Inspection on 25/05/07 for 1 Lanark Close

This is the latest available inspection report for this service, carried out on 25th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

1 Lanark Close 04/07/05

1 Lanark Close 28/09/04

1 Lanark Close 27/04/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Blenheim House

Prince Bishop Court

Park View (15)

Craigmore House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 1 Lanark Close Elm Tree Farm Stockton-on-Tees TS19 0UY Lead Inspector Val Daly Key Unannounced Inspection 25th May 2007 09:30 1 Lanark Close DS0000035396.V340729.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 1 Lanark Close DS0000035396.V340729.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. 1 Lanark Close DS0000035396.V340729.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 1 Lanark Close Address Elm Tree Farm Stockton-on-Tees TS19 0UY 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) 01642 527841 01642 528844 Stockton-on-Tees Borough Council Susan Mary Blakemore Care Home 16 Category(ies) of Learning disability (16), Physical disability (16) registration, with number of places 1 Lanark Close DS0000035396.V340729.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home can accommodate on a respite basis one service user with physical disabilities (PD). 6th February 2006 Date of last inspection Brief Description of the Service: Lanark Close is a purpose built home on three levels providing care for sixteen younger adults with a learning disability. The home is managed by Stocktonon-Tees Borough Council and offers a range of respite (twelve beds) and long term (four beds) residential services. The home normally provides long-term accommodation for four younger adults in a separate flat with the aim of developing independence skills. At the time of inspection this unit was being used by two people. Each level of the home has its own kitchen and bathroom facilities although service users rarely use the upper floor. Each bedroom is a minimum of 10 sq. m. There is a communal dining room and two communal lounges. Lanark is close to local shops and amenities. There is a small car park at the side of the home. Fees charged are dependent on the persons individual circumstances and range from no charge to £536.00 per week. 1 Lanark Close DS0000035396.V340729.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a key inspection and was completed by one inspector over two days. At the time of the inspection the manager was on sick leave, and the deputy manager and staff in the home provided the information and documentation required. As a key inspection, all of the key standards were examined. A tour of the home took place, resident’s records were examined, records including accidents, complaints and menus were looked at and staff, the deputy manager staff and residents were engaged in discussion about staying at Lanark House. The Commission for Social Care Inspection sent a number of questionnaires to the home for residents to complete. Four were returned from residents and relatives. Comments from residents and relatives include: • I am happy with what I do at Lanark. They take us out at the weekend. • I can sometimes do what I want. • Sometimes I visit a relative at weekends. • I like it here, it’s nice. • Nice staff in here. What the service does well: During the week residents usually remain in their usual routines, attending day centres or being out in the community. In the evenings and weekends a variety of activities are available. Residents interviewed during the inspection particularly enjoy going out to play pool, local shops and watching films in house. There are regular visits to local pubs, disco, outings to Whitby, Redcar and also sometimes to the Metro Centre. There is a kitchen/craft room in the home and residents enjoy colouring, making crafts and art. The menus showed a good variety of food with choices for every meal including a vegetarian meal. The cook is informed of the likes and dislikes of every resident and always tries to incorporate the resident’s favourite food when they visit. The home has a staff training programme in place, which is reviewed regularly. At the time of the inspection all ten residential care officers had achieved NVQ level 2 or above. The four care assistants employed had also achieved NVQ level 2. The manager and deputy manager have been in post for many years as have the majority of the staff. This ensures a consistent approach with the residents and staffs are aware of their individual needs and wishes. 1 Lanark Close DS0000035396.V340729.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. 1 Lanark Close DS0000035396.V340729.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 1 Lanark Close DS0000035396.V340729.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service have their needs assessed prior to admission. EVIDENCE: Three residents files were examined and they all contained a full detailed assessment of needs: health, medication, communication/sensory needs, mobility/community access, relationships/emotional needs, finance, personal care, transport, day care, routines. Prospective residents are invited to visit the home and may stay for a meal or overnight on a weekend depending on their individual needs. 1 Lanark Close DS0000035396.V340729.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 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Individuals are involved in decisions about their lives. EVIDENCE: Three sets of documentation were examined; they each contained a personal profile of the resident, a pen picture and a care plan. The information was comprehensive and easy to read. Within the documentation examined, risk assessments were in place for: fire, community access, contact, behaviour, finances, bathing, health and religion. Residents are involved with their plans of care and sign to show agreement. Prior to every stay at the home the resident’s key worker telephones the relatives to update the care plan if needed. Following each stay the resident’s relative is asked to complete a review questionnaire. 1 Lanark Close DS0000035396.V340729.R01.S.doc Version 5.2 Page 10 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 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who use the services are able to make choices about their lifestyle, and supported to develop their life skills. EVIDENCE: During the week residents usually remain in their usual routines, attending day centres or being out in the community. In the evenings and weekends a variety of activities are available. Residents interviewed during the inspection particularly enjoy going out to play pool, local shops and watching films in house. There are regular visits to local pubs, disco, outings to Whitby, Redcar and also sometimes to the Metro Centre. There is a kitchen/craft room in the home and residents enjoy colouring, making crafts and art. There are many friendships between the residents who stay at the home. During the inspection it was noted that staff were friendly and respectful towards the residents, giving them choices of how to spend their day. The menus showed a good variety of food with choices for every meal including a vegetarian meal. The cook is informed of the likes and dislikes of every 1 Lanark Close DS0000035396.V340729.R01.S.doc Version 5.2 Page 11 resident and always tries to incorporate the resident’s favourite food when they visit. Some of the residents have special diets or just particular ways of having food served: cut up small, cooler and the cook is aware of those individual needs. On the day of the inspection mushroom risotto was a choice for lunch, it was sampled and was fresh and very tasty. Residents and staff have a meal together, five residents who were at home during the inspection said how much they enjoyed their meals. 1 Lanark Close DS0000035396.V340729.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: The care plans examined detailed the personal support needed and given. All residents who stay at the home have their own General Practitioner. Each resident receives support from staff to the level that they choose and require. Policies and procedures are in place for the ordering, receipt, storage, disposal and administration of medication. Examination of medication administration records and storage of medication showed that the procedures were being followed. Two members of staff interviewed said they have received training for the safe handling of medication. This was confirmed in staff training files. 1 Lanark Close DS0000035396.V340729.R01.S.doc Version 5.2 Page 13 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 excellent. This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse, and have their rights protected. EVIDENCE: The home has a complaints procedure and policy in place. There had not been any complaints made to the home since the previous inspection. Residents interviewed said they would speak to a member of staff if they were worried about anything. Staff work closely with the residents and relatives to ensure any concerns or grumbles are dealt with straight away. The home has an adult protection policy and procedure in place, staffs training files examined showed that training in ‘No Secrets’, the protection of vulnerable adults had been completed. Two members of staff interviewed confirmed they had received the training and knew the procedure to follow in the case of suspected abuse. 1 Lanark Close DS0000035396.V340729.R01.S.doc Version 5.2 Page 14 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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and lay out of the home enables people who use the service to live in a safe, wellmaintained and comfortable environment, which encourages independence. EVIDENCE: A tour of the home was carried out. All areas of the home were comfortable, safe and generally well maintained. Bedrooms were well furnished and contained the resident’s personal items they had brought with them for their stay. . The deputy manager said that funds had been made available for the garden area. The home was clean and odour free. 1 Lanark Close DS0000035396.V340729.R01.S.doc Version 5.2 Page 15 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, 35 & 36 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staffs in the home are trained, skilled and insufficient numbers to support the people who use the service. EVIDENCE: The home has recruitment policies and procedures in place. Four staff files were examined and the required checks were in place. On commencement of employment each member of staff has a corporate induction followed by a skills for care induction programme, which they work through with a mentor. This process can take up to six months. The home has a training programme in place and individual plans are reviewed in supervision and appraisal sessions. The deputy manager said that there are also ad hoc ‘away days’ where the whole staff group undertake a day’s study. Staff training files were examined which showed training had been carried out in Adult Protection, Infection Control, First Aid, Fire Training. At the time of the inspection all ten residential care officers had achieved NVQ level 2 or above. The four care assistants employed had also achieved NVQ level 2. Two members of staff interviewed clearly enjoyed their job and felt the training, 1 Lanark Close DS0000035396.V340729.R01.S.doc Version 5.2 Page 16 support and supervision was good. The home has a formal supervision system in place with staff receiving supervision every eight weeks. 1 Lanark Close DS0000035396.V340729.R01.S.doc Version 5.2 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect and has effective quality assurance systems. EVIDENCE: The home has an annual business plan in place and a quality assurance system. Regular audits are undertaken, of the service provided. These include monthly audits of complaints, accidents, maintenance and decoration and regulation 26 visits from the service manager. Staff meetings are held regularly and minutes are kept. Meetings for residents are held but not on a regular basis as the group of residents constantly change. The manager or deputy manager is also available to speak with residents and staff on a daily basis. Questionnaires are sent out to residents and relatives annually. From the responses an action plan is formulated to address any suggestions or issues. The home has health and safety policies and procedures in place. Training files showed that staff has received training in health and safety 1 Lanark Close DS0000035396.V340729.R01.S.doc Version 5.2 Page 18 Residents receive good support from staff to ensure that their personal, physical and emotional health needs are met. The manager and deputy manager have been in post for many years as have the majority of the staff. This ensures a consistent approach with the residents and staffs are aware of their individual needs and wishes. 1 Lanark Close DS0000035396.V340729.R01.S.doc Version 5.2 Page 19 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 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 4 X X 3 X 1 Lanark Close DS0000035396.V340729.R01.S.doc Version 5.2 Page 20 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. Refer to Standard Good Practice Recommendations 1 Lanark Close DS0000035396.V340729.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 1 Lanark Close DS0000035396.V340729.R01.S.doc Version 5.2 Page 22 - 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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