Inspection on 23/11/05 for The Lodge Trust

This inspection was carried out on 23rd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 Trust 09/06/06

The Lodge Trust 09/06/05

The Lodge Trust 08/03/05

The Lodge Trust 07/09/04

The Lodge Trust 22/03/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 The Lodge Trust Main Street Market Overton Rutland LE15 7PL Lead Inspector Martin Hefferman Unannounced Inspection 23rd November 2005 09:45 The Lodge Trust DS0000006460.V268489.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 Trust DS0000006460.V268489.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 Trust DS0000006460.V268489.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Lodge Trust Address Main Street Market Overton Rutland LE15 7PL 01572 767234 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) admin@lodgetrust.org.uk The Lodge Trust Ms Elizabeth Jane Irvine Care Home 25 Category(ies) of Learning disability (25), Learning disability over registration, with number 65 years of age (1) of places The Lodge Trust DS0000006460.V268489.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No further Service Users in the category of LD may be admitted when there is already a total of 25 Service Users accommodated in this Category. No further Service Users in the category of LD(E) may be admitted when there is already a total of 1 Service Users accommodated in this Category. 9th June 2005 Date of last inspection Brief Description of the Service: The Lodge Trust is registered to provide care for up to twenty-five adults with learning disabilities. The home is located in Market Overton, a small village in Rutland, in 21 acres of rural countryside. It is six miles from the county town of Oakham and is accessible by car. Accommodation is provided in three houses, each with its own kitchen, dining room and sitting areas. Bedrooms are located on the ground and first floors and are close to bath / shower and toilet facilities. The Lodge Trust was established in 1984. It is a Conservative Evangelical Christian Home. The staff and residents who choose to live at the home make, as part of that choice, a decision to live by Christian principles. The Trusts ethos is to promote and support all residents who are able to work to be involved in communal work at the home or to work in the local area. Products produced by the residents such as notebooks, wooden chopping boards, garden pots, hot-pot stands and scarves are sold in a small shop on site. The Lodge Trust DS0000006460.V268489.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for the people who use services and their views of the service provided. This process considers the establishment’s capacity to meet regulatory requirements & minimum standards of practice and focuses on aspects of service provision that need further development. This inspection took place over the course of approximately five and a half hours. The primary method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care they receive through review of their records, discussion with them, the care staff and observation of care practices. Seven residents were interviewed during the course of this visit. The registered manager facilitated the 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 Trust DS0000006460.V268489.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 Trust DS0000006460.V268489.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): Not applicable EVIDENCE: None of the standards in this section were inspected on this occasion. Residents did however state that they had been involved in the process of revising the home’s ‘Service User Guide’ (standard 1: information). Minutes indicate that the Guide had been discussed at a recent meeting of the Residents’ Forum. The registered manager stated that she would include their comments in the revised document. The Lodge Trust DS0000006460.V268489.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): 6, 7 & 9 Care planning practices are effective ensuring that staff members have the information they need to meet residents’ needs. Residents are supported to make decisions and to take risks as part of a more independent lifestyle. EVIDENCE: Person-centred plans were available for the residents who were chosen for the purposes of case tracking. Each resident had set his or her own goals for the future, which had been reviewed six months after the completion of the plan to assess the progress made. A central record is kept of the completion of individual plans, which highlights those that are due for review. The registered manager stated that an up-to-date plan for one of the residents who were chosen for the purposes of case tracking was in the process of being typed. Residents stated that they are able to make decisions about their lives. They are involved in the completion & review of their individual plans and the setting of goals for the future. There is an expectation that they will participate in communal work or work in the locality. Residents indicated that their preferences had been taken into account when determining work activities. They stated that they are able to determine how they spend their free time. The Lodge Trust DS0000006460.V268489.R01.S.doc Version 5.0 Page 9 On the day of the inspection residents were involved in a range of tasks including woodwork, craft, laundry, gardening and kitchen work. They stated that they enjoy the various areas of work undertaken by the Trust. One resident reported that he enjoys going shopping on his own at the weekend. Risk assessments have been completed on a wide range of issues. They set out the measures that need to be taken in order to manage the risks identified. The assessments that were inspected had been kept under regular review. The Lodge Trust DS0000006460.V268489.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): 12 & 16 The lifestyle experienced by residents appears to meet their expectations. EVIDENCE: As stated above, there is an expectation that residents will participate in the work undertaken by the Lodge Trust or work in the locality. A clear structure was evident on the day of the inspection. Potential residents are made aware of these issues before they decide whether to move to the home. Residents’ preferences are taken into account when determining work activities. They are able to determine how they spend their free time and have access to a range of social activities both within the home and the local community. A number of residents also attend college. Whilst the requirements of standard 17 (Meals & Mealtimes) were not inspected on this occasion, residents stated that they enjoyed the meal prepared on the day of the inspection. The Lodge Trust DS0000006460.V268489.R01.S.doc Version 5.0 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): 18 Residents’ personal support needs are met by the home. EVIDENCE: Individual plans set out details of the personal support required by residents, including any preferences they may have. They are involved in the completion and review of their plans. Residents indicated that they are happy with the care they receive. The Lodge Trust DS0000006460.V268489.R01.S.doc Version 5.0 Page 12 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): Not applicable EVIDENCE: None of the standards in this section were inspected on this occasion. The Lodge Trust DS0000006460.V268489.R01.S.doc Version 5.0 Page 13 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): The standard of accommodation is satisfactory providing residents with comfortable surroundings in which to live. EVIDENCE: The parts of the home that were inspected were decorated and furnished to a satisfactory standard. They were clean and free from offensive odours. The home employs a member of staff specifically to undertake maintenance and decorating. The Lodge Trust DS0000006460.V268489.R01.S.doc Version 5.0 Page 14 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 Residents’ needs are met by competent & qualified staff. EVIDENCE: Standards 34 (Recruitment) & 35 (Training & Development) were inspected at the time of the last inspection and were met. Figures provided by the home on this occasion indicate that five of the eighteen members of staff have completed National Vocational Qualification level 2 or 3, two staff members have almost completed the award, three are about to start NVQ 2 and two NVQ 3. Residents and staff appear to enjoy a positive working relationship. The Lodge Trust DS0000006460.V268489.R01.S.doc Version 5.0 Page 15 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 Residents benefit from a well run home. EVIDENCE: The registered manager has obtained a nursing qualification for people with learning disabilities and National Vocational Qualification level three (promoting independence). She is in the process of completing NVQ level four in management. She has managed the home for over five years. The home’s compliance with the standards inspected on this and previous occasions indicates that it is well managed. The Lodge Trust DS0000006460.V268489.R01.S.doc Version 5.0 Page 16 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 4 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 2 X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Lodge Trust Score 3 X X X Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X DS0000006460.V268489.R01.S.doc Version 5.0 Page 17 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. 1. Refer to Standard YA23 Good Practice Recommendations It is strongly recommended that the Registered Manager produces a policy and procedure to reflect the working practice of managing residents’ finances that links with the adult protection policy. The Lodge Trust DS0000006460.V268489.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Trust DS0000006460.V268489.R01.S.doc Version 5.0 Page 19 - 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. 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