Inspection on 23/03/06 for The Lodge Dovercourt

This inspection was carried out on 23rd March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Lodge Dovercourt 04/11/08

The Lodge Dovercourt 08/11/07

The Lodge Dovercourt 30/11/06

The Lodge Dovercourt 19/07/05

The Lodge Dovercourt 29/03/05

The Lodge Dovercourt 08/09/04

The Lodge Dovercourt 25/02/04

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 The Lodge - Dovercourt 16/18 Beach Road Dovercourt Harwich Essex CO12 3RP Lead Inspector Steve Boyd Unannounced Inspection 23rd March 2006 10:00 The Lodge - Dovercourt DS0000017969.V286559.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 The Lodge - Dovercourt DS0000017969.V286559.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. The Lodge - Dovercourt DS0000017969.V286559.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Lodge - Dovercourt Address 16/18 Beach Road Dovercourt Harwich Essex CO12 3RP 01255 503678 N\A thelodgecarehome@aol.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 Nowranee Sookun Mrs Nowranee Sookun Care Home 8 Category(ies) of Learning disability (8) registration, with number of places The Lodge - Dovercourt DS0000017969.V286559.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 8 persons) 19th July 2005 Date of last inspection Brief Description of the Service: The Lodge is situated near the seafront at Dovercourt. The home changed its category of care from elderly people to people with learning disabilities in 2001. Prior to this it had been operating as a small home. Mrs. Sookun has remained the registered manager during the lifetimes of both registrations and has a background in nursing. The accommodation is comprised of a converted family home, with eight single rooms, one of which is on the ground floor. There is no lift. There are two bathrooms with toilets and additional separate toilets on the ground and first floor. Catering and laundry facilities are at the back of the house on the ground floor. Communal areas consist of a lounge and dining room. The dining room has patio doors opening up onto the rear garden, which is accessed via steps and is mainly laid to lawn with some flowerbeds. The small front garden is paved. The Lodge - Dovercourt DS0000017969.V286559.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place in one day in March 2006. During the inspection three members of staff were spoken to and also Mrs. Sookun, proprietor/manager was spoken with towards the end of the inspection having been out at a meeting. Interaction between service users and staff was observed and a tour of the premises undertaken. Various records and policies were looked at throughout the inspection. A total of sixteen standards were assessed at this inspection. What the service does well: What has improved since the last inspection? What they could do better: The historical issue of retaining staff at the home remains a problem for the operation of the home. Apart from the proprietor and her husband Mr. Sookun, the longest serving members of staff have spent less than a year in the home. With the service user group who have autism and challenging behaviours, continuity of staff to understand their needs and meet them over a long period of time is something the home must strive to achieve. Because care staff have stayed for only short periods of time at the home, national vocational qualifications and training for staff has not taken place and this needs to be pursued in the future along with a more continuous staff group. The Lodge - Dovercourt DS0000017969.V286559.R01.S.doc Version 5.1 Page 6 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 - Dovercourt DS0000017969.V286559.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 The Lodge - Dovercourt DS0000017969.V286559.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): 3. Service users could not be fully confident that the home would meet its needs and aspirations. EVIDENCE: Although service users have undergone comprehensive assessment and staff training has been undertaken in the area of autism and challenging behaviour, service users’ needs for continuity and familiarity would be hampered by the traditional problems the home has had in retaining staff for lengthy periods of time. The Lodge - Dovercourt DS0000017969.V286559.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): 6,7,8 & 9. Service users have comprehensive and holistic care plans. They are encouraged to make decisions where they are able and to participate in the life and operation of the home. EVIDENCE: Care plans sampled during the inspection were found to be comprehensive and took a holistic approach to service users’ needs. The instructions on how service users’ needs were to be met were clear. Service users were seen to be involved in review meetings regarding their care plans and plans had been regularly reviewed and evaluated. Service users were involved in decision making regarding the home and were seen to be actively involved in areas such as shopping, cleaning their rooms and helping to prepare meals. Risk assessments were seen to be available for service users with clearly outlined risks both within and outside of the home and how these could be minimised. The Lodge - Dovercourt DS0000017969.V286559.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): None of these standards were assessed at this inspection. All scored “3” at the previous inspection. EVIDENCE: The Lodge - Dovercourt DS0000017969.V286559.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): 19 & 20. Service users’ physical and emotional care needs are met. Some improvements to the medication system would improve safety and security. EVIDENCE: Service users’ records showed that their health needs were given a good level of priority. Regular appointments were seen to have been progressed with health care professionals such as doctors, dentists, opticians etc. During the inspection, Mrs. Sookun, manager, was attending a multi disciplinary meeting at a Colchester Assessment Unit regarding the health and well being of one of the current service users. Service users, due to their level of disability are unable to maintain and administer their own medication. A bottle to mouth system of medicine administration is utilised in the home. Staff who administer medication have had training in administration, usage and side effects. The Lodge - Dovercourt DS0000017969.V286559.R01.S.doc Version 5.1 Page 12 It was noted that on occasions the supplying pharmacy to the home were providing two months (56 days) worth of medicines for some service users. Mrs. Sookun was advised to contact the pharmacy over supplying only 28 days worth of medication at a time to enhance safety and security of the medicine system. The Lodge - Dovercourt DS0000017969.V286559.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): None of these standards were assessed at this inspection. They are scored “3” at the previous inspection. EVIDENCE: The Lodge - Dovercourt DS0000017969.V286559.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): 25, 27 & 30. Service users’ bedrooms appear to suit their needs and lifestyle. Toilets and bathrooms met the current physical needs of service users although some decoration issues are apparent. The home was found to be clean and hygienic during the inspection. EVIDENCE: Service users at the home have their own individual bedrooms and these were seen to be suitably decorated and equiped to meet service users’ preferences and needs. Bedrooms are individually decorated and the inspector not having visited the home for some years found the overall standard of decorating to be much better than in the past. The home’s upstairs bathroom would benefit from some redecoration although in general toilets and bathrooms met service users needs. A cleaner is employed at the home and a tour of the premises revealed no problems with either cleanliness or order. The Lodge - Dovercourt DS0000017969.V286559.R01.S.doc Version 5.1 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): 32, 33, 34, 35 & 36. Service users could benefit from a more qualified and effective staff team than is currently the case. EVIDENCE: Staff spoken to on the day of the inspection presented as competent and showed knowledge of service users’ needs. However, none of the current staff team had been post for more than seven months and as such none had pursued national vocational qualifications. Some training had taken place in dealing with challenging behaviours and understanding autism. Other training had taken place on the understanding of abuse, manual handling, first aid and understanding positive communication. The home’s recruitment policy and practices were seen to be appropriate with applications being filled in, interviews undertaken, references and CRB checks being progressed. Staff supervision was seen to be taken place on a monthly basis, however, as all staff were relatively new in post, an assessment of how well supported and supervised staff were not being made over a longer period. The Lodge - Dovercourt DS0000017969.V286559.R01.S.doc Version 5.1 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): 42. The health safety and welfare of some of the service users is promoted within the home. EVIDENCE: An inspection by the local district Council regarding health and safety matters had taken place in January 2006 and the home had been given a clean bill of health. During the inspection there was evidence of safety certificates for services such as gas, electricity and fire equipment. Risk assessments were seen to be available for areas within the home. The Lodge - Dovercourt DS0000017969.V286559.R01.S.doc Version 5.1 Page 17 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 2 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 X 25 3 26 X 27 2 28 X 29 30 3 3 3 3 X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 16 17 STAFFING Standard No Score 31 X 32 2 33 2 34 3 35 2 36 2 X X X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 DS0000017969.V286559.R01.S.doc Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 The Lodge - Dovercourt Score X 3 2 2 X X X X 3 Version 5.1 Page 18 21 X 43 X The Lodge - Dovercourt DS0000017969.V286559.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? Yes 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 Timescale for action 31/05/06 2. YA24 17, 23 3. YA27 23(2)(b) 4. YA32YA35 18 The registered manager should enhance the security and safety of the medicine administration system by keeping stocks to a 28 day level. The registered person must 31/05/06 provide to the Commission a planned programme for refurbishment and ongoing maintenance of the home and its fabric. This is a repeat requirement over a number of inspections. The registered provider must 31/05/06 ensure that toilets and bathroom facilities are maintained in an acceptable state of repair. This is a repeat requirement since March 2005. The registered manager must 30/06/06 ensure that staff training and development programme meets sector scales council workforce training targets and ensures staff fulfil the aims of the home to meet the changing needs of the service users as devised. This would include national vocational qualification training for staff. The Lodge - Dovercourt DS0000017969.V286559.R01.S.doc Version 5.1 Page 20 5. YA36 18 6. YA39 24(1-3) This is a repeat requrement since 2002. The registered person must ensure that all staff receive regular support and supervision on a minimum of six occasions per year. The registered person must put in place a quality assurance system based on seeking the views of service users and other stakeholders in the home. This standard was not assessed at this visit and is therefore carried forward to the next inspection. 31/10/06 30/06/06 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 - Dovercourt DS0000017969.V286559.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. Extracts may not be used or reproduced without the express permission of CSCI The Lodge - Dovercourt DS0000017969.V286559.R01.S.doc Version 5.1 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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