Care Home: The Lodge

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Annual service review Name of Service: The Lodge The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Ann Farrell Date of this annual service review: 1 7 0 7 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: Swiss Drive Wordsley Dudley West Midlands DY8 5SL 01384484625 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Select Health Care Limited Number of places (if applicable): Under 65 Over 65 3 0 The maximum number of service users to be accommodated is 3. The registered person may provide personal care and accommodation for service users of both sexes whose primary care needs on admission to the home are within the following categories: Learning Disability (LD 3) Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service The Lodge is a three bedded purpose built bungalow owned and managed by the Select Healthcare Group. The home is located adjacent to Brierley Hill Road and on the same site as Swiss House residential home in Wordsley, set at the bottom of the drive. There are three single bedrooms with en-suite shower and WC. Communal facilities include a lounge/dining room, large bathroom and well-equipped kitchen/diner where people who live in the home are encouraged to participate in preparing and cooking their meals. There is patio and lawn area to the rear of the premises, which can be used when the weather permits. The Lodge aims to create a homelike environment for Annual Service Review Page 2 of 8 None people to enable them to lead as ordinary a life as possible and to have optimum control of their lives by promoting their right to privacy and dignity. The home has its own transport. The home should be contacted directly for up to date information about the fees charged for this service. Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Any relevant information from other organisations. What has this told us about the service? The service sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clearly presented, but lacked details as to how aspects of the standards are met and how they plan to improve outcomes for people living in the home. They did not inform us if the requirements from the last key inspection have been met, when policies and procedures were updated and the information provided indicated that some equipment had not been serviced recently to ensure they were safe e.g. gas, heating, fire detection system and electrical wiring. Also some areas were not completed correctly. The acting manager will need to follow these up and ensure they area addressed to ensure people are safe living in the home. Also she informed us she had been acting manager at the home for approximately one year and she will need to forward an application to us for registration. They told us about how they had met Equality and Diversity, which included: People are encouraged to talk about their likes and dislikes. Activities out in the Community and religious beliefs are incorporated into peoples everyday life to support them to attend church etc. if they so wish. Pictorial formats are in place for various documents to make them more accessible to people, so they can understand them and aid communication with staff. They aim to continue to train staff in Equality and Diversity, so their skills are developed and people living in the home are supported to exercise choice in their daily lifestyle. Annual Service Review Page 4 of 8 The home has told us of improvements they have made over the past twelve months and these include; They feel there is better communication with people living in the home enabling them to be more independent and make choices about their lifestyle. Staff have listened to them and more choices have been provided in meals, activities and outings. Staff have been able to support individuals lifestyle choices through activities enabling them to undertake activities of their choice on their own or as a group. People are encouraged to try different activities and go out in the community more. People living in the home have been encouraged to develop more independent living skills and take part in activities. One person is now attending college. People living in the home have a choice of meals from the menus, which they have been involved in developing. Also they can request alternatives to the menu if they wish, taking into consideration any dietary requirements. All choices are respected and accommodated wherever possible, so peoples needs and preferences can be met. All care plans have been updated to ensure they detail peoples needs and the support they require from staff. Also review meetings are now recorded in care plans demonstrating any changes. Staff training is up to date and staff are educated on the needs of each person living in the home, so they understand their needs and can provide the appropriate support. All appointments required have been sourced and attended on the correct day and time, so peoples health and social care needs are met. The complaints procedure are been provided in picture format, so people understand the procedure and enable them to raise concerns/complaints with staff if they wish. They have improved the environment; one bedroom has been redecorated and new flooring has been provided, so people have a pleasant home to live in. There is a programme of maintenance in the home, decorating, paintwork and outside space are kept neat and tidy All staff have enrolled on the Learning Disability Qualification. Further staff training has been completed and the staff are communicating better with people living in the home, so outcomes are improved. They have told us about the plans they have for the next twelve months and they told us these include; To continue to encourage people to be more active in the daily running of the home; to take part in independent living skills; to access the community activities and participate wherever possible to give people a better quality of life. Annual Service Review Page 5 of 8 To provide more information to people about a wider range of activities to choose from to enhance their well being. To maintain high standards and encourage a pace of life to suit each individual person living in the home. Continue to liaise with health professionals and relatives in order to provide good outcomes for people living in the home. To ensure good communication between people in the home and staff, so they feel they can approach anyone with any concerns they may have. Re-decorate the bedrooms of the other people living in the home to their own personal taste and continue to improve the environment. The Manager plans to complete her application to be registered with CQC and will also be undertaking an NVQ 4 in Leadership and Management of Care Services. Staff are to complete their Learning Disabilities Qualifications, so their knowledge and skills are developed further and outcomes for people improved. To improve record keeping and provide more pictorial formats for people living in the home to enhance communication. Continue to support people with developing independent living skills, so they reach their potential. Maintain high levels of conduct within the home. We have received surveys from two people who live in the home, one visitor, three staff and one health and social care professionals People who live in the home told us; They both told us they were asked if they wanted to move into the home and received enough information about the home before they moved in. They told us they always/usually made decisions about what they did each day and they confirmed they could do as they wanted at all times of the day, evenings and weekends. They told us the care staff and managers always listened to them and acted upon what they said. They told us they knew who to speak to if they were not happy, and they knew how to make a complaint. They told us the home was always/usually clean and fresh. The relative told us they; On the whole X is very happy at the Lodge. When he goes out he is always happy to go back. He is fed well and when he asks for a drink staff will always oblige. He is going out more now since they got some new staff. Staff told us; Three staff told us they are always given up to date information about the needs of people living in the home. Three staff told us the induction training very well/mostly Annual Service Review Page 6 of 8 covered everything they needed and they were given training relevant to their role. Three staff told us they meet with the manager regularly for support. They told us that they were aware of what to do if any concerns were raised. They told us they always have the right support to meet the different needs of people living in the home. Two staff told us there is always enough staff on duty and one told us there was usually enough staff on duty. They told us the methods of communication always work well. When asked what the home did well they told us; Give good care to the service users, work well as a team. Provide good service to service users. The home respects the service users individual rights. Service users are encouraged to follow their own choice of lifestyle. When asked how the home could improve they told us; Encourage the service users to pursue community based activities and interests. Better pay. Health and social care professionals told us; Overall impression is of a fairly chaotic service which does not always respond appropriately to clients needs. We have received no complaints about the home since the last key inspection. The home has told us they have received no complaints and have made no safeguarding referrals. The home has kept us informed about relevant important information and the action they took to address them through the notifications forwarded to us. We have looked at all the relevant information available and in our judgement the home is still providing a good service. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 20th July 2010. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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