Care Home: The Lodge

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What the care home does well Overall, this home offered a very good level of care and support. It was well managed and had good policies, procedures and systems in place to monitor all aspects of the services provided. There was a service users` guide, which had lots of useful information for any prospective residents or their representatives to find out what the home can offer to people. This information can be made available in different formats to meet people`s needs. People had good need assessments, which identified their needs and how the staff could support people to meet them. The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 6The service made sure that people are given contracts when they move in to the house. This will help protect their rights. People had individual care plans, which contained a lot of information about how the staff needed to support them. People and their representatives could be involved in making these plans if they so wished. The staff were good at encouraging people to make everyday decisions such as time to get up, what clothes to wear, what to buy at the shops and what to have for meals. Risk assessments had been drawn up to enable people to lead independent lifestyles whilst still ensuring they were as safe as possible. People`s social and leisure needs were being met. One person who lived at the home told us, "I can decide what to do with the staff, I can go shopping, out for walks, I play snooker and go to the park". The staff supported people to keep in touch with their families and friends. People can shop for food, help staff to prepare and cook their own meals. One person told us the mealtimes can be flexible and you can have a choice of meals. The manager said that people could take part in all other aspects of the routines in the home. This included cleaning the home, choosing how to decorate the bedrooms and deciding on how money for the home is spent. The staff said they would help people with personal care in the way they preferred and they would also help them to stay healthy, by visiting the doctors regularly and helping them to eat a healthy diet. The staff had been trained in supporting people who challenge services, who may become angry and need support. The nurses were responsible for managing the medication systems and they would help people to take their medications or to look after their own medications. There was a complaints procedure in the home. This tells people how best to make a complaint if they are unhappy about something in the home. The staff had been trained to help protect people from abuse and how to support people who may have been abused. The house was purpose built to offer a home to 6 people with learning disabilities and complex needs. The house is well decorated, spacious, homely and clean and tidy.There were lots of communal areas in the house, for example a large kitchen and dining room, a small and a large lounge. There is also a `Snoozelan` room to help people to relax and wind down. Everyone has a bedroom of their own and they also have a private en-suite room. People who move in to the house can bring their own furniture and can decorate and furnish their rooms, as they want to. One person has painted their room blue. There are three garden areas at the home and an allotment area to grow vegetables/plants if people so choose. The staff that have been employed at the home have got CRB checks and have experience of working with people with disabilities. The manager`s offers them regular supervision to help them support people who live at the home. The home had two carers and one nurse on duty and it is planned that most people at the service will need 1-1 support from staff. The staff were friendly, respectful and had lots of experience in working with people. The manager had arranged for the staff to do induction training to ensure they had the skills to meet people`s needs. The manager is a trained nurse and has lots of experience in managing services. She was motivated and keen to ensure that the needs people who use the service are put first. Overall, the home has got good policies, procedures and systems in place to protect and empower people. Because this service has only been open for six months and it is only offering support to one person at this time, it is difficult to gauge how it will perform when more people with complex needs move in to the home. However, it has made a very positive start. What has improved since the last inspection? This is the first inspection since the home opened in June 2007. What the care home could do better: We discussed with the manager ways of further improving the care and health planning systems in the home and we advised her to Introduce Person Centred Planning and Health Action Plans in to the home, to include people more in the process and to better meet people`s needs, wants and aspirations. Further information on these topics can be found on the Department of Health website @ www.dh.gov.uk CARE HOME ADULTS 18-65 The Lodge 109 Worksop Road Swallownest Sheffield S26 4NB Lead Inspector Ms Shelagh Murphy Key Unannounced Inspection 12th December 2007 10:00 The Lodge DS0000070441.V349858.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 The Lodge DS0000070441.V349858.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. The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Lodge Address 109 Worksop Road Swallownest Sheffield S26 4NB 0114 2942090 0114 2942098 kjackson@exemplarhc.com Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) The Lodge Health Care Ltd Kim Elaine Jackson Care Home 6 Category(ies) of Learning disability (6) registration, with number of places The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing - Code N; to service users of the following gender: Either; whose primary care needs on admission to the home are within the following category: Learning Disability - Code LD. The maximum number of service users who can be accommodated is: 6 This is the first inspection since the home was registered. 2. Date of last inspection Brief Description of the Service: The Lodge is a purpose built bungalow, which provides personal and nursing care for six adults who have learning disabilities. Swallownest Healthcare Ltd operates the home. It is situated in Swallownest, which is approximately 5 miles from Rotherham and 10 miles from Sheffield. It is close to local shops and amenities and on a main bus route. The home is fully accessible for people who are wheelchair users. There are six bedrooms rooms for single occupancy. All bedrooms have ensuite facilities. There are 3 separate garden areas, which are accessible to people, these areas are private. Appropriate garden furniture is provided. All fees are based on the individual needs and at present are £3200 per week. Additional charges include travel costs, hairdressing, social activities, additional meals and holidays. Prospective residents and their families can get information about The Lodge by contacting the home manager. Copies of the statement of purpose and the service users guide are also available from the home. The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first visit to this service since it opened in June 2007. Shelagh Murphy carried out this unannounced visit to the service over one day. The total time spent on site was seven hours. We used a variety of information as well as our findings from the visit to assess the quality of service offered to people who live at this home. The home’s manager completed an Annual Quality Assurance Assessment report (AQAA), detailing what the strengths and areas for improvement are in the service prior to our visit. Some of this information has been included in this report. There was only one person in residence at the time of the inspection and their views about the home and the staff were asked for. Staff, relatives and health professionals were sent surveys to give us their views of the service. Only staff surveys were returned to CSCI. A check was made of the environment, including some bedrooms and all communal areas. A range of records was checked including: a plan of care, daily records, staff training records and medication administration records. Throughout the inspection feedback was given to the manager. We would like to thank all of the people who completed surveys and who agreed to speak to us for giving us their views. What the service does well: Overall, this home offered a very good level of care and support. It was well managed and had good policies, procedures and systems in place to monitor all aspects of the services provided. There was a service users’ guide, which had lots of useful information for any prospective residents or their representatives to find out what the home can offer to people. This information can be made available in different formats to meet people’s needs. People had good need assessments, which identified their needs and how the staff could support people to meet them. The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 6 The service made sure that people are given contracts when they move in to the house. This will help protect their rights. People had individual care plans, which contained a lot of information about how the staff needed to support them. People and their representatives could be involved in making these plans if they so wished. The staff were good at encouraging people to make everyday decisions such as time to get up, what clothes to wear, what to buy at the shops and what to have for meals. Risk assessments had been drawn up to enable people to lead independent lifestyles whilst still ensuring they were as safe as possible. People’s social and leisure needs were being met. One person who lived at the home told us, “I can decide what to do with the staff, I can go shopping, out for walks, I play snooker and go to the park”. The staff supported people to keep in touch with their families and friends. People can shop for food, help staff to prepare and cook their own meals. One person told us the mealtimes can be flexible and you can have a choice of meals. The manager said that people could take part in all other aspects of the routines in the home. This included cleaning the home, choosing how to decorate the bedrooms and deciding on how money for the home is spent. The staff said they would help people with personal care in the way they preferred and they would also help them to stay healthy, by visiting the doctors regularly and helping them to eat a healthy diet. The staff had been trained in supporting people who challenge services, who may become angry and need support. The nurses were responsible for managing the medication systems and they would help people to take their medications or to look after their own medications. There was a complaints procedure in the home. This tells people how best to make a complaint if they are unhappy about something in the home. The staff had been trained to help protect people from abuse and how to support people who may have been abused. The house was purpose built to offer a home to 6 people with learning disabilities and complex needs. The house is well decorated, spacious, homely and clean and tidy. The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 7 There were lots of communal areas in the house, for example a large kitchen and dining room, a small and a large lounge. There is also a ‘Snoozelan’ room to help people to relax and wind down. Everyone has a bedroom of their own and they also have a private en-suite room. People who move in to the house can bring their own furniture and can decorate and furnish their rooms, as they want to. One person has painted their room blue. There are three garden areas at the home and an allotment area to grow vegetables/plants if people so choose. The staff that have been employed at the home have got CRB checks and have experience of working with people with disabilities. The manager’s offers them regular supervision to help them support people who live at the home. The home had two carers and one nurse on duty and it is planned that most people at the service will need 1-1 support from staff. The staff were friendly, respectful and had lots of experience in working with people. The manager had arranged for the staff to do induction training to ensure they had the skills to meet people’s needs. The manager is a trained nurse and has lots of experience in managing services. She was motivated and keen to ensure that the needs people who use the service are put first. Overall, the home has got good policies, procedures and systems in place to protect and empower people. Because this service has only been open for six months and it is only offering support to one person at this time, it is difficult to gauge how it will perform when more people with complex needs move in to the home. However, it has made a very positive start. What has improved since the last inspection? What they could do better: We discussed with the manager ways of further improving the care and health planning systems in the home and we advised her to Introduce Person Centred Planning and Health Action Plans in to the home, to include people more in the process and to better meet people’s needs, wants and aspirations. Further information on these topics can be found on the Department of Health website @ www.dh.gov.uk The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 8 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. The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 9 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 The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 10 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): 1, 2, 3 and 5. Quality in this outcome area is good. People were given accessible information in a service users guide. People had their needs assessed before they moved in to the home. This was to make sure that the service could meet their needs. People had individual written contracts to ensure that they knew what services they were entitled to. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was a comprehensive statement of purpose and service user’s guide, which was specific to the needs of people with learning disabilities. It gives information about the accommodation, staff support, and rights, philosophies and specialist services they can offer to meet people’s needs. The manager said this information could be made available in a range of formats to meet people’s needs. One person showed me their copy of the guide, which was kept on their care file. They said they had been given a copy of this prior to moving in to the home as well. The manager said that all new residents received a comprehensive needs assessment before admission. These were to be carried out by the registered manager. The manager also advised that she would always obtain a summary of the needs assessment undertaken through care management arrangement. One person who had moved in to the home said that they had been involved in the assessment process. This person’s assessment was checked. From this information it was clear that the manager and staff had spent time and effort The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 11 in obtaining relevant information and in planning to make admission to the home personal. A person, who had moved in to the home recently said they had been treated well and staff had made them feel welcome in their new home. One person said they had been given a copy of their agreed contract to sign. This was checked and there was clear information about fees and extra charges. This will protect their rights. The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 12 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): 6, 7 and 9. Quality in this outcome area is good. People’s needs were reflected in the individual plans. People were supported to make decisions to ensure they can participate in all aspects of life at the home. People had risk assessments in place to protect them from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People using the service were in control of their lives and they were observed to be directing the service as far as possible. The staff interviewed appeared to be committed to supporting individuals to lead meaningful lives as independently as possible. One person who used the service told us ways in which they were supported to, make their own informed decisions and have the right to take assessed risks in their daily lives. The care plan checked was comprehensive and had been developed with people who use the service. It was up to date and included information about the individual’s health, social, leisure and personal care needs and wants. After discussions with the manager it was agreed that a Person Centred Planning approach to the care plans, such as essential lifestyle planning, path, maps or a personal futures plan could enhance people’s involvement in producing future The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 13 plans. One person showed us their care plan and was able to tell us they had had some support from staff to give their views. In the care plan checked there were comprehensive risk assessments, which the manager and staff said would be regularly reviewed. People who used the service told us they knew about their risk assessments. The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 14 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): 12, 13, 15, 16 and 17. Quality in this outcome area is good. People were offered regular, consistent, staff support to meet their social and leisure needs. People said they were supported to maintain relationships with their families. Individual’s rights and responsibilities were recognised and supported. People said they were offered an appropriate diet and said they enjoyed their meals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One person who lived at the home said they had been able to enjoy a full and varied lifestyle with a variety of options to choose from each day. They said, “I can decide what to do with the staff, I can decide when we go shopping and when to go out for walks, I play snooker and go to the park”. The manager said the staff were, encouraged to seek peoples views and then consider how they could meet their individual needs when planning the daily routines within the home and activities outside. One person said and the staff confirmed that daily routines in the home are very flexible and people can make choices in major areas of their life. The staff said and one person confirmed that people are actively supported to be independent and involved in all areas of daily living in the home. This The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 15 includes where appropriate, taking responsibility for shopping, planning meals, and meal preparation. One person was interviewed about meals in the home, they said they help the staff to make up the menus and can have a choice of meals each day, they then go shopping for the food, then help cook the meals and finally wash up. During our visit this person was observed to go shopping with staff for food and to come back and with support from staff to prepare lunch. This person told us that mealtimes are flexible and relaxed, “the staff are good”…”they help me shop and make meals”. The weekly menu was checked and showed that the meal options were overall balanced and nutritious and had been guided by the people who use the service. One person told us what their favourite meals were, and these were all included in the menu. The manager said the menus would be changed or other options made available in order to cater for varying cultural and dietary needs of any prospective residents. The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 16 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): 18, 19 and 20. Quality in this outcome area is good. There was evidence that people were supported with personal care in the way they preferred. People said their physical and emotional needs were met. The medication system was well maintained and operated. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One person interviewed said the staff offered them appropriate support as required in personal care and support to meet their healthcare needs. They told us that, “staff help me go to see the doctors” and “I don’t need staff help to have a bath or a shower”. One Individual care plan was checked and showed that staff had recorded the person’s personal care and healthcare needs and detailed how they would be delivered. After discussions with the manager it was agreed that people’s health needs could be recorded in a separate ‘health action plan’, which would need to be agreed with the local G.P. The manager said this would be considered with her line manager. The manager confirmed that appropriate aids and equipment are to be provided to meet individual people’s needs as they move in to the home. This should encourage maximum independence for all people using services. The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 17 The manager and the staff said that specialist advice is to be sought by the home to ensure effective use of equipment for example hoists. During interviews with the staff it was clear that they understood and had skills in assessing individuals’ needs in relation to changes in mood, behaviour and general wellbeing. They said they had received training and support in how they should respond to individual people’s needs. The manager had developed an efficient and effective medication policy, procedure and practice guidelines for the nurses. Nursing staff said they had access to these policies and procedures and they understood their role and responsibilities in this area. Medication records were checked and were up to date. The medication was stored appropriately and the nurse understood the importance of the safekeeping and disposal of controlled drugs. The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 18 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): 22 & 23. Quality in this outcome area is good. Complaints and safeguarding systems are in place. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Although the home has only been open for a short time, individuals and others associated with the home say that they are very satisfied with the service so far. One person said they were well supported by the staff. The manager said she felt that the ethos of the organisation and training given to staff should help ensure that staff knew the importance of taking the views of people who live there seriously. The staff interviewed could explain the importance of listening to and then responding to any concerns raised by people. The Complaints procedure was kept in the manager’s office. One person had been given a complaints procedure and knew how to make a complaint. They said, “I would tell the staff or the manager if I was unhappy”. The manager said the procedure could be made available in a variety of formats to meet people’s needs. No complaints have been made since the service opened six months ago. Staff said that the home’s policies and procedures regarding safeguarding adults are available to them and they had recently completed training in adult safeguarding. The manager had also got a copy of the local safeguarding procedures. The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 19 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): 24 and 30. Quality in this outcome area is good. People live in a new, purpose built house. Which had a clean, homely and comfortable environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The house was decorated in a homely manner. It was clean, safe, comfortable, and well maintained. The manager said that as more individuals moved in to the home that the staff would be encouraged to provide an environment that fully meets the needs of all the residents. One person talked about the house, as their “new home”. They appeared to have ownership of the house and were observed, to clean windows and they informed me they had cleaned and vacuumed their own bedroom earlier in the week. The staff said they had easy access to community facilities and services. For example shops, parks, health centre etc. The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 20 The manager and the staff said that people have been, and will continue to be involved in decisions about the décor and any changes in their communal and personal accommodation. The home has 6 large single bedrooms, which are all en-suite. They had all been furnished to a high standard. One person said they had been encouraged to personalise their bedroom and had chosen to help paint it blue. There were a number of communal areas both inside and outside of the home, this means that people using the service have a choice of place to sit quietly, meet with family and friends or be actively engaged with other people who use the service. The kitchen and laundry have been designed to enable and promote the involvement of people in domestic tasks and as part of developing or maintaining independence. One person told us they do their own laundry. The bathrooms are homely and include aids and adaptations to meet the needs of the people using the service. The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 21 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): 32, 34 and 35. Quality in this outcome area is good. People received a good standard of service. Staff had been offered a range of appropriate training and are supported by managers and are closely supervised. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service had a good recruitment procedure, to ensure peoples safety and welfare. Three of the recruitment files checked all contained relevant information including CRB’s, references and proof of identity. This practice will protect people’s welfare. There were two carers and one nurse on duty at the time of the visit and this level of support enabled staff to support people in an individualised way. It was clear from discussions with the manager that she had been proactive, in planning staff recruitment and training, as she had also planned for the potential needs of people who may use the service in the future. Training records were checked and showed the manager has ensured that all staff in the home have and/or are planning to receive all of the relevant training required to meet statutory requirements and individual people’s needs. The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 22 All three staff interviewed reported high levels of satisfaction about the support they received from the manager and that of the organisation. The content of the induction and probationary periods were detailed and service specific. The induction training met the Skills for Care requirements and some staff said they had completed person centred planning training. People were observed to know the staff team well, they knew all their names and are were able to communicate with them freely and easily. There was a very relaxed, informal but respectful relationship between staff and people. The manager said and the staff confirmed they held regular staff meetings. All staff said they have the opportunity to attend meetings and to be kept fully informed and felt able to contribute to meetings. Staff said they had received individual supervision from the manager and they said they found them useful, informative and supportive. The manager said that notes are taken which include action plans for staff to follow up. Supervision records were checked to evidence this and were very comprehensive. The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 23 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): 37, 39, and 42. Quality in this outcome area is good. This home had good policies and procedures. Quality monitoring systems are in place. There were policies, procedures and systems in place to address health and safety issues. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has recently registered as the homes manager with the Commission for Social Care Inspection (CSCI). At this time she was able to demonstrate through formal qualification and professional experience, that she is knowledgeable and highly competent in being able to manage a complex service such as this. She was very motivated and enthusiastic about identifying ways of meeting individual’s needs. The home has a quality assurance system in place with which to monitor development of the service and its staff to ensure peoples needs and wants are met. The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 24 The home has an efficient system to ensure effective safeguarding and management of people’s money and valuables, including record keeping. One persons finance records were checked as correct. One person said they were being helped by staff to manage their own money where possible. The home has a comprehensive range of health and safety policies and procedures to promote and protect people who live at the home and the employees. Health and safety systems were in place. The manager said she had ensured that all staff received training in health and safety matters. Individual training records reflected this to be the case. There were records of all fire safety checks carried out including fire equipment and testing, to keep people safe. These were checked and found to be up to date. The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 25 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 3 4 X 5 3 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 3 X 3 x 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 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 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Version 5.2 Page 26 The Lodge DS0000070441.V349858.R01.S.doc Are there any outstanding requirements from the last inspection? No, this is the first inspection since the home was registered. 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. 1 2 Refer to Standard YA6 YA19 Good Practice Recommendations Look in to introducing Person Centred Plans for all of the people who live at the home. Further information can be found at www.dh.gov.uk. Look in to introducing Health Action Plans for all of the people who live at the home. Further information can be found at www.dh.gov.uk. The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 The Lodge DS0000070441.V349858.R01.S.doc Version 5.2 Page 28 - 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. 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