This is the latest available inspection report for this service, carried out on 27th May 2010.
CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Lansbury Court Nursing Home Parkhouse Avenue Castletown Sunderland SR5 3DF two star good service 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: Hilary Stewart Date: 2 7 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Lansbury Court Nursing Home Parkhouse Avenue Castletown Sunderland SR5 3DF 01915493950 01915493955 Telephone number: Fax number: Email address: Provider web address: www.schealthcare.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Norene Ann Johnson Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross Care Management Limited care home 56 Number of places (if applicable): Under 65 Over 65 0 56 dementia old age, not falling within any other category Conditions of registration: 27 0 The maximum number of service users who can be accommodated is: 56 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 categories: Old age, not falling within any other category - Code OP, maximum number of places: 56 Dementia - Code DE, maximum number of places: 27 Date of last inspection Care Homes for Older People Page 2 of 10 Brief description of the care home Lansbury Court is registered to provide personal and general nursing care for up to thirty-seven older persons and has a separate nineteen-bed unit for personal care to older persons with dementia. The home is a purpose built single storey building. Single room accommodation is provided, some with en-suite facilities. There is adequate communal living space with good access to all areas of the home. It is built in a quadrangle shape with a central enclosed paved area and is surrounded by grassed areas. There is ample car parking to the rear of the property. There is easy access to local amenities and the home is situated on a public transport route. Fee rates range from £402 to £417 per week for residential. For nursing care the weekly rate is £402 plus £101. Extras include hairdressing, chiropody, clothing, outings and newspapers. Care Homes for Older People Page 3 of 10 What we found:
The reason for this inspection was to check the following. 1. That there are sufficient staff employed at the home who are trained and supported to provide the people who live there with good care. Also that all staff are thoroughly vetted before they start to work at the home. 2. That the home has arrangements in place to safeguard the people who live there. 3. That the care plans are clear, accurate and contain enough detail to inform staff about how they must meet the needs of the people who live at the home and provide them with good care. 4.The home has adequate arrangements in place to protect the health and safety of the people who live there. 5. To check that any requirements made at the last inspection had been met. The outcome was as follows: 1. Staff said that they receive training, which helps them with their work. The manager said that all staff receive the training and support they need. Staff said and records showed that they all have mandatory training such as first aid, food hygiene and safeguarding adults training. However, the manager said that as a result of staff leaving the home they do not always have a qualified first aider on every shift. The nursing staff have there first aid training up dated every year. Sufficient staff were on duty at the time of the visit. Staff said and records showed that sufficient staff had been on duty in the home the previous week. The manager said that that there are enough staff to cover sickness and holidays and they a working with 10 over their usual staffing levels. All staff go through a recruitment process and they cannot start to work at the home until this is completed. The manager said that all staff have been CRB Criminal Records Bureau checked at an enhanced level to make sure they are suitable people to work at the home. They are interviewed and are only successful when they have two satisfactory references. Copies of staff records showed that most of the checks had been carried out. Some records did not show that gaps in a persons work history had been explored during the recruitment process. One member of staffs records showed that they had been vetted by another organistaion not by the home. Issues had come to light recently which would question their suitability to work with vulnerable people. This may have been avoided if the homes own recruitment procedures had been followed before this person was offered a job at the home. 2. Copies of the homes complaints procedure are in the information about the home. The manager and staff said that the people who live there and their relatives know how to make a complaint. The manager said that there had been two complaints made to the home since the last inspection visit and they had both been resolved.
Care Homes for Older People Page 4 of 10 The manager said that all staff have had training in how to safeguard the people they care for. There is a copy of the Local Authority procedures and the home has copies of their own adult protection procedures for staff. All staff have had training on the homes whistle blowing policy and procedure. 3. The manager said and records showed that each person who lives at the home has an individual care plan. Some of the care plans were looked at. They contained information about the person health and personal care needs. Some needed more detail for example one said maintain privacy and dignity at all times but did not describe how staff were to do this. In another persons care plan information indicated that the person could exhibit behaviour that challenged the service. Generally the care plans did not give staff the information they needed to support people when they exhibit this type of behaviour. Risk assessments are completed for a selection of areas including falls, nutrition and deterioration in skin condition, most of them looked complete and up to date. However one persons monthly pressure risk assessment had not been completed since the 23rd March 2010. In the rest of the care plans looked at, the records were good, they showed that the residents skin was being observed and any bruising or damage was being recorded. 4. Safety checks have been carried out on the equipment in the home such as testing electrical equipment and servicing the central heating boiler. Fire safety risk assessments had been completed. The manager said that they have frequent fire drills and staff receive training so they know how to keep people safe if there is a fire. This training is repeated regularly. The manager said that the medical equipment in the home is serviced regularly but they could not find a risk assessment or procedure for the use of suction equipment. 5. The home did not have any unpleasant odours on the day of the inspection visit. Enough staff are deployed at mealtimes so staff do not have to support more than open person at a time. The manager now makes sure that when vetting staff they get a reference from their current employer. What the care home does well: What they could do better:
If all of the care plans had sufficient detail, provided information about peoples emotional, social and behavioural needs and all parts of the plan were completed with the date, staff would know that the information in them was up to date and correct. This would mean that they would be sure they were providing the people at the home with the support and care they need. Robust recruitment procedures and records would show that all of the staff have been properly vetted and this would demonstrate that the organisation have made sure that they only employ suitable people to work at the home and therefore safeguard the people who use the service.
Care Homes for Older People Page 5 of 10 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 Older People Page 6 of 10 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 Older People Page 7 of 10 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 1 6 15 Care plans must contain 30/07/2010 sufficient detail to provide staff with up to date and accurate information about how they meet each person needs and provide them with good care. This will make sure that staff are following consistent practices. 2 29 19 All staff must be thoroughly vetted before they start to work at the home. This will demonstrate that the organsiation take seriously their responsibilities to only employ suitable people at the home therefore safeguard the people who live there. 30/07/2010 Care Homes for Older People Page 8 of 10 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 Older People Page 9 of 10 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 Older People 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 Older People Page 10 of 10 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
