Care Home: Sycamore Lodge Care Home

Similar services:

• Hillside
• Applegarth
• 122 Scorer Street
• Jubilee Villa Care Home
• Thornham Grove
• Beech Lodge
• 8 Thorndale Road (Homefield College)
• Hunter`s Lodge

What the care home does well Care staff present as professional, well organised, and have a friendly, welcoming attitude that serves to sustain a relaxed atmosphere within Sycamore Lodge. People living at Sycamore Lodge appear well cared for in their personal appearance and their demeanour supports the conclusion that they feel safe and at ease. Individual bedrooms are personalised and the rooms and communal living areas were clean and homely in appearance. The Manager and care staff are knowledgeable about the needs of the people they support and each staff member is actively encouraged to pursue further training so that everyone living there benefits from a staff team that is able to do a good job. Care staff and the people living at Sycamore Lodge benefit fromhaving a Manager that presents as approachable, experienced, and conscientious. The staff team continue to be good at recognising when residents need help from other health care professionals to improve their health and well being. What has improved since the last inspection? The Manager has ensured that comments and requirements made in the previous inspection report were attended to promptly. CARE HOME ADULTS 18-65 Sycamore Lodge Care Home 3-5 Hardy Street Nottingham NG7 4BB Lead Inspector Gary Robinson Unannounced Inspection 27th August 2008 12:45 Sycamore Lodge Care Home DS0000026475.V370819.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 Sycamore Lodge Care Home DS0000026475.V370819.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. Sycamore Lodge Care Home DS0000026475.V370819.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Sycamore Lodge Care Home Address 3-5 Hardy Street Nottingham NG7 4BB Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) 0115 978 4299 F/P 0115 978 4299 Mrs Aisha Khan Javed Khan, Dahood Mohammed Younas, Fakhra Parveen Younas Name of registered manager (if applicable) Lesley Karen Morton Type of registration Care Home Sycamore Lodge Care Home DS0000026475.V370819.R01.S.doc Version 5.2 Page 4 No. of places registered (if applicable) 16 Category(ies) of Learning disability (16) registration, with number of places Sycamore Lodge Care Home DS0000026475.V370819.R01.S.doc Version 5.2 Page 5 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th July 2007 Brief Description of the Service: Sycamore Lodge is registered to provide nursing care for up to 16 residents with a learning disability, a significant number of whom were previously in long-stay hospital care. Located in a residential street in the Hyson Green district of Nottingham, Sycamore Lodge is a converted Victorian town house set in its own grounds in Hardy Street. Amenities in the local community include public houses, shops, restaurants, and places of worship. The accommodation covers two floors and there are both single and shared bedrooms available. There is a stair lift to provide access to the upper floor for residents with mobility difficulties. The fees for Sycamore Lodge vary considerably and are dependent upon the agreed level of support required by each individual and fees currently range from £850 a week upwards. Sycamore Lodge Care Home DS0000026475.V370819.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This normally means the people who use this service experience good quality outcomes. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for service users and their views of the service provided. This inspection was conducted by as follows: This was an unannounced inspection that took place just after lunchtime and lasted just over four hours. Sycamore Lodge was inspected using the method of ‘case tracking’. This is a method that enables us to make judgements about the standard of care being provided to individuals living at the home. On this inspection, as well as touring the premises and viewing a sample of bedroom accommodation and communal living areas, records relating to the care being provided to four of the adults living at Sycamore Lodge were inspected. In addition, a sample of the records relating to the recruitment, supervision, and training of staff were inspected, and the opportunity was taken to meet in private with the Manager, Deputy Manager, and care staff to discuss the day-to-day running of the home and the support provided for the people in residence. The majority of adults living at Sycamore Lodge have profound difficulties with communication and comprehension. Therefore the judgements made in this report are based upon observations of staff going about their duties, feedback from the Manager and staff team, as well as the interactions observed at the time between members of staff and the adults they support and care for. A review of all the information received about Sycamore Lodge since the last inspection in 2007, as well as the findings of that inspection, was also considered when planning this latest inspection. There were no requirements made as a result of this inspection. What the service does well: Care staff present as professional, well organised, and have a friendly, welcoming attitude that serves to sustain a relaxed atmosphere within Sycamore Lodge. People living at Sycamore Lodge appear well cared for in their personal appearance and their demeanour supports the conclusion that they feel safe and at ease. Individual bedrooms are personalised and the rooms and communal living areas were clean and homely in appearance. The Manager and care staff are knowledgeable about the needs of the people they support and each staff member is actively encouraged to pursue further training so that everyone living there benefits from a staff team that is able to do a good job. Care staff and the people living at Sycamore Lodge benefit from Sycamore Lodge Care Home DS0000026475.V370819.R01.S.doc Version 5.2 Page 7 having a Manager that presents as approachable, experienced, and conscientious. The staff team continue to be good at recognising when residents need help from other health care professionals to improve their health and well being. What has improved since the last inspection? What they could do better: 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. Sycamore Lodge Care Home DS0000026475.V370819.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 Sycamore Lodge Care Home DS0000026475.V370819.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): Standard 2 Quality in this outcome area is good. The admission process is robust and provides assurances that the needs of residents entering Sycamore Lodge can be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A significant of people living at Sycamore Lodge have been admitted from long stay hospital care and there is comprehensive pre-admission information on each person. There is detailed documentation regarding each person’s assessed needs and the support they require. Any decision to accept a new service user will be conditional upon a full assessment of need and there is evidence that the documents recording such information are in place. The care team present as knowledgeable about each person’s assessed needs and the way in which these needs have changed over time since admission to Sycamore Lodge. Sycamore Lodge Care Home DS0000026475.V370819.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 6,7,9 Quality in this outcome area is good. Residents assessed needs and personal goals are reflected in their individual plan and they are assisted to live full and active lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is documentary evidence that the changing needs of the service users are accurately reflected in the records relating to the level of support being provided. Each person, according to their abilities, is encouraged to make choices that affect their daily life at Sycamore Lodge. There is evidence of risk management that enables more capable people to retain a level of independence. One person regularly takes a walk beyond the grounds of Sycamore Lodge and this is a routine that gives this person pleasure and the freedom to enjoy this independent activity. Sycamore Lodge Care Home DS0000026475.V370819.R01.S.doc Version 5.2 Page 11 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 Quality in this outcome area is good Residents are able to take part in appropriate activities, some of which involve them in the local community. Residents are offered a healthy diet, which they enjoy. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Visitors are made very welcome at Sycamore Lodge. All care plans inspected provided information on how each person spends their time. Activities vary considerably and are dependent upon each individual’s preferences and ability to participate. As noted in the previous inspection report holidays are arranged for people, with members of the care team accompanying them to provide continuity of support. Care plans also identify that there are trips arranged to local pubs for meals. The minibus is also used to take people out into the community and this was being used on the day of inspection. There is a varied diet and the consensus is that people enjoy their meals. Sycamore Lodge Care Home DS0000026475.V370819.R01.S.doc Version 5.2 Page 12 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): Standard 18,19,20 Quality in this outcome area is good. Personal support is flexible and staff respond appropriately to the changing needs of each service user. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each plan of care is regularly reviewed and there is documentary evidence of this. There is a health plan in place for each service user and arrangements are made for regular healthcare check-ups. Routines for bathing, retiring to bed, and other personal activities are flexible. Each person is encouraged and enabled to look after their personal appearance as much as they can and choose what they like to wear. People were observed to be comfortable with the care team and there was relaxed manner in the way each member of staff went about their duties. Care plans and diary notes show that each person has regular access to healthcare services including dentists, opticians and chiropodists. Staff again confirmed that residents were supported to access these services ensuring that their health needs are met. There was documentary evidence of appointments having been made for these professional services. Sycamore Lodge Care Home DS0000026475.V370819.R01.S.doc Version 5.2 Page 13 Qualified staff give out medication and a senior member of staff usually carries out this task. The care team receive training from the Pharmacist in the safe handling and administration of medicines. There is documentary evidence and verbal confirmation from members of the care team that this training is provided. Sycamore Lodge Care Home DS0000026475.V370819.R01.S.doc Version 5.2 Page 14 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): Standard 22,23 Quality in this outcome area is good. The Manager ensures that there is the appropriate training and guidance for staff that enables them to help protect service users from the risk of harm or abuse of their rights. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are policies and procedures in place governing the protection of vulnerable adults and each staff member is required to adhere to these. All members of staff have completed their Protection of Vulnerable Adults (POVA) training. Recruitment of staff is governed by robust procedures to ensure that all appropriate precautionary checks are conducted prior to them working with service users. There is documentary evidence that Criminal Record Bureau clearances have been taken up for each member of staff. The care team present as sensitive to the body language and demeanour of people with little or no communication skills. They are able to judge if someone is unhappy or in discomfort by changes in their behaviour even if that person is unable to articulate how they feel. Sycamore Lodge Care Home DS0000026475.V370819.R01.S.doc Version 5.2 Page 15 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): Standard 24,30 Quality in this outcome area is good. Sycamore Lodge is a comfortable, clean, and well-appointed house that is homely and welcoming. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Sycamore Lodge is situated in a residential street in Nottingham. The interior of the house is furnished to a good standard throughout and is appropriately lit and ventilated. Rooms are kept at a comfortable temperature. All communal areas were seen to be clean and in a good state of repair. There were no unpleasant odours in the house. Bedrooms are personalised with each service user’s belongings and personal preferences. Sycamore Lodge Care Home DS0000026475.V370819.R01.S.doc Version 5.2 Page 16 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): Standard 32,34,35 Quality in this outcome area is good. Staff appear competent, motivated, and respect the service users they support. This judgement has been made using available evidence including a visit to this service. EVIDENCE: It was evident from observation that the care team take an interest in each individual and are committed to providing them with the support they need. Staff appear to know the likes and dislikes of each person and to manage the manner in which they work with that person accordingly. The Manager ensures each member of staff regularly receives one-to-one supervision. Each staff member’s training needs and work performance is being regularly reviewed and monitored. There is documentary evidence that appropriate records are kept of these supervisions. Sycamore Lodge employs male and female staff and they are of varying ages and different ethnic and cultural backgrounds. This contributes towards ensuring that different cultural and social needs can be supported. Staff training records show that regular training continues to be provided. This includes Learning Disability Award Framework training and National Vocational Qualification (NVQ) to a minimum of level 2. Sycamore Lodge Care Home DS0000026475.V370819.R01.S.doc Version 5.2 Page 17 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): Standard 37,39,42 Quality in this outcome area is good. Support for each service user is effectively managed and sensitively carried out with the result that the service users can rely upon staff to provide the level of support they need. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered Manager is appropriately qualified and has many years of experience. She presents as enthusiastic and committed to her role. Sycamore Lodge is efficiently and sensitively managed. There is a good standard of record keeping, with information being accurate, pertinent to each person’s care needs, and readily accessible to the care team. The care team respect confidentiality and all records are appropriately stored. Sycamore Lodge Care Home DS0000026475.V370819.R01.S.doc Version 5.2 Page 18 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 3 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 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 Sycamore Lodge Care Home DS0000026475.V370819.R01.S.doc Version 5.2 Page 19 Are there any outstanding requirements from the last inspection? No 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. Refer to Standard Good Practice Recommendations Sycamore Lodge Care Home DS0000026475.V370819.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Sycamore Lodge Care Home DS0000026475.V370819.R01.S.doc Version 5.2 Page 21 - 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!