V279599.R01.S.doc Version 5.1 Page 15 The bathrooms were separate for male and female use. The ladies bathroom was in need of refurbishment around the skirting board area, due to the wood being rotten. The gentleman’s bathroom does not currently have an overhead shower and a jug is used for hair washing this is not appropriate and should be reviewed and appropriate facilities provided. Sunny Lodge DS0000017948.V279599.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): These standards were not inspected during this inspection. EVIDENCE: Sunny Lodge DS0000017948.V279599.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): These standards were not inspected during this inspection. EVIDENCE: Sunny Lodge DS0000017948.V279599.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 X 3 X 4 X 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 X 26 2 27 2 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 2 14 3 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 2 x X X X X X X X Sunny Lodge DS0000017948.V279599.R01.S.doc Version 5.1 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 YA20 Regulation 13(2) Requirement The registered person must ensure that there are systems in place to record amounts of medication received by the home, in respect of individual service users. The registered person must ensure that they provide suitable telephone facilities to enable service users to make and receive telephone calls in private. The registered person should ensure that the rotten woodwork to the bathroom skirting board is repaired, the wallpaper is replaced or repaired where appropriate and that an overhead shower facility is available for use by individual service users. Timescale for action 31/03/06 2 YA26 16(2)(b) 31/03/06 3 YA27 23(2) b d 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Sunny Lodge DS0000017948.V279599.R01.S.doc Version 5.1 Page 20 No. 1 Refer to Standard YA13 Good Practice Recommendations The registered person should ensure that all information appertaining to individual activities is reviewed regularly. Sunny Lodge DS0000017948.V279599.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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. 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