Inspection on 01/02/06 for The Lodge, Plymouth

This inspection was carried out on 1st February 2006.

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, Plymouth 18/01/07

The Lodge, Plymouth 05/05/05

The Lodge, Plymouth 09/11/04

The Lodge, Plymouth 15/06/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 The Lodge, Plymouth The Mencap Centre 207 Outland Road Plymouth Devon PL2 3PF Lead Inspector Kim Fowler Unannounced Inspection 11:45 1 February 2006 st The Lodge, Plymouth DS0000003445.V252911.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, Plymouth DS0000003445.V252911.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, Plymouth DS0000003445.V252911.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Lodge, Plymouth Address The Mencap Centre 207 Outland Road Plymouth Devon PL2 3PF 01752 773333 01752 796299 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) Plymouth Society for Mentally Handicapped Children & Adults Ms Linda Dorothy Strong Care Home 3 Category(ies) of Learning disability (3) registration, with number of places The Lodge, Plymouth DS0000003445.V252911.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service Users with a learning disability some of whom may have a physical disability Age 18-65yrs Ms Linda Strong must complete the Registered Managers Award by October 2006 5th May 2005 Date of last inspection Brief Description of the Service: The Lodge is a care home providing personal care and accommodation for three people with learning disabilities. It is owned by the Plymouth Highbury Trust, which is a voluntary organisation, affiliated to the Royal Mencap Society. This home is located in the residential area of Peverell, close to shops, pubs, the post office and other amenities. The home was opened in 1995 and consists of a two-storey building situated on the site of the Plymouth Mencap Society, where there is also another care home and a day centre owned and managed by the Society. All the home’s bedrooms are single, on the 1st floor and none of them have en suite facilities. On the ground floor there are separate lounge and dining rooms. The home has an attractive patio and garden accessible to all the service users, shared with the other facilities on the site.The home is staffed 24 hours a day and has sleep in staff at night. The Lodge, Plymouth DS0000003445.V252911.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 2 hours and 15 min. and was an Unannounced inspection. A partial tour of the premises took place and 3 the service users, 2 staff members and the Registered Manager were spoken with during this inspection. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Lodge, Plymouth DS0000003445.V252911.R01.S.doc Version 5.0 Page 6 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, Plymouth DS0000003445.V252911.R01.S.doc Version 5.0 Page 7 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): EVIDENCE: None of these standards were inspected on this occasion. The Lodge, Plymouth DS0000003445.V252911.R01.S.doc Version 5.0 Page 8 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): 7/8 The service users in this home are encouraged with staff support to make decisions about their own lives. EVIDENCE: One service user confirmed that they often go out for a walk by themselves and that the staff assists them to make decisions about choices they make in their lives. This service user was also able to state that they help around the home including helping prepare breakfast for less able service users and some of the house keeping tasks. The Lodge, Plymouth DS0000003445.V252911.R01.S.doc Version 5.0 Page 9 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 The service users in The Lodge can be confident that they will access the local community. EVIDENCE: One service user informed the inspector that they go out into the local community with staff support. This included trips horse riding, local entertainment & swimming centre and a weekly market. Another service user said that they go out to the local shops often by themselves. Two of the service users spoken with confirmed that they had been on holiday in the last year and were already in discussion with staff to plan this year’s holiday. Two staff member also confirmed the places of interest being looked at for this year’s holiday. The Lodge, Plymouth DS0000003445.V252911.R01.S.doc Version 5.0 Page 10 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): 18/19 Service users can be confident that their health care needs are met. EVIDENCE: One service user informed the inspector that they only require minimum assistance with personal support and that the correct gender of staff is available to assist them. One service user was attending the local community dentist during this inspection and was going with staff support. The Lodge, Plymouth DS0000003445.V252911.R01.S.doc Version 5.0 Page 11 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): 22 The service users in this home can be confident that they concern would be listened to. EVIDENCE: Two of the three service users spoken with felt that they could talk to staff and the manger if they had any concerns or problems. The home has a key worker system in place and service users each have a designated person but would go to any member of staff if needed. The Lodge, Plymouth DS0000003445.V252911.R01.S.doc Version 5.0 Page 12 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): 30 The Lodge continues to maintain a suitable environment to meet the needs of the service users. EVIDENCE: The parts of the home seen during this inspection confirm that this home remains clean, hygienic and free from odours. The Lodge, Plymouth DS0000003445.V252911.R01.S.doc Version 5.0 Page 13 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): 31/32/33/35/36 Plymouth Highbury Trust and the management of the home supports staff training to ensure the service users receive a good service. EVIDENCE: From discussion with the staff on duty during the inspection it was evident that the staff in the home have developed a good relationship and able to fully meet the needs of the service users in the home. The staff confirmed that they had undertaken regular training including NVQ’s, Fire Safety, Manual Handling and Health and safety. One staff member had the full 4-day First Aid certificate. The staff spoken with confirmed that the home has a low turn over of staff and that the staff team have proved to be flexible to cover any sickness or leave. All staff informed the inspector that they have regular supervision and support from the management team in the home. The Lodge, Plymouth DS0000003445.V252911.R01.S.doc Version 5.0 Page 14 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): 38 A competent manager who has the respect of the staff team and is highly thought of manages The Lodge. EVIDENCE: Both the staff and the service users spoken with agreed that the management of this home was very good and agreed that the manager is approachable and that the home is well run. The Lodge, Plymouth DS0000003445.V252911.R01.S.doc Version 5.0 Page 15 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 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X 4 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 4 3 3 X 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Lodge, Plymouth Score 4 3 X X Standard No 37 38 39 40 41 42 43 Score X 4 X X X X X DS0000003445.V252911.R01.S.doc Version 5.0 Page 16 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Lodge, Plymouth DS0000003445.V252911.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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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