Care Home: Charnwood Lodge CBU

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What the care home does well People living at Charnwood Lodge have an individualised care plan, which is drawn up with their involvement and provides detailed information as to the individual support they need, with particular reference to challenging behaviour and their well being, and encourages and promotes people to retain and exercise their rights and choices whilst promoting their independence. People living at Charnwood Lodge access a variety of community based activities, which includes voluntary work, education, and leisure pursuits, the number of staff employed by the Home and the one to one support available enables a flexible approach to accessing community resources based on the wishes of the individual. People living at the Home are aware of their rights, and know how to complain, people we spoke with said that if they felt unsafe or frightened they would speak with a member of staff, or their Social Worker. People living at Charnwood Lodge have opportunities to attend meetings to make decisions about the day to day running of the Home, in addition one person is part of a group called `Your Voice` who meet quarterly to influence policy and practice changes, to improve the service for people living in care. What has improved since the last inspection? Staff have undertaken a four day work shop, which provides them with knowledge as to how to support people whose behaviour puts the person themselves or others at risk. The workshop includes information on how to diffuse situations, along with information on how to physically restrain someone should it be necessary. What the care home could do better: People living at the Home although confident in speaking with staff should they have any concerns or felt frightened or unsafe, have no independent access to a telephone, which enables them to contact advocacy services or their Social Worker or anyone else they feel confident speaking with, without asking staff to use the `office` phone. Environmental improvements need to be made so that people living at the Home live in a homely and welcoming Home which they can relax in, improvements include a lounge requiring a floor covering such as a carpet, and the corridor carpet on the ground floor and stairwell to the first floor is heavily stained and requires cleaning or replacing. People living at the Home and staff would know if advance as to the one to one support they are to receive or deliver if the staff rota highlighted where people require one to one support are to be supported and by whom. CARE HOME ADULTS 18-65 Charnwood Lodge CBU Woodhouse Lane Nanpantan Loughborough Leicestershire LE11 3YG Lead Inspector Linda Clarke Unannounced Inspection 12th May 2008 09:45 Charnwood Lodge CBU DS0000001794.V364192.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 Charnwood Lodge CBU DS0000001794.V364192.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. Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Charnwood Lodge CBU Address Woodhouse Lane Nanpantan Loughborough Leicestershire LE11 3YG 01509 890184 01509 891446 charnwood.lodge@craegmoor.co.uk 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) Lansdowne Road Limited Vacant Care Home 18 Category(ies) of Learning disability (18), Mental disorder, registration, with number excluding learning disability or dementia (18) of places Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service User Numbers. No person falling within category MD may be admitted to the home unless that person also falls within category LD - ie dual disability. Date of last inspection 10th October 2007 Brief Description of the Service: Charnwood Lodge CBU is a residential care home providing personal care and accommodation for up to eighteen people, who have learning disabilities and associated challenging behaviour. The registration also includes those with mental health problems in addition to their learning disability. Charnwood Lodge is located in the countryside, and public transport links are minimal. People living at the home access facilities within the community by the use of ‘people carriers’ owned by the home and driven by staff. Charnwood Lodge is a large building set in extensive and well-maintained grounds, and is divided into two units Elm Unit and Oak Unit, both benefiting from a lounge and dining room and a small kitchenette. Bedrooms, which are without en-suite facilities are located on the first and second floor, as are bathing and shower facilities. Information about Charnwood Lodge is provided in the form of brochures referred to as The Statement of Purpose and Service User Guide and are available upon request. Information provided on the day of the site visit confirms the current weekly fees for the service range from £1420.80 to £2490.00. Inspection reports regarding the home are available and can be accessed via the CSCI website: www.csci.org.uk. Further information about the home is available from the Manager. Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. ‘We’ as it appears throughout the Inspection Report refers to ‘The Commission for Social Care Inspection.’ The inspection process consisted of pre-planning the inspection, which included reviewing the Annual Quality Assurance Assessment (AQAA), which is selfassessment tool completed by a representative of the service, reviewing previous Inspection Reports, and other information we have received. We sent surveys to ten people who use the service of which six were completed and returned, in a majority of instances care staff supported people living at the home in completing their surveys. Ten surveys were sent to families and friends of people using the service, of which none were completed and returned, and four health care professional surveys were sent out of which none were returned. The unannounced site visit commenced on the 12th May 2008, and took place between 09:45 and 16:30 The focus of the inspection is based upon the outcomes for people who use the service. The method of inspection was ‘case tracking’. This involved identifying people with varying levels of care needs and looking at how these are being met by the staff at Charnwood Lodge. Three people accessing services were selected, records were viewed, and observations made about the day-to-day running of the Home. Discussions were held with two people living at the Home, along with three members of staff and the Manager. What the service does well: People living at Charnwood Lodge have an individualised care plan, which is drawn up with their involvement and provides detailed information as to the individual support they need, with particular reference to challenging behaviour and their well being, and encourages and promotes people to retain and exercise their rights and choices whilst promoting their independence. People living at Charnwood Lodge access a variety of community based activities, which includes voluntary work, education, and leisure pursuits, the number of staff employed by the Home and the one to one support available enables a flexible approach to accessing community resources based on the wishes of the individual. People living at the Home are aware of their rights, and know how to complain, people we spoke with said that if they felt unsafe or frightened they would speak with a member of staff, or their Social Worker. Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 Page 6 People living at Charnwood Lodge have opportunities to attend meetings to make decisions about the day to day running of the Home, in addition one person is part of a group called ‘Your Voice’ who meet quarterly to influence policy and practice changes, to improve the service for people living in care. 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. Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People considering moving into the Home have access to information about the services provided, and have an opportunity to visit before moving in, they can be confident there needs will be assessed to ensure that the Home is best suited to them. EVIDENCE: People considering accessing the services of Charnwood Lodge are provided with information in the form of the Statement of Purpose and Service User Guide, which outlines the services provided by the Home, the Service User Guide includes information in a pictorial format which supports those people who have difficulty in understanding written information. People who hope to move into the Home have their needs assessed by the Manager to ensure that the Home can meet their individual needs, and are then encouraged to visit, and spend time with people already living at the Home, the frequency of visits and length of time spent at Charnwood Lodge before moving in is dependent upon the individual needs of the person wishing to move into the Home. Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 Page 9 People living at the Home are advised that someone is visiting the Home, and are provided with some information about the person, this is to reduce the anxiety of people already living at the Home, and promote a positive experience for the person visiting. Upon moving into the Home, a contract detailing the terms and conditions of occupancy is provided, a copy of which is held within the persons records at the Home. We sent surveys to people and asked them whether they were asked if they wanted to move into the Home, a majority indicated yes, and there was a mixed and equal response as to whether they received enough information about the Home before moving in. Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 Page 10 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, 8 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the Home are supported and consulted about all aspects of their lives, and are supported by an individual plan of care. EVIDENCE: We looked at the care plans of three people living at Charnwood Lodge, all were person centred, which means it is written from the point of view of the person who requires support and care, care plans were regularly reviewed to reflect the changing needs of people. Care plans were comprehensive and covered all aspects of a person’s physical and mental health, welfare and social aspects of care. The care plans provides specific information about a persons life such as a ‘Life History’ providing information about a persons life prior to moving into Charnwood Lodge, ‘Health and Keeping Safe’ and ‘Mental Health and Behaviour’ provide information as to a persons health needs and how support is to be provided. Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 Page 11 Care plans include comprehensive information about communication styles of people using the service, and how behaviours are to be interpreted by staff as a request for something or an expression of mood, this enables staff to respond to people appropriately. In some instances restrictions on a persons choice and freedom were included in care plans, in all instances the reason behind the restriction was detailed, and was supported by a risk assessment, and had been signed by the person using the service. People living at the Home have opportunities to attend meetings within the Home, and influence the care they receive, in addition one person living at the Home is part of ‘Your Voice’, which is an advocacy group which includes a representative from other homes who are part of the same organisation, and meet quarterly to discuss and influence how the organisation operates and supports people. We sent surveys to people and asked them whether they make decisions as particularly times of the day, such at the day, the evening or at weekends, a majority indicated yes, when asked if carers listen and act upon what they say all indicated always or sometimes. The people whose records we viewed are unable to manage their finances, ‘spending money’ is managed on their behalf by staff at the Home, the monies and financial records of two people living at the Home were viewed and found to be in good order. Monies are kept individually along with a record detailing transactions in the Homes safe, two members of staff oversee all transactions and monies are audited every day. Arrangements for the management of individuals finance is included within the care plan, and signed by the person. Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 Page 12 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): 12, 13, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Charnwood Lodge have access to a range of activities as part of their plan of care to maximise independence and are supported to access a range of recreational and leisure pursuits within the community. EVIDENCE: Everyone living at the home has a personalised weekly activities plan, devised with their key worker and the Activity Co-ordinator, and includes such things as independent living skills, cooking, washing, shopping and going to College, and for some this includes voluntary work at Charity Shops. Communal activities are also arranged such as watching DVD’s, trips to the park, bowling and playing football and the occasional ‘Take Away’ night. Care plans specify the number of staff that are required to support an individual when participating in community activities, in some instances this Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 Page 13 includes one to one support. Risk assessments are included within care plans, which enable people living at the Home to take acceptable risk whilst promoting their independence. Throughout the day we observed staff supporting people living at the Home accessing community resources, staff driving people in one of the two ‘People Carriers’ owned by the Home. A group of people went to a local park, whilst others went out for drinks at a local McDonalds Restaurant. We spoke with two people living at the Home, and asked them about activities, one said ‘I like my bed, but I like to go out in the vehicle, I’m happy with the way things are and I don’t want to go to College, but I like bingo, I win sometimes. I enjoy and love going clothes shopping, and I’m going to my cousins wedding soon.’ The other person we spoke with said, ‘We get out a lot, I like Twycross Zoo and seeing the monkeys. I visit Conkers and do sport at the Leisure Centre, I play football, I’m the goal keeper.’ The minutes of a recent meeting detailed peoples choice with regards to holidays this year, two people we spoke with said ‘I’m going to Butlins at Skegness this year.’ ‘I’m going to Torquay in Devon.’ Care plans include the hobbies and interests of people living at the Home, for one person whose care plans we viewed, hobbies and interests were used to support the person in managing their behaviour, by taking part in outdoor physical pursuits. We spoke with two people living at the Home about the meals, one person said ‘The meals are lovely’ the other person said ‘The meals are very nice.’ People living at the Home have access to a kitchenette where they can make themselves a drink. Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 Page 14 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, 20 and 21. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People residing at Charnwood Lodge have access to a range of health care professionals, which ensures that healthcare needs are met as expected and agreed by them. EVIDENCE: The care plans of people living at Charnwood Lodge are specific with regards to people’s preferences about their personal care and support, in some instances appearance has strong links with the management and support of their mental health and general well-being, and care plans detail the role and responsibility of staff in supporting people. Care plans record peoples preferred daily routines including what time they wish to get up, go to bed etc. We viewed records, which evidenced that people have access to a range of health care professionals including General Practitioners, Nurses, Psychologists, Dentists and Chiropodists. People living at the Home have a Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 Page 15 ‘health action plan’, which provides information about the physical and mental health of a person. Medication is stored safely and staff receive medication training, which is regularly updated, the medication records of two people living at the Home were viewed and found to be in good order. The Manager had undertaken an assessment of all people living at the Home to determine as to whether they could manage their own medication, in all instances it was found they could not, we viewed the assessment of the people whose records we viewed. Care plans detailed that staff were responsible for the administration of medication, where necessary. People views were also recorded where they had been expressed about their wishes regarding ageing and death. Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People residing at Charnwood Lodge are confident in raising concerns with staff, and are supported by staff that are confident in their role in relation to reporting concerns regarding the welfare of individuals. EVIDENCE: Charnwood Lodge has a complaints procedure, which is displayed within the Home, and is provided in a format, which includes symbols to enable people living at the Home to understand how to raise concerns. Alongside the complaints procedure is information about advocacy services, which includes contact details, should people living at the Home, wish for an independent person to act on their behalf. The Manager said that they have received one complaint, which is currently being looked into. We have not received any complaints or concerns since the last Key Inspection. We asked two people living at the Home if they know how to make a complaint both said that they did. We spoke with two people who reside at the Home and asked them what they would do if they felt frightened or unsafe, all said that they would speak to a member of staff or one of the Managers. When asked if there was anyone else they could speak with if they didn’t want to speak with staff, both said that they had a Social Worker and that they had their telephone number. Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 Page 17 We sent surveys to people and asked them whether they know who to speak with if they are unhappy all but one said yes, when asked if they know how to make a complaint there was a mixed response. When asked if staff treat them well three indicated always, two sometimes and one never. We noted that people living at the Home do not have access to an independent telephone, and therefore have to ask staff to use the ‘office’ phone, this has the potential of preventing people living at the Home from contacting advocacy services or their Social Worker. The Manager said that the Home used to have a payphone but people living at the Home had broken this, it was discussed with the Manager that independent access to telephone services needs be reviewed, and they advised it would be looked into. We also spoke with the Manager, Deputy Manager and two members of staff, to ascertain their knowledge and understanding of safeguarding issues, that is promoting the well-being of people using the service from abuse. All were aware of the policies and procedures, and that issues of concern should be reported to the person in charge, in the case of Managers they were aware that information should be referred to the Local Authority consistent with the policy document ‘No Secrets’. The training records of Managers and staff we spoke with were viewed all had undertaken training, which provides information on the forms of abuse, and how changes in a persons behaviour may indicate that they are experiencing abuse, information is also provided on the role of staff in reporting concerns. Staff were aware of their responsibility to ‘whistleblow’ reporting concerns to the Manager on duty, in addition staff are encouraged to contact the organisation to which Charnwood Lodge is part of. The needs of some people living at the Home, in some instances requires them to be physically restrained by staff, for the protection of themselves and others living at the Home, care plans are very specific as to when and how physical restraint should be used, all incidences of physical restraint are recorded. Care plans detailing restraint guidelines and techniques are drawn up by a Psychologist, and are comprehensive, all staff at the Home have undertaken training, in the form of a four-day workshop, which provides training on the prevention and therapeutic management of violence and aggression. Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Charnwood Lodge provides comfortable and homely accommodation for people living at the Home. EVIDENCE: Charnwood Lodge is a large detached property set within the countryside, with panoramic views, and access to local beauty spots. The Home is generally well maintained but requires improvement in some areas. The Home lacks an intimate feel, but is bright and airy, with people living at the Home being able to access all areas easily. We sent surveys to people and asked them whether they home was fresh and clean all said sometimes. Dining rooms and lounges have recently been redecorated and new furnishings provided, however the lounge within Elm Unit, has no floor covering, and has not had any for some time, this needs to be addressed as a matter of priority. Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 Page 19 The carpets in the corridor of ground floor and stairwell leading to the first floor are heavily stained, and should be cleaned or replaced. There are no en suite facilities but there are sufficient bathing and toilet facilities in both units. Individual bedrooms were colourfully decorated to reflect the gender and personalities of the clients who live there. The last Key Inspection undertaken in October 2007 noted that the entrance hall had some cracked safety glass that needs replacing, and a recommendation was made that this be repaired, this has not been addressed. Information provided in the AQAA states that the building complies with fire service and environmental health requirements. Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 Page 20 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, 33, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An enthusiastic, and knowledgeable staff team, who have undergone a robust recruitment process, support people living at the Home. EVIDENCE: The Manager and staff advised that between the hours of 8am and 10pm there are eight members of care staff on duty supported by at least one Manager, and that during the night there are two people on duty supported by one person sleeping on the premises and one person on-call. The Manager confirmed that agency staff are no longer necessary, and care staff are supported by ancillary staff who maintain the home and prepare and cook meals. People living at the Home in some instances receive one to one staff support in order to enable them to take part and access community activities and resources; it was discussed with the Manager that this be reflected in the staff rota. We viewed the records of two members of care staff and a member of the Management Team all contained a completed application form, a Criminal Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 Page 21 Record Bureau (CRB) disclosure and two written references. The Manager said that people living at the Home are involved in the interview process of staff, and take part in interviews and put questions to candidates. People living at the Home, show around prospective employees accompanied by a member of staff, and their views of the candidate are taken into consideration when decisions are made as to whether to make an offer of employment. Newly recruited staff receive an induction which includes training in fire awareness, moving and handling, health and safety, food hygiene and first aid, this supports the health, safety and welfare of people living at the Home. Information supplied by the Manager in the AQAA records that 46 of staff have attained a National Vocational Qualification (NVQ) in Care, whilst 23 of staff are working towards the Qualification. Staff we spoke with said that they receive supervisions from their line Manager, the frequency of supervisions expressed by staff differed between each staff member. Staff confirmed that they attend staff meetings which are held regularly, the supervision of staff and attendance at staff meetings enables staff to be kept up to date, and to promote a consistence approach as to the care and welfare of people living at the Home. We spoke with two people living at the Home and asked them their views about the staff they said ‘I like the staff they are nice and help me.’ ‘The staff are alright they’re good to you.’ Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 Page 22 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, 38, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at Charnwood Lodge live in a Home, which is managed well and are afforded opportunities to influence the care they receive. EVIDENCE: The Manager of the Home has been in post since May 2007, prior to that they were the Manager a different home within the organisation. The Manager advised that they have attained a Foundation Degree in Health and Social Care and a Business and Financial Diploma. The records of the Manager had a certificate confirming they had attained a National Vocational Qualification (NVQ) in Care at level 4 and the Registered Managers Award. We were advised by the Manager of their intention to submit an application to the Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection to become the Registered Manager in the near future. The organisation to which Charnwood Lodge is part of, operates a quality assurance system, which includes sending out questionnaires to people living at the Home to ascertain their views, completed questionnaires are returned and the information collated. A report of the findings is produced, and those people who are members of ‘Your Voice’ representing the Home review the findings, and comment on changes that need to be made. There is an ethos of openness in the home and staff expressed confidence in the ability of the Manager, staff are supported by a Managerial team throughout the day, we observed the assistance of the Manager was sought throughout the day from both people living at the Home and staff. Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 Page 24 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 3 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 X X 3 X Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 Page 25 N/A 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 YA23 Regulation 16 (2) Requirement People living at the Home to have independent access to a telephone, which enables them to speak with people in private. The lounge in Elm Unit to have an appropriate floor covering reflective of the wishes of the people living at the Home. The carpet on the ground floor corridor of Oak Unit and stairwell leading to the first floor to be cleaned to remove the stains. Timescale for action 12/08/08 2 YA24 23(2) 12/07/08 3 YA24 23(2) 12/07/08 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 YA33 Good Practice Recommendations It is recommended that the staff rota records information as to the individual staff member providing one to one support, the times and whom they are supporting. Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Charnwood Lodge CBU DS0000001794.V364192.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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