Inspection on 09/06/05 for The Lodge Trust

This inspection was carried out on 9th June 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 23/11/05

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 MIXED CATEGORY MAJORITY ADULTS 18-65 The Lodge Trust Main Street Market Overton Rutland LE15 7PL Lead Inspector Rajshree Mistry Unannounced 9 June 2005 2.00pm th 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 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 Older People and 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 D C51 C08 S6460 The Lodge Trust V237159 090605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Lodge Trust Address Main Street Market Overton Rutland KE15 7PL 01572 767234 01572 767503 admin@lodgetrust.org.uk The Lodge Trust Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ms Elizabeth Irvine Care Home Only 25 Category(ies) of Learning Disability (LD) 25 registration, with number Learning Disability - over 65 (LD(E)) 25 of places The Lodge Trust D C51 C08 S6460 The Lodge Trust V237159 090605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No additional conditions of registration. Date of last inspection 8th March 2004 Brief Description of the Service: The Lodge Trust is registered to accommodate up to twenty-five adults with learning disabilities. The home is in Market Overton, a small village in Rutland, in 21 acres of rural countryside. The home is six miles from the county town of Oakham and accessible by car. Accommodation is provided in three houses, each with its own kitchen, dining room and sitting areas. The houses close to workshops and garden areas. Bedrooms are located on the ground and first floors of each house and close to bath/shower and toilet facilities. The Lodge Trust was established in 1984. The Lodge Trust is a Conservsative 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 the Christian principles. The Lodge Trusts ethos is to promote and support all residents who are able to work to be involved in communal work at the Lodge Trust or work in the local area. Products produced by the residents such as notebooks, wooden chopping boards, garden pots and hot-pot stands and scrafs are sold in the small shop on site. The Lodge Trust D C51 C08 S6460 The Lodge Trust V237159 090605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place from 2pm on 9th June 2005 and lasted for 5.5 hours. The method of inspection consisted of a tour of the three houses, communal areas, workshops, three residents’ rooms and examination of the health and safety records for the home. Four residents were spoken with from the three houses and observed, specifically looking at their lifestyle at the home and how their care needs were met. Individual plans of care and relevant care records were examined. Comments from residents were all very positive. Staff on duty talked about the provision of care and support in each house and was also observed how they delivered the care needs of the residents. Residents were observed in the workshops and in the houses, engaging in daily activities and routines. Towards the latter part of the inspection visit, time was spent with the Registered Manager, discussing some of the findings, information received and observations made. What the service does well: All residents’ needs are assessed using clear and comprehensive assessment tools. Information gained during the assessment process enables a comprehensive person centred plan of care to be produced. Residents’ health needs are met and recorded within their files. Residents are encouraged to have an active role in the day-to-day running of the home. Activities are offered within the home to meet residents’ social, religious, work and recreational needs. Residents are encouraged to learn new skills and be involved in the workshops on site, such as woodwork, gardening, and crafts. Residents are supported to maintain contact with families and friends. Residents spoken with reported that they have a choice of meals to meet their dietary needs. Meals are nutritious and well balanced and are served in pleasant, relaxed surroundings. The medication procedures and practices are robust and well managed. All residents who spoke with the Inspector stated that they would feel confident to complain if necessary or raise it through the Resident Advocate. Residents were observed to be making daily choices in the running of the home and respected each other’s needs and interests. Staff were observed to be attentive and friendly in their approach to residents. The provision of care is of good standard and individually tailored, provided by trained staff. All residents stated that they are very happy with the environment and that it meets their needs. The home has sufficient staff to meet residents’ needs. The health and safety of residents and staff are promoted. The Lodge Trust D C51 C08 S6460 The Lodge Trust V237159 090605 Stage 4.doc Version 1.40 Page 6 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 D C51 C08 S6460 The Lodge Trust V237159 090605 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Standards Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) The Lodge Trust D C51 C08 S6460 The Lodge Trust V237159 090605 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitablity of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) YA 1, 2 & (OP 1, 3) Residents’ needs are assessed and individually tailored to ensure that these will be met when they live at the home. EVIDENCE: There is a comprehensive Statement of Purpose and Residents’ Guide available to prospective residents. Information is clear and available in other formats such as a video, produced by some of the residents and staff. The information is made available to the prospective resident at the first meeting, prior to moving to the home. Four care files of residents tracked, contained assessments that had been completed by the home’s manager and the admission procedure. These files contained comprehensive information to promote residents independence The Lodge Trust D C51 C08 S6460 The Lodge Trust V237159 090605 Stage 4.doc Version 1.40 Page 9 covering mobility, self-care, network of support and interests amongst other headings. Residents had signed the assessment forms to indicate that they agreed with them. The Lodge Trust D C51 C08 S6460 The Lodge Trust V237159 090605 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) YA 6, 8 (OP 7, 33) Residents are well looked after having their choice of lifestyle, health and social care needs met. EVIDENCE: Four residents files examined were and found to be comprehensive, person centred and holistic incorporating the residents’ care needs, goals, practicing the Christian faith, work, social interests and choice of lifestyle. The risk assessments are in place and reflected in the plan of care. Records indicated that they are reviewed regularly and the outcome of any review is recorded. Residents’ health needs are recorded in their files in the new daily reports formats, which reflect the residents tailored plan in headings such as “my routines, my different activities, my feelings, my goals, my friends and family”. Any specific areas or changes are reflected in the person centred plan. The Lodge Trust D C51 C08 S6460 The Lodge Trust V237159 090605 Stage 4.doc Version 1.40 Page 11 Appointments with GPs and any other health care professionals are recorded along with any advice, instructions or treatment. Residents who spoke with the Inspector stated that their health care needs are met. The home has a Charter of Rights for the residents. The home is run in the best interest of the residents and they are consulted regularly, individually and at the Residents Forum. The minutes of the last Residents Forum held on 18/04/05 were viewed, which contained details of the topics discussed such as planned trips. The management team conduct monthly quality assurance checks covering “the quality of food”. The outcome of the survey is shared with the residents at the Residents Forum. The Lodge Trust D C51 C08 S6460 The Lodge Trust V237159 090605 Stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experiencd in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) YA 11, 12, 13, 14, 15, 17 (OP 12, 13, 15) Residents are provided with activities to meet their needs. All residents are able to maintain contact with families and friends. The home offers a good choice of meals to suit any special dietary needs. The Lodge Trust D C51 C08 S6460 The Lodge Trust V237159 090605 Stage 4.doc Version 1.40 Page 13 EVIDENCE: Residents are offered a range of activities that meet their social, religious, recreational and educational needs and interests. There are workshops for woodwork and crafts. One resident working in the woodwork room showed the Inspector the range of products that are produced and sold in the shop. These ranged from chopping boards, hot-pot stands to small decorative wheelbarrows for plants. In the craft room three residents with a member of staff were producing notebooks. Residents told the Inspector that the make a range of arts and crafts such as scarves, silk painting, and sewing to making Christmas cards planned after the summer, all to be sold in the shop on site. One resident spoke about his daily routine and has acquired contract work in the local area to mow the lawns. One resident attends college every Monday, is an active ‘Resident Advocate’, who said, “someone’s got to speak up for the residents here”. This resident is also a representative on the Learning Disability Partnership Board. Other residents were observed helping in the laundry room and in the kitchens of the three houses. Other activities that take place in the evenings, in the individual houses include watching television or video, board games, videos and trips out. The management team at the home have provided computer and internet access. Residents have their own e-mail addresses to maintain links with family and friends. Residents stated that they are not forced to join in activities and can choose to remain in their rooms if they wish. Residents’ preferred leisure activities are recorded in their care plans. All residents spoken with stated that they are able to receive visitors at any reasonable time and can choose to meet them in the lounge or in private. Three residents showed the Inspector their rooms. There was sufficient furniture in their rooms to enable them to ensure privacy during visits. One resident recently had new furniture and was re-organising her belongings. Residents have their breakfast and evening meals in their individual houses and come together for lunch in the main refectory. Weekly menus are displayed in each house indicating a choice of evening meal available. At teatime all the residents went for tea or coffee in the refectory where the Inspector and spoke to several residents and staff. Residents indicated that they enjoy the meals provided, with fresh vegetables and can help themselves. Special dietary requirements are met. Records indicated that residents receive a varied, nutritious and balanced diet. The Lodge Trust D C51 C08 S6460 The Lodge Trust V237159 090605 Stage 4.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) YA 19, 20 (OP 8, 9) Staff and residents work together and through discussion and reviews the physical and emotional needs of service users are met. Staff in consultation with service users manage medication this is appropriate for these service users. EVIDENCE: The records of four residents were viewed, records detailed visits made by and to health care professionals, which includes Community Nurses, Social Workers, Dentists and Opticians. Residents that spoke with the Inspector indicated that staff always asked for their view and were supported in relation to their own needs and respecting differences. The Lodge Trust D C51 C08 S6460 The Lodge Trust V237159 090605 Stage 4.doc Version 1.40 Page 15 Medication is stored in a locked cabinet in the office, in each house. Staff are trained to administer medication. Receipt, storage, administration of medication, returns and recording was seen and is considered to be safe. Residents spoken with said that they receive their medication on time and some residents knew why they have to take the medication. Risk assessments are in place for residents that self-medicate. Residents that self-medicate have secure medication storage in their rooms. The Lodge Trust D C51 C08 S6460 The Lodge Trust V237159 090605 Stage 4.doc Version 1.40 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are sageguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) YA 22, 23 (OP 16, 18, 35) The complaints policy and procedures are robust, clear and accessible to all. Residents feel able to complain and are protected from abuse. EVIDENCE: The home’s complaints procedure is displayed on the notice board in each home and in the main office area. The complaints procedure is available in other formats and is included in the video of the residents’ guide. Residents spoken with were aware of whom to contact and speak with should they have any concerns. The summary of complaints/compliments log were viewed by the Inspector and found accessible and up to date. Residents spoken with felt they were safe and protected. Two staff spoken with had a good understanding the procedure to follow in accordance with adult protection issues and whistle blowing. The residents who spoke to the Inspector indicated that they have secure storage for the safe keeping of valuables and money. The home’s manager described the working practice for managing residents’ finances although there was no policy or procedure to support this working practice. The Lodge Trust D C51 C08 S6460 The Lodge Trust V237159 090605 Stage 4.doc Version 1.40 Page 17 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) YA 24, 26, (OP 19, 26) Residents live in a safe, homely and well-maintained environment that is kept clean and tidy. EVIDENCE: All three houses, communal areas and office areas are in good standard of décor, bright with ample natural light. The Inspector spoke to residents from each house and viewed their rooms with their permission. Residents pointed out several items of their own possessions such as photographs, collection of The Lodge Trust D C51 C08 S6460 The Lodge Trust V237159 090605 Stage 4.doc Version 1.40 Page 18 cars, and posters of their favourite football teams and television and music stereos brought in to create a homely and comfortable surrounding. Residents have lockable storage and are offered a key to their room. Staff and residents in each house have the responsibility for keeping the houses clean and tidy. On the day of the inspection the Inspector found the houses to be clean and tidy. Cleaning products are stored securely and clearly labelled. The Lodge Trust D C51 C08 S6460 The Lodge Trust V237159 090605 Stage 4.doc Version 1.40 Page 19 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 34 and 35 (Adults 18-65) and Standards 27,29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) YA 31, 33, 34, 35, (OP 27, 29, 30) Residents’ needs are met by trained staff that are sufficient in number and competent. EVIDENCE: The staffing structure is set out in the home’s statement of purpose. The staff rota for the day was examined and reflected the staff on duty. Observations made during the inspection indicated that the staff were responding to residents needs promptly. The home’s manager is completing the National Vocational Qualification (NVQ) level 4 – Registered Managers Award. The day services manager has completed NVQ level 3 and a number of staff are currently completing NVQ The Lodge Trust D C51 C08 S6460 The Lodge Trust V237159 090605 Stage 4.doc Version 1.40 Page 20 levels 2 and 3. There is a comprehensive training programme available to all staff. The management team has a robust recruitment procedure. Two staff files were examined of which one member of staff was in post for a week only. The files evidence of the procedures being followed and appropriate checks in place. The training records contained evidence of the comprehensive training undertaken covering health and safety, medication, food hygiene, adult protection, care practice, challenging behaviour and specialist training such as person centred plan, epilepsy and working with people with sensory impairment. The Lodge Trust D C51 C08 S6460 The Lodge Trust V237159 090605 Stage 4.doc Version 1.40 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 39 and 42 (Adults 18-65) and Standards 33,35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) YA 39, 42 (OP 33, 38) Residents are consulted about the provision and choice of lifestyle. The health, safety and welfare of service users and staff are well promoted and protected. The Lodge Trust D C51 C08 S6460 The Lodge Trust V237159 090605 Stage 4.doc Version 1.40 Page 22 EVIDENCE: The Inspector viewed the minutes of the staff meetings, which identified the expectations of the Registered Manager of her staff. Formal supervisions and the day-to-day supervision of staff enable staff to have a clear understanding of their roles. The resident advocate has a lead role to ensure that residents’ views are raised at the Residents Forum and minutes of the meeting held demonstrated how the management team of the home act on these issues. Residents are regularly consulted and the home’s management team regularly conduct quality assurance checks on all aspects of living at The Lodge Trust. During the tour of the houses, workshops and office areas, fire exits were clearly marked and were not obstructed. The Fire Officer inspected the home recently and requirements have been met. Fire records and risk assessments for each house, workshops and office areas were in place and up to date. Records of tests to fire safety equipment were in good order and health and safety issues were well documented. There is a programme of maintenance and testing of all equipment in the home. On the day of the inspection the electrician was conducting the Portable Appliance Testing (PAT). The Lodge Trust D C51 C08 S6460 The Lodge Trust V237159 090605 Stage 4.doc Version 1.40 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 x x x Standard No 22 23 Score 3 3 Score ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 x x 3 3 3 3 3 x 3 Standard No 24 25 26 27 28 29 30 STAFFING 3 x 3 x x x x Score 11 12 13 14 15 16 17 Standard No 31 32 33 34 35 36 3 x 3 3 3 x x x 3 x x 3 x Version 1.40 Page 24 CONDUCT & MANAGEMENT PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Lodge Trust Score x 3 3 x 37 38 39 40 41 42 43 D C51 C08 S6460 The Lodge Trust V237159 090605 Stage 4.doc None 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. 1. 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 the policy and procedure to reflect the working practice of managing residents finances that links with the adult protection policy. The Lodge Trust D C51 C08 S6460 The Lodge Trust V237159 090605 Stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Northamptonshire Office Newland House, First Floor Campbell Square Northants, NN1 3EB 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 D C51 C08 S6460 The Lodge Trust V237159 090605 Stage 4.doc Version 1.40 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. 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