Latest Inspection
This is the latest available inspection report for this service, carried out on 28th January 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Lodge (The).
Annual service review
Name of Service: Lodge (The) The quality rating for this care home is: The rating was made on: two star good service 0 5 0 3 2 0 0 9 A quality rating is our assessment of how well a care home, agency or scheme 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 review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Suzanne Magnier Date of this annual service review: 2 2 1 2 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: Lodge (The) Roman Way Farnham Surrey GU9 9RE 01252717021 Telephone number: Fax number: Email address: Provider web address:
sandrap@ability-housing.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Helen Porter Conditions of registration: Category(ies) : learning disability Conditions of registration: Ability Housing Association Number of places (if applicable): Under 65 Over 65 5 0 The maximum number of people to be accommodated is 5 The registered person may provide the following categories of service only: Care home only (PC) to service users of the following gender:Either whose primary care needs on admission to the home are within the following category: Learning disability (LD) Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service The Lodge is a care home providing personal care for up to five adults with learning disabilities. People using the homes services may have physical disabilities or sensory impairments as secondary conditions. The home is situated in a residential area on the outskirts of Farnham town and within walking distance of shops and public transport.
Annual Service Review Page 2 of 7 0 5 0 3 2 0 0 9 The accommodation is arranged on ground floor level and is domestic in scale and character. It comprises of all single occupancy bedrooms, a lounge and separate dining room. The kitchen is suitable in design for the use of wheelchair and non wheelchair users. Other facilities include a utility room, office, wheelchair accessible shower and toilet, assisted bathroom and mobility aids and equipment. There is an enclosed garden with furnished patio. The garden is shared with the tenants of a supported living service next door. Parking facilities are available and service provision includes a wheelchair accessible vehicle. Ability Housing Association is registered to manage the home. This is a registered charity specialising in housing, care and support for people with disabilities. Additional charges are for hairdressing, some social activities, toiletries, clothing, holidays and use of the homes vehicle. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for since the last key inspection or annual service review. This included: We looked at all the information that we have received, or asked for, since the last key inspection. This included: The annual quality assurance assessment AQAA that was sent to us by the service. The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service and numerical information about the service. Surveys were sent to people using the service and to other people with an interest in the service yet none were returned to the commission. Additional information is also about how the service has maintained standards, made improvements and plans for the future. Evidence has also been received about how the home manages any complaints and safeguarding concerns and what the service has told us about things that have happened in the home, these are called notifications and are a legal requirement. We looked at the previous key inspection details, the results of any other visits that we have made to the service in the last 12 months and any relevant information received from other organisations. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) and it was clear and gave us all the information we asked for. The home have a Statement of Purpose and Service User Guide which the AQAA advises will be improved to include an easy to understand format for prospective residents which would include photos of the home and the surrounding area. The AQAA advises that an individuals care and support needs are assessed prior to their admission to the home. The assessment forms the residents individual support plan detailing their current needs and activities of daily living. The individual and their representatives and key worker are part of the assessment process. The prospective resident is invited to visit the home and make acquaintance with other residents and get to know the home and the staff and to help the individual settle in their new home if they choose to move in. Health care services are available to all residents and include visits from the individual general practitioner, occupational therapists, physiotherapists, music therapists and Annual Service Review Page 4 of 7 district nurses. Visits are either made at the home or to the health care professional to ensure the health and welfare of residents with specific needs are met. The AQAA advises that each individual has a health action plan, up to date risk assessments, review notes and other health information which the individual has access to and has the opportunity to discuss their plans with their key worker. In order to include individuals in their care the care and support plans are signed by the individual or their representative. The home have identified that they have improved by providing individuals with additional input from physiotherapists and occupational therapists and individuals needs are continually assessed in order to promote their welfare and wellbeing. The AQAA advises that the home has a medication policy and procedure. Since the previous inspection the home have improved the procedures for administering medication which includes each individual having a locked cabinet within their bedroom where medication is stored which has given individuals more privacy, dignity and an improved sense of responsibility and independence. The home have continued with residents meetings where individuals are listened to and their opinions and requests acted upon. Individuals preferences regarding their leisure interests and hobbies are explored and as a result during the summer one individual has been supported to grow their own vegetables and get other residents involved in their hobby. It is noted that the individuals at the home have enjoyed the fruits of their labours. The home has continued to encourage individuals to be involved in the daily running of the home and each individual has chores to do which contributes to the running of their home. Family and friends are actively encouraged to be part of the individuals life and community outings are arranged to support individuals to be part of their local community. Planning of the homes menus with individuals occurs regularly once a week and staff encourage and promote individuals to have healthy food choices. Choices of meals are available and individuals dietary requirements respected. The home have identified some plans for improvement which consist of individual menu planing, food shopping and supporting individuals to undertake more cooking in their home. The home has a formal complaints procedure. No complaints have been received by the home within the last 12 months and no safeguarding vulnerable adult referrals have been made. The AQAA advises that staff receive regular safeguarding vulnerable adults training and residents are given opportunities in their meetings to raise any concerns they may have about the home or the care they receive. The home confirm they have a whistle blowing policy and procedure and staff are aware of their duties to inform and report any concern they may have regarding the protection of individuals from harm or abuse. The home continues to meet the needs of individuals. Some improvements to the homes environment during the last twelve months include that lockable cabinets have been fitted in all bathrooms and toilets so that staff have quick access to cleaning materials. There are also plans to organise the laundry for individuals who use wheelchairs in order that they have improved access to their laundry room. The home
Annual Service Review Page 5 of 7 remains mindful of infection control issues and staff have received appropriate training in promoting individuals health and welfare. Recruitment and selection of staff ensures that all appropriate checks are made to make sure that individuals living in the home are protected and safeguarded from any harm or abuse. New staff receive a structured induction and the home have a planned mandatory training programme to make sure that staff are competent in supporting individuals in their care. The AQAA advises that the home have recruited one new member of staff and hopes to recruit one other to bring the home up to a full staff compliment in 2010. The management of the home is robust and consistent. The registered manager has achieved her National Vocational Qualification Level 4. The home continue to let the commission know about things that have happened since the last key inspection and have demonstrated that they manage issues well. They work well with us and have shown us that their service continues to provide good outcomes for the individuals who use it. What are we going to do as a result of this annual service review? We are not going to change our inspection plan and will do a key inspection by the 31st December 2010, however we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information
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