Care Home: Minnis Lodge

What the care home does well The owner and manager have many years experience of caring for older people and people with some mental health difficulties. The home is well managed and people said that they really like living here. They said they had everything they need and want. People who live in the home are part of everyday family life and also have their own space. People said they like the way the home is set up with their own part that they can organise. They said they like the freedom they have to do what they want but at the same time they have support if they need it. Snacks and refreshments are freely available to people living in the home.We were told the owner provides good home cooking which they always enjoy. People are supported well with health care to maintain their independence as much as possible. People said they feel safe and well looked after in the home. What has improved since the last inspection? There was a recommendation at the last inspection visit for the person to have a person centred plan. The person said that she has all her needs met and just says what she wants. She has a meeting once a month with the manager and they look at what she needs and she is happy with this. We consider this recommendation met. What the care home could do better: No requirements or recommendations needed to be made at this visit. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Minnis Lodge Newcastle Lane Ewell Minnis Dover Kent CT15 7DY     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Julie Sumner     Date: 2 2 0 5 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. Copies of the National Minimum Standards – Care Homes for Older People 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 22 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 22 Information about the care home Name of care home: Address: Minnis Lodge Newcastle Lane Ewell Minnis Dover Kent CT15 7DY 01304824030 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : cocoward@tiscali.co.uk Mrs Edith Margaret Wash care home 3 Number of places (if applicable): Under 65 Over 65 3 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 0 Minnis Lodge is a detached bungalow with spacious grounds in the rural area of Ewell Minnis. The home provides care and support in a family style setting and is registered for three older people. The owners opened this home for three people to live there and it is not their intention to continue as a care home for any other person in the future. Now one person lives there. The current fees for the service are £280 per week. This fee can be increased to the assessed needs of the residents. There are additional charges for chiropody, hairdressing, magazines, clothes and toiletries. However, the home pay for anything the residents need if this cannot be covered by their personal allowance. There are two lounges, one of which belongs to the residents and the other is the owners although everyone moves around the house freely. The lounges both have Care Homes for Older People Page 4 of 22 Brief description of the care home comfortable chairs, a dining table and chairs and a TV and stereo. Each resident has their own bedroom that is decorated and furnished to their taste. In addition to the family kitchen there is a kitchenette that residents are able to use independently to make drinks and snacks. There are spacious grounds surrounding the bungalow including a large garden with a koi carp pool. This is a family run home with family members providing care and support. The main bus route going to Dover or Folkestone is at the bottom of the hill the bungalow is situated on. The home has a 7 seat car that is used for the residents. The home is located near a supermarket and some local shops. Care Homes for Older People Page 5 of 22 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 Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We looked at the annual quality assurance assessment that the manager sent us. It had all the information that we needed. We checked all other information we have on record since the last inspection visit. This included any notifications that have been sent to us. This was an unannounced inspection but because only one person lives in the home we decided to give short notice. We telephoned the home to say we were coming today to make sure the people living in the home were in and not too busy. We talked to the person living in the home. We talked to the owner in the home and spoke to the manager over the telephone. We had a look around parts of the home and Care Homes for Older People Page 6 of 22 the garden. We looked at some of the plans and records for supporting the people living in the home. 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 set out 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 Older People Page 8 of 22 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 22 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. 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 them 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. People living in the home have an assessment to make sure their needs can be met. Evidence: The owner moved into the bungalow with three residents used to live in the larger home that she previously owned. She is registered for three people but said that she does not intend to admit any new residents. Each person had an assessment when they moved in. The care manager reviews the assessment of needs annually. We spoke to the person living in the home who felt that her needs were being met. Care Homes for Older People Page 10 of 22 Health and personal care 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 health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them 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. The people living in the home are supported to live a healthy lifestyle and assisted with medical help if the need arises. Evidence: The person living in the home talked about her health and how she is supported with her personal care. She has access to the community health services when needed and is registered with a local GP of her choice. The person living in the home has a care plan that has been compiled by the manager with her. The person spoke to us and said that the manager talks to her about what she wants and all her health and care needs are met. The manager has had training in managing medication and has a good rapport with the local pharmacist. Any medication that is used and equipment for prescribed treatments are stored safely and properly. The manager makes sure that there are regular reviews by the pharmacist and GP. Care Homes for Older People Page 11 of 22 Evidence: Care Homes for Older People Page 12 of 22 Daily life and social activities 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 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. 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. The people living in Minnis Lodge are involved in family life and are assisted to maintain relationships that are important to them. They are involved in meaningful activities and enjoy good home cooking. Evidence: The person living in the home said that she has the lifestyle she wants. She likes to go out occasionally to the local supermarkets and local events like the village fete. The person living in the home and the manager discuss things generally on a day to day basis but the manager also holds a meeting once a month. This is to make sure they focus on what the person needs and wants. They discuss her lifestyle and anything she would like to do and they make a written plan of action. The person is supported to keep in touch and go out with the people who are important to her. Meals are home cooked and everyone eats as a family. The person living in the home has her own space. She can eat at her own table and make snacks in her kitchen when Care Homes for Older People Page 13 of 22 Evidence: she chooses. Care Homes for Older People Page 14 of 22 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. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. 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. People living in the home feel listened to and are protected by the homes policies and procedures. Evidence: The person living in the home said if she has a problem she just speaks to the owner or the manager and its sorted out. She votes in the local elections. The home has an adult protection policy. The manager is booking updated training and is planning to attend safeguarding training and mental capacity act training. Care Homes for Older People Page 15 of 22 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, 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. 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. The family home is comfortable and well maintained and people living in the home are able to have privacy and independence when they wish. Evidence: The home has been organised so that residents can have their own space and also choose to be part of the family. People living in the home have their own bedroom, sitting room, bathroom, small kitchen and front door. We looked around the home with the person and found it to be well furnished and decorated. The outside area is very spacious with lawn, flowers and a fish pond. There are seating areas so that people can enjoy being outside. Care Homes for Older People Page 16 of 22 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 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. 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. The owner and manager demonstrate good practice with a combination of sound knowledge of the residents and attending appropriate training and accessing information from sources including the Internet. Evidence: The registered owner and the owners daughter who acts as manager and carer are the only care staff. Other members of the family carry out some of the maintenance including gardening and driving. The manager has continued to develop and update skills by attending relevant training. All general training has been undertaken. The manager organises her training in response to individual need and when there are changes to legislation. The manager has recently attended updated training in infection control, medication and risk assessment. She is planning to attend safeguarding and mental capacity act training next. There has been no recruitment as the home is family run but the members of the family have had CRB enhanced checks. Care Homes for Older People Page 17 of 22 Management and administration 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 led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate 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. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. 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. The home is well managed in a way that suits the people living there. Evidence: The person living in Minnis Lodge has been supported by the same members of the family, the owner and manager, for many years and said she is happy with her lifestyle and feels like part of the family. The owner has kept up to date with changes in legislation directly through attending consultation meetings and indirectly through the manager attending courses. The manager has developed the quality monitoring by holding monthly meetings with the person who lives in the home to discuss any issues. Notes are taken of these meetings to form a record. The home has surveys that can be given to people like healthcare professionals and care managers. Relatives are also able to give their feedback. The person said she has everything she wants. She has known Mrs Wash Care Homes for Older People Page 18 of 22 Evidence: and her family for many years and if she wants anything or is worried about anything she just talks about it to them. The home has always kept records of belongings and has sound financial systems in place to safeguard individuals money. The home works to a clear health and safety policy with good risk assessments in place. Appropriate fire safety measures have been taken with advice from the fire safety officer. Care Homes for Older People Page 19 of 22 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Older People Page 20 of 22 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 Care Homes for Older People Page 21 of 22 Helpline: Telephone: 03000 616161 or Textphone: or 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. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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