Inspection on 11/09/08 for Leanne

This is the latest available inspection report for this service, carried out on 11th September 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Leanne 31/01/06

Leanne 25/05/05

Leanne 22/02/05

Leanne 09/08/04

Leanne 24/03/04

Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

CARE HOME ADULTS 18-65 Leanne 158 Warwick Road Carlisle Cumbria CA1 1LG Lead Inspector Nancy Saich Unannounced Inspection 11 September 2008 11:00 th Leanne DS0000022710.V369670.R02.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 Leanne DS0000022710.V369670.R02.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. Leanne DS0000022710.V369670.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Leanne Address 158 Warwick Road Carlisle Cumbria CA1 1LG 01228 525936 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) Mrs Anne Langhorne Mrs Anne Langhorne Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Leanne DS0000022710.V369670.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th September 2006 Brief Description of the Service: Leanne provides accommodation, care and support for one resident who has lived in the home for a number of years. Although the home is registered to accommodate up to three service users the registered manager does not intend to admit any more residents. The registered manager is the main carer and aims to provide care in a family environment with the resident being treated as an addition to her own family. The home is situated near the centre of Carlisle close to shops, doctors, dentists etc and within easy reach of the town centre. The premises are a large older terraced property with enclosed front courtyard and rear yard. The resident has sole use of a large ground floor bed/sitting room with an en-suite combined bathroom/toilet. Shared space is available in the form of two sitting rooms, a large family kitchen with dining area and a large enclosed rear yard with patio furniture. All referrals are made, and funded via the Integrated Health and Social Services Team. The current scale for charging is £380 per week. Leanne DS0000022710.V369670.R02.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 two star. This means that people who use this service experience good quality outcomes. This was the main or key inspection for the year. The lead inspector Nancy Saich asked the manager to fill out a form called the Annual Quality Assurance Audit (the AQAA). This asks for details of what has improved in the home since the last inspection and for the plans for the coming year. This was completed promptly. We then sent out postal surveys to the person who lives in the home and to mental health professionals. We had a good response to these surveys. They gave us a good picture of what its like to live in the home. We visited the house and met with the resident. We also looked at files and documents that backed up what was said and what was seen. What the service does well: What has improved since the last inspection? Leanne DS0000022710.V369670.R02.S.doc Version 5.2 Page 6 The provider continues to listen to her resident and is happy to provide anything that improves his lifestyle. 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. Leanne DS0000022710.V369670.R02.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 Leanne DS0000022710.V369670.R02.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 adequate. This judgement has been made using available evidence including a visit to this service. The provider needs to make sure she completes a full assessment before considering admitting any other residents so that she is confident in managing any new persons care. EVIDENCE: The provider has told us in the past that she will not be admitting any more residents. She was however persuaded to take someone in as a tenant. We did not meet this person on the day but we had evidence to show that this person did not receive care from the provider. The provider was concerned about the needs of this person and we advised her to discuss their care needs with their care manager. We recommend that the provider asked for full information about any person who is coming to stay in her property and that she makes sure that any admission is only completed after a full assessment of the persons needs. Leanne DS0000022710.V369670.R02.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 good This judgement has been made using available evidence including a visit to this service. The resident of this home is satisfied with the care and services provided. EVIDENCE: The provider has written a simple care plan that covers all the needs of the resident. There is also a more formal care plan written by the mental health professional who is the care manager for the resident. We spoke to the resident and he was very positive about the support given to him by the provider and her husband. In discussion with all of them it could be seen that the resident’s care and support were uppermost in the way things were arranged in the house. The resident was involved in activities of daily living. The provider gives a lot of encouragement to the resident and is aware of any risks involved in motivating this person. We had evidence to show that she takes suitable steps to reduce any risk. Leanne DS0000022710.V369670.R02.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 good. This judgement has been made using available evidence including a visit to this service. This home provides the resident with the kind of lifestyle he prefers but also allows him to be as safe and well as possible. EVIDENCE: We saw evidence to show that the provider tries to encourage the resident to engage in activities every day and that she supports him in getting out and about within the local community. The resident chooses the kind of lifestyle he prefers. The provider told us that she gives him a range of choices but his preference is to live very quietly. We could see that the resident was very relaxed in his own home and he was able to make choices and decisions about his role within this family setting. He made it very clear that he was aware of his rights within the house and had no problems asking for what he wanted. Leanne DS0000022710.V369670.R02.S.doc Version 5.2 Page 11 The resident was well nourished and he said he enjoyed normal family meals. The provider is aware of his favourite foods and he sometimes accompanies her on shopping trips Leanne DS0000022710.V369670.R02.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The resident’s personal and health care is well monitored in this home and this allows him to be as well as possible. EVIDENCE: The provider helps and supports the resident with his daily personal care needs and he seemed comfortable with this arrangement. It could be seen that he has plenty of social and emotional support from this small family home. The mental health professionals involved with his care were pleased with his progress and they feel that he is suitably supported in this setting. His file showed that his medication was reviewed regularly. The provider looks after his medicines and supports him to take them correctly. We checked on these and found them to be in order. Leanne DS0000022710.V369670.R02.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. This home is good at protecting the service user from harm and is keen to keep risks to a minimum. EVIDENCE: We had not received any formal complaints about this service and the provider said that the resident had not made any complaints. We also heard from the resident’s care manager and she had received no complaints. The provider is aware of the vulnerability of residents in her type of care home. She carefully monitors the activities of her service user and he spends all of his time with her or with her husband. This reduces the risk of any potential abuse. The provider is aware of the local policies and procedures in relation to safeguarding adults. Leanne DS0000022710.V369670.R02.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home gives the service user a comfortable, clean and safe place to live that gives him both privacy and companionship. EVIDENCE: 158 Warwick Rd is near to all the amenities of Carlisle and is within easy travelling distance to shops and recreational venues. The resident lives in a normal family home that is comfortable, clean and well maintained. He has a bed sitting-room with ensuite facilities and access to a number of shared spaces. We saw evidence to prove that the provider is aware of how to prevent cross infection and the house was clean and fresh on the day of the inspection. The person who lives in the service sees the home as his ‘house’ and he is very relaxed in the building. Leanne DS0000022710.V369670.R02.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care and services are provided by the owner so the service is very individual and meets the resident’s needs. EVIDENCE: The provider manages all the care of the resident herself. She is an experienced person with a good working knowledge of the needs of a person with long-standing mental health issues. The service user is relaxed in her company and we could see that there was affection, respect and good understanding between them both. Leanne DS0000022710.V369670.R02.S.doc Version 5.2 Page 16 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 good. This judgement has been made using available evidence including a visit to this service. This home is well managed as a normal family home. EVIDENCE: This residential care home is also the providers home. It is managed as a normal domestic house but the provider also makes sure that she complies with health and safety regulations. The resident was able to express his satisfaction with the way the house was managed. We saw no hazards on the day and the provider gave us evidence to show that she is aware of the health and safety needs of her resident. Leanne DS0000022710.V369670.R02.S.doc Version 5.2 Page 17 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 2 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 3 23 3 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 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Leanne DS0000022710.V369670.R02.S.doc Version 5.2 Page 18 Are there any outstanding requirements from the last inspection? NO 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 YA2 Good Practice Recommendations It is recommended that the provider makes sure she is able to complete a full assessment of need before anyone comes to live in her property. Leanne DS0000022710.V369670.R02.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Leanne DS0000022710.V369670.R02.S.doc Version 5.2 Page 20 - 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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