Inspection on 24/04/07 for 97 Luncies Road

This inspection was carried out on 24th April 2007.

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

97 Luncies Road 27/02/06

97 Luncies Road 03/10/05

97 Luncies Road 09/05/05

97 Luncies Road 01/11/04

97 Luncies Road 23/01/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Luncies Road (97) 97 Luncies Road Basildon Essex SS14 1SD Lead Inspector Sarah Hannington Unannounced Inspection 24th April 2007 11:00 Luncies Road (97) DS0000018030.V337508.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 Luncies Road (97) DS0000018030.V337508.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. Luncies Road (97) DS0000018030.V337508.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Luncies Road (97) Address 97 Luncies Road Basildon Essex SS14 1SD 01268 555488 01268 555488 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) Walsingham Miss Hilary Susan Ager Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Luncies Road (97) DS0000018030.V337508.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th February 2006 Brief Description of the Service: 97 Luncies Road is a care home providing personal care and accommodation for up to five adults with a learning disability. The home is a two storey detached residence, which was originally built in the 1970s as a children’s home, and was later, in 1989 refurbished and registered as a Christian based home run by Walsingham. The home’s facilities include a living room and separate dining room and each resident has their own single room. There is a spacious garden with a separate patio area. The home is situated at the end of a no through road next to a private housing estate and is located close to local shops and Basildon town centre. The home is within walking distance of public transport facilities. Luncies Road (97) DS0000018030.V337508.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Key inspection site visit took place over a period of 4 hours. During the Inspection the Deputy manager of the home were present throughout. A tour of the home took place. Staff and service users were spoken with during this inspection. The visit mainly focused on all Key standards and all of the requirements from the last inspection report. Random samples of records, policies and procedures were inspected. What the service does well: What has improved since the last inspection? What they could do better: Documents such as concerns, complaints and maintenance issues need to evidence clearly what action has been taken and have a closing date with the outcome. These documents need to evidence what stage they are at in terms of detailing any issues raised during investigation or work pending and to indicate why this is on going. Rota’s need to reflect accurately who is present on shift. Within service user care plans signatures and date need to be evident consistently for all individuals. Staff training, supervision and recruitment files need to be available for inspection. General maintenance paperwork needs to be developed further do that evidences improvement plan are in place for all communal and individual’s rooms. Luncies Road (97) DS0000018030.V337508.R01.S.doc Version 5.2 Page 6 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. Luncies Road (97) DS0000018030.V337508.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 Luncies Road (97) DS0000018030.V337508.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): 2 Quality in this area is good. This Judgement has been made using available evidence including a visit to this service. Initial assessments were in place and the homes systems for assessing individual needs prior and once admission has taken place are to a good standard. EVIDENCE: Luncies Road demonstrated that it has procedures, which meets the needs of individuals prior to admission. Pre-admission and initial assessments were evidenced in resident’s files. A statement of purpose is in place, which includes Staff training and qualifications and complaints procedure. Care plans have been based on person centred planning and have been recently reviewed and were evidenced as being written and recorded from the services users needs, likes and dislikes. There have been no new service users admitted recently. Luncies Road (97) DS0000018030.V337508.R01.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 and 9 Quality in this area is excellent. This Judgement has been made using available evidence including a visit to this service. The home has demonstrated that a person centred care plan process for all service users is in place and that a good system of risk assessing is in place. EVIDENCE: Care plans are to a good standard and evidenced other professionals have been used whilst reviewing care plans. All the care plans have been written from service users points of view as much as possible. The care plans have included the involvement of families, staff observation, day centres and other professionals. The care plan itself has a ‘holistic’ approach and covered all areas of a person’s life which you would hope to be included such as preferences, safety, communication, spiritual, education and what individuals could/could not or should be encouraged to do. Care plans are reviewed monthly and one every 6 months; through supervision with key workers and any issues raised they may be changed at this time. Risk assessments in general were of a good standard. All risk assessments were recorded Luncies Road (97) DS0000018030.V337508.R01.S.doc Version 5.2 Page 10 appropriately, signed for and dated. Residents meetings are in a picture format that enables service users to understand information discussed in a form of communication they use. Luncies Road (97) DS0000018030.V337508.R01.S.doc Version 5.2 Page 11 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 and 17 Quality in this area is good. This Judgement has been made using available evidence including a visit to this service. All service users have a varied choice of activities, lesiure interests and are encourage to find meaningful work.The home encourages service users involvement within the community EVIDENCE: All service users are engaged in day services or activites every day of the week. This gives service users the chance to mix with their own peer group and maintain friendships. Relationships with resident’s families are good and are encouraged to visit and call when they chose to. Overall interaction and involvement in the service users lives is to a good standard. Residents meetings are weekly , minutes include photos of service users who attended alongside pictures supporting the written minutes.Meals provided were nutritious. All service users either cook on their own or are supported to prepare and cook meals.There is a weekly shop and individuals go out on a Luncies Road (97) DS0000018030.V337508.R01.S.doc Version 5.2 Page 12 daily basis to buy foods and to have the opportunity to chose an alternative meals for that day if they wish to do so. Luncies Road (97) DS0000018030.V337508.R01.S.doc Version 5.2 Page 13 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): 18,19 and 20 Quality in this area is good. This Judgement has been made using available evidence including a visit to this service. Service users personal and healthcare support is well managed and written information was evidenced. Paperwork within the home is being maintained to an appropriate standard. Medication systems are in place. EVIDENCE: The health care plan has been re-organised for all service users and the new format is holistic in its approach. Including things such as past medication, keeping safe and how to improve health. The care plan format addresses individual’s needs in terms of personal, physical and emotional health needs. Service users personal and healthcare support is well managed. Paperwork within the home is being maintained to an appropriate standard. The home has a Monitored dosage system in place and good medication systems are in place. Yearly medication audits take place. No service users retain their own medication due to their level of disability. Luncies Road (97) DS0000018030.V337508.R01.S.doc Version 5.2 Page 14 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): 22 and 23 Quality in this area is good. This Judgement has been made using available evidence including a visit to this service. The home has a complaints procedure. The homes policy and procedures and training of staff appear to protect residents from abuse. EVIDENCE: No complaints have been made to the CSCI since the last inspection. The complaints and concerns documentation needs to have an action plan attached to clearly indicate that action has been taken and it has a closing date with the outcome. These documents need to be signed off as either completed or on going or what stage they are at. At the last inspection there was a requirement that staff had received POVA (protection of vulnerable adults) training. The deputy manager assured me that this had gone ahead records were not available to evidence this on the day of the site visit this will be inspected on the next inspection. There have been no POVA incidents or reports and service users look well cared for. Luncies Road (97) DS0000018030.V337508.R01.S.doc Version 5.2 Page 15 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): 24 and 30 Quality in this area is good. This Judgement has been made using available evidence including a visit to this service. The home environment provides a clean, comfortable and safe environment in which to live in. EVIDENCE: There is a weekly walking route in place, which will identify inside and outside health and safety, decoration and maintenance issues. The paperwork around this need to be developed further to evidence that work has been completed and that it is signed off. The home in general is clean and hygienic with no apparent odours. Service users bedrooms provided a good amount of space and individuals had specialised equipment if needed. Luncies Road (97) DS0000018030.V337508.R01.S.doc Version 5.2 Page 16 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): 32,34 and 35 Quality in this area is good. This Judgement has been made using available evidence including a visit to this service. The number of staff on duty, their experience and skill was able to meet the needs of residents. Recruitment records were not available on the day of inspection. EVIDENCE: Staff spoken with felt that they are supported through the management structure and support from supervision and staff meetings. Training opportunities are good. Four weeks staff rosters were inspected and these continue to be appropriate to meet the needs and numbers of existing residents. At the time of the inspection the home had 2x 20 hour waking night posts and 1x 37 hours support care hours available. The deputy Manager is NVQ4 trained and is an NVQ/Assessors, 1x member of staff has applied to undertake NVQ Level 2, 5x members of staff are currently undertaking NVQ Level 2, 1x member of staff is undertaking NVQ Level 3 and the registered manager is NVQ Level 4/Registered Managers Award qualified. Luncies Road (97) DS0000018030.V337508.R01.S.doc Version 5.2 Page 17 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 and 42 Quality in this area is excellent. This Judgement has been made using available evidence including a visit to this service. Management systems are good and the home is run in the best interests of residents. Health and safety of service users are promoted and protected. There is a quality assurance monitoring process implemented. All certificates required by regulation were available and seen to be satisfactory. EVIDENCE: Records as required by regulation were available and seen to be satisfactory, evidencing that the health and safety of residents are promoted and protected Records relating to fire drills, fire equipment, emergency lighting/alarms, gas and electrical safety installation certificates, employers liability certificate and COSHH data records and health and safety policies and procedures were all readily available and seen to be appropriate. Luncies Road (97) DS0000018030.V337508.R01.S.doc Version 5.2 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 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 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 4 X Luncies Road (97) DS0000018030.V337508.R01.S.doc Version 5.2 Page 19 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. Refer to Standard Good Practice Recommendations Luncies Road (97) DS0000018030.V337508.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Luncies Road (97) DS0000018030.V337508.R01.S.doc Version 5.2 Page 21 - 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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