Care Home: Shipley Lodge

What the care home does well The support plans at Shipley Lodge are known as Recovery Plans. In the file of the person case tracked these recovery plans addressed all aspects of this person`s daily life and gave clear information on how this person preferred to receive their support. Risk assessments linked with the recovery plans and included the actions that were to be taken by staff to ensure the person participated safely in their chosen activities. These were updated and reviewed regularly in line with the recovery plans. All of the recovery plans seen had been signed by the individuals to confirm their agreement to them.Evidence was seen in the records of the person case tracked that showed us that in general, this person accessed health care services as required within their local community. Their records showed us that any concerns regarding their health care were followed up promptly. Discussions with the person case tracked confirmed that staff were respectful and supported them according to their preferences. This was confirmed with two other people who used the service. Both people said that the staff support was "excellent". All three people spoke very highly of the staff team and confirmed that they were supported to maintain their independence. The medication practices at the service continue to be well maintained.There were clear records in place for receipt, storage, administration and disposal of medications held. The medication and records for the person case tracked was looked at and demonstrated that this person received their medication as prescribed. We also looked at the procedure that was followed for assessing individuals who administered and stored their own medication. This procedure was robust and ensured staged assessments took place to ensure the individual was safe to administer and retain their own medicines. The people that used the service understood the complaints procedure and knew how to make complaints. This was clear by the responses we received in surveys and from discussions on the day of this visit.We looked at how the service dealt with complaints and saw that this was done in an open and transparent way that addressed concerns promptly and effectively. The staff at the service have demonstrated to us that they have a good understanding of what constituted abuse and what responsibilities they had to ensure people remained safe. One safeguarding referral has been made to the local authority by the service. This investigation remains ongoing but immediate action was taken by the home to ensure people using the service remained safe. The environment was well maintained and people that were spoken with told us that they were consulted on a regular basis regarding the decor of the home and were asked for their opinion regarding furnishings and improvements. People that were spoken with confirmed that they were able to personalise their own bedroom and choose the decor. Staff recruitment, training and supervision records were looked at and the records seen showed us that robust practices were in place.This ensured that the staff employed were safe to work with the people using the service, had the knowledge and skills required and were supported and appropriately supervised within their role. Surveys from staff were positive regarding the training and support they received and comments informed us that staff worked well as a team . Staff that were spoken with were able to confirm that they received training and were kept update with current practices. Staff confirmed that they received regular supervision and the nurses spoken with also confirmed that they provided regular supervision to support staff. One nurse confirmed that this was monitored and reviewed during her supervision with the manager. People using the service that were spoken, with confirmed that staff were very supportive towards them and stated that staff were easy to talk to. Observations on the day of thisinspection demonstrated a good rapport between staff and the people using the service. Surveys from people using the service confirmed that staff treated them well. Comments included," friendly staff treated well at all times" and " the staff here have always got time to talk to us about things that are troubling us. They encourage us to talk to them". We looked at the minutes of the monthly service user meetings that were held. These minutes demonstrated to us that the people using the service are at the forefront of the quality assurances that develop the service. It was evident from the records seen that people using the service were asked for topics for the agenda and that their views and opinions were taken seriously and acted upon to further develop the service in their best interests. This was also confirmed by the people that were spoken to who told us, " there are residents meeting every month and most folks attend, we discuss things in general about the home and decide on any changes, the staff here are lovely, its a great place". Robust systems were in place for managing individuals monies, which were held by the service for safe keeping. This ensured the finances of the people using the service were safeguarded. What the care home could do better: Only one area that needed to be addressed was identified at this visit. This related to one area of health care for the person that was case tracked. During discussions regarding health care we asked this person if they visited the dentist on a regular basis. They told us that they didn`t think they had visited their dentist for some time. Discussions with the staff indicated that this may have been overlooked if this person had stated on admission that they were registered with a dentist. The acting manager confirmed that this would be addressed. Random inspection report Care homes for adults (18-65 years) Name: Address: Shipley Lodge 94 Derby Road Heanor Derbyshire DE75 7QJ two star good service The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Angela Kennedy Date: 1 1 0 5 2 0 1 0 Information about the care home Name of care home: Address: Shipley Lodge 94 Derby Road Heanor Derbyshire DE75 7QJ 01773535212 01773535212 shipleylodge@rethink.org www.rethink.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Richard Edington Type of registration: Number of places registered: Conditions of registration: Category(ies) : Rethink care home 16 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 16 Shipley Lodge Care Home is registered to provide nursing and personal care to service users whose primary care needs fall within the following categories :- Mental Disorder excluding learning disability or dementia (MD) 16 The maximum number of persons to be accommodated at Shipley Lodge Care Home is 16 Date of last inspection Brief description of the care home Shipley Lodge is a purpose built care home. It is situated in a residential area of Heanor close to local shops, public houses and bus routes. The home provides nursing care for up to sixteen people, eight males and eight females, aged 18 years upwards, who experience enduring mental health problems, although the majority are Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home in the 18-65 year age group. People have opportunities to take part in daily living and social activities, and enabled to have a more independent lifestyle. All fees are paid by Derbyshire PCT by the way of quarterly payments to Rethink. No one is requested to contribute towards the cost of their accomodation. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: The purpose of this Random unannounced Inspection was to check compliance with the Care Homes Regulations 2001 in a narrow focus of Inspection activity and in preparation for the registration transfer under the Heath and Social Care Act 2008. We have not visited the home since its last key inspection on the 22nd May 2007 when the current quality rating was made. We met with the acting deputy manager who was in charge of the service on the day of this visit. The registered manager was not on duty on the day of this visit, however he was at the service during part of this inspection visit and was spoken to briefly. At this inspection we case tracked one person who used the service.Case tracking is a method used to track the care of individuals from the assessments undertaken before they are admitted to a service through to the care and support they receive on a daily basis. This includes looking at support plans and other documents relating to that persons care, talking to staff regarding the support they provide and if possible talking to the individual. The person case tracked was able to express their views of the service and the support it provided. Two other people living at the home that were not case tracked were also spoken with. Their views of the service and the support provided are included within this report. Some of the staff that worked at the service were spoken with and their views and opinions of the support provided and the support and training given to them is included within this report. The comments provided in surveys received from five people that used the service and nine staff surveys are also reflected throughout this report. We found that the service continues to provide a good quality service for the people that use it. All people have key workers and feel confident to discuss any issues with them.The culture of the service is open and staff continue to support people effectively by enabling them to live as independently as possible without compromising the support they need. What the care home does well: The support plans at Shipley Lodge are known as Recovery Plans. In the file of the person case tracked these recovery plans addressed all aspects of this persons daily life and gave clear information on how this person preferred to receive their support. Risk assessments linked with the recovery plans and included the actions that were to be taken by staff to ensure the person participated safely in their chosen activities. These were updated and reviewed regularly in line with the recovery plans. All of the recovery plans seen had been signed by the individuals to confirm their agreement to them. Care Homes for Adults (18-65 years) Page 4 of 9 Evidence was seen in the records of the person case tracked that showed us that in general, this person accessed health care services as required within their local community. Their records showed us that any concerns regarding their health care were followed up promptly. Discussions with the person case tracked confirmed that staff were respectful and supported them according to their preferences. This was confirmed with two other people who used the service. Both people said that the staff support was excellent. All three people spoke very highly of the staff team and confirmed that they were supported to maintain their independence. The medication practices at the service continue to be well maintained.There were clear records in place for receipt, storage, administration and disposal of medications held. The medication and records for the person case tracked was looked at and demonstrated that this person received their medication as prescribed. We also looked at the procedure that was followed for assessing individuals who administered and stored their own medication. This procedure was robust and ensured staged assessments took place to ensure the individual was safe to administer and retain their own medicines. The people that used the service understood the complaints procedure and knew how to make complaints. This was clear by the responses we received in surveys and from discussions on the day of this visit.We looked at how the service dealt with complaints and saw that this was done in an open and transparent way that addressed concerns promptly and effectively. The staff at the service have demonstrated to us that they have a good understanding of what constituted abuse and what responsibilities they had to ensure people remained safe. One safeguarding referral has been made to the local authority by the service. This investigation remains ongoing but immediate action was taken by the home to ensure people using the service remained safe. The environment was well maintained and people that were spoken with told us that they were consulted on a regular basis regarding the decor of the home and were asked for their opinion regarding furnishings and improvements. People that were spoken with confirmed that they were able to personalise their own bedroom and choose the decor. Staff recruitment, training and supervision records were looked at and the records seen showed us that robust practices were in place.This ensured that the staff employed were safe to work with the people using the service, had the knowledge and skills required and were supported and appropriately supervised within their role. Surveys from staff were positive regarding the training and support they received and comments informed us that staff worked well as a team . Staff that were spoken with were able to confirm that they received training and were kept update with current practices. Staff confirmed that they received regular supervision and the nurses spoken with also confirmed that they provided regular supervision to support staff. One nurse confirmed that this was monitored and reviewed during her supervision with the manager. People using the service that were spoken, with confirmed that staff were very supportive towards them and stated that staff were easy to talk to. Observations on the day of this Care Homes for Adults (18-65 years) Page 5 of 9 inspection demonstrated a good rapport between staff and the people using the service. Surveys from people using the service confirmed that staff treated them well. Comments included, friendly staff treated well at all times and the staff here have always got time to talk to us about things that are troubling us. They encourage us to talk to them. We looked at the minutes of the monthly service user meetings that were held. These minutes demonstrated to us that the people using the service are at the forefront of the quality assurances that develop the service. It was evident from the records seen that people using the service were asked for topics for the agenda and that their views and opinions were taken seriously and acted upon to further develop the service in their best interests. This was also confirmed by the people that were spoken to who told us, there are residents meeting every month and most folks attend, we discuss things in general about the home and decide on any changes, the staff here are lovely, its a great place. Robust systems were in place for managing individuals monies, which were held by the service for safe keeping. This ensured the finances of the people using the service were safeguarded. 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 2. Care Homes for Adults (18-65 years) Page 6 of 9 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 9 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, 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 1 19 13 Arrangements must be in 11/08/2010 place to ensure people using the service have access to health care professionals such as dentists on a regular basis. This is to ensure their oral and dental health is maintained. 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 Adults (18-65 years) Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. 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