Care Home: Silver Tree Lodge

Similar services:

• 2 Perhaver Park
• The Vicarage
• St George`s
• 5 Seafield Road
• Radfords
• Trevaylor Manor
• Honeybourne House

What the care home does well The residents live in a supportive environment and their complex care needs are well met. Residents are being really well supported to attend a good variety of community based services and therapeutic activities. Residents enjoy a good standard and variety of food and they eat a well balanced diet. The environment is really well suited for the residents and its design offers people a chance to live in the community but also to have a high level of independence. Residents are cared for by staff who do a good range of training that is really relevant to their needs. This means residents are well cared for by staff who have a really good understanding of their needs. What has improved since the last inspection? This was the first inspection of the home since it opened in July of this year. What the care home could do better: We did not make any requirements at the inspection. However the certificate of registration was not on display in the home. This could not be located during the inspection. We rang our Bristol office who confirmed the certificate had been sent to the home on the fourth of July of this year. We advised the home this matter must be resolved as a matter of absolute priority. This is because registered premises are required to display a current certificate of registration. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Silver Tree Lodge 18 Clarence Road South Weston-super-Mare North Somerset BS23 4BN     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: Melanie Edwards     Date: 2 2 1 2 2 0 0 8 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. the things that people have said are important to them: They reflect 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 Adults (18-65 years) 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 Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Silver Tree Lodge 18 Clarence Road South Weston-super-Mare North Somerset BS23 4BN 01963240961 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Neil Bradbury t/a Bradbury House care home 4 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users who can be accommodated is 4. The registered person may provide the following category of service only: Care home only - Code PC to service user of either gender whose primary care needs on admission to the home are within the following categories: Learning Disability (Code LD) Mental Disorder (Code MD) Date of last inspection Brief description of the care home The description has been taken from the homes statement of purpose: Silver Tree Lodge is a luxurious victorian lodge which incoperates eight spacious individual en suite appartments. The home is divided into two builidings within the same grounds and has been built to provide service users with an environment in which they can progress to their potential level of independant living without relocation. This can be achieved by a moving on process from residential care to close care support. The current fees for service users according to the statement of purpose ,can be complicated and specific advice is available from the home manager . Care Homes for Adults (18-65 years) Page 4 of 27 4 4 Over 65 0 0 Care Homes for Adults (18-65 years) Page 5 of 27 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We met three of the four residents who live at the home. We spent time talking to two support workers and the acting manager about their roles responsibilities and training and development needs. Care Homes for Adults (18-65 years) Page 6 of 27 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 27 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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. Residents can get hold of the information they need to make an informed choice about whether to live at the home. Residents needs will be assessed when they move to the home. Evidence: To help us find out how people can find out what services there are at the home and what daily life is like, we looked at a copy of the service users guide and the statement of purpose. A copy of both of these documents is kept in the home so that anyone can read them. All residents have a copy of the service users guide. We saw that the statement of purpose and the service users guide contain information about the service residents can expect, the qualifications of the staff employed and the accommodation. The philosophy of care in the home and how the service aim to meet residents needs is also included. The complaints procedure is in each service users guide so residents know how to complain about the service. Care Homes for Adults (18-65 years) Page 9 of 27 Evidence: To find out how well needs are met we read one residents assessment record and their care plan,( see also standard six for more information on care plans). We saw detailed information written that clearly set out what the persons range of needs are and how to support them. We saw that each resident has a detailed mental health needs assessment in place as well as a social care needs assessment. The assessment record we saw was up to date and had been reviewed regularly. This helps to demonstrate residents assessed needs are being met. Care Homes for Adults (18-65 years) Page 10 of 27 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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. Residents needs are assessed and their care plans show how needs are met. Residents are being well supported to make decisions and to take risks in their day to day lives. Evidence: To find out how well residents are being supported to meet their needs we read one care plan. We saw a detailed personal profile completed for the resident. We saw a personal history about the person and information about important family and friends. We saw a plan of care to address the residents physical mental and social needs. The care plan set out how to support the residents to meet their mental health needs. There was also information about how to support the person to be able to live a full and varied life in the home and out in the community. The care plan we saw aimed to promote the independence of the person in their daily life. There was evidence staff Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: had included the wishes and opinions of the person in the care plan. The care plan had been evaluated and updated on a regular basis. Reviewing care plans regularly demonstrates residents needs can still be met. We saw one of the residents go home for Christmas. Other residents were going to the pantomime in Weston super mare later that day. Residents regularly go out with the support of staff on a one to one basis,to places that they enjoy going in the community. Residents attend a range of social and therapeutic activities and go on very regular trips to places that they like to visit. This is good evidence of how residents are well supported to take risks in their daily lives.There is also a community farm that is run by the company who run the home. The residents regularly go there for therapeutic activities. We saw detailed information written in individual risk assessments that set out the potential risks residents may face in their daily lives.There was also information about any risks from particular activities that they take part in both in and out of the home. We could also see that the risk assessments and care plan set out the preferred approaches staff should take to keep the resident safe. Care Homes for Adults (18-65 years) Page 12 of 27 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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. Residents are supported to take part in a range of activities that they enjoy. Residents are also supported to be part of the community and to have personal relationships. Residents are offered a varied and well balanced diet. Evidence: We saw in residents care records information that confirmed they regularly go to different community activities.These include, the community based farm that we have already mentioned in the report, the shops and different social drop in centres. There are local facilities for residents to use in the area near the home. Residents go out with Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: staff or sometimes on their own on a regular basis. The residents go out for coffee as well as to nearby pubs and other social venues thereby helping to ensure a varied and fulfilling life. We were told by the acting manager that the home has a very open policy for receiving visitors. Some residents have friends and family who come to the home to see them. Residents also go out to stay with their families. These are good examples that show residents are supported to keep contact with friends and family. The menu record of residents meal choices was reviewed to see if residents are provided with a varied and well balanced diet. There was evidence that residents choices were nutritionally well balanced and varied. The residents are asked their views about the food and are involved in menu planning. All of the residents said that the food at the home was good. The lunchtime meal choices were either cheese salad rolls or beef salad rolls. Care Homes for Adults (18-65 years) Page 14 of 27 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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. Residents are being supported with their needs in the way preferred by them and their needs are being met. Residents medication is being stored administered and disposed of safely. Evidence: We saw information written in the care records about the preferred daily routine of the residents and particular likes and dislikes. This helps ensure residents needs are met in the way that is preferred by them. The staff we met were familiar with the information in care plans and how best to support residents with their care needs. We observed staff helping the residents in the way that had been written about in the care plans. We also saw information in the daily records that showed that staff monitor and observe the health of residents and call the doctor if they were concerned about the person. We saw information that showed that residents receive support and treatment as required from the Psychiatrist. Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: We checked the procedures for administration storage and disposal of medication.We looked at three residents medication administration charts. We saw a photo of residents with each administration record. This should ensure medication is administered correctly to the person named on the chart. All staff administering medication do training to enable them to do this safely. The stock of medication we saw was satisfactorily organised. Medication that was no longer required was being returned to the pharmacist. We found that the medication administration charts to be legible, up to date and they contained the signature of the dispensing member of staff. This demonstrates residents medication is administered safely. The reasons for any omissions had also been written on the charts. Care Homes for Adults (18-65 years) Page 16 of 27 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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. Residents are satisfactorily protected from the risk of abuse and harm. Residents complaints and concerns will be listened to and acted upon. Evidence: We looked at the complaints record to find out how effectively residents complaints are dealt with. There have been no complaints made since the home opened six months ago. There are regular residents meetings held in the home for residents to discuss their needs and if they have any particular issues or matters that concern them. This is a good way to support people to make complaints if they so wish. There are procedures in place to guide staff on the topic of the protection of vulnerable adults from abuse. This helps to protect vulnerable adults who live at the home if staff have the necessary information to ensure their protection. The staff team have attended recent training to help them better understand issues around the protection of vulnerable adults from abuse. This training is beneficial as it makes staff have a better understanding of what abuse is and should protect residents as a result. Care Homes for Adults (18-65 years) Page 17 of 27 Care Homes for Adults (18-65 years) Page 18 of 27 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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. Residents live in an environment that is really suitable for their needs and lifestyles and is clean hygienic and satisfactorily maintained. Evidence: Silver Tree lodge care home consists of two converted private houses in a residential area of the town of Weston Super Mare. There is also a supported living service run on the same site as the care home . The home is near to bus stops, shops, pubs, a park, churches, and a library. This helps ensure residents can be a part of the community if they so wish The building is wheelchair accessible. The home is a two storey building however there is no lift to the first floor for people who cannot manage the stairs. Each resident has an en suite shower room as well as their own lounge room attached to their bedrooms. Three of the residents kindly showed us their rooms. We were told by all the residents we met how much they liked their rooms. Bedrooms are really spacious in size and satisfactorily maintained. All bedrooms are for single use. Bedroom doors are lockable and this is a good way for residents to maintain their own privacy. We saw staff and residents working hard cleaning the home. Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: We found the home to be clean and tidy in all of the areas that we saw. Care Homes for Adults (18-65 years) Page 20 of 27 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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. Residents are supported by a sufficient number of competent and qualified staff. Residents needs are met by staff who are well supported and supervised in their work. Evidence: We checked the staff duty record for shifts in December to see how many staff on duty to support residents to meet their needs. We saw that there are a minimum of four staff (working in the care home and with residents in the supported living side) on duty for a day shifts. At night there is one staff member who sleeps in and is available for support if needed. There are regularly extra staff members on duty in the week to support residents. The staff we saw were calm and relaxed when carrying out their duties. We saw that residents were being well supported by the staff on duty. We checked the staff recruitment records of three care staff on duty to see if the home do the required employment safety checks on all staff before they start work. The staff records we saw showed the necessary checks before employing new staff are being carried out. We saw two written references taken up for all new staff before they start work. There are criminal records bureau disclosures checks and protection of vulnerable adult first checks done on all staff. Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: We saw a sample of staff training records to find out if staff undertake regular training to help them keep up to date in their knowledge of residents and their needs. The staff do a range of training and the company have their own trainer who provides much of this to them. We could see from the training records that staff do training relevant to the needs of residents. This should help ensure well trained and knowledgeable staff meets residents needs. We saw good evidence that staff are provided with regular structured supervision sessions to assist them in their work and to help them to understand residents needs. A sample of supervision records were looked at. These records showed the senior staff supervise and regularly check on the standard of work of all staff in the home. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 residents live in a well run home. The home has a system in place to monitor the quality of care that it is providing the residents The health and safety of residents and staff is satisfactorily protected. Evidence: The current registered manager of the home is on long term sick leave.There is a senior member of staff who is acting as manager.The acting manager assisted us with the inspection, as they were on duty at the time. Residents records are kept in a secure cabinet in the office and care plans available for in a secure cupboard. The care records and records relating to the running of the home were satisfactorily written legible, up to date, and well maintained. This helps to demonstrate confidentiality is being protected. This also demonstrates for us that legal Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: records required for the running of the home are in order. The company who run the home have their own system for detailed quality audits the service. We looked at the type of survey forms used to assess the overall quality of service. These are going to be sent out to residents and relatives in the New Year after the home has been open for over six months. The views and outcomes for the residents who use the service will be used as the main way of judging the quality of care. We found that the environment looked safe and satisfactorily maintained in all areas viewed. We checked service records for the electrical equipment in the home and the fire fighting equipment. These records were up to date and help show the health and safety of residents and staff is maintained. Staff check the temperatures of all high risk cooked food before it is served to people to make sure it is hot enough and safe to eat. The fire logbook record was checked and showed the required weekly and monthly tests of the fire alarms and the fire fighting equipment are being carried out and are up to date. Care Homes for Adults (18-65 years) Page 24 of 27 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 Adults (18-65 years) Page 25 of 27 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 Adults (18-65 years) Page 26 of 27 Helpline: 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 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 © (2008) 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. Care Homes for Adults (18-65 years) Page 27 of 27 - 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!