Inspection on 09/02/06 for Tosh Lodge

This inspection was carried out on 9th February 2006.

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

Tosh Lodge 10/08/06

Tosh Lodge 20/09/05

Tosh Lodge 21/03/05

Tosh Lodge 16/03/05

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOME ADULTS 18-65 Tosh Lodge 215 Faversham Road Kennington Ashford Kent TN24 9AF Lead Inspector Mrs Sue Gaskell Unannounced Inspection 9th February 2006 10:00 Tosh Lodge DS0000049316.V282740.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 Tosh Lodge DS0000049316.V282740.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. Tosh Lodge DS0000049316.V282740.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Tosh Lodge Address 215 Faversham Road Kennington Ashford Kent TN24 9AF 01233 629225 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) Fola Omotosho Care Home 5 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (5) of places Tosh Lodge DS0000049316.V282740.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users over age of 65 years to be restricted to one (1) whose DOB is 14/09/1940. 7th January 2004 Date of last inspection Brief Description of the Service: Tosh Lodge provides residential care for 5 people with mental health problems. The home is a detached house on two floors, with a large usable garden. Residents have their own bedrooms, most of which have en-suite facilities, and there is a WC on each floor. The home, which has access to all necessary healthcare services within the community, is situated in a residential area on the outskirts of Ashford. It is within easy travelling distance of local amenities such as health centres, shops, churches, pubs, clubs, colleges, a cinema, library and bowling alley. Staffing comprises the registered owner, who manages the home, and 5 support staff. Tosh Lodge DS0000049316.V282740.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection lasted approximately 2 hours and was fairly brief as the compliance checks made at the additional visit in December 2005 were satisfactory. There are currently 3 residents living in the home. The inspector looked at the building, examined records and spoke with the registered person, one resident and 2 staff. What the service does well: What has improved since the last inspection? What they could do better: The registered person acknowledged that whilst some staff are qualified within their field, they should also be provided with training specific to the needs of the current client group. Tosh Lodge DS0000049316.V282740.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. Tosh Lodge DS0000049316.V282740.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 Tosh Lodge DS0000049316.V282740.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): 5 Each resident has a contract which details their terms and conditions of residence. EVIDENCE: Residents’ contracts have been amended to show individual charges. Tosh Lodge DS0000049316.V282740.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 and 9 The health care and social needs of residents are met and they are consulted and encouraged to contribute to any decisions that affect their lives. Residents are supported in taking risks in the daily and social activities that form part of an independent lifestyle. EVIDENCE: The individual care plans are reviewed regularly and include details on short and long term goals and how the home will assist residents in achieving their goals. Each care plan contains clear and comprehensive risk assessments and guidelines and these are reviewed regularly. Tosh Lodge DS0000049316.V282740.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): 16 and 17 Residents right and responsibilities are respected. Meals in the home offer a healthy, nutritious diet with choice and variety. EVIDENCE: The registered person said that residents are encouraged to participate in the running of the home, such as making suggestions for the menus and what activities they would like to do. The menus and contents of the store cupboard were seen to be varied and appropriate for a balanced diet. Tosh Lodge DS0000049316.V282740.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): 18,19 and 20 The registered person and staff have a good knowledge and understanding of residents’ physical, emotional and support needs and provide this according to residents’ wishes and preferences. The medication administration and storage systems are sound and appropriate to residents’ needs and wishes. EVIDENCE: Residents’ care plans contain information regarding their care needs and specific guidelines and risk assessments. The residents appeared comfortable with staff and there was appropriate cheerful banter between the registered person, staff and residents. The medication is stored safely and the administration of medication was clearly and appropriately recorded. Tosh Lodge DS0000049316.V282740.R01.S.doc Version 5.1 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): 22 and 23 There is a sound complaints system and the home makes every effort to protect residents from abuse or harm. EVIDENCE: Residents and staff have been issued with the home’s complaints procedure, and one resident said that he would feel comfortable in mentioning anything that he was not happy with. Staff have been provided with training to enable them to recognise different forms of adult abuse and the correct way of responding. Tosh Lodge DS0000049316.V282740.R01.S.doc Version 5.1 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): 24 and 30 The standard of the environment within the home is good, providing residents with a homely, comfortable and safe place to live. The home is clean and hygienic. EVIDENCE: The home provides residents with good sized bedrooms and a spacious communal area. All areas of the home were seen to be clean, comfortably furnished, and well maintained. Tosh Lodge DS0000049316.V282740.R01.S.doc Version 5.1 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 Although residents are supported by some competent and appropriately trained staff, support staff would benefit from additional training. EVIDENCE: Whilst some of the staff may be highly qualified, some of then do not have experience or training in the needs of this client group. Tosh Lodge DS0000049316.V282740.R01.S.doc Version 5.1 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): 42 The health, safety and welfare of service users are promoted and protected. EVIDENCE: The home has all the necessary policies and procedures in place to protect residents and regular checks are carried out on the various safety systems. Tosh Lodge DS0000049316.V282740.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X X X X X X 3 X Tosh Lodge DS0000049316.V282740.R01.S.doc Version 5.1 Page 17 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. 1 Refer to Standard YA32 Good Practice Recommendations Staff require training in specific issues connected with the client group. Tosh Lodge DS0000049316.V282740.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Tosh Lodge DS0000049316.V282740.R01.S.doc Version 5.1 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!