Care Home: The Lodge

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What the care home does well There is a warm, homely and lively atmosphere in the home with staff and people living at the home working together as a team. People said that they enjoy living at the home and are very satisfied with the services and facilities provided. The staff are well trained and provide assistance to people in a manner which promotes independence and dignity. People living at the home said that the staff always treat them well and relationships between everybody are relaxed and friendly. The home is well managed and the manager is committed to ensuring that people living at the home and the staff contribute to the decision making processes. People are protected by the recruitment procedures which makes sure that all the necessary checks are carried out before staff are employed. This makes sure that only suitable staff are employed in the home. What has improved since the last inspection? Over 50% of the staff have now achieved the National Vocational Qualification (NVQ) in care and the majority of the others are in the process of achieving their award. This makes sure that the staff are suitably qualified to support people living at the home. People now have more access to social and leisure activities and are supported by the staff to develop and maintain new interests and skills. The service has made positive improvements in the way it approaches safeguarding people who live there. What the care home could do better: All fire exits must be kept clear and not used as storage areas to make sure that people can evacuate the home in the event of a fire. CARE HOME ADULTS 18-65 The Lodge 207 Scar Lane Milnsbridge Huddersfield West Yorkshire HD3 4PZ Lead Inspector Cheryl Stovin Key Unannounced Inspection 4th March 2008 10:00 The Lodge DS0000065604.V371851.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 DS0000065604.V371851.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 DS0000065604.V371851.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Lodge Address 207 Scar Lane Milnsbridge Huddersfield West Yorkshire HD3 4PZ 01484 647816 01484 460400 CragsideHouse@valeoltd.co.uk 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) VALEO Limited Mr Martin Nicholson Care Home 7 Category(ies) of Learning disability (7) registration, with number of places The Lodge DS0000065604.V371851.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th August 2007 Brief Description of the Service: The Lodge is a residential home divided into two separate units. It is owned and managed by Valeo Community Projects, a private company. The Lodge provides a service for up to seven adults with learning disabilities and complex behaviours that challenge. The Lodge shares the site with Cragside House, also owned and managed by Valeo Community Projects, and was registered as a separate service from Cragside House in October 2005. The two units, one for three service users and one for four service users, is connected by a central office area. The home is close to community facilities including, shops, cafes, bank, post office and garden centre, and is on a major bus route. Information about the home is available at the home and Commission for Social Care Inspection reports are likewise available. The range of fees for this service is between £1500 and £2000 per week. The Lodge DS0000065604.V371851.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. This report brings together evidence gathered during a key inspection of The Lodge. This included an unannounced visit I made to the home on the 4th March 2008. The purpose of the inspection was to make sure that the people living at the home are receiving the care and support they want and that they and their families are satisfied with the service. During this visit a full tour of the building was undertaken, records were examined and I spoke to management, staff and the people living at the home. An Annual Quality Assurance Assessment (AQAA) completed by the home was returned promptly and gave useful information. I would like to thank everybody for their warm welcome and assistance given during this inspection. What the service does well: There is a warm, homely and lively atmosphere in the home with staff and people living at the home working together as a team. People said that they enjoy living at the home and are very satisfied with the services and facilities provided. The staff are well trained and provide assistance to people in a manner which promotes independence and dignity. People living at the home said that the staff always treat them well and relationships between everybody are relaxed and friendly. The home is well managed and the manager is committed to ensuring that people living at the home and the staff contribute to the decision making processes. People are protected by the recruitment procedures which makes sure that all the necessary checks are carried out before staff are employed. This makes sure that only suitable staff are employed in the home. The Lodge DS0000065604.V371851.R01.S.doc Version 5.2 Page 6 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. The Lodge DS0000065604.V371851.R01.S.doc Version 5.2 Page 7 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 DS0000065604.V371851.R01.S.doc Version 5.2 Page 8 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): 2,4 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are assessed before moving into the home to make sure that the home can meet their needs. EVIDENCE: Everybody is fully assessed before moving in to make sure that the home can meet their needs. People are encouraged to visit the home several times before moving in to give them an opportunity to meet the staff and other people living at the home, and to sample the daily routine. The Lodge DS0000065604.V371851.R01.S.doc Version 5.2 Page 9 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): 6,7,8,9,10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s current needs are recorded in their care plan to make sure that support is given in accordance with their needs and preferences. People are fully involved in all aspects of daily life within the home and are encouraged and supported to be as independent as possible. EVIDENCE: Four people’s care records were looked at. The care plans are detailed and clearly show how people prefer to be supported in their daily routine. The care plans are completed with the people living at the home. This helps staff to understand the person as a whole, and contains details of people’s abilities, likes and dislikes, interests and family history. The care plans are The Lodge DS0000065604.V371851.R01.S.doc Version 5.2 Page 10 detailed and give very clear instructions as to how the individual prefers the care to be given and the routines to follow from the beginning to the end of the day. The care plans contain what time people like to get up and what routines they like to follow during the day. The records also contain detailed conflict management and safeguarding plans, which makes sure that people are protected from harm. Detailed risk assessments are in place which are reviewed on a regular basis, this makes sure that risks are minimised and people are kept safe. The risk assessments include any potential risks both in and out of the home including the use of public transport. People are encouraged to participate in the day to day running of the home and join in all activities of daily living. Staff and everybody living at the home appeared to be working together as a team. The Lodge DS0000065604.V371851.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): 12,13,14,15,16,17 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People enjoy active and varied lifestyles and participate in a wide range of community activities. EVIDENCE: The atmosphere in the home is lively and welcoming, with everybody working together in the day to day running of the home. People are very much part of the local community and make use of a wide range of social and recreational facilities. Some people go to college and day centres, sports centre’s, swimming, church and pubs. During the visit people were going out and about, some accompanied by staff others independently. The Lodge DS0000065604.V371851.R01.S.doc Version 5.2 Page 12 People are given the opportunity to have an annual holiday the destinations being considered for this year included Devon, Stratford upon Avon and a London theatre trip. People choose what to eat on a daily basis and are encouraged to eat a healthy diet. Some people cook their own meals whilst others are assisted by the staff. People said that they enjoy living at the home and relationships between everyone during the visit were seen to be relaxed and friendly with appropriate use of light hearted humour and ‘banter’. People are encouraged to keep in touch with family and friends. The Lodge DS0000065604.V371851.R01.S.doc Version 5.2 Page 13 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): 18,19,20 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s health care needs are met and personal care is given in accordance with their preferences. EVIDENCE: People’s personal support needs are assessed and form part of their plan of care. People’s physical and psychological health care needs are assessed and detailed in their individual support plans. Some of the people living at the home exhibit behavioural problems and the majority of staff have received intensive training in managing conflict. This training is British Institute of Learning Disability (BILD) accredited. This makes sure that any potential conflict is managed safely and no inappropriate physical intervention is used. All personal care is given in private, and people were seen to be treated with dignity at all times. The Lodge DS0000065604.V371851.R01.S.doc Version 5.2 Page 14 People living at the home said that they are treated well and a ‘handover’ was seen during the visit which showed that the staff were able to demonstrate a thorough understanding of people’s needs. Medication practices in the home are well managed. There are guidelines in place for the administration of any “as required” medication. The Lodge DS0000065604.V371851.R01.S.doc Version 5.2 Page 15 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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are protected by the adult protection procedures which the staff understand and put into practice. This makes sure that people living at the home are safe. EVIDENCE: The home has a complaints procedure which is included in the service user guide and provides information of the procedure to follow and the correct contact details. The establishment holds a ‘whistle blowing’ procedure. The procedure details the responsibilities and obligations of the staff to report any instances of bad practices observed or suspected. The deputy manager of the home has specific responsibility for safeguarding and adult protection. All of the staff team have received training in Protection of Vulnerable Adults (POVA) and all staff spoken to are aware of the procedures to follow if they suspect that people are not being treated properly. The Lodge DS0000065604.V371851.R01.S.doc Version 5.2 Page 16 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): 24,25,28,30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a clean and safe environment which is furnished and fitted to an acceptable standard. EVIDENCE: The home is situated in a residential area in Milnsbridge with each access to the town centre of Huddersfield. The home is generally well maintained and is currently being redecorated. All of the people living at the home have their own spacious bedroom. Some of the bedrooms are personalised with people’s own belongings and family photographs, people are obviously proud of their own rooms. One person has their own computer with internet access which they enjoy. The Lodge DS0000065604.V371851.R01.S.doc Version 5.2 Page 17 There are safe and accessible garden and grounds for people to use in the warmer weather. There are well equipped laundry facilities for people to wash and dry their clothes and the equipment complies with the relevant regulations. The Lodge DS0000065604.V371851.R01.S.doc Version 5.2 Page 18 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): 32,33,34,35 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are met by a well trained and competent staff, and are protected by the rigorous recruitment practices. EVIDENCE: There are sufficient staff on duty to meet the needs of the people living at the home. There are four support workers on duty, plus the manager, during the day time and at night there are two waking night staff. The staff team work flexibly to meet the social and recreational needs of people. The staff appeared to work together as a team and relationships with people living at the home were observed to be relaxed and friendly, with appropriate use of informality and humour. There is a commitment to staff training in the home with all staff required to undertake training to LDAF (Learning Disability Award Framework) specification. There is an induction training programme in place which meets The Lodge DS0000065604.V371851.R01.S.doc Version 5.2 Page 19 the common induction standards to Skills for Care specification. Mandatory training for staff includes, restraint and control, fire awareness, first aid, health and safety, food hygiene, moving and handling and safe handling of medication (for senior staff). All of the people living at the home are protected by the home’s robust recruitment procedure. All staff are subject to the necessary Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA checks. An application form is completed and two written references are taken up prior to an offer of employment being made. This makes sure that only suitable staff are employed in the home. There is a commitment to National Vocational Qualifications (NVQ) in the home and over 50 of the staff hold the award. This makes sure that staff are qualified to provide care to the people living at the home. The Lodge DS0000065604.V371851.R01.S.doc Version 5.2 Page 20 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): 37,38,39,41,42 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a well run and managed service. People’s health and welfare is protected by the home’s health and safety practices. EVIDENCE: The Registered Manager of the home is experienced and competent to run the home. He is qualified and has completed the NVQ level 4 Registered Managers Award. The Lodge DS0000065604.V371851.R01.S.doc Version 5.2 Page 21 The management team are committed to ensuring that an open and positive atmosphere is prevalent in the home. The manager was seen to be very approachable during the visit and welcoming the opinions of people living at the home and the staff team. All people have their own bank accounts and financial procedures are in place to make sure that people’s money is handled safely. There is a commitment to health and safety and safe working practices in the home. All staff receive mandatory health and safety training with regular updates. Fire drills are carried out on a regular basis and all staff receive fire safety training. Detailed risk assessments are in place which are reviewed and updated on a regular basis. Certificates were seen which showed compliance with gas and electrical regulations. During the tour of the building it was noted that some items were being stored on the fire escape stairs which could be a possible trip hazard. The items were removed during the visit. The Lodge DS0000065604.V371851.R01.S.doc Version 5.2 Page 22 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 x 2 3 3 x 4 3 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 3 26 x 27 x 28 3 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 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 3 3 x 3 3 x The Lodge DS0000065604.V371851.R01.S.doc Version 5.2 Page 23 NO Are there any outstanding requirements from the last inspection? 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 Refer to Standard YA42 Good Practice Recommendations Fire exits should not be used as storage areas, this is to make sure that people can leave the building safely in the event of a fire. The Lodge DS0000065604.V371851.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 DS0000065604.V371851.R01.S.doc Version 5.2 Page 25 - 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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