Care Home: Enmore Lodge

Similar services:

• Townley Road, 2-3
• Foxley Lane (121a)
• Tudor Lodge
• Stacey Street Nursing Home
• Delrose House Ltd
• Clovelly House Residential Home Ltd
• Abbey Road [53]
• Cherry Tree House

What the care home does well Comments from residents were generally positive, with indication that staff are kind and helpful in meeting their care needs. Residents were observed to be treated with respect by staff and to have their privacy and dignity respected. Residents are actively encouraged to keep in contact with family and friends living in the community. Visitors are welcome at any time and facilities are available for them. The home has a medication policy which is accessible to staff, medication records are generally up to date for each resident and medicines received, administered and disposed of are recorded. The home has a training plan and intends to train its staff in health care to achieve accreditation. The home`s recruitment procedures protect the residents through vigorous staff vetting. What has improved since the last inspection? Some of the care plans and risk assessments have been updated and they are now more comprehensive and reflect the needs of the residents. The residents and/or their relatives have been consulted about their last wishes and these are documented in their personal files. All staff have attended "Safequarding" training and are aware of and understand the procedures for Safeguarding Adults.Training around dealing with physical and verbal aggression has also been made available to all staff as needed. From staff files sampled at random there were evidence that staff are attending mandatory training as and when required. CARE HOME ADULTS 18-65 Enmore Lodge 34-36 Enmore Road South Norwood London SE25 5NQ Lead Inspector Mohammad Peerbux Key Unannounced Inspection 20th May 2008 09:15 Enmore Lodge DS0000025780.V363923.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 Enmore Lodge DS0000025780.V363923.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. Enmore Lodge DS0000025780.V363923.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Enmore Lodge Address 34-36 Enmore Road South Norwood London SE25 5NQ 020 8405 1831 020 8656 9792 enmorelodge@msn.com 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) Enmore Lodge Limited Mr Joseph Ojo Alawo Care Home 16 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (16) of places Enmore Lodge DS0000025780.V363923.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home Only (CRH - PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Mental Disorder, excluding learning disability or dementia - Code MD The maximum number of service users who can be accommodated is: 16 7th August 2007 Date of last inspection Brief Description of the Service: Enmore Lodge is a service designed to cater for sixteen generally younger adults with past/present mental illness. Using a long-term therapeutic model, residents are encouraged to engage in the day-to-day activities of the home, as well as become involved with the local community where wished, or where timetabled as part of their care programme. Enmore Lodge is a substantial building set back off Enmore Road with a large car park to the front and a paved patio area to the rear with a small plot of garden. The building is designed to provide single accommodation for all but two of the residents who share the sole double-occupancy room. The range of weekly fees is between £550 and £650. Enmore Lodge DS0000025780.V363923.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 two stars. This means the people who use this service experience good quality outcomes. This unannounced visit to the home was undertaken as a part of the inspection process for the year 2008/2009. In writing the report, consideration has also been given to information received throughout the year such as comments from people who use the service, reports of incidents and complaints. This is the first key unannounced inspection for the year 2008/2009.This inspection was facilitated by the Registered Manager. Some of the residents were spoken to and they commented positively on the care they are receiving. One resident stated, “They look after me well and I am happy here”. They are all thanked for their time and all of those who provided feedback for their support in the inspection process. A tour of the building was also carried out. All registered adult services are now required to fill in an annual quality assurance assessment (AQAA).It is a self-assessment that the provider (owner) must complete every year. The completed assessment is used to show how well the service is delivering good outcomes for the people using it. Some information from this AQAA is included in the report. What the service does well: Comments from residents were generally positive, with indication that staff are kind and helpful in meeting their care needs. Residents were observed to be treated with respect by staff and to have their privacy and dignity respected. Residents are actively encouraged to keep in contact with family and friends living in the community. Visitors are welcome at any time and facilities are available for them. The home has a medication policy which is accessible to staff, medication records are generally up to date for each resident and medicines received, administered and disposed of are recorded. The home has a training plan and intends to train its staff in health care to achieve accreditation. The home’s recruitment procedures protect the residents through vigorous staff vetting. Enmore Lodge DS0000025780.V363923.R01.S.doc Version 5.2 Page 6 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. Enmore Lodge DS0000025780.V363923.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 Enmore Lodge DS0000025780.V363923.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): 2 People using the 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 home undertakes an assessment of the healthcare needs of residents prior to their admission to ensure that their needs would be met. EVIDENCE: Three residents’ files were sampled at random and evidence suggests that prospective residents have a needs assessment carried out before they are admitted to the home. The assessments are generally undertaken satisfactorily. Prospective residents are encouraged to visit and “test drive” the secure and relaxed home atmosphere. Enmore Lodge DS0000025780.V363923.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Generally, residents’ care plans include detailed information about their needs and personal goals. This helps staff to know the residents’ needs and how to meet them. EVIDENCE: It was previously required that the home must ensure that care plans cover all aspects of personal and social support and healthcare needs of the residents. Three care plans were sampled at random and it was noted that they were now more comprehensive. The care plans were person centred and were agreed with the individuals. The plan also contained procedures for the resident who is likely to be aggressive and cause harm or self-harm, focusing on positive behaviour, ability and willingness. This is in line with a requirement made at the last inspection. CPA review outcomes have indicated that some residents after 6 months have shown remarkable progress in performance of daily living skills and activities. Enmore Lodge DS0000025780.V363923.R01.S.doc Version 5.2 Page 10 Maintaining independence and enabling residents to make their own decisions about how they wish to live is a key objective of the home. The home recognises the right of individuals to take control of their lives and to make their own decisions and choices. There is some evidence that individuals are involved in some decision making about the home, such as day to day living and social activities. All residents are also supported and encouraged to have an active role in the community. Each care plan includes a risk assessment, which is reviewed regularly. Management of risk is positive addressing safety issues whilst aiming for better quality of life. Where limitations are in place, the decisions have been made with the person and are recorded. The risk assessments have been reviewed and updated as previously required. Enmore Lodge DS0000025780.V363923.R01.S.doc Version 5.2 Page 11 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): 12,13,15,16 and 17 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are being provided with a range of opportunities for recreational and social activity that is in accord with their social, cultural and religious needs. They are assisted to maintain contact with family and friends, and links with the local community are encouraged. Dietary needs are well catered for and a well balanced diet is provided, to ensure health and enjoyment of food. EVIDENCE: Central to the home’s aims and objectives is the promotion of the individual’s right to live an ordinary and meaningful life, both in the home and in the community appropriate to their peer group, and to enjoy all the rights and responsibilities of citizenship. The home understands the importance of enabling younger adults to achieve their goals, follow their interests and be Enmore Lodge DS0000025780.V363923.R01.S.doc Version 5.2 Page 12 integrated into community life and leisure activities in a way that is directed by the person using the service. The home has a strong commitment to enabling people who use services to develop their skills, including social, emotional, communication, and independent living skills. People who use services are involved in meaningful daytime activities of their own choice and according to their individual interests and capability; they have been fully involved in the planning of their lifestyle and quality of life. The service is committed to the principles of inclusion and promotes, and fosters good relationships with neighbours and other members of the community. Residents are also encouraged to be politically active and vote in local elections. People who use the service have the opportunity to develop and maintain important personal and family relationships, and are able to access information and specialist guidance about issues such as intimate relationships. The practice of staff promotes individual rights and choice, but also considers protection of individuals, supporting people to make informed choices. The home actively supports people who use services to be independent and involved in all areas of daily living in the home. This includes where appropriate, taking responsibility for shopping, planning meals, and meal preparation. Good practice may include individuals being supported to be independent in the process following training and support. It was clear from the menus that a wide variety of different food options were available in the home with a lot of consideration given to the nutritional value of the meals provided. Staff are ready to offer assistance in eating where necessary, discreetly, sensitively and individually, while independent eating is encouraged for as long as possible. The meals are balanced and nutritious and cater for the varying cultural and dietary needs of individuals. Enmore Lodge DS0000025780.V363923.R01.S.doc Version 5.2 Page 13 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 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Overall the arrangement for health care needs of the residents is good and they receive personal support in the way they prefer. EVIDENCE: The delivery of personal care is individual, flexible and person centred. Staff respect the privacy and dignity of the residents and are sensitive to their changing needs. Where needed, guidance and support regarding personal hygiene is provided. Times for getting up/going to bed, baths, meals and other activities are flexible. Staff are aware that the way in which support is given is a key issue for younger adults. People who use services have access to health care services both within the home and in the local community. Generally health needs are monitored and appropriate action and intervention taken. Residents are encouraged to take control and manage their own healthcare although close observations and Enmore Lodge DS0000025780.V363923.R01.S.doc Version 5.2 Page 14 support by staff are necessary and maintained e.g. making appointments to see GP or psychiatrist when necessary. The home has a medication policy which is accessible to staff, medication records are generally up to date for each resident and medicines received, administered and disposed of are recorded. It is however recommended that the allergies of residents be also recorded on their Medication Administration Records. Residents who are able to medicate on their own are given opportunities to do so after a risk assessment has been carried out by the staff. It was previously required that the manager must consult the residents and/or their relatives about their last wishes and this needs to be documented in their personal files. Three files were sampled at random and the residents’ last wishes were recorded. Enmore Lodge DS0000025780.V363923.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Complaints are generally managed well, which should ensure that residents’ and relatives’ concerns are listened to. EVIDENCE: The home has a complaints procedure that is displayed in the home for all to view. The procedure explains how to make a complaint and that the complainant can expect a response about the outcome of any investigation to a complaint within 28 days. The current complaints procedure is good and gives a clear step-by-step guide of how to make a complaint. Residents who were spoken to stated that they are happy with the service provision and feel well supported. The home has an open culture where individuals feel safe and supported to share any concerns in relation to their protection and safety. Policies and procedures regarding Safeguarding Adults are available to staff and give them clear guidance about what action should be taken. This is in line with a requirement made at the last inspection. People using the service and / or their representatives are made aware of what abuse is and the safeguards in place for their protection should they need them. Access to external agencies is actively promoted. Training around dealing with physical and verbal aggression has been made available to all staff as previously required. Presently the local authority is carrying out an investigation around one resident’s finance. The Commission will continue to monitor the situation. Enmore Lodge DS0000025780.V363923.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People using the 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 home is generally hygienic and clean, homely and comfortable; this environment therefore facilitates the residents’ health and emotional well being. EVIDENCE: The home is suitable for its stated purpose. It is accessible, meet residents’ individual and collective needs in a comfortable and homely way. Residents’ bedrooms are personalised to reflect their individual needs, and personalities. Overall the home is decorated to a good standard throughout and appears to be very comfortable, bright and warm. The home is kept very clean and hygienic and free from offensive odours throughout. Systems are in place to control infection in accordance with relevant legislation and published professional guidance. Enmore Lodge DS0000025780.V363923.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 People using the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has the numbers and skill mix of staff sufficient to meet residents’ needs and ensure their safety. There is a staff training and development programme in place. This ensures that staff fulfil the aims of the home and meet the changing needs of residents. EVIDENCE: There are consistently enough staff available to meet the needs of the people using the service. The staffing structure is based around delivering outcomes for the people using the service, and is not led by staff requirements. The registered manager informed that nearly all staff in the home are qualified in NVQ level 3 in care. The home has a good recruitment procedure, which is followed in practice with the service recognising the importance of effective recruitment procedures in the delivery of good quality services and for the protection of individuals. Three Enmore Lodge DS0000025780.V363923.R01.S.doc Version 5.2 Page 18 staff files were examined at random and found to contain the information required by the Care Homes Regulations 2001 including a completed job application, terms and conditions of employment, an enhanced CRB check and proof of their identity. The home ensures that all staff receive relevant training that is focussed on delivering improved outcomes for people using the service. The manager puts a high level of importance on training so as to meet the individual needs of people using the service. From staff files sampled at random there were evidence that staff are attending mandatory training as and when required. Enmore Lodge DS0000025780.V363923.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 People using the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home appears to be well managed. There are clear lines of accountability within the home and the management style is open and transparent. Records held at the home provide evidence that maintenance is regularly carried out to ensure the well being of the residents. EVIDENCE: The registered manager has the necessary experience to run the home. He is aware of the need to keep up to date with practice and continuously develop management skills. He has a clear understanding of the key principles and focus of the service, based on organisational values and priorities. He works to continuously improve services and provide an increased quality of life for Enmore Lodge DS0000025780.V363923.R01.S.doc Version 5.2 Page 20 residents with a strong focus on equality and diversity issues. There is a strong ethos of being open and transparent in all areas of running of the home. The home has an effective quality assurance and quality monitoring systems, based on seeking the views of residents, to measure success in achieving the aims, objectives and statement of purpose of the home. The home has a health and safety policy that generally meets health and safety requirements and legislation. Records are of a good standard and are routinely completed. Certificates relating to health and safety were up to date servicing certificates. All fire extinguishers have been maintained at a regular interval and this is in line with a requirement made at the last inspection. Enmore Lodge DS0000025780.V363923.R01.S.doc Version 5.2 Page 21 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 X 3 X X 3 X Enmore Lodge DS0000025780.V363923.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA20 Good Practice Recommendations Enmore Lodge DS0000025780.V363923.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 Enmore Lodge DS0000025780.V363923.R01.S.doc Version 5.2 Page 24 - 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!