Inspection on 31/10/07 for Sunny Lodge

This inspection was carried out on 31st October 2007.

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

Sunny Lodge 28/11/06

Sunny Lodge 02/12/05

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 Sharon Thomas Unannounced Inspection 31st October 2007 09:00 Sunny Lodge DS0000017948.V354002.R01.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 Sunny Lodge DS0000017948.V354002.R01.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 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.V354002.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sunny Lodge Address 132 The Commons Prettygate Colchester Essex CO3 4NR 01206 571419 F/P 01206 866136 mimibalgobin@btinternet.com 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.V354002.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th November 2006 Brief Description of the Service: Sunny Lodge is a four-bedroom bungalow situated in a residential area of Colchester, close to local amenities and public transport. There are parking facilities to the front of the property and at the back there is a garden that is mostly laid to lawn. Sunny Lodge provides accommodation and care for four people with learning disabilities. The service supports service users to live in an ordinary home environment that reflects their individual needs. Information about the service may be obtained by contacting the manager. The home charges between £1,104.81 and £1,263.22 a week for the service they provide. This information was given to the Commission in October 2007. Sunny Lodge DS0000017948.V354002.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine unannounced inspection visit took place on 31 October 2007 over 4.5 hours. On this day it was positive to note that all the four people living at the home were very busy in and out of the home and going about their daily lives. During the course of the inspection we talked with the people who live at the home, the registered manager and the staff who were working on the day. We watched how people and staff got along together and looked around some of the home. We looked at records and documentation that contained information about the people living in the home, the staff, training, and health and safety matters. This report has been written using evidence gathered prior to and during the inspection visit. Surveys have been sent to relatives and to the people living at the home, responses from these had been received by the time this report was written and comments can be found below. On the day of this inspection, the home was maintained in a good condition. There were four people living in the home: individuals were receiving good care and support, and those spoken to enjoyed living at Sunny Lodge and were positive about the staff team. What the service does well: The AQAA was completed properly by the manager and gave a clear picture of the service. Information written in the AQAA was evidenced throughout the site inspection in various pieces of documentation that were looked at. The AQAA proved to be an accurate, reflective and an honest self-assessment. Documentation on the site visit was easily found, of good quality and contained clear information. Care Plans are very person centred and are written from the individual’s choice, views and how they wish to be supported by staff. Risk assessments are thorough that included environmental, personal and staff training. equipment to be used, The home has a good ‘Quality Assurance System’ in place that makes sure that people’s views are heard and acted upon. Information from this is used to improve upon the service. Recruitment is thorough, CRB and POVA first checks are in place. References and gaps in work history are checked. Awareness of issues surrounding recruitment and practice in this area is to a good standard. Sunny Lodge DS0000017948.V354002.R01.S.doc Version 5.2 Page 6 Feedback from relatives and people living in the home show they have confidence in the service, management and staff. Staff feedback shows that they feel well informed, have a good level of training and good lines of support from management. Below are some of the comments made by the people living in the home, their families and staff found in the surveys sent out by CSCI (Commission for Social Care Inspection) prior to the site inspection. ‘I like Sunny Lodge, at the weekend I go to the pub’ Service User ‘ I think the home does well informing us as much as possible and deals with any problems he has efficiently.’ Relative ‘So far support has exceeded any of my expectations.’ Relative ‘Very flexible and a caring approach.’ Relative ‘They continue to meet [my relative’s] challenging behaviours in a competent and caring way’ Relative ‘The home has surpassed my expectations on many occasions’ and ‘ a complaint has never been necessary as communication and exchange of views are excellent’ Relative ‘Induction was over a three month period and was very informative and useful. It gave me a good base for good practice, policy and procedures.’ Staff Member ‘Training is provided regularly and recently have had a refresher on medication and health care.’ Staff Member What has improved since the last inspection? What they could do better: At this point in time the home continues to improve all aspects of the care that is provided and environment that people live in. Sunny Lodge DS0000017948.V354002.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Sunny Lodge DS0000017948.V354002.R01.S.doc Version 5.2 Page 8 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.V354002.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2: quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People choosing to use the service benefit from a well managed admission procedure. Pre-admission systems are in place and these make sure that the home can meet the needs of the person before they move in. EVIDENCE: There have not been any new admissions to the home since the previous inspection site visit. The policies and procedures for admitting new people to the home are in place and remain subject to regular review. The manager confirmed in discussion the admission procedure that was judged to be comprehensive and thorough. Sunny Lodge DS0000017948.V354002.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7, and 9: quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living in Sunny Lodge have the benefit of a well-developed care planning system. People play an active role in making decisions about their lives and are supported to take risks. EVIDENCE: The care plans for two people living at Sunny Lodge were examined as part of the inspection process. These contained clear detail of the needs of the person, the actions staff need to take to support people to live an independent lifestyle to the maximum of their capabilities. There was evidence to confirm where individuals had been consulted and involved with developing their support plans. Both plans included photographs, list of medications, a record of healthcare appointments and input. Assessments covered all areas of care and support including personal hygiene, dressing, medication, communication, eating and drinking, sleeping, laundry, housework, shopping, home skills, travel and leisure. Evidence was available to confirm that care plans were subject to monthly reviews where any changing needs were assessed and Sunny Lodge DS0000017948.V354002.R01.S.doc Version 5.2 Page 11 recorded and records showed that individuals were involved in their care plan reviews. One person spoken with confirmed that they are told by staff what is in their care plan and that if they …”are not happy I tell the staff”. Risk assessments are included for many areas of daily life experienced by the people living at the home such as travel, health, kitchen access, personal hygiene and health care issues. Risk assessments are subject to 6 monthly reviews. The person spoken with said that they were in control of their every day life and they …“do what I want” and …”go to the shops”. People living in the home were observed leaving the home with and without staff and undertaking a variety of activities of their choosing. Staff reported how they supported individuals to do tasks, activities and make choices instead of ‘doing things for them’. The care plans for people living at the home confirmed that they make their own choices and decisions and how staff support people and are available to provide physical or emotional support if needed. Sunny Lodge DS0000017948.V354002.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15, 16 and 17: quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home have opportunities for personal development. The home provides activities that match the needs of the people living there and the people are supported to build and maintain relationships their families. People living in Sunny Lodge benefit from a well-balanced nutritional and varied diet. EVIDENCE: People living at Sunny Lodge are able to access a range of stimulating and enjoyable activities both at the home or in the community. Staff spoken with during the site inspection said that the individuals living in the home are involved in the planning of activities both individually or as group members. There was written and vebal evidence that people take up a range of activities that they choose and enjoy. Sunny Lodge DS0000017948.V354002.R01.S.doc Version 5.2 Page 13 Activities, including education and social events are planned with people by the home’s staff who maintain good links to local events, college courses and other activities available in the community. Transport for activities, appointments and visits home are met through staff cars available at the home. The person spoken with said that visitors are encouraged and that they are encouraged to maintain contact with relatives and friends. Various other means of communication from writing celebration cards and letters to telephone calls are used by the people living in the home and are supported by staff. One relative who commented was complimentary about this aspect of the service and …“is always made welcome by staff” and stated that …“the home is run in a professional manner”. The individual’s’ care plans record that choices made by people are respected and valued, and that there are flexible routines that meet their varying needs and wishes. Staff are available throughout the week and weekends to provide escort and support services to those who wish to undertake activities outside the home. Staff spoken with stated …“we try to take the residents to the places they like going to”. All of the people who live at the home contribute to food planning from menu planning to shopping, and to some limited food preparation. The person spoken with was observed choosing what they wanted for lunch and that this was a change to the planned menu. The person said that said they enjoyed the food that they ate in the home. Food stocks were good and the kitchen was clean , tidy and well organised. Sunny Lodge DS0000017948.V354002.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19, and 20: quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of those living in Sunny Lodge are well met. The home promotes peoples’ privacy and dignity and meets the peoples changing and diverse needs. The home has systems in place that makes sure that medication is given in a safe manner. EVIDENCE: All of the people living in the home currently require some support with their personal care. The care plans examined on the day clearly indicate the support and assistance required by the individual for their daily care and the detail written in the plan of care is helpful to both the people receiving the care and the staff providing the care. Routines are as flexible as possible and take into account the wishes of the people living in the home. Observations made on the day confirmed that good relationships had been formed and that staff treat the people in a sensitive and caring manner. Staff are patient and genuinely interested in the welfare of the people living there. The community nurse, OT, speech therapist and physiotherapist have been involved in the care of some of the people living in Sunny Lodge and details of their input is found in the care Sunny Lodge DS0000017948.V354002.R01.S.doc Version 5.2 Page 15 plans. Relatives commented that both personal and healthcare needs are “excellent” and “the home always phones me if they are poorly”. Peoples’ health care needs are recorded in their care plans. People are supported to make decisions regarding their health and these decisions are recorded appropriately in the daily records. Medication Administration Records (MARS) are kept up to date and well maintained. The home records the receipt and disposal of medication and work closely with the local pharmacy that had visited the home the week prior to the inspection. The medication cabinet was situated in the manager’s office and was securely locked. The staff spoken with confirmed that they had received training around medication and this had made them confident that they were providing a safe service to those in their care. Sunny Lodge DS0000017948.V354002.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23: quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service have access to an understandable complaint procedure that ensures that they are listened to. The home has vigorous practices and procedures that makes sure that people are well protected from actual or potential abuse. EVIDENCE: The home has a clear and informative Complaints Policy and Procedure in place. The people living at the home are aware of the complaints procedure and said that they would tell their key worker if they were upset or worried. There had been no complaints received by the home or by the Commission for Social Care Inspection since the previous visit. The whole staff team apart from the two new recruits have received training in the Safeguarding of Vulnerable Adults since the previous visit to the service. The policies and procedures relating to recruitment promoted the safety of people living at the home by including obtaining enhanced Criminal Records Bureau disclosures and two written references before a new staff member starts work at the home. Sunny Lodge DS0000017948.V354002.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30: quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sunny Lodge provides people with a homely, comfortable and accessible place in which to live. The home has adaptations and equipment that meets the needs of those living there. The staff maintain an excellent level of hygiene. EVIDENCE: The environment of the home is appropriate for the needs and requirements of the people living there and is homely, clean, safe and comfortable. People are encouraged to personalise their bedrooms and this was confirmed by the conversation that took place with one of the people living in Sunny Lodge. The carpets in the communal areas and part of the communal hallway have been replaced. Visitors are able to meet with people in the communal areas of the home or in their private rooms. Bathrooms and toilets contained the appropriate adaptations required by people to promote their safety and independence. Sunny Lodge DS0000017948.V354002.R01.S.doc Version 5.2 Page 18 Sunny Lodge DS0000017948.V354002.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34, and 35: quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living in Sunny Lodge benefit from a skilled and competent staff team. The recruitment procedure in the home is rigerous and provides the safeguards to ensure that appropriate staff are employed. The staff are provided with an relevant and effective programme of training. EVIDENCE: Only two of the staff team working at the home had not completed a minimum of NVQ level 2 however these staff members had completed the Learning Disability Award Framework training and are due to start working towards NVQ 2 qualification in January 2008. The home must be commended for having over and above the 50 of staff trained in NVQ Level 2 or above. Two recruitment files for the newest staff members employed since the previous inspection visit was examined and contained all the paperwork required to promote and protect the safety and well being of the people living at the home. Sunny Lodge DS0000017948.V354002.R01.S.doc Version 5.2 Page 20 Training in areas designed to promote and protect the health, safety and welfare of people living at the home has been provided for the whole staff team. This included moving and handling, the Protection of Vulnerable Adults, infection control, fire safety and safer administration of medications, and managing challenging behaviour. Staff spoken with on the day confirmed that they were not employed until all of the checks had been completed. Discussion with staff and records confirmed that the staff team receive regular supervisions; the registered manager reported that she aimed to undertake six supervisions with each staff member during the course of a year however, in practice; this target number was generally exceeded. Staff stated that they found supervision helpful and a time where they felt safe and comfortable discussing sensitive issues they said that they felt …”well supported by the management team. Sunny Lodge DS0000017948.V354002.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, and 42: quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is well managed and promotes the health, safety and welfare of the people who live and work there. EVIDENCE: The registered manager has many years experience working with adults with learning disabilities and holds the Registered Managers Award. Evidence was available to show that she regularly undertakes training alongside the staff team and additional to the team to update her knowledge and skills in the areas necessary for care and support as well as in her managerial role. The service undertakes an annual quality assessment survey involving people living at the home, their relatives, representatives and community stakeholders. The registered manager was able to demonstrate that a summary was made of the responses to the surveys and actions points Sunny Lodge DS0000017948.V354002.R01.S.doc Version 5.2 Page 22 identified and acted upon. Monthly meetings take place as a group and on a one to one basis with keyworkers. Records are kept of comments made and the manager was able to demonstrate that veiws are listened to and acted upon and changes made where necessary. Evidence was available to confirm that random fire drills took place three or four times per year and fire assessments were in place. Each room in the house was individually risk assessed and last reviewed in October 2006. Weekly checks were made on emergency lighting system and fire sensors. Records of water temperature checks, fridge/freezer checks and monthly health and safety checks are available in the office. The service has a yearly maintenance programme that is scheduled by the manager. Sunny Lodge DS0000017948.V354002.R01.S.doc Version 5.2 Page 23 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 X 4 X 5 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Sunny Lodge DS0000017948.V354002.R01.S.doc Version 5.2 Page 24 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. Refer to Standard Good Practice Recommendations Sunny Lodge DS0000017948.V354002.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Sunny Lodge DS0000017948.V354002.R01.S.doc Version 5.2 Page 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!