Inspection on 27/02/06 for 97 Luncies Road

This inspection was carried out on 27th February 2006.

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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

97 Luncies Road 24/04/07

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 Michelle Love Unannounced Inspection 27th February 2006 11:00 Luncies Road (97) DS0000018030.V286618.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 Luncies Road (97) DS0000018030.V286618.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. Luncies Road (97) DS0000018030.V286618.R01.S.doc Version 5.1 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.V286618.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd October 2005 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.V286618.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection conducted by Michelle Love, inspector and lasted approximately 2.5 hours. A number of records pertaining to care plans, staff training and complaints were inspected. Discussion took place during the inspection with the registered manager, two members of support staff, one relative and one resident. Although the resident was unable to verbalise, their comprehension and understanding of questions asked were very good and they were able to contribute effectively to the inspection. What the service does well: What has improved since the last inspection? What they could do better: The registered manager must ensure that a completed care plan is devised for all resident’s residing at the care home. Although the care plan was partially completed for the newest resident to be admitted to Luncies Road, other important information was not recorded within the document and was not easily accessible. Please contact the provider for advice of actions taken in response to this Luncies Road (97) DS0000018030.V286618.R01.S.doc Version 5.1 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Luncies Road (97) DS0000018030.V286618.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 Luncies Road (97) DS0000018030.V286618.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, 4 and 5 Prospective residents are assessed prior to admission. The home enables prospective residents the opportunity to visit the home and undertake trial visits. Each resident is issued with statement of terms and conditions. EVIDENCE: Since the last inspection the home has admitted one new resident. A pre admission assessment had been completed and supporting information was evident from the resident’s previous placement, social worker and speech and language therapy department. Records also indicate that the prospective resident undertook several trial visits to the home, including day and overnight stays. Each resident is issued with a contract, which clearly sets out the terms and conditions of residence. Luncies Road (97) DS0000018030.V286618.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): 6, 7 and 8 The home has a good care planning format, process and procedures in place to ensure that resident’s needs are detailed, so that support staff are able to deliver good care. EVIDENCE: On inspection of the care plan for the newest resident to be admitted to Luncies Road, it was evident that not all elements of the care plan had been completed. Information relating to the resident’s inappropriate behaviour’s were not detailed or comprehensive and no information was recorded pertaining to the specific nature of the resident’s behaviours, possible triggers and guidance for staff interventions. It was positive to note that the care plan was in both a pictorial and written format. Some elements of the care plan had been conducted with the resident. Risk assessments were devised for the most areas of assessed risk. Luncies Road (97) DS0000018030.V286618.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): EVIDENCE: No standards relating to Standards 11-17 were inspected on this occasion. All but one standard was inspected at the inspection of 3rd October 2005 and seen to meet the required standard/regulation. Luncies Road (97) DS0000018030.V286618.R01.S.doc Version 5.1 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 the following standard(s): 18 All residents receive access to a range of healthcare professionals and services. EVIDENCE: Individual residents have access to a range of healthcare professionals and services as required i.e. Community Nurse Services, Consultant Psychiatry, GP etc. Healthcare records for residents are recorded within individual diaries and include purpose of visit and outcomes. Luncies Road (97) DS0000018030.V286618.R01.S.doc Version 5.1 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 the following standard(s): 22 and 23 The homes complaint and protection of vulnerable adults policies and procedures protect residents from abuse and enable resident’s views to be heard and acted upon. EVIDENCE: Since the last inspection the home has received no complaints or Protection of Vulnerable Adults issues. A pictorial complaints format is available for residents. The inspector was advised that most support staff have attained adult abuse awareness training and training pertaining to Prevention and Management of Behaviours that Challenge (PACT) are up to date for all members of staff. Luncies Road (97) DS0000018030.V286618.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: No standards relating to Standards 24-30 were inspected on this occasion. At the previous inspection to the home standards 24 and 30 were inspected and seen to meet National Minimum Standards and Care Homes Regulations for Younger Adults (18-65). Luncies Road (97) DS0000018030.V286618.R01.S.doc Version 5.1 Page 14 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, 33 and 35 Staffing levels within the home remain appropriate for the needs and numbers of residents residing at Luncies Road. The registered provider is committed in providing support staff with appropriate training to meet residents’ needs. EVIDENCE: On inspection of staff rosters, these evidence that staffing levels within the home remain appropriate. No staff vacancies are available at present. No new members of staff have been recruited to the home since the last inspection. Since the last inspection some staff have received training pertaining to Health and Safety, Supervision Skills, Food Hygiene, Report Writing and First Aid. Luncies Road (97) DS0000018030.V286618.R01.S.doc Version 5.1 Page 15 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 The home is well managed and well run. EVIDENCE: The home benefits from a competent manager and stable staff team. Morale within the home appears good and following discussions with two members of support staff, it was evident that staff have a very good understanding of residents needs. Rapport between residents and support staff is positive and appropriate. Since the last inspection the registered manager has completed the Registered Managers Award. Luncies Road (97) DS0000018030.V286618.R01.S.doc Version 5.1 Page 16 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 3 5 3 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 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 3 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X 3 X X X X X X Luncies Road (97) DS0000018030.V286618.R01.S.doc Version 5.1 Page 17 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. 1. 2. Standard YA23 YA35 Regulation 13(6) Requirement Ensure that all staff receives POVA training. Timescale for action 01/07/06 01/07/06 18(1)(c)(i) Ensure that all staff receives updated/refresher training relating to mandatory courses. 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 YA22 Good Practice Recommendations Ensure that the complaints procedure is displayed in a more conspicuous place. Luncies Road (97) DS0000018030.V286618.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Luncies Road (97) DS0000018030.V286618.R01.S.doc Version 5.1 Page 19 - 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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