Inspection on 09/06/05 for York Lodge

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

York Lodge 31/07/06

York Lodge 24/10/05

York Lodge 30/09/04

York Lodge 22/04/04

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 York Lodge 1-5 York Road Worthing West Sussex BN11 3EN Lead Inspector Ed McLeod Announced 9 June 2005 11:00 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. York Lodge H60-H11 S14865 York Lodge V221869 090605 Stage 1.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service York Lodge Address 1-5 York Road, Worthing, West Sussex, BN11 3EN 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) Category(ies) of registration, with number of places 01903 212187 Mrs Marie Anne Harrity Mrs Marrie Anne Harrity MD Mental Disorder, MD(E) Mental Disorder over 65 York Lodge H60-H11 S14865 York Lodge V221869 090605 Stage 1.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30.09.04 Brief Description of the Service: York Lodge is registered for the accomodation of up to 24 reisdents in the category of mental disorder, 12 of whom may be over the age of 65. The property is situated close to the seafront in central Worthing with access to local bus and train services. York Lodge H60-H11 S14865 York Lodge V221869 090605 Stage 1.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was arranged to follow up recommendations and requirements made at the previous inspection. A tour of the communal areas and a shared bedroom was carried out, and a lunch was observed. Six residents, two staff, and the acting manager were interviewed. Records, policies and procedures relating to care plans, staff recruitment and training, medicines, accidents and complaints and residents’ finances were sampled. What the service does well: What has improved since the last inspection? What they could do better: The views of residents and their advocates on how the service is provided need to be part of the home’s self-monitoring and development plans. York Lodge H60-H11 S14865 York Lodge V221869 090605 Stage 1.doc Version 1.30 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. York Lodge H60-H11 S14865 York Lodge V221869 090605 Stage 1.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection York Lodge H60-H11 S14865 York Lodge V221869 090605 Stage 1.doc Version 1.30 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 standard(s) 2, 4 Prospective residents are being assessed and introduced to the home prior to admission, ensuring they are being placed appropriately. EVIDENCE: Pre-admission assessments of the needs of two residents were sampled by the inspector, and indicated that health and care needs were being assessed. In discussions with staff and residents the inspector learned that residents visit the home and get to know the staff and other residents before moving into the home. Overnight stays are not usually arranged prior to admission, the inspector was advised. York Lodge H60-H11 S14865 York Lodge V221869 090605 Stage 1.doc Version 1.30 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 standard(s) 6, 8 Residents are benefiting from participating in the running of the care home and in the making of their individual care plan. EVIDENCE: Four sets of individual care plans were seen by the inspector. One of the care plans did not refer to a medical condition and a social fear one resident suffered from, and therefore did not include objectives for assisting the resident with those needs. However, most care plans seen had clear objectives and a clear statement of needs. Residents are signing care plans to indicate they are involved in the making of the care plans. Residents are consulted on aspects of life in the home through the residents’ meetings and the cleaning rotas meeting, and written records of these meetings were sampled by the inspector. Residents are involved in a cleaning rota which has a rewards system attached to it. York Lodge H60-H11 S14865 York Lodge V221869 090605 Stage 1.doc Version 1.30 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 standard(s) 11, 12, 14, 15, 17 Residents are benefiting by being supported to make use of local facilities and leisure opportunities. EVIDENCE: On the day of the inspection, staff were accompanying residents on individual activities such as swimming and seafront walks. Other examples of leisure, volunteer working and educational activities that residents were involved with were mentioned to the inspector by staff and residents. These include “theme nights” which are quite popular with residents. Residents said they only took part in things if they wished to. Residents interviewed gave examples of how their contact with family and friends is being supported by staff, and care records seen also referred to this. On the day of the inspection a full cooked lunch was being served, which a few residents had assisted in the preparation of. The lunch seen was wholesome, nutritious, and attractively presented – residents said the lunch had been most enjoyable. One resident with diabetes said that she was being supported to York Lodge H60-H11 S14865 York Lodge V221869 090605 Stage 1.doc Version 1.30 Page 11 eat an appropriate diet. The dining room during lunch was relaxed and there was a pleasant atmosphere. York Lodge H60-H11 S14865 York Lodge V221869 090605 Stage 1.doc Version 1.30 Page 12 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 standard(s) 18, 19, 20 Arrangements for the administration of medicines are in place to ensure residents are protected. EVIDENCE: Residents said they were being assisted by staff in a supportive way which helps increase their self-confidence. One resident said he had been assisted to lose weight and to take up more activities, and was very happy about this. Records of medical and psychological appointments sampled indicated that needs were being reviewed by appropriate specialists. Medication records were sampled, and a list of staff authorised to administer medicines was seen. Information is held in the home on medicines administered, detailing usual dosages and indicators. York Lodge H60-H11 S14865 York Lodge V221869 090605 Stage 1.doc Version 1.30 Page 13 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 standard(s) 23 Arrangements are in place to assist residents with their finances while also protecting them against financial abuse. EVIDENCE: The manager of the home assists seven residents with their finances, and bank and accounting records relating to this were sampled. Direct benefits payments are made into a single account – however, the amounts and individuals are identified on a weekly bank statement, and the individual’s balance (after direct debits) is placed in the individual’s savings account or cash float. Examples of written agreements for direct debits signed by residents were seen. Cash receipts and withdrawal records were sampled, and one set of receipts, records and cash was shown to be in correct order. York Lodge H60-H11 S14865 York Lodge V221869 090605 Stage 1.doc Version 1.30 Page 14 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 standard(s) 28, 30 Communal areas which are well used by residents are being provided. EVIDENCE: The main communal areas on the ground floor are a TV lounge, a sitting room that adjoins the dining room, and a paved patio area. There is an activities room on the top floor, which is also used for staff sleep-ins. All the communal areas were being used by residents on the day of the inspection. One double bedroom was visited – both residents in the room said they enjoyed sharing the room, had chosen to share, and were good friends. The home was found to be clean, hygienic, and well maintained. York Lodge H60-H11 S14865 York Lodge V221869 090605 Stage 1.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34, 35 Residents benefit from a skilled and trained staff team that is able and is staffed to provide individual activities for residents. EVIDENCE: There are 12 members of care staff and 1 ancillary staff and a cook. Three of the care staff have the National Vocational Qualification (NVQ) at level 3, and two more of the care staff are presently undertaking NVQ3. There is an experienced and settled staff team, and all staff are trained in administering medication and are updated on this in regular training sessions with a pharmacist. The acting manager said that salary scales rewarded experience and qualifications, and these in turn assisted in the retention of staff. Staff interviewed were skilled, resourceful, and enthusiastic, and this was seen by the activities being undertaken with residents which help improve their independence skills and self-confidence. The inspector interviewed one experienced and one less experienced member of staff. The inspector discussed with staff and managers the induction training provided for new staff. Videos on mental health topics are provided for staff to supplement training sessions being provided. Specific mental health topics are being covered in training provided, and staff said they found York Lodge H60-H11 S14865 York Lodge V221869 090605 Stage 1.doc Version 1.30 Page 16 this valuable. Staff said that staff meetings also included a training component. Staff training certificates are included in staff records. A format for annual staff appraisals is being introduced into the home by the acting manager. A record of a staff supervision seen included reference to training needs, support needs, and a review of work underway. York Lodge H60-H11 S14865 York Lodge V221869 090605 Stage 1.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39 Residents are benefiting from continuity in the staffing and management of the home. The views of residents and their advocates on how the service is provided need to be part of the home’s self-monitoring and development plans. EVIDENCE: The registered provider for the home, Mrs Harrity, has appointed a manager to undertake the day to day running of the home and an application to the Commission for their registration has been received. The manager had been working as a deputy manager in the home previous to being appointed, and was known to many residents from when he had managed the home. York Lodge H60-H11 S14865 York Lodge V221869 090605 Stage 1.doc Version 1.30 Page 18 Residents said the home has a relaxed and friendly atmosphere, and that the staff team were supportive. Residents appreciated that the staff team remained much the same as this provided continuity. The views of residents on the service are being gathered through residents’ meetings. However, there is no plan or policy on how these views will be compiled and published, and no arrangement for gathering the views of families, friends, and others with an interest in the service provided. York Lodge H60-H11 S14865 York Lodge V221869 090605 Stage 1.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 x 3 3 x 3 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 York Lodge Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 2 x x x x H60-H11 S14865 York Lodge V221869 090605 Stage 1.doc Version 1.30 Page 20 yes 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 39 Regulation 24 Requirement The registered person shall establish and maintain a system for reviewing and improving the quality of care in the home, which shall provide for consultation with service users and their representatives Timescale for action 13 September 2005 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 Good Practice Recommendations York Lodge H60-H11 S14865 York Lodge V221869 090605 Stage 1.doc Version 1.30 Page 21 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 York Lodge H60-H11 S14865 York Lodge V221869 090605 Stage 1.doc Version 1.30 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. 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