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Care Home: The Lodge, Exmouth

  • 207 Exeter Road Exmouth Devon EX8 3DZ
  • Tel: 01395276457
  • Fax:

The Lodge provides personal care and support for up to four residents with a learning disability. The home is operated by Trust Residential Services. Although the house is on two levels, all accommodation is on the ground level. The second floor is not accessible. There are four en-suite bedrooms, a large kitchen /12009 dining room, a lounge and an office / sleep in room. There is a large pleasant garden to the rear of the property. The home is decorated and furnished to good standard creating a warm and homely atmosphere. The manager provides the most recent CSCI inspection report to service users and their relatives during the admission process. Subsequent reports are made available and explained to service users on request.

  • Latitude: 50.630001068115
    Longitude: -3.4100000858307
  • Manager: Manager post vacant
  • Price p/w: £2670
  • UK
  • Total Capacity: 4
  • Type: Care home only
  • Provider: Premier Living (Devon Partnership NHS Trust)
  • Ownership: National Health Service
  • Care Home ID: 16159
Residents Needs:
Learning disability

Previous Inspections

This may not be the latest inspection for this service as we are having techinical problems updating from CQC - please check directly on the regulators website for the most recent report; bestcarehome hopes to be back to regular updates shortly.

For extracts, read the latest CQC inspection for The Lodge, Exmouth.

Random inspection report Care homes for adults (18-65 years) Name: Address: The Lodge, Exmouth 207 Exeter Road Exmouth Devon EX8 3DZ two star good service 30/11/2009 The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Michelle Oliver Date: 1 8 0 5 2 0 1 0 Information about the care home Name of care home: Address: The Lodge, Exmouth 207 Exeter Road Exmouth Devon EX8 3DZ 01395276457 Telephone number: Fax number: Email address: Provider web address: Deborah.Brown@DevonPtnrs.nhs.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Deborah Louise Brown Type of registration: Number of places registered: Conditions of registration: Category(ies) : Premier Living (Devon Partnership NHS Trust) care home 4 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: The age range category is 18 to 40 years. 4 The registered manager must obtain the Registered Manager?s Award by the 30th November 2006. Date of last inspection Brief description of the care home The Lodge provides personal care and support for up to four residents with a learning disability. The home is operated by Trust Residential Services. Although the house is on two levels, all accommodation is on the ground level. The second floor is not accessible. There are four en-suite bedrooms, a large kitchen / Care Homes for Adults (18-65 years) Page 2 of 9 3 0 1 1 2 0 0 9 Brief description of the care home dining room, a lounge and an office / sleep in room. There is a large pleasant garden to the rear of the property. The home is decorated and furnished to good standard creating a warm and homely atmosphere. The manager provides the most recent CSCI inspection report to service users and their relatives during the admission process. Subsequent reports are made available and explained to service users on request. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: This unannounced inspection was carried out over 4.5 hours by two Care Quality Commission Compliance Inspectors on 180510. Both the Registered manager and the deputy manager were present throughout this visit. This RU inspection was undertaken to look into issues raised in relation to event leading up to and including the transfer of a person who had been living at the Lodge, to another service. The issues of concern related to whether the persons health and social care needs could be fully met by the environment and staffing provided by The Lodge when the persons needs changed. Also the service, which the person was transferred to, raised concerns about the arrangements made for the persons transfer. We explained the reason we were inspecting and asked the Manager to give an account of the events leading up to the transfer of the person who had previously lived at the Lodge. The manager gave us a comprehensive account of events and it was clear the service knew the person well, having lived at The Lodge for 4 years. We were told that initially there were no problems in meeting the assessed needs of this person, but changes were noted 2 years ago. At this time the service consulted a clinical psychologist and monthly reviews were undertaken. We were told that at this time meeting the persons needs was not considered a problem by the service or psychiatrist and up to this stage complied with the criteria of the service Registration category. Staff were aware of and used strategies to meet the persons needs and staff who the person knew and responded to well were involved in his care. The service requested consultation with an occupational therapist and a speech and language therapist and the manager told us that at this time it was considered that the staff had the skills to provide a service to the person. The service provided appropriate staffing throughout this time to enable them to access activities. The manager told us that it was considered that no other service could manage the persons needs any better as the staff, deputy and manager had the skills and knowledge to continue to meet the persons needs. It was later recommended that the person would benefit from being admitted to an inpatient unit for a short stay under observation and to to review medication. The manager told us arranging this admission had been difficult and throughout this time the manager and the service were well supported by Premier Living managers. During this time the person was becoming unwell and the manager felt the person continued to live at The Lodge because of the known experience of the manager and Care Homes for Adults (18-65 years) Page 4 of 9 deputy, who are trained nurses who retain their registration no even though the service is not a nursing home. The person was admitted to an assessment unit following a visit from a psychologist and staff from unit visited the Lodge. We were told that following a lengthy stay in the unit the person was discharged after a capable environment assessment had been undertaken. The manager told us she knew the service was not suitable environmentally. The manager told us that if they had not been assurred that alternative accommodation at a service where the needs of the person would be met could be researched she would not have agreed to the person returning to The Lodge. The service agreed for the person to return to The Lodge, but under the condition that alternative environment would be found for them, and Premier Living would supply care services We were told the person wanted to return to The Lodge and was overjoyed. However the person continued to deteriorate in general health and in behaviour and it was decide the service could no longer meet their needs and it was arranged that the person be transferred to a unit where there needs could be assessed and manager. The manager continued to liaise with health care professionals, multi disciplinary meetings were held where decisions were made in the best interests of the person. We saw comprehensive recording of meetings and decisions and clear details of plans to ensure the transfer from the Lodge was in the best interests of the person. Staff from The Lodge were at the service to welcome the person when they arrived and stayed until they were sure the person felt comfortable and confident at the new service. During this visit we looked at documents which supported the information provided by the manager. Care plans, which had been reviewed every 6 months Risk assessments Healthcare Folder Development and lifestyle folder, including individual likes and hopes. Day to day diary Correspondence All records for the person had been archived the previous week and were presented to the inspectors in a box, which was not in date order or separated as outlined above. What the care home does well: The service maintains good records of individual health and social care needs. Risk assessments are undertaken and regularly reviewed to ensure that people are kept safe whilst being supported and encouraged to live their lives as they wish. Staff have received appropriate training to enable them to meet individual assessed health and social care needs of people living at the Lodge. This training includes updating in individual issues or needs as they arise to enable them to meet changing needs. Care Homes for Adults (18-65 years) Page 5 of 9 The manager and deputy are Registered Nurses and have experience of the needs of people living at the service and have a good knowledge of multidisciplinary working, policies, Mental Capacity Act and Deprivation of Liberty. This means that people are placed at the centre of their care. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 9 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 9 of 9 - 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. 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