Inspection on 03/11/05 for The Lodge (Bru-ley Homes Limited)

This inspection was carried out on 3rd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

The Lodge (Bru-ley Homes Limited) 29/01/07

The Lodge (Bru-ley Homes Limited) 20/12/04

The Lodge (Bru-ley Homes Limited) 16/09/04

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Polesworth Group 70 Long Street

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10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 The Lodge (Bru-ley Homes Limited) Lodge Lane Kynnersley Telford Shropshire TF6 6DX Lead Inspector Rebecca Harrison Unannounced Inspection 3rd November 2005 10:30 The Lodge (Bru-ley Homes Limited) DS0000020569.V262620.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Lodge (Bru-ley Homes Limited) DS0000020569.V262620.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Lodge (Bru-ley Homes Limited) DS0000020569.V262620.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Lodge (Bru-ley Homes Limited) Address Lodge Lane Kynnersley Telford Shropshire TF6 6DX 01952 677083 01952 677083 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) Mr. Bruce Wheeldon Mrs Shirley Wheeldon Care Home 3 Category(ies) of Learning disability (3) registration, with number of places The Lodge (Bru-ley Homes Limited) DS0000020569.V262620.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th June 2005 Brief Description of the Service: The Lodge is registered with the Commission for Social Care Inspection (CSCI) to provide accommodation and personal care for a maximum of three people with learning disabilities. At the time of this inspection there were two people living at the home with Mr and Mrs Wheeldon and their granddaughter. There are no future plans to move anyone else into the home. Bru-ley Homes Limited, who also has a larger care home in the Telford area, owns the home. Although managed separately, service users are able to access the facilities at both properties if requested. The registered manager of The Lodge is Mrs Shirley Wheeldon who is also one of the proprietors. The Lodge is a Duke of Sutherland Cottage set in the rural village of Kynnersley, near Telford. The Lodge (Bru-ley Homes Limited) DS0000020569.V262620.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and commenced at 10.30 and lasted just under two hours. The two people accommodated at the home were present for the majority of the inspection with one person taking an active role as much as possible in the inspection process. The inspection was carried out by talking with the service users, the registered provider and the deputy manager, observing activity in the home, examination of a number of records and a full tour of the environment. The service users and managers were most welcoming and co-operated fully throughout the inspection. The purpose of this unannounced inspection was to review any progress made by the home since the announced inspection undertaken on the 14th June 2005 by Ms Sue Woods, Regulation Inspector. No requirements or recommendations were made as a result of that inspection. Inspection work undertaken by CSCI is proportionate in relation to how a home has performed in the past. As The Lodge has a consistent history of providing a good service and exceeding a number of national minimum standards, this inspection was brief and focused only on the ‘key’ standards outstanding to be reviewed during this inspection year. No complaints have been received by the home or referred to the Commission for Social Care Inspection since the home was last inspected. There have been no referrals made to adult protection. Bru-ley Homes Limited has a larger care home in the Telford area. There are plans to de-merge the two homes from January 2006. The Commission has recently received an application in relation to this. The Lodge will remain registered under Bru-ley Homes Limited. This unannounced inspection was positive with no requirements or recommendations being made. What the service does well: The two people living at the home have lived there for over twenty years. The home continues to provide a homely place to live. Discussions held and observations made indicate that the two service users continue to enjoy living in a rural location within in a ‘family’ type environment. The manager sees The Lodge as an extended family home and this is evident with the support and contact maintained between the families of the service users and the managers own family. The Lodge (Bru-ley Homes Limited) DS0000020569.V262620.R01.S.doc Version 5.0 Page 6 The service users living at The Lodge are supported by an effective staff team with sufficient numbers and complimentary skills to support their assessed needs. Service users continue to have a community presence. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Lodge (Bru-ley Homes Limited) DS0000020569.V262620.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Lodge (Bru-ley Homes Limited) DS0000020569.V262620.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): x EVIDENCE: It was reported that there have been no new admissions or discharges since the home was last inspected and there are no future plans to move anyone else into the home. The Lodge (Bru-ley Homes Limited) DS0000020569.V262620.R01.S.doc Version 5.0 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): 9 Service users are enabled to take responsible risks within a risk-assessed framework, which is regularly reviewed and updated. EVIDENCE: The intended outcomes for key standards 6 and 7 were reviewed and met at the previous inspection of this service and were not reviewed on this occasion. Individual risk assessments were seen on file for both people accommodated at the home. Risk assessments were comprehensive and there was evidence of review. The manager agreed to place the risk assessments with the care plans for easier reference. The Lodge (Bru-ley Homes Limited) DS0000020569.V262620.R01.S.doc Version 5.0 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): 17 Meals provided at The Lodge are of a good homely type offering choice and variety with individual preferences well catered for. EVIDENCE: The intended outcomes for key standards 12,13,15 and 16 were assessed and met at the previous inspection in addition to standard 14 (Leisure) and were therefore not reviewed on this occasion. The home has a five-week menu that appeared to be well balanced. Neither of the two people accommodated at the home have any special dietary requirements however staff are fully aware of their personal preferences. It was reported that service users regularly go food shopping accompanied by staff and are supported to prepare meals under staff supervision. During the inspection people were taken out for lunch as the home was preparing for the refurbishment of the kitchen the following day. The plan for the new kitchen was shared with the inspector. During the refurbishment service users will be taken to local pubs and restaurants for meals out. The Lodge (Bru-ley Homes Limited) DS0000020569.V262620.R01.S.doc Version 5.0 Page 11 The home was awarded the Healthy Eating Gold Award provided by the Borough of Telford and Wrekin Council in October 2005. The Lodge (Bru-ley Homes Limited) DS0000020569.V262620.R01.S.doc Version 5.0 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): x EVIDENCE: All of the intended outcomes for the key standards relating to personal and healthcare support were assessed and met at the previous inspection and were not reviewed on this occasion. The Lodge (Bru-ley Homes Limited) DS0000020569.V262620.R01.S.doc Version 5.0 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): x EVIDENCE: The intended outcomes for key standards complaints and protection were assessed and met at the previous inspection and were not reviewed on this occasion. It was reported that the home has not received any complaints since the last inspection. No formal complaints have been referred to the Commission for Social Care Inspection and there have been no referrals made under adult protection procedures. The Lodge (Bru-ley Homes Limited) DS0000020569.V262620.R01.S.doc Version 5.0 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 Accommodation provided at The Lodge continues to be good providing service users with a homely and comfortable place to live. EVIDENCE: The two key standards for the environment were assessed and met at the previous inspection. A tour of the environment during this inspection evidence that the home continues to meet standard 24, providing people with a homely place to live. Observations made and discussions held indicate that the two service users continue to benefit from living in a rural location within a ‘family’ type environment. Following the refurbishment of the kitchen, new carpets are due to be fitted throughout the home and a new suite is on order for the lounge. Service users have also helped to redecorate the conservatory. The home was inspected by the Fire Officer on 08.02.05 and the fire arrangements were found to be satisfactory with no recommendations being made. It was reported that the Environmental Health Department have not visited the home since the last inspection. The home is set in extensive and well maintained grounds. The Lodge (Bru-ley Homes Limited) DS0000020569.V262620.R01.S.doc Version 5.0 Page 15 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): 33 The service users living at The Lodge are supported by an effective staff team with sufficient numbers and complimentary skills to support their assessed needs. EVIDENCE: The intended outcomes for Standard 32 and key Standard 35 were assessed and met at the previous inspection. Training was not reviewed on this occasion, however it was reported that a number of training events have been scheduled shortly to include Person Centred Planning, Infection Control and Moving and Handling. Staffing consists of the two registered proprietors, their daughter, son-in law and one other member of staff. The proprietors and their granddaughter live at the home. Discussions held and records seen evidence that staffing arrangements are flexible with two staff supporting the two service users for the majority of the time. It was reported that staff employed at the proprietors other registered care home compliment the staffing arrangements at The Lodge if required, however the service users from The Lodge rarely visit the other home as it has been identified that they now benefit from a more steady and quiet environment. The home achieved the Investor In People Award on 31.10.05. No new staff have been employed since the last inspection. The Lodge (Bru-ley Homes Limited) DS0000020569.V262620.R01.S.doc Version 5.0 Page 16 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): 37,38, 39 and 41 The home is managed by an experienced and suitably qualified manager who carries out her responsibilities fully creating an open and positive atmosphere from which the service users and staff benefit. EVIDENCE: The intended outcomes for standards 37, 41 and 42 were assessed and met at the previous inspection of the service. The registered provider and manager of the home is Mrs Shirley Wheeldon. Mrs Wheeldon has obtained an NVQ level 4 Care Award and the Registered Manager Award in 2004. The deputy manager holds NVQ awards at levels 2 and 3 and is nearing completion of level 4 in Care. She has recently commenced the Registered Managers Award and it is envisaged that she will eventually take over the management of the home. Observations made throughout the inspection indicate the manager and her deputy promote a positive atmosphere and have a flexible approach in the The Lodge (Bru-ley Homes Limited) DS0000020569.V262620.R01.S.doc Version 5.0 Page 17 management style of the home. The home is a member of the Shropshire Partners In Care (SPIC) Quality Assurance scheme and acquired level 2 certificate on 12th March 2005. The manager reported that SPIC visit the home annually and look at a number of areas to include staffing, NVQ’s, training and staff development. Pictorial resident questionnaires were seen on file signed by the service user, keyworker and the manager. These were positive. It was reported that the views of parents are sought six monthly in addition to their attendance at the review meetings and the regular contact maintained with the home. Both the manager and her deputy stated that the home continues to maintain close contact with families of the service users and have developed excellent working relationships. Records seen during the inspection were well organised with evidence of regular review. The managers have identified the need for all records relating to the service users and the business to be available at the home and are currently in the process of transferring all the relevant documentation from their other care home in preparation for the de-merger. All of the homes records will be reviewed and streamlined in January 2006. The Lodge (Bru-ley Homes Limited) DS0000020569.V262620.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Lodge (Bru-ley Homes Limited) Score x x x x Standard No 37 38 39 40 41 42 43 Score 4 4 3 x 3 x x DS0000020569.V262620.R01.S.doc Version 5.0 Page 19 N/A 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. Refer to Standard Good Practice Recommendations The Lodge (Bru-ley Homes Limited) DS0000020569.V262620.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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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