CARE HOME ADULTS 18-65
1 Lanark Close Elm Tree Farm Stockton-on-Tees TS19 0UY Lead Inspector
Julia Connor Unannounced Inspection 6th February 2006 13:15 1 Lanark Close DS0000035396.V258815.R01.S.doc Version 5.1 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.V258815.R01.S.doc Version 5.1 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.V258815.R01.S.doc Version 5.1 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.V258815.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The home can accommodate on a respite basis one service user with physical disabilities (PD). 4th July 2005 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, 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 DS0000035396.V258815.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection commenced at 1.15 p.m. and concluded at 4.45 p.m. Three Residents’ and two members of staff were spoken to during the inspection. There were no visitors to the home at the time of the inspection. Eight Residents’ returned comment cards. What the service does well: What has improved since the last inspection?
The cracked plaster in the flat hallway has been repaired and the carpet in bedroom 12 has been replaced. The quality assurance and monitoring system has been developed by the Manager. Residents’ are encouraged to attend staff meetings. 62 of the staff have an NVQ Level 2 in care and now receive regular supervision. 1 Lanark Close DS0000035396.V258815.R01.S.doc Version 5.1 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 DS0000035396.V258815.R01.S.doc Version 5.1 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.V258815.R01.S.doc Version 5.1 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 the following standard(s): 2 Residents’ needs are assessed prior to their admission to the home. EVIDENCE: Four Residents’ files were audited and showed that, prior to admission, the Residents’ had received a comprehensive and detailed assessment. 1 Lanark Close DS0000035396.V258815.R01.S.doc Version 5.1 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 the following standard(s): 7 and 8 Residents’ are encouraged to make decisions about their lives and are consulted on and participate in decision making within the home. EVIDENCE: It was evident from talking to the Residents’ that they were encouraged to make their own decisions about their life style, for example one Resident stated that she liked to lay on her bed and listen to CD’s and another Resident stated that he liked to go to the dancing and the staff were going to try and get him some dance lessons. There was evidence in the documentation to show that the Residents’ were involved in planning their care and making decisions regarding their every day lives, with support as required. Residents’ opinions regarding the home are sought, for example the Cook asks the Residents’ what they want on the menu. The Manager stated that the Residents’ are given the opportunity to attend staff meetings and participate in interviewing prospective members’ of staff. The interaction observed between the Residents’ and members of staff was kind and respectful. 1 Lanark Close DS0000035396.V258815.R01.S.doc Version 5.1 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 the following standard(s): 12, 13, 15, 16 and 17 Residents’ have opportunities for personal development and are part of the local community. Residents’ are able to have personal relationships and their rights are respected. Residents’ are offered a healthy diet, which they enjoy. EVIDENCE: The Residents’ documentation followed by discussion with the Residents’ confirmed that they had opportunities for personal development. The Residents’ informed the Inspector that they attended day centres and/or college. They also visit the cinema, go bowling and watch football on the big screen at the local pub. 1 Lanark Close DS0000035396.V258815.R01.S.doc Version 5.1 Page 11 It was evident following discussion with Residents and staff that the Residents’ rights were respected and they were encouraged to make their own decisions, for example one Resident stated that he had chosen to eat a healthy diet and also observed what the staff ate and told them if he thought they were not eating as healthy as they should. Residents’ engage in personal relationships if they so choose. Residents’ informed the Inspector that the ‘food was good’; The Residents’ who returned the comment cards agreed that the food was good. On the day of the inspection there were four choices for the evening meal, which included a vegetarian meal. There was a board on the wall in the kitchen, which had a list of the Residents’ preferences. On the day of the inspection the kitchen was clean and tidy. 1 Lanark Close DS0000035396.V258815.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Residents’ receive personal support in the way they prefer. EVIDENCE: The Residents’ who spoke to the Inspector were happy with the personal support they received from the staff for example one Resident stated that she liked to have a shower without the staff present but knew they were there if she needed them. Another Resident stated that he was on a healthy eating plan and doing well and that he also kept an eye on what the Manager was eating. He then proceeded to reprimand the Manager for what she had eaten over the weekend and told her what she should have had. 1 Lanark Close DS0000035396.V258815.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Residents’ feel that their views are listened to and acted upon. EVIDENCE: There is a policy and procedure for the staff to follow should they receive a complaint. There is literature available for Residents’ and their family member to access should they wish to make a complaint. The Inspector observed that the Residents’ were comfortable with the staff and all three asked for a member of staff to be present whilst they spoke to the Inspector. One Resident stated that she knew that the staff where there should she need them for anything. 1 Lanark Close DS0000035396.V258815.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26 and 30 Residents’ live in a homely, comfortable and safe environment, which is clean and hygienic. Bedrooms meet the Residents needs and promote independence; specialist equipment is available. EVIDENCE: On the day of the inspection the environment was homely and comfortable and the Residents’ stated that they were happy with it. The Manager and Inspector discussed the recommendation regarding the widening of the doorway between the entrance and the lobby; the Manager stated that the work is planned for the end of the financial year. On the day of the inspection the home was clean and tidy. equipment was observed in the bathrooms. Specialist 1 Lanark Close DS0000035396.V258815.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 36 Residents’ are cared for by staff who have received the appropriate training. Staff receive regular formal supervision. EVIDENCE: It is commendable that the home has gone from having 30 of the staff trained to NVQ Level 2 to 62 . An audit of the personnel files showed that staff now receives regular formal supervision. Staff who spoke to the Inspector confirmed that they received regular supervision. 1 Lanark Close DS0000035396.V258815.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 39 The Residents’ and staff benefit from a well run home. confident that their views are listened to and acted upon. EVIDENCE: Residents’ are The staff spoke well of the Manager. The interaction between the Residents’ and Manager was observed to be kind, caring and supportive. There is a quality assurance and monitoring system in place, however the Manager stated that she intends to develop it further by including a maintenance audit of the home. Regualtion 26 visits are forewarded to the Commission for Social Care Inspection. 1 Lanark Close DS0000035396.V258815.R01.S.doc Version 5.1 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 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 X ENVIRONMENT Standard No Score 24 2 25 X 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 3 X 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 X X X 3 X 3 X X X X 1 Lanark Close DS0000035396.V258815.R01.S.doc Version 5.1 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 YA24YA24 Good Practice Recommendations Consideration should be given to widening the doorway between the entrance and the lobby, in order to ensure ease of access for wheelchair users. 1 Lanark Close DS0000035396.V258815.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Tees Valley Area Office 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
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