Inspection on 04/07/05 for 1 Lanark Close

This inspection was carried out on 4th July 2005.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

1 Lanark Close 06/02/06

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 Julia Connor Unannounced 4 July 2005 11:45 am 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 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 Stationary 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 B51-B01 S35396 Lanark Close V235588 040705 Stage 4.doc Version 1.40 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 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 391716 Stockton-on-Tees Borough Council Susan Mary Blakemore Care Home 16 Category(ies) of LD Learning disability (16) registration, with number PD Physical disability (16) of places 1 Lanark Close B51-B01 S35396 Lanark Close V235588 040705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th September 2004 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, however at the time of inspection this unit was not in use. 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. 1 Lanark Close B51-B01 S35396 Lanark Close V235588 040705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection commenced at 11.45 a.m. and concluded at 3.30 p.m. Only two Residents were spoken to during the inspection as the other Residents were out in the community. Two members of staff were spoken to during the inspection. There were no visitors to the home at the time of the inspection. What the service does well: What has improved since the last inspection? Décor within the home has improved; both lounges have been decorated, as have the corridors. Bedrooms have also been decorated following the new radiators that were installed. The staff have started to improve the Residents care documentation. The statement of Purpose, Service Users Guide and Residents contracts has been improved upon. 1 Lanark Close B51-B01 S35396 Lanark Close V235588 040705 Stage 4.doc Version 1.40 Page 6 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. 1 Lanark Close B51-B01 S35396 Lanark Close V235588 040705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 1 Lanark Close B51-B01 S35396 Lanark Close V235588 040705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 and 5 Prospective Residents have the information they need to make an informed choice about where to live. Each Resident has an individual written contract with the home. EVIDENCE: The home has a statement of purpose and a Service User Guide, which can be accessed by anyone who wishes to know what facilities and services the home offers. An audit of two Residents care files revealed that both had a written contract, which had been signed by the Resident and Manager. 1 Lanark Close B51-B01 S35396 Lanark Close V235588 040705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 and 9 Residents know that their changing needs and personal goals are reflected in their individual plan. Residents are supported to take risks as part of an independent lifestyle. EVIDENCE: The staff is currently improving the recording in the Residents care documentation. The Inspector audited two care files, one file had been updated and the second file was still to be done. However, both files had care plans and risk assessments that had been reviewed appropriately as recommended in the last inspection report. Care plans and risk assessments had been signed by the Resident or their next of kin and their key worker. Daily statements contained an account of how the Resident had spent his/her day. 1 Lanark Close B51-B01 S35396 Lanark Close V235588 040705 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11 Residents have opportunities for personal development. EVIDENCE: On the day of the inspection only two Residents where in the home; the other Residents where at day centres or accessing other interests in the community. Whilst in the home the Residents can carry out household duties in preparation for them moving to a more independent living environment, e.g. the Residents have a kitchen to prepare their meals and do their laundry. There is always a member of staff available for support and guidance. One Resident told the Inspector how he enjoyed using his computer and how he takes an active part in many community groups. He stated that he likes living at the home but he is moving to a more independent setting within the community within the next few months. 1 Lanark Close B51-B01 S35396 Lanark Close V235588 040705 Stage 4.doc Version 1.40 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 20 Resident’s physical needs are met. Medication is kept safely within the home and the appropriate records are maintained. EVIDENCE: There was evidence within the Residents care documentation that showed that the Residents health care needs were met; the required amount of support is given to the Residents by the staff. Medication is received and stored in the home according to the policy and procedure. Each Resident had their own container for their prescribed medication. The appropriate records for administrating medication are maintained by the staff. Staff have received training for the safe administration of medication. 1 Lanark Close B51-B01 S35396 Lanark Close V235588 040705 Stage 4.doc Version 1.40 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 Staff are aware of the action to take should a complaint or allegation of abuse be made. EVIDENCE: There is a policy and procedure for dealing with allegations of abuse. The home also has a copy of the Teeswide Guidance for the protection of Vulnerable Adults. Staff had signed to confirm that they have read the policy and procedure. There is a system in place for dealing with complaints using the local authority’s complaints process. Complaint forms are available within the home as is the contact number and address of the Commission for Social Care Inspection (CSCI). How to complain to the Manager or CSCI is also detailed in the Statement of Purpose and the Service Users Guide. 1 Lanark Close B51-B01 S35396 Lanark Close V235588 040705 Stage 4.doc Version 1.40 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 26 The areas which the Residents have access too are homely and comfortable; bedrooms promote the Residents independence. EVIDENCE: The majority of the repair and decorating work that was highlighted in the last inspection report has been attended to. The corridors, bathroom and rehab kitchen have been decorated. Resident’s bedrooms have also been decorated due to new radiators being fitted. The two communal lounges have been decorated, as had the communal dining area. Residents and a member of staff had made the garden ready for the summer. The patio area had been power washed, garden benches painted and plants potted up into containers. The corridor outside of bedroom 12, downstairs flat, still has cracked plaster on the walls. The carpet in bedroom 12 still needs to be replaced due to the gaps made by the previous radiator. This area is currently not in use. 1 Lanark Close B51-B01 S35396 Lanark Close V235588 040705 Stage 4.doc Version 1.40 Page 14 Many of the bedrooms that the Inspector went into had been personalised by the Resident. One Resident had his laundry in a basket ready to take to the rehab kitchen to do his washing. The assistant unit manager commented on how the décor of the bedrooms had improved over the last few months. 1 Lanark Close B51-B01 S35396 Lanark Close V235588 040705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 35 and 36 Staff training takes place to ensure the needs of the Residents are met. The Inspector was unable to access the supervision documentation. EVIDENCE: 30 of the staff have their NVQ Level 2 or 3 and a further eleven members of staff are currently studying for level 2 or 3. The following training has taken place since the last inspection in September 2004: • • • • • • Infection Control. Care of Medicines. No Secrets. First Aid. Food Awareness. Health and Safety. The staff stated that supervision took place on a regular basis and the supervision/appraisal schedule was on the wall in the office. However, as the Manager was not on duty on the day of the inspection the individual staff supervision files could not be accessed. 1 Lanark Close B51-B01 S35396 Lanark Close V235588 040705 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 40, 41 and 42 The quality assurance and monitoring system for the home was not available for inspection. The required policies and procedures are in place. The health, safety and welfare of the Residents are promoted. EVIDENCE: On the day of the inspection the Manager was not on duty so the work she had already taken to meet standard 39 was not available. The home has in place all of the policies and procedures set out in Appendix 2 of the National Minimum Standards for Younger Adults (18-65). Residents have written contracts in their care files. Care plans and risk assessments are reviewed on a regular basis. 1 Lanark Close B51-B01 S35396 Lanark Close V235588 040705 Stage 4.doc Version 1.40 Page 17 The Fire Brigade visited the home on the 10th May 2005. The estates department of Stockton-on-Tees Borough Council is currently attending to the requirements and recommendations made from that visit. There was a photograph of the Resident in the files audited by the Inspector. Training in regards to Infection Control and Safe Handling of Medication has taken place. 1 Lanark Close B51-B01 S35396 Lanark Close V235588 040705 Stage 4.doc Version 1.40 Page 18 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x x x 3 Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x 3 x x x x Standard No 11 12 13 14 15 16 17 3 x x x x x x Standard No 31 32 33 34 35 36 Score x 2 x x 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 1 Lanark Close Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 2 3 3 3 x B51-B01 S35396 Lanark Close V235588 040705 Stage 4.doc Version 1.40 Page 19 YES 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. 1. Standard YA24 Regulation 23 Requirement The hallway in the flat has cracked plaster on the walls. This must be repaired and redecorated. THIS IS OUTSTANDING FROM THE SEPTEMBER 2004 INSPECTION. The carpet in bedroom 12 has gaps where the radiator has been installed. This must be replaced.THIS IS OUTSTANDING FROM THE SPETEMBER 2004 INSPECTION. The Registered Manager must establish an effective quality assurance and monitoring system as set out in the Standard.THIS IS OUTSTANDING FROM THE SEPTEMBER 2004 INSPECTION. Timescale for action 31st October 2005 2. YA26 16 31st October 2005 3. YA39 24 31st October 2005 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 YA8 Good Practice Recommendations The home should include service users in staff meetings, policy groups and other forums as set out in the Standard. B51-B01 S35396 Lanark Close V235588 040705 Stage 4.doc Version 1.40 Page 20 1 Lanark Close 2. YA24 3. 4. YA32 YA36 Consideration should be given to widening the doorway between the entrance and the lobby, as the area is quite narrow, in order to ensure ease of access for wheelchair users. 50 of care staff should hold a NVQ qualification at Level 2 or equivalent in care by 2005. All staff working at the home must receive regular, recorded supervision meetings at least six times per year. 1 Lanark Close B51-B01 S35396 Lanark Close V235588 040705 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Unit B, Advance St Marks Court Teesdale, Stockton-on-Tees TS17 6QX National Enquiry Line: 0845 015 0120 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 B51-B01 S35396 Lanark Close V235588 040705 Stage 4.doc Version 1.40 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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