Inspection on 23/04/08 for Lynshaw

This is the latest available inspection report for this service, carried out on 23rd April 2008.

CSCI found this care home to be providing an Good service.

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

Lynshaw 28/01/06

Lynshaw 05/09/05

Lynshaw 28/02/05

Lynshaw 16/06/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 Lynshaw 1 Hart Street Carlisle Cumbria CA1 2BP Lead Inspector Marian Whittam Unannounced Inspection 23rd April 2008 11:00 Lynshaw DS0000022596.V362293.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 Lynshaw DS0000022596.V362293.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. Lynshaw DS0000022596.V362293.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lynshaw Address 1 Hart Street Carlisle Cumbria CA1 2BP 01228 549967 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 Linda Henshaw Mrs Linda Henshaw Care Home 3 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (3), of places Mental Disorder, excluding learning disability or dementia - over 65 years of age (3) Lynshaw DS0000022596.V362293.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 3 service users to include: up to 3 service users in the category of MD (Mental disorder, excluding learning disability or dementia under 65 years of age) up to 3 service users in the category of MD(E) (Mental disorder, excluding learning disability or dementia over 65 years of age) up to 3 service users in the category of LD (Learning disability) Date of last inspection 22nd March 2007 Brief Description of the Service: Lynshaw is a residential care home registered with the Commission for Social Care Inspection to provide accommodation and support to three adults. Lynshaw is managed and owned by Mrs Lynda Henshaw. Mrs Henshaw is also the main carer. The home is in a residential area within walking distance of Carlisle city centre and close to local transport routes. The premises are a large older terraced property. Accommodation is provided in the form of three single bedrooms and shared use of a communal lounge, dining area, kitchen and conservatory. Outdoor space is provided in the form of an attractive enclosed yard to the rear of the home. Mrs Henshaw aims to provide support in a family type domestic environment and the residents live in her family home. Mrs Henshaw offers a stable, homely and caring service to the 3 people living there. All the people living have information about the home and what it offers. The current fees are paid fortnightly and are £1988.00. Lynshaw DS0000022596.V362293.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 site visit to Lynshaw forms part of a key inspection. It took place on 23.03.08 and we (The Commission for Social Care Inspection, CSCI) were in the home for three and a half hours hours. Information about the service was gathered in different ways: • An Annual Quality Assurance Assessment document was sent to the service before the visit but was not completed and returned by the manager. This document is used to identifying what the service does well and what could be improved. • The service history. • Interviews with residents and Mrs Henshaw on the day of the visit. • Observations made by us in the home during the visit. • Completed questionnaire survey forms from people living in the home. • During the visit we looked at care planning documentation and assessments to ensure the level of care provided met the needs of those living in the home and made a tour of the building to inspect the environmental standards. We assessed the handling of medicines through inspection of relevant documents, storage and discussing it with the manager/main carer. What the service does well: The people we spoke to were happy with life at Lynshaw. Comments included, “Everything is just fine, there is nothing Lynda (Mrs Henshaw) could improve”. Mrs Henshaw has created a very homely environment where people care about each other. Mrs Henshaw provides a high standard of care, which meets people’s individual needs. It was evident from speaking with Mrs Henshaw that she enjoyed and valued caring for the 3 residents and discussed their care and needs in a professional and caring manner. The emphasis in the home is on supporting the 3 people who live there to lead the lives they want in a true home environment. The people living there say they are well cared for and records show their health and personal care needs are met by the support provided. Lynshaw DS0000022596.V362293.R01.S.doc Version 5.2 Page 6 The service at Lynshaw is committed to ensuring that people with a learning disability have their right to a quality life that gives personal fulfilment met in the most appropriate way for them as individuals. The responses from people living there indicate they are supported to be independent as far as they are able and their skills and interests are maintained. Support is provided to individuals in a manner that supports and respects their rights. The home provides safe, comfortable and pleasant accommodation for residents to live in. 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. Lynshaw DS0000022596.V362293.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 Lynshaw DS0000022596.V362293.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): NMS 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living in the home benefit from living in a home that can meet their individual aspirations and needs. EVIDENCE: The responses from people living in the home indicated that they receive the support they want and need to live as independently as they can within the home and that they feel well cared for. All the people living there had an individual copy of the homes guide. The people using the service have lived there for several years, one person for 15 years, and consequently there have been no new admissions that could be assessed. The people living there were admitted after consideration of their needs and how the service could meet them. Social service assessments and reviews are kept on file. Any future admissions would follow a more formal process, as previously there was no requirement for a detailed assessment prior to admission. We discussed with the manager how they would assess someone’s needs before admission and she was clear that any prospective resident would be fully involved in the process and how she would try to Lynshaw DS0000022596.V362293.R01.S.doc Version 5.2 Page 9 ensure that they were compatible with the other 2 people living in the home before they came to live there. Lynshaw DS0000022596.V362293.R01.S.doc Version 5.2 Page 10 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): NMS 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people using this service benefit from living in an environment where they are supported to make choices about their own lives. EVIDENCE: Residents live with Mrs Henshaw in a supportive home environment and are consulted about their lives in an informal manner on a daily basis. We looked at all 3 care plans and found they covered people’s individual personal and social support and their healthcare needs. Responses from the people living there show that they know about their care plans and are aware of their rights and are being supported to make decisions about their lives including the activities they follow at home and away from it. When asked what was good about living there one person responded that “ I can do what I want”. Any potential problems or risks are looked at and plans made with the person to keep them safe and minimise risks to them as they go about their lives. Survey responses show that the people living at Lynshaw feel safe there and Lynshaw DS0000022596.V362293.R01.S.doc Version 5.2 Page 11 that their freedom of movement is not restricted; residents have a key to the front door. One person living there arrived back from a trip into town and let themselves into their home. The manager ensures that the needs of the people living there are identified and goals set to meet those needs as they change. Lynshaw DS0000022596.V362293.R01.S.doc Version 5.2 Page 12 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): NMS 12, 13, 15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living in the home are supported to have fulfilling lifestyles of their choosing and benefit from being part of the local community. Arrangements and planning to provide nutritional food and a healthy diet are good. EVIDENCE: Care plans and responses from the 3 people living in the home show that they are all able to follow activities of their choice including opportunities for employment and education. When we arrived for the visit one person living there was attending a day centre of their choosing, another was still at work and one older person had been out into town to take part in an activity of their choosing. They older person told us about their trip out that morning to the “bookies” which they liked to do and that they liked to go to the races. They told us about going to the local church twice weekly, as their faith was Lynshaw DS0000022596.V362293.R01.S.doc Version 5.2 Page 13 important to them. They said they were free to come and go and do what they wanted and enjoyed. They told us the food was very good and they had a lunchtime meal of their choice whilst we were there. They told us they always choose their own meals and that meal times are flexible to suit what they are doing. According to the plans of care and daily notes and what people told us support is provided where necessary for individuals to follow activities outside of the home. The people living there are supported to be as independent as they can and use practical life skills. One person living there enjoys music and they have a room they can use to listen to their music or use the computer if they want. Responses from the people living there indicate that their privacy is respected. People said stated that their families and friends are made welcome in the home and people are being supported to visit people in the local community as they choose. For one resident this included following the local football team. Lynshaw DS0000022596.V362293.R01.S.doc Version 5.2 Page 14 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): NMS18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home receive personal and physical support that is flexible to suits their needs and preferences so that they can maintain control in their lives. EVIDENCE: We looked at the care plans of all the people living in the home and these contained personal profiles with individual preferences on routines, specific care needs and any prompting needed. People’s plans reflected their specific and general healthcare needs including the health care professionals involved in meeting their physical and health needs, for example, their GP, the chiropodist and dentist. The manager does keep medicines for one person, as this is what they want. The medicines kept are being given as prescribed to the person choosing to do this. One person partly self medicates following a risk assessment and has a secure place to store their medication. Lynshaw DS0000022596.V362293.R01.S.doc Version 5.2 Page 15 The people who currently live at Lynshaw are able to attend to their own personal care needs such as bathing and toileting. The residents choose when to go to bed/rise and what clothes etc to wear. Prompting is given when necessary. Lynshaw DS0000022596.V362293.R01.S.doc Version 5.2 Page 16 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): NMS 22 and 23 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 are able to express their views and are protected by from abuse by the policies and practices within the home. EVIDENCE: The home’s policies and procedures and timescales for action are in line with the Department of Health guidance ‘No Secrets’ and multi agency guidance and as such Mrs Henshaw is aware of what actions to take should abuse of any type be suspected. Everyone’s care plan has information on making a complaint and all living there said in their surveys that they feel safe there and knew who to speak to if they are unhappy about something, they said they would tell Lynda (Mrs Henshaw). The residents are aware of how to complain but state they are very happy in the care they receive. The people living there say that they feel listened to and that they have opportunities to discuss what is good and what needs changing. There are systems in place to keep track of and uphold people’s financial welfare. Neither the home nor CSCI (Commission for Social care Inspection) had received any complaints about the home since the last inspection. Lynshaw DS0000022596.V362293.R01.S.doc Version 5.2 Page 17 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): NMS 25 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Lynshaw provides a clean and safe environment, which is maintained to a good standard. People’s bedrooms and the facilities provided suit their needs and lifestyles. EVIDENCE: We saw that the home was clean, tidy and free from any offensive odours. The decoration was to a good standard and there was a relaxed and homely atmosphere. The furnishings are of good quality and add to the homely atmosphere. The home is being maintained to a very high standard and the residents take pride in their home. The premises are safe and accessible to all the residents. There is a modern family kitchen and plenty of communal space so people can have privacy and quiet if they want this. There is a conservatory and outside seating. Each person living there has their own bedroom, which has been personalised and reflect his or her personality, hobbies and interests. One person also has a separate room where they keep and use their musical instruments. Lynshaw DS0000022596.V362293.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): NMS 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home have their needs fully met by Mrs Henshaw. EVIDENCE: The three people using the service live with Mrs Henshaw in the family home and Mrs Henshaw is the sole carer in the home. Mrs Henshaw has many years experience of caring for people in this client group and in discussion with her she showed knowledge and insight. No staff are employed in the home so these standards cannot be assessed fully. However Mrs Henshaw was well aware that if staff were employed in the future she must follow a robust recruitment process, including a Criminal Record Bureau check. The residents said their needs were fully met by Mrs Henshaw who knows them well. Lynshaw DS0000022596.V362293.R01.S.doc Version 5.2 Page 19 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): NMS 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at Lynshaw benefit from living in a home that is safe and well run. EVIDENCE: Mrs Henshaw (Lynda) speaks with the people living there on a daily basis about the quality of the care they receive and what they want and need. She has a clear sense of purpose for the home, which focuses on promoting residents’ independence and including the people living there in decisions about their lives and care. She treats all residents as equals and ensures their diverse needs are met in the most appropriate way. Lynshaw DS0000022596.V362293.R01.S.doc Version 5.2 Page 20 We talked with the manager who is aware of the need to protect vulnerable people from hazardous situations and has had thermostatically controlled valves installed to all hot water outlets to protect the residents from accidentally scalding themselves. Advice has been taken from appropriate authorities including the local fire officer and environmental health regarding providing a safe environment for the people who live there to live in. A new boiler has recently been fitted and appliances have been serviced. The people we spoke to said they were “very happy” living there, “that everything is just fine” and “we all get on really well together”. Comments in the surveys the people living at Lynshaw sent to us (CSCI) were all positive about life in the home. One person said that what they liked about living there was that, “I get my own space” and another that “nobody bothers me, everything is OK”. Lynshaw DS0000022596.V362293.R01.S.doc Version 5.2 Page 21 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 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 Lynshaw DS0000022596.V362293.R01.S.doc Version 5.2 Page 22 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 Lynshaw DS0000022596.V362293.R01.S.doc Version 5.2 Page 23 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. 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