Care Home: Dunheved Lodge

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What the care home does well At the 2003 announced inspection, most people who use the service independently chose to join in with the inspection and confidently took over the managers role in responding to the inspectors questions regarding the Standards. The people who use the service acted as if this level of involvement was expected from them and was their right. The people who use the service also confidently initiated their involvement at the following, and this inspection. The home has contributed towards the cost of holidays from its own funds which facilitates more holidays. The home has promoted positive and appropriate relationships and protected people from inappropriate relationships. Two people previously married and share a room and their own lounge. What has improved since the last inspection? Since the last inspection, new furniture has been acquired, and the lounge and a number of bedrooms have been redecorated. A new manager for this home has been selected and is currently in the process of registering with the commission. What the care home could do better: A registered manager for this home needs to be registering with the commission. Key inspection report Care homes for adults (18-65 years) Name: Address: Dunheved Lodge 9 Dunheved Road North Thornton Heath Croydon Surrey CR7 6AH     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: Barry Khabbazi     Date: 0 3 0 2 2 0 1 0 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 21 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 21 Information about the care home Name of care home: Address: Dunheved Lodge 9 Dunheved Road North Thornton Heath Croydon Surrey CR7 6AH 02086656405 02086659034 NOEMAIL www.bdcsupportingservices.co.uk Mrs Patricia Mohamedally,Mr Cass Mohamedally Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Eddy Barlen Muree Type of registration: Number of places registered: care home 14 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: 14 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 - Code LD Date of last inspection Brief description of the care home Dunheved Lodge is a registered care home for 14 adults with mild to moderate learning disabilities and medium overall care needs. Dunheved Lodge is one of three similar homes owned by Mr and Mrs Mohammedally. The detached property is keeping with the other houses on the road. There are 11 single bedrooms and two doubles. There is a communal through lounge, a dining room and a kitchen. Other facilities Care Homes for Adults (18-65 years) Page 4 of 21 Over 65 0 14 Brief description of the care home include a laundry, staff sleeping in room and staff office. The home is located in Thornton Heath, within easy access of public transport and local shops. Residents of the home attend day centres on weekdays and the home has its own minibus and car. There is an established rear garden with areas of lawn, mature trees and bushes, a patio area and a barbeque. The front of the premises has a slope for access, and an inout drive. Care Homes for Adults (18-65 years) Page 5 of 21 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: This inspection was unannounced and started early in the day to allow people to be met, before they went to their day activities. The manager of this home is currently in the process of registering with the commission. The manage, deputy and area manager was interviewed, time was spent with the people who use the service, and records, policies, care plans, and the building were also examined. The home was found to be well run. There were no previous requirements set at the last inspection, and there were no new requirements needed as a result of this inspection. This home currently meets and exceeds in some cases most of the National Minimum Standards and has demonstrated many areas of good practice. Discussions with the people who use the service on this occasion concluded that they Care Homes for Adults (18-65 years) Page 6 of 21 were happy at the home, and liked the food and outings. People also talked about recent outings, including the cinema, bowling, and, and visits to relatives. All of the Commissions service user and relative surveys have also confirmed this view, with only positive comments about the home being received to date. Care Homes for Adults (18-65 years) Page 7 of 21 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 8 of 21 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 9 of 21 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. Standard 2: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Evidence: Prospective new placements needs are assessed before they start at the home to ensure that all needs are known. Care Homes for Adults (18-65 years) Page 10 of 21 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. Standards 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. Evidence: Assessed needs, changing needs and how the home meets these needs are fully recorded. This supports the homes ability to meet and show how it has met all a persons known needs. People make decisions about their lives with support where needed. People who use the service are generally well and safely supported to take risks as a part of independent living. Care Homes for Adults (18-65 years) Page 11 of 21 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. Standards; 12 13, 14, 15, 16, and 17. Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Evidence: People who use the service have the opportunity for self-development, are part of the local community and are able to take part in appropriate activities. People well supported in maintaining appropriate relationships, so that their social lives are maximised within chosen boundaries. The food provided is sufficient in quantity, and it is sufficiently nutritious. This is Care Homes for Adults (18-65 years) Page 12 of 21 Evidence: important to ensure good health. Care Homes for Adults (18-65 years) Page 13 of 21 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. Standards 18, 19, and 20: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Evidence: Personal care is carried out in a way that people prefer so that dignity and choice are maintained. Personal support needs and emotional health needs are met well by this home. This ensures that emotional health is well maintained and therefore the quality of life experienced is also maximised. Medication is well managed as staff have had approved and accredited medication administration training to promote safer medication administration. Care Homes for Adults (18-65 years) Page 14 of 21 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. Standards 22 and 23: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Evidence: Complaints are generally managed well so that people usually feel their views are listened to. The homes policies and procedures relevant to this Standard facilitate protecting residents from abuse, neglect and self harm. Care Homes for Adults (18-65 years) Page 15 of 21 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. Standards, 24, and, 30: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Evidence: The building, rooms and furniture generally meet the peoples needs and, provide a comfortable and safe environment which promotes independence. The home is generally hygienic and clean, homely and comfortable. This environment therefore facilitates health and emotional well-being. Care Homes for Adults (18-65 years) Page 16 of 21 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. Standards 32, 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. Evidence: People are supported by suitably qualified staff. The recruitment procedures protect the residents through vigorous staff vetting. Induction and foundation training programme are within Sector Skills Council training specifications and timescales. This facilitates the staffs ability to meet all a persons needs and raises the quality of staff and their practices. Care Homes for Adults (18-65 years) Page 17 of 21 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. Standards 37, 39, and 42: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Evidence: People who use this service benefit from a well run home. There is a quality assurance system which involves people and provides a way for them to measure improvements in quality for themselves. The health and safety, and welfare of people are generally well promoted and protected. Care Homes for Adults (18-65 years) Page 18 of 21 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 6 151 Care plans must all contain 01/01/2008 all the elements required under Standard 6, and in particular cultural or religious needs. Care Homes for Adults (18-65 years) Page 19 of 21 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 1 36 It is recommended that the manager aim over the 6 supervission sessions a year to ensure that it is always met, and hopefully exceeded. A registered manager for this home needs to be registering with the commission. 2 37 Care Homes for Adults (18-65 years) Page 20 of 21 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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