Care Home: Hinton Lodge

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What the care home does well Hinton Lodge provides an extremely pleasant and very good standard of accommodation for people to live in. It provides a friendly and caring environment. It provides a very good standard of care and support for people who live there. People who live there spoke of being happy and were very positive about the care they receive. They are able to make choices and decisions about their daily lives. People said, "I can come and go as I like, I go on my placements, make my own decisions". "I like to go shopping and am able to do this, I am a quiet person, can spend time on my own in my room if I want to". One of the surveys completed by a visiting health professional said of what the service does well, "Sees the person as individuals and responds to their individual needs". Another one said, "The individual I am involved in had a lot of health needs recently and the care team have been excellent at meeting these needs". The assessment process and care records are person centred and comprehensive. A member of staff said, "It is an inclusive arrangement, there is clear involvement in the care plan and they are encouraged to make own decisions, we offer guidance and support and we listen to what they want". A member of staff who completed one of the surveys said of what the service do well, "Offers support and encouraged independence to the services users. Promotes equality and differentiates according to the needs of the user". Staff are well trained and 86% are trained to NVQ 2 or above and they spoke very positively about the training. People who work at the home are very positive about their job roles. They said, "I love working here, the whole organisation is one big family, I feel privileged to work here, the bosses are really nice and are approachable". They also said that they were able to raise any issues, make suggestions for improvement and that they were listened to. Another person said, "I am very happy to be part of our care team at Hinton Lodge". What has improved since the last inspection? This is the first inspection of Hinton Lodge. What the care home could do better: It is commendable that of the standards looked at during this inspection, outcomes for people who live at the home are very good. Few areas of improvement were identified. Those that were included are as follows, the need to ensure that when medication is received outside of the normal monthly system that these are fully recorded with the amount of medication also being recorded. The current medication storage facility also needs to be reviewed and the temperature of the room recorded. Some minor amendment is needed to the information recorded following receipt of Criminal Records Bureaus checks and one person was in need of an updated CRB.The maintenance file also needed to be updated. CARE HOME ADULTS 18-65 Hinton Lodge Hinton Lodge Patten Lane Guisborough TS14 6PJ Lead Inspector Jackie Herring Key Unannounced Inspection 29th August 2008 09:30 Hinton Lodge DS0000071748.V370748.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 Hinton Lodge DS0000071748.V370748.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. Hinton Lodge DS0000071748.V370748.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hinton Lodge Address Hinton Lodge Patten Lane Guisborough TS14 6PJ 01439788932 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) Mrs Jane Lesley Dexter-Smith Roger Dexter Dexter-Smith Brenda Anne Harland Care Home 4 Category(ies) of Learning disability (4), Mental disorder, registration, with number excluding learning disability or dementia (4) of places Hinton Lodge DS0000071748.V370748.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 Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Mental Disorder, excluding learning disability or dementia, Code MD maximum number of places 4 2. Learning Disability - Code LD, maximum number of places 4 The maximum number of service users who can be accommodated is: 4 This is the first inspection of the service. Date of last inspection Brief Description of the Service: Hinton Lodge is a detached property in very close proximity to the centre of Guisborough, a market town. It provides personal care and support to four people. All have their own single bedroom with ensuite shower facilities. There is a suitable amount of communal space, with a spacious lounge/dining room. The kitchen is domestic in nature and accessible to all. There is a good amount of external space including a garden with a raised patio area. The fees are to be confirmed. Hinton Lodge DS0000071748.V370748.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 that people who use this service experience good quality outcomes. This was a key inspection of the service and a minimal amount of notice was given to ensure that the manager would be present. It was completed across two inspection days, six inspection hours in total. This Key Inspection was to check that the home meets the standards that the Commission for Social Care Inspection say are the most important for the people who use the services, and that it does what the Care Standards regulations say it must. During the visit to the home, a number of records were looked at, including records of people who use the service, along with medication records, staff records, training records and maintenance information. A number of surveys from people who live at the home, staff and visiting health professional were also received and some comments are contained within this report. Time was spent talking to people who use the service and staff. Time was also spent walking around the home, observing interactions and generally finding out what Hinton Lodge was like for the people who live there and staff. Discussion also took place with the manager, the proposed managers and proprietor. This was a very positive inspection of the service. The manager has completed the Annual Quality Assurance Assessment (AQAA), the services self-assessment of how well they think they are meeting standards. This information was received before the inspection and was used as part of the inspection process and some of information has been reflected within the report to support the judgements made. Whilst Hinton Lodge is a newly registered service, the people living there have been receiving care and support from the organisation for some time. They have moved from one of the other houses as Hinton Lodge offers a much improved environment for them to live. What the service does well: Hinton Lodge provides an extremely pleasant and very good standard of accommodation for people to live in. It provides a friendly and caring environment. It provides a very good standard of care and support for people who live there. People who live there spoke of being happy and were very positive about the care they receive. They are able to make choices and decisions about their daily lives. People said, “I can come and go as I like, I go on my placements, Hinton Lodge DS0000071748.V370748.R01.S.doc Version 5.2 Page 6 make my own decisions”. “I like to go shopping and am able to do this, I am a quiet person, can spend time on my own in my room if I want to”. One of the surveys completed by a visiting health professional said of what the service does well, “Sees the person as individuals and responds to their individual needs”. Another one said, “The individual I am involved in had a lot of health needs recently and the care team have been excellent at meeting these needs”. The assessment process and care records are person centred and comprehensive. A member of staff said, “It is an inclusive arrangement, there is clear involvement in the care plan and they are encouraged to make own decisions, we offer guidance and support and we listen to what they want”. A member of staff who completed one of the surveys said of what the service do well, “Offers support and encouraged independence to the services users. Promotes equality and differentiates according to the needs of the user”. Staff are well trained and 86 are trained to NVQ 2 or above and they spoke very positively about the training. People who work at the home are very positive about their job roles. They said, “I love working here, the whole organisation is one big family, I feel privileged to work here, the bosses are really nice and are approachable”. They also said that they were able to raise any issues, make suggestions for improvement and that they were listened to. Another person said, “I am very happy to be part of our care team at Hinton Lodge”. What has improved since the last inspection? What they could do better: It is commendable that of the standards looked at during this inspection, outcomes for people who live at the home are very good. Few areas of improvement were identified. Those that were included are as follows, the need to ensure that when medication is received outside of the normal monthly system that these are fully recorded with the amount of medication also being recorded. The current medication storage facility also needs to be reviewed and the temperature of the room recorded. Some minor amendment is needed to the information recorded following receipt of Criminal Records Bureaus checks and one person was in need of an updated CRB. Hinton Lodge DS0000071748.V370748.R01.S.doc Version 5.2 Page 7 The maintenance file also needed to be updated. 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. Hinton Lodge DS0000071748.V370748.R01.S.doc Version 5.2 Page 8 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 Hinton Lodge DS0000071748.V370748.R01.S.doc Version 5.2 Page 9 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): Standards: 2 was looked at during this inspection. People who use the service experience good quality outcomes in this area. People have their needs assessed before they are admitted to the home ensuring their needs can be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The AQAA detailed the admission process. It was stated that, “Assessment at management level in conjunction with referring agency”, “Visits by individual, including overnight(s): development of initial care plan. Minimum six week trial period with support and advice from previous provider of service”. One set of care records was looked at. It had been confirmed that assessments were carried out prior to admission at that time and that relevant supporting information was obtained from other disciplines such as care manager. There was evidence of reviews and CPA’s contained within the two files looked at. All of the people living at Hinton Lodge have been receiving care and support from the organisation for some time and have moved into Hinton Lodge from the other houses as Hinton offers a much-improved environment for people to live. Hinton Lodge DS0000071748.V370748.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): Standards: 6, 7 and 9 were looked at during this inspection. People who use the service experience excellent quality outcomes in this area. The home’s assessment and care planning process ensures people’s needs are identified and met and are supported to be as independent as possible. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care records were looked at in more detail. These records were very detailed and person centred. There was clear evidence of a thorough assessment and supporting plans of care detailing the support to be provided were in place. The individual people receiving care and their keyworker had signed all these. During discussion with one of the people living at the home, they confirmed that they had regular discussion with their key worker. The documentation contains a very good life history, has clear links to multi agency involvements and clearly demonstrates that individual’s mental health, Hinton Lodge DS0000071748.V370748.R01.S.doc Version 5.2 Page 11 emotional and physical health needs were being met. Individual aspirations were also recorded and risk management strategies were in place to support independence and personal development and growth. Risk assessments included areas such as road skills. The care records were up to date and showed evidence of ongoing review. One member of staff who were spoken about their role as keyworker said, “It is an inclusive arrangement, there is clear involvement in the care plan and they are encouraged to make own decisions, we offer guidance and support and we listen to what they want”. One of the staff said in their survey about the right support, knowledge and experience said, “I feel residents needs both physically and emotionally are supported very well within our home, due to support from all areas, guidance from more experienced staff and if required all members of the professional team”. The process for moving people from one house to the other was also detailed within the care records, with a clear assessment and plan in place to deal with any potential problems that might arise. Observation during the inspection, conversation with people who live at Hinton Lodge, the manager and staff as well as examination of care planning documentation and daily records evidenced that each resident received good personal and individual support. Hinton Lodge DS0000071748.V370748.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): Standards: 12, 13, 15, 16 and 17 were looked at during this inspection. People who use the service experience good quality outcomes in this area. People are treated with respect and their lifestyles are very much individualised with an appropriate range of social and recreational activities as well as the opportunities for personal development. Meals are provided to a good standard within a suitable environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In the files looked at there were clear programmes in place, which detailed daily living activities as well as recreation, occupational and educational activities. In one person’s file it detailed their individual daily routine and weekly activity routine. One person spoken to was looking forward to going to college to do a computer course. One person enjoys their job in one of the local shops. It was confirmed through discussion that everyone has an Hinton Lodge DS0000071748.V370748.R01.S.doc Version 5.2 Page 13 individual programme involving a combination of education, work and social activities depending on their individual needs. People also spoke about their holidays; some people had been to Blackpool, others to Scarborough and others to York. Some individual holidays are also being looked at, as is the possibility of taking people abroad. Other people spoke of going out in one of the cars and said, “I like to go for a run out, we went out for dinner to a pub on the moors”. In one of the surveys completed by someone living at Hinton Lodge, they made the following comment; “Out of all of the homes I have stayed in, this is the only home that staff take residents on holiday. I go away twice a year. This is something I enjoy and look forward to every year”. One person who was spoken to said, “I can come and go as I like, I go on my placements, make my own decisions”. “I like to go shopping and am able to do this, I am a quiet person, can spend time on my own in my room if I want to”. Another person said, “I like it here, I like the staff and the other residents, I feel comfortable and safe”. They also said, “They are all nice here and we are definitely treated with respect”. One of the surveys completed by a visiting health professional said of what the service does well, “Sees the person as individuals and responds to their individual needs”. A member of staff who completed one of the surveys said of what the service do well, “Offers support and encouraged independence to the services users. Promotes equality and differentiates according to the needs of the user”. One of the staff surveys did say that an area of improvement was, “Give residents more choice, more residents meeting and listen to what residents say”. The kitchen is available to everyone who lives at the home and they are encouraged to make their own drinks and snacks. A staff member said that there is discussion about the menu and that one of the people living at the home cooks a meal every week. The staff said that they do focus on healthy eating and there is always fresh fruit and vegetables available. The people spoken to also said they go out for meals on occasion and they particularly liked this. One person said, “I enjoy the meals here, they are quite nice, you can make a drink when you want and can have a snack, there is always fresh fruit”. Hinton Lodge DS0000071748.V370748.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): Standards: 18, 19 and 20 were looked at during this inspection. People who use the service experience good quality outcomes in this area. Healthcare and personal care needs were met by staff who provided support in a sensitive and flexible manner in accordance with the wishes of the individual resident. Appropriate healthcare professionals provided advice and additional support. Some review of the way in which medication is stored is needed to ensure health and safety to the staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: It was very clear from looking at the care files that people health and mental health needs are regularly reviewed. There was evidence of involvement by Community Psychiatric Nurses, people seeing their Consultant Psychiatrists and attendance at review appointments and CPA’s. There had also been the need recently to provide more intense medical care, following two of the people living at the home having to have surgery. One of the surveys completed by a visiting health professional said, “The individual I am involved in had a lot of health needs recently and the care team have been excellent at meeting these needs”. Hinton Lodge DS0000071748.V370748.R01.S.doc Version 5.2 Page 15 Surveys had been completed by a health professional. They said, “The team responds very well to any concerns raised and become actively involved in training offered. The team have worked well with the su and there have been numerous improvements”. Another person said, “The care service team always act on advice I give and even look for ways themselves to improve individuals life”. The medication system was discussed with staff and it was confirmed that only staff who have been fully trained are involved in the administration of medication. The current medication storage room poses a potential health and safety risk to staff, which is currently being looked at. It was recommended that whilst this area continues to be used that the temperature of the rooms should be recorded. The records were well written with clear directions. It was recommended that when medication was received outside of the normal monthly medication, they needed to be recorded in the Medication Administration Records in the same way and needed to include quantities of medication received. Currently none of the people living at Hinton Lodge self medicate. Hinton Lodge DS0000071748.V370748.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): Standards: 22 and 23 were looked at during this inspection. People who use the service experience good quality outcomes in this area. The home had a suitable complaints system and policies and procedures to protect people from abuse. All staff had received training in the Protection of Vulnerable Adults. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The AQAA detailed that; “We encourage residents to express concerns at an early stage so that any problem can be sorted out before they escalate”. There have been no complaints received since registration of the service. The complaints procedure was on display on the notice board and was accessible to all. It was written in a way that was easy to follow and made clear the steps to be taken should this be needed. People living at the home said, “I am confident to go to the staff, they would help me”. It was confirmed through discussion with staff that they were aware of the procedure for dealing with allegations of abuse and had received Protection of Vulnerable Adults and No Secrets Training. Hinton Lodge DS0000071748.V370748.R01.S.doc Version 5.2 Page 17 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): Standards: 24 and 30 were looked at during this inspection. People who use the service experience excellent quality outcomes in this area. People who live at Hinton Lodge benefit from a well-maintained, comfortable and homely environment in which to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Hinton Lodge is a detached property very close to the centre of Guisborough. It provides four single rooms all with excellent ensuite shower facilities. All of the bedrooms were very nicely appointment, with good qualities fittings. People took pride in showing the inspector their rooms, all of which were extremely personalised. One person said, “I like it at Hinton Lodge, it is a nice place, I have a nice room and it is better now that I have my own shower”. There is a nicely appointed lounge/dining room and good size kitchen along with a communal bathroom. There is plenty of space externally with some raised beds and a patio seating area. The home is very well decorated with Hinton Lodge DS0000071748.V370748.R01.S.doc Version 5.2 Page 18 good quality furnishings throughout. It has a lot of character features and provides a very pleasing, homely and warm environment for all. It offers a much-improved environment to the one in which the majority of people were living as there is more space and it is also closer to the town centre and amenities. The home was very clean and well maintained on the day of inspection. Staff were very positive about the environment and thought it was a really pleasant place for people to live and for them to work. One of the staff surveys also contained the following comment about what the service does well, “Provide a safe, happy and homely environment, which I feel Hinton Lodge provides”. Hinton Lodge DS0000071748.V370748.R01.S.doc Version 5.2 Page 19 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): Standards: 32, 34 and 35 were looked at during this inspection. People who use the service experience good quality outcomes in this area. Staff are competent to do their jobs and people are generally protected and supported through the home’s recruitment procedures, although minor amendment to some of the records were needed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The vast majority of staff had worked with the organisation for some time and transferred with the people living at Hinton Lodge from their previous house. They said that since moving to Hinton Lodge there had been an increase in staffing enabling much more flexibility and more 1:1 support. Staff spoken to confirmed that appropriate recruitment had taken place such as completion of an application form and interview, that references had been obtained and that they had not commenced employment prior to the Criminal Records Bureau check being in place. Certificates of qualifications and courses are also available within the staff files. The staff spoken to confirmed that training was ongoing and confirmed that they had attended for mandatory Hinton Lodge DS0000071748.V370748.R01.S.doc Version 5.2 Page 20 training such as fire. They also confirmed that they had received additional training such as challenging behaviour. The manager confirmed that a training matrix was in place and available in the office of one of the other houses. This had been seen at previous inspections of the sister homes. She confirmed that staff are up to date and that more client specific training is also provided. An annual training plan is produced and was available in the staff area within the home. This was also fully detailed within the AQAA. As well as mandatory training, it was confirmed that more client specific training is also provided including challenging behaviour. Other courses are also in the process of being planned including, Epilepsy and Diabetes. A member of staff spoken to said, “There is a lot of in house training, they are brilliant at providing training” There was some discussion about portability of CRB’s, as this was the case in one person’s file. It was confirmed that this would be attended to immediately and some amendment to the employment records would also be made. Regular supervision take place for all staff and the staff who conduct staff supervisions have received training in regard to this. Appraisals also take place and one of the proprietors was completing some of these on the second inspection day. It is clear from discussions that took place during the inspection that ongoing development of the staff team is extremely important. Currently, four of the staff are underway with NVQ Level 4 and all but one member of staff is qualified to NVQ Level 2 or above. One member of staff in their surveys said of what the service does well, “Continuous and ongoing training, NVQ’s and in house for all staff to enhance and improve knowledge to enable all our residents to receive the correct care”. Hinton Lodge DS0000071748.V370748.R01.S.doc Version 5.2 Page 21 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): Standards: 37, 39 and 42 were looked at during this inspection. People who use the service experience good quality outcomes in this area. The manager and management team continue to provide very good leadership to the staff team and continuously strives to improve standards within the home ensuring that people’s needs are well met. Good service and maintenance arrangements are in place ensuring health and safety is promoted although the maintenance files needed to be updated. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager was working their last day prior to retirement on the first inspection day. A new manager has been appointed and has been working in a shadowing capacity for a few weeks, this training will continue Hinton Lodge DS0000071748.V370748.R01.S.doc Version 5.2 Page 22 and an application to register with CSCI in underway. The AQAA contained details of the management arrangements and support. A member of staff said, “I love working here, the whole organisation is one big family, I feel privileged to work here, the bosses are really nice and are approachable”. They also said that they were able to raise any issues, make suggestions for improvement and that they were listened to. Another person said, “I am very happy to be part of our care team at Hinton Lodge”. Health and safety records were looked at, water temperatures were being tested and recorded on a regular basis. The fire alarm system was generally being tested weekly, however there was some occasions when this went for longer periods. The file containing other information such as the fire alarms certificate and gas landlord certificate was not on the premise on the first day of inspection. This information was made available on the second day and the file was in the process of being updated. Although quality assurance was not looked at in detail on this occasion, it has on previous occasions within the inspections conducted within the other registered facilities. The AQAA detailed, “Continue to monitor and improve expectations of service delivery and keep abreast of any change in the law”. Hinton Lodge DS0000071748.V370748.R01.S.doc Version 5.2 Page 23 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 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 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 X 3 X 3 X X 3 X Hinton Lodge DS0000071748.V370748.R01.S.doc Version 5.2 Page 24 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. 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 When medication is received outside of the normal monthly system the amount of medication received should also be recorded. The current medication storage facility also needs to be reviewed and the temperature of the room recorded. Some slight amendment should be made to the way in which CRB’s are recorded and one person needs to have an up to date CRB. The maintenance file should contain all of the up to date maintenance information. 2. 3. YA34 YA42 Hinton Lodge DS0000071748.V370748.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Hinton Lodge DS0000071748.V370748.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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