Inspection on 06/07/07 for Victoria Lodge

This inspection was carried out on 6th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 12/09/06

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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 Annie Kentfield Announced Inspection 6th July 2007 14:00 Victoria Lodge DS0000066114.V336190.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.V336190.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.V336190.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 Position vacant Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Victoria Lodge DS0000066114.V336190.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th September 2006 Brief Description of the Service: Victoria Lodge is a large Victorian semi-detached property situated on a busy main road in Southsea and is close to local shops and other community facilities in the southern part of Portsmouth City. The premises have benefited from recent development and refurbishment. The home has a small garden to the rear of the building and a small area of garden in the front. The home was first registered with the Commission on 22nd March 2006. At the time of this site visit/inspection no service users had been admitted. The organisation who run the home, Disabilities Care Management Limited (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 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. The building is accessible for service users who are fully mobile. The fees are variable upon application to the service providers. Victoria Lodge DS0000066114.V336190.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report summarises information received about the service since the last inspection of 12 September 2006. Comments and feedback are usually requested from residents, relatives, and visitors to the home, before an inspection visit; but there are no residents currently living in the home. A site visit was arranged with a few days advance notice for 6 July 2007. The visit focussed on discussion with two of the providers, and a tour of the building. There are currently no residents in the home, therefore, the quality rating will be adequate as it is not possible to assess quality outcomes for residents. 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 summary of this inspection report can be made available in other formats on request. Victoria Lodge DS0000066114.V336190.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.V336190.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 - Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The providers have considered the needs of prospective residents and would provide information about the home in suitable formats for the needs of the residents. Prospective residents would be encouraged to visit the home before deciding to move in, and following an assessment of their care needs. EVIDENCE: The providers have stated their commitment to making sure that prospective residents are provided with information about the home in a format that can be easily understood by residents who may not have literacy skills or have particular communication needs. The providers are also committed to providing a staff team in the home who would be trained and competent in those areas of expertise appropriate to the needs of the residents. Victoria Lodge DS0000066114.V336190.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 - Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The registered providers are committed to working in a person centred way to ensure that prospective residents in the home are consulted with, and participate in all aspects of life in the home. EVIDENCE: As there are no residents in the home it is not possible to fully assess the outcomes of the service for residents. However, the directors of the company already have experience in providing care to service users with a learning disability and are aware of good practice in providing care that is person centred. The directors have produced a training programme that care staff would follow to ensure that care staff have the relevant skills and competencies for the care they would need to provide. Victoria Lodge DS0000066114.V336190.R01.S.doc Version 5.2 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. As there are no residents in the home it is not possible to fully assess the lifestyle outcomes for this part of the service. EVIDENCE: However, the providers are committed to providing facilities for prospective residents so that the lifestyle of the home would meet individual needs, choices and preferences. The home has a fully equipped kitchen and a dining area so that residents would be able to enjoy home-cooked meals in pleasant surroundings. Victoria Lodge DS0000066114.V336190.R01.S.doc Version 5.2 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 - Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. As there are no residents in the home it is not possible to fully assess outcomes in personal healthcare and support EVIDENCE: However, the providers are committed to offering a good quality service that would meet the assessed personal and healthcare needs of prospective residents. The home has suitable storage space for residents’ medicines. Victoria Lodge DS0000066114.V336190.R01.S.doc Version 5.2 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 - Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The providers are aware of the need to provide information for prospective residents about the home’s complaints procedure in a format that is easily understood. The providers would also ensure that residents are protected from abuse, neglect or harm. EVIDENCE: Information packs and contracts include information about how to make a complaint; these are in formats that can be easily understood and/or easily explained to prospective residents. The providers are aware of the need for, and the sort of situations that may arise, where prospective residents may need to access independent advocacy. The providers state that they have policies and procedures for care staff about safeguarding vulnerable adults. Safeguarding awareness would also be covered in the staff-training programme. Victoria Lodge DS0000066114.V336190.R01.S.doc Version 5.2 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 - Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although there are no residents in the home at the moment the building can offer all prospective residents a good sized single bedroom with en suite facilities, communal space with small garden, and laundry facilities. EVIDENCE: The building has been recently extended and renovated and all areas are newly decorated and furnished. All of the bedrooms are en suite and are furnished with a bed and storage for clothing, tables and chairs. The providers would encourage prospective residents to personalise the bedrooms and communal areas to make the environment homely and comfortable as residents choose. All areas of the home are either carpeted or have a washable floor covering. There is a washing machine and tumble drier in the basement that could be used by prospective residents. Victoria Lodge DS0000066114.V336190.R01.S.doc Version 5.2 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 - Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are no residents or staff at present, so it is not possible to fully assess this part of the service for outcomes for residents. EVIDENCE: The providers are aware of the need to have a thorough recruitment procedure for new staff with robust pre-employment checks that will protect the prospective residents. The providers have given the Commission a copy of their proposed stafftraining programme that includes an induction programme, training in all aspects of safe working practice, and ongoing training and development in the skills of care, and those specialist areas relevant to residents who have a learning disability. The providers plan that some of the training will be ‘inhouse’ and some arranged through a local college. The providers have stated they have a commitment to providing a staffing ratio of 1 carer to 3 residents with one waking and one sleeping member of staff at night. The providers have also stated their commitment to a staff Victoria Lodge DS0000066114.V336190.R01.S.doc Version 5.2 Page 14 training and development programme to meet the needs of prospective residents. Victoria Lodge DS0000066114.V336190.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 - Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are no residents, staff or manager at present; therefore it is not possible to fully assess this part of the service for the outcomes for residents. However, as a new service, the providers have an excellent opportunity to develop a service that runs in the best interests of prospective residents – one that is service user led. EVIDENCE: The providers would need to appoint a home manager who would then apply to become registered with the Commission. The providers would have a system of quality assurance to measure how well the service meets the needs of the residents. This would be developed in consultation with the residents and others, including relatives, residents’ Victoria Lodge DS0000066114.V336190.R01.S.doc Version 5.2 Page 16 representatives, and health and social care professionals who would visit the home. Victoria Lodge DS0000066114.V336190.R01.S.doc Version 5.2 Page 17 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 2 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 2 25 X 26 X 27 X 28 X 29 X 30 2 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 2 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.V336190.R01.S.doc Version 5.2 Page 18 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Victoria Lodge DS0000066114.V336190.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V336190.R01.S.doc Version 5.2 Page 20 - 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!