Care Home: 85 Lodge Lane

Similar services:

• Polesworth Group Friary Road
• Polesworth Group Pooley Heights
• Polesworth Group 32 Station Road
• Polesworth Group 70 Long Street
• Breme
• Polesworth Group 64 Long Street
• Polesworth Group 68 Long Street
• 10 Whitfield Avenue

What the care home does well The manager and her staff try to find out what people living in the home like to do and try to arrange for them do it and they find out what they like to eat and try to make sure that is what they get for their meals. If a someone is not well they make sure that they get the right treatment. If someone needs medicines or creams they will make sure they get them. If a person doesn`t like something they can complain to the manager or the staff who will look at the problem for them. The home is clean and well decorated. Each person can keep their own belongings safely in their room and those rooms can be decorated how they would like them to be. The home has a interesting, pleasant and secure garden for people to sit and walk in. The staff are cheerful friendly and helpful and encourage people to enjoy themselves but also try to make sure that they are safe and well looked after. The manager does the things that help the staff to do their job. What has improved since the last inspection? No requirements or recommendations were made as a result of the last inspection. What the care home could do better: No requirements or recommendations were made as a result of this inspection. Key inspection report Care homes for adults (18-65 years) Name: Address: 85 Lodge Lane 85 Lodge Lane Low Town Bridgnorth Shropshire WV15 5DF     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Michael Moloney     Date: 0 6 0 8 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: 85 Lodge Lane 85 Lodge Lane Low Town Bridgnorth Shropshire WV15 5DF 01746766832 01746766832 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: www.macintyrecharity.org MacIntyre Care care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 5 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Learning Disability (LD) 5 Date of last inspection Brief description of the care home 85 Lodge Lane is a semi-detached property situated on a residential estate on the outskirts of Bridgnorth, Shropshire. The property is owned by Shropshire Health Authority. MacIntyre Care is a voluntary organisation contracted to provide a care service. The home is registered with the Commission for Social Care Inspection to provide accommodation and personal care to a maximum of five adults with a learning disability and physical disability. Service users are provided with a single room. Bedrooms for individuals with mobility difficulties are situated on the ground floor. The property is situated on an estate and is in keeping with the houses surrounding it. It is close to local shops. MacIntyre have a mission statement in place, which is `To be Care Homes for Adults (18-65 years) Page 4 of 26 Over 65 0 5 Brief description of the care home recommended and respected as the best provider of services for children and adults with learning disabilities throughout the United Kingdom?. Further information is available in the home?s service user guide. The fees are paid by the health authority on a block contract basis. Care Homes for Adults (18-65 years) Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: A range of evidence was used to make judgements about this service. This includes: information from the provider which included a self assessment document that they are required by law to complete, records kept in the home, medication records, discussions with the staff team, tour of the premises, previous inspection reports and talking with as well as observing the care experienced by people using the service. A number of the people who live in this home have difficulty expressing themselves clearly. Care Homes for Adults (18-65 years) Page 6 of 26 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. As nobody has come to live at this home since the last inspection it was not possible check at the assessment procedure that the home would use in such a situation. Evidence: As nobody has come to live at this home since the last inspection it was not possible check at the assessment procedure that the home would use in such a situation. The home does have a service user guide that gives details of the service that someone could expect should they wish to live there. Care Homes for Adults (18-65 years) Page 9 of 26 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home are involved in decisions about their lives and play an active role in planning the care and support they receive. Evidence: Due to the nature of their disabilities none of the people who live in this home are able to verbally say what they like or dislike. The records of two of the people who live in the home were looked at as part of the process of finding out how well peoples needs and choices are met. Those records contained documents that had identified peoples likes and dislikes including their food preferences. Talking with the staff on duty showed that they had observed the reactions of the people living in this home to different situations and had talked to their relatives when compiling these lists. An example of this was when they were trying to find out where one person would like to go on holiday and one of his parents suggested Spain; which is where he went. Where an activity had been identified as having some element of danger, such as traveling in a car, to either the person living or working in the home written plans had Care Homes for Adults (18-65 years) Page 10 of 26 Evidence: been developed that outlined what should happen in order to reduce any risks. All of these documents were seen to have been reviewed regularly to make sure that the home was providing the service that the person wanted and needed. Listening to the staff talking with the people who live in this home as well as each other it was clear that they were aware of the contents of the individuals files. They were heard talking to people in a friendly and respectful manner. Choices were heard being offered and decisions respected. Care Homes for Adults (18-65 years) Page 11 of 26 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home are able to make choices about their life style and are supported to develop their life skills. Social and recreational activities meet individuals expectations. Evidence: All of the people who live in this home are unable to say what their wishes are verbally but staff say that they can tell from peoples reactions whether or not they like a particular situation or activity. This could be seen clearly when, for example, someone was given breakfast that they like and they smiled or when one person went to fetch her photo album so that she could show pictures of the things that she had enjoyed doing recently. Peoples individual diaries showed that they had taken part in a variety of activities such as trips to the local shops, multi-sensory sessions, going out to lunch, Care Homes for Adults (18-65 years) Page 12 of 26 Evidence: hydrotherapy, a day trip to Blackpool and holidays to such places as the East Coast of Britain or to Spain. As mentioned earlier, one person was very keen to show the photos of her holiday. Two vehicles one of which is able to transport people in their wheelchairs was seen to be available to take people to any activities including on holiday. Staff explained that the menus that were seen had been drawn up based on the known likes and dislikes of the people living in the home. They also explained that they do occasionally prepare different meals just to see what peoples reactions are to them and if the reaction is favourable they will include that meal in the new menus. During the inspection staff were heard encouraging people to eat as well as offering drinks to different individuals. One person was asked if he wanted a drink and, as the member of staff held the drinks cupboard open, he reached in and took out the one he wanted. This happened very quickly and in a manner that showed that this is done regularly. Records showed and the staff confirmed that none of the people that they cook for has any special dietary needs other that the need to monitor their body weight. Care Homes for Adults (18-65 years) Page 13 of 26 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Evidence: Throughout the visit the staff were heard talking with the people who live in the home in a friendly but professional manner. The staff were always sensitive when discussing issues that were personal to an individual person. Some of the people who live in this home need living aids to move them to and from their wheelchairs. The staff said that they had received training in how to carry out such activities and their records confirmed this. The self assessment filled in my the manager before this inspection took place says that she is now qualified to train the staff team in the correct ways of moving and handling people. The records looked at showed when each person had either visited or been visited by a health care professional, what for and what the outcome was. These professionals Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: included GPs, dentists and chiropodists. The arrangements for the storage and administration of peoples medication were looked at. Storage was seen to be appropriate and records correctly maintained. Staff said that they receive training in the safe handling of medication before they are allowed to give them to people and their records confirmed this. Care Homes for Adults (18-65 years) Page 15 of 26 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Even though they have difficulties in communication verbally the people who live in this home are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse and have their rights protected. Evidence: The self assessment filled in my the manager before this inspection took place says that the home has received no complaints since the last inspection. The staff on duty at the time of the inspection said that as far as they were aware this way still true. A copy of the homes complaints procedure was seen and this contained the information someone would need if they wished to raise a problem with the home. The staff confirmed that no issues had been referred into the local procedures that are designed to protect vulnerable adults. Although the level of some of the disabilities of some of the people living in this home means that they are unlikely to be able to access these formal policies, observation of the staff talking with them and each other indicated that they, the staff, would be aware of any dissatisfaction expressed and it was seen that a whistle blowing policy is available to be used. The staff also explained that some of the peoples monies are managed by the home. Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: Full records were kept outlining any transactions and those records were checked each day by the staff and on a monthly basis by senior managers. Care Homes for Adults (18-65 years) Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The physical design and layout of the home enables people who use the service to live in a safe, well maintained and comfortable environment, which encourages independence. Evidence: 85 Lodge Lane is situated in a residential suburb of Bridgenorth. It is a detached building that had been converted to its current use in a way that makes sure that it does not stand out amongst its neighbours. It is within walking distance of the a local shop. There is parking to the front in both the grounds and by the side of the road. The house is on two levels with two of the bedrooms being on the upper floor and the other three downstairs with the kitchen, the dining room, the utility room which contains the laundry equipment and a large lounge area. The laundry contains the equipment that should meet the needs of the people who live in this home. All of the rooms were seen to be clean and in good decorative order. The bedrooms were seen to have been personalised to the occupants tastes. Care Homes for Adults (18-65 years) Page 18 of 26 Evidence: The home has a small but well kept garden at the back of the house that contains a variety of garden equipment such as a swing that can be used by the people who live there. There area also a number of raised garden beds that contain aromatic plants and some eye catching objects for the people who go into the garden to enjoy. Care Homes for Adults (18-65 years) Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to support the people who live there. Evidence: During the inspection there were 2 staff on duty. Talking with them and looking at the staffing rota established that this was the minimum level of staffing as when people need to go out and require more assistance more staff would be made available to them. Both staff described what training they had been required to undertake and this included training in matters that related to the safety of the people that they provided care for. They both also confirmed that they had achieved at least Level 2 in the National Vocational Qualification relevant to the work in this home. They also confirmed that most of the staff team had also achieved this. As there had been no new staff since the last inspection they were unable to describe any induction as well as foundation training that anyone new to this work would receive. Equally, it was not possible to re-evaluate the pre-employment checks that are carried out by the home that are designed to show that people wishing to work with vulnerable people are fit to do so. However, past inspections and more recent Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: inspections of homes also owned by this provider have shown that this process is carried out thoroughly Both of the staff spoken to said that they have access to a good range of professional training that is chosen to meet the identified needs of the service users. This was confirmed by looking at the training records. Care Homes for Adults (18-65 years) Page 21 of 26 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. Evidence: At the time of this inspection the Registered Manager was not in the home but at previous inspections it had been established that she has gained the Registered Managers Award which is an appropriate qualification for someone running a facility such as this. Talking to the staff on duty and looking at the records for some of the people living there established that no referrals into the local authority procedures that deal with restrictions on peoples liberty had been made. The staff were able to say that the home receives regular visits from senior managers who monitor how well the needs of the people who live there are being met. Equality and diversity for the service users were seen to be promoted throughout the Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: home within the assessments, care plans and activities. A variety of records were seen that showed that safety issues are constantly monitored. Records of such things as fridge freezer temperatures, fire equipment tests, hot water temperatures and portable appliance testing were seen to have been maintained. Accident records were looked at and these showed that such incidents were monitored by the senior management. Hazardous materials were seen to have been stored in locked cupboards. Staff records also showed that the mandatory training that is necessary to keep the service users safe has been taking place. This includes training in such things as food hygiene and fire prevention. Staff spoken to confirmed that these records were accurate. Care Homes for Adults (18-65 years) Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 26 of 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. 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!