Inspection on 12/09/06 for Victoria Lodge

This inspection was carried out on 12th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Victoria Lodge 02/07/08

Victoria Lodge 06/07/07

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

CARE HOME ADULTS 18-65 Victoria Lodge 19 Victoria Road North Southsea Hampshire PO5 1PL Lead Inspector Mr Richard Slimm Unannounced Inspection 12th September 2006 10:00 Victoria Lodge DS0000066114.V305817.R01.S.doc Version 5.2 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 Victoria Lodge DS0000066114.V305817.R01.S.doc Version 5.2 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. Victoria Lodge DS0000066114.V305817.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Victoria Lodge Address 19 Victoria Road North Southsea Hampshire PO5 1PL 02392 829497 02392 864872 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) Disabilities Care Management Limited Alan Leslie Gleeson Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Victoria Lodge DS0000066114.V305817.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection NEW SERVICE Brief Description of the Service: Victoria Lodge is a large Victorian semi-detached property situated on a busy main road in Southsea, Close to local shops and other community facilities in the southern part of Portsmouth City. The premises have benefited from extensive development to a good specification. The service has limited garden space. The home was first registered with the CSCI 22nd March 2006. At the time of this site visit/inspection no service users had been admitted. The organisation who run the home, Disability Care Management (DCM) aim to provide a service to people who have learning disabilities, and associated complex needs. These may include people with autistic spectrum disorders, Prada Willie Syndrome, Fragile X and/or XXY syndrome. Their stated values are a belief in – Individuality and respect; Independence and privacy and partnership working to the benefit of people using their services. The accommodation and facilities are provided over three upper floors and a basement area. There are nine good sized single bedrooms 7 with en suite WC and showers, and 2 with en suite baths and WCs. There are also communal WCs available. There is a communal kitchen, dining area and lounge/TV room. A staff area including sleep-in facilities and an office is sited to the rear of the ground floor. The service intends to provide 24 hour staffing at a ratio of 1 staff to 3 service users with one sleep in and one waking staff member at night. The utility room/laundry area is sited in the basement. Victoria Lodge DS0000066114.V305817.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is a new service first registered in March 2006. The service had no residents accommodated. However, the CSCI has a duty to inspect all registered services, including those that are dormant, or empty. The reader should understand that any dormant or empty service couldn’t be rated above “adequate” as it is not possible to assess outcomes for service users. This site visit focused on a tour of the premises, discussions with a senior representative of the provider organisation, and an inspection of relevant paper work. 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. Victoria Lodge DS0000066114.V305817.R01.S.doc Version 5.2 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 Victoria Lodge DS0000066114.V305817.R01.S.doc Version 5.2 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): 1-2-4-5 Arrangements are in place to promote Service User control and choice while moving into the home. Service Users will be able to test-drive the service before making a final choice/decision to move in. Information and needs assessments materials are made available in formats that can be understood or easily explained to people who may not have literacy skills. These formats are in an age appropriate form using a system call “pic syms”. Contracts that include terms and conditions are in place and ready for use, and are available in formats that can be understood by potential SU s. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The director of planning for Disability Care Management (DCM) who assisted throughout the site visit confirmed that all prospective residents would be supported to exercise informed choice about moving into the home. Assessments formats and other information are made available in formats appropriate to adults with learning disabilities. Staff members involved in assessment are trained. Contracts and terms and conditions will also be provided in suitable formats to promote residents control and understanding. Victoria Lodge DS0000066114.V305817.R01.S.doc Version 5.2 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 Systems are in place to, and there is a clear commitment to promote the following – Service Users will be assured that their assessed and changing needs will be identified and plans of care and/or support that place the resident at the centre of the process, will be developed with the resident, and will reflect their personal needs and goals. Service users will be supported and encouraged to be as fully involved in decision making about their lives as possible. The service will acknowledge risk taking, and assess areas of risk, as part of promoting an ordinary, independent lifestyle. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service has systems of care planning that will enable the promotion of a person centred approach to daily living. These are in appropriate formats and Victoria Lodge DS0000066114.V305817.R01.S.doc Version 5.2 Page 9 take account of risk issues. Trained and qualified staff members will be involved in the assessment and development of care plans with residents. The inspector was ensured staff will and already are being trained in person centred planning with a view to implementing this with residents as and when service users are admitted. The organisation states it is committed to the promotion of the rights of SU s in line with current best practice and Valuing People guidance. Victoria Lodge DS0000066114.V305817.R01.S.doc Version 5.2 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): 12-13-15-16-17 As no service users were resident the inspector was unable to assess outcomes for residents in this aspect of the service provision. EVIDENCE: Victoria Lodge DS0000066114.V305817.R01.S.doc Version 5.2 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): 18-19-20 As no service users were resident the inspector was unable to assess outcomes for residents in this aspect of the service provision. However, an arrangement to promote the safe administration of medication was inspected, and found to be in place. The organisation is committed to the promotion of independence in this area. EVIDENCE: Victoria Lodge DS0000066114.V305817.R01.S.doc Version 5.2 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): 22-23 The service provided written evidence that arrangements will be made for service users views to be listened to and acted upon. The service will make arrangements for service users to be protected from abuse, neglect or self-harm. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information packs and contracts include information about how to make a complaint, these are in formats that can be understood and/or easily explained to service users. The organisation is aware of the need and the type of situations where residents may need to be offered external advocacy. The home has policies and procedures in the area of adult protection; these documents include local adult protection arrangements with other relevant agencies. Staff will be trained in adult protection procedures, including recognition and prevention strategies. Victoria Lodge DS0000066114.V305817.R01.S.doc Version 5.2 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): 24-30 Service users will be enabled to live in a homely, safe and comfortable environment. The siting of the resident’s washing machines in the basement may need to be reviewed. The home was cleaned to a good standard. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From a tour of the premises it was evident that the specification for the environment was of a good standard, providing a valuing and comfortable home environment for service users. The positioning of the laundry area may benefit from review longer term, in consultation with service users and staff who key work with residents. This is due to the clearance for headroom in the basement being restricted, and Victoria Lodge DS0000066114.V305817.R01.S.doc Version 5.2 Page 14 access could potentially limit usage for some service users and consequently the promotion of independence in this area. Potentially it may be possible to provide an ordinary domestic style washing machine, which can be easily, accessed elsewhere in the home. Victoria Lodge DS0000066114.V305817.R01.S.doc Version 5.2 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): 32-34-35 As no service users were resident, and no care staff members were available for interview the inspector was unable to assess outcomes for residents in this aspect of the service provision. However, staff selection and recruitment policies and procedures appeared to promote best practice, and identified all necessary checks that would need to take place. There appeared to be a clear commitment to the training and development of staff within the registered organisation. EVIDENCE: Staff members were not available for interview. The registered manager has recently left his post and a new manager has been interviewed but not yet registered with CSCI. The inspector was advised that the service intends to run on a ratio of 1 staff member to 3 residents. With one sleep-in and one waking night staff. The inspector was advised that the staff team are ready and are receiving training and development while awaiting the first admissions to the home. A Victoria Lodge DS0000066114.V305817.R01.S.doc Version 5.2 Page 16 sample of policies and procedures were inspected in this area and appeared to promote best practice, providing sound guidance. The organisation are aware of their responsibilities and duties in this area as identified in the Care Standards Act 2000, other relevant legislation and the associated standards. Victoria Lodge DS0000066114.V305817.R01.S.doc Version 5.2 Page 17 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): 37-39-42 As no service users were resident, and there is currently no registered manager available for interview the inspector was unable to assess outcomes for residents in this aspect of the service provision. However, given that this is a new service the organisation, manager and staff team will have an excellent opportunity to develop and provide a truly service user led provision. Arrangements to monitor and promote good health and safety at the home were evident. EVIDENCE: The provider organisation needs to make arrangements to register a new manager with the CSCI. The director of planning for the registered organisation told the inspector that a new manager was to be offered the post, and when this had been confirmed, an application will be made to register the manager. Victoria Lodge DS0000066114.V305817.R01.S.doc Version 5.2 Page 18 Quality assurance systems were evident and the new manager and the staff team will need to continue to keep these under review and to develop these systems in close consultation with the resident group and other relevant stakeholders. Victoria Lodge DS0000066114.V305817.R01.S.doc Version 5.2 Page 19 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 2 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 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 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 x 2 x LIFESTYLES Standard No Score 11 X 12 2 13 2 14 X 15 2 16 2 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 2 X 2 X 2 X X 2 x Victoria Lodge DS0000066114.V305817.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? N/A 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 YA30 Good Practice Recommendations The registered persons should give consideration to the provision of an accessible, domestic style washing machine in consultation and in line with the identified needs of residents once they are admitted. Victoria Lodge DS0000066114.V305817.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Victoria Lodge DS0000066114.V305817.R01.S.doc Version 5.2 Page 22 - 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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