Inspection on 03/10/05 for 97 Luncies Road

This inspection was carried out on 3rd October 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 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 27/02/06

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 Mrs Michelle Love Announced Inspection 3rd October 2005 09:00 Luncies Road (97) DS0000018030.V253199.R01.S.doc Version 5.0 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.V253199.R01.S.doc Version 5.0 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.V253199.R01.S.doc Version 5.0 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.V253199.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th March 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.V253199.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted by Michelle Love and lasted approximately 4.5 hours. On the day of inspection residents were observed to go about their daily tasks and routines and were well supported by staff. The inspection was conducted with the registered manager. A tour of the premises was undertaken and a number of records relating to care plans, staff training and recruitment files were inspected. What the service does well: 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. Luncies Road (97) DS0000018030.V253199.R01.S.doc Version 5.0 Page 6 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.V253199.R01.S.doc Version 5.0 Page 7 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): EVIDENCE: No standards relating to Standards 1-5 were inspected on this occasion. Luncies Road (97) DS0000018030.V253199.R01.S.doc Version 5.0 Page 8 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 9 The home has a good care planning process for residents and there is clear evidence that this includes individual resident’s social, emotional, physical and healthcare needs in sufficient detail so that support staff are able to deliver good care according to their assessed needs. EVIDENCE: At the last inspection the care planning processes within the home were inspected in detail and seen to meet the required national minimum standards. On this inspection one individual resident’s care plan and associated documentation i.e. risk assessment and healthcare records were also inspected. The care plan was observed to be detailed and comprehensive and included very good evidence to indicate that the resident and their representative had been involved with the care planning process. The care plan was noted to have been reviewed in February 05 and July 05 and was updated to reflect changes to the residents needs. Daily care records for residents are recorded within individual diaries. Information recorded was detailed and informative and included social activities undertaken and evidence of healthcare arrangements and appointments. Risk assessments were devised for all areas of assessed risk and included information for support staff as to how to minimise risks for the individual. Luncies Road (97) DS0000018030.V253199.R01.S.doc Version 5.0 Page 9 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, 14, 15, 16 and 17 There is a weekly activity programme for all residents and includes formal and informal activities. Residents are encouraged to participate within the home’s daily routines. Residents are offered a varied and healthy diet. EVIDENCE: There is a weekly activity sheet for each resident and this includes evidence of participation within formal day care activities and appropriate leisure activities and hobbies i.e. walks to local shops, ten pin bowling, lunch out, playing pool, visits to the pub, swimming, horse-riding, bingo, attendance at a weekly social club for those adults who have a learning disability, attendance at a local lunch club, volunteering at a local charity shop for one resident, attendance at adult education classes, library and cinema. In addition to the above individual residents have gone on holiday e.g. one resident went to York for five days, one resident went to Caister for one week and one resident went to the New Forest for a long weekend. The inspector was advised that the registered provider contributes a set figure of money towards individual’s holidays. It is envisaged that local formal day care placements will be closing in the near future and that alternative activities will need to be sought. Wherever possible residents are actively encouraged to participate in day-to-day activities within Luncies Road (97) DS0000018030.V253199.R01.S.doc Version 5.0 Page 10 the home. This is dependent pertaining to their choice and wish to participate, their capabilities and there is evidence that residents are supported by caring support staff. A weekly menu is available and support staff assist residents with its planning. Pictorial guides and recipe cards are on hand to assist residents to make an `informed` choice. Any changes/alternatives to the menu are clearly recorded. Menu’s indicate a varied diet for residents and there is evidence that residents are also provided with takeaways on occasions and have access to drinks and snacks. The homes food budget appears to be appropriate for the numbers and needs of residents. Luncies Road (97) DS0000018030.V253199.R01.S.doc Version 5.0 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, 19, 20 and 21 Care plans and resident’s diaries evidence that they receive access to a range of healthcare professionals and their needs are met. Medication administration and policies and procedures remain appropriate and satisfactory. EVIDENCE: Healthcare records for individual residents are well documented and individual diaries for residents detail appointments with healthcare professionals. Information recorded also includes outcomes from these visits. No changes have been made to the home’s medication policies and procedures since the last inspection. Medication Administration Records were seen to be satisfactory. All staff within the care home have completed medication training, however some staff records need to be updated pertaining to their competencies. From inspection of one resident’s care plan information was recorded relating to funeral/terminal care arrangements. Luncies Road (97) DS0000018030.V253199.R01.S.doc Version 5.0 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 ensure that support staff have the appropriate tools to ensure that residents are protected from abuse and that their/representatives views/concerns are acted upon. EVIDENCE: The home has received no complaints since the last inspection and there have been no protection of vulnerable adults issues. No changes have been made to the home’s complaint and adult protection policies and procedures. It was positive to note that the home had received several letters and cards complimenting support staff and the management of the home for providing good care to their member of family. The home’s complaints procedure is displayed within the office and is not accessible for visitors to the home. The registered manager was advised that this needs to be placed in a more conspicuous place. A pictorial complaints format is available for residents. Of those staff training records inspected, none depicted that support staff had received/undertaken protection of vulnerable adults training. Evidence did indicate that a number of staff have received training pertaining to Prevention and Management of Behaviours that Challenge. Luncies Road (97) DS0000018030.V253199.R01.S.doc Version 5.0 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): 24 and 30 The home remains clean, comfortable and safe for residents. EVIDENCE: No health and safety issues were observed on the day of inspection. The home was seen to be clean, tidy and odour free. Luncies Road (97) DS0000018030.V253199.R01.S.doc Version 5.0 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): 31, 32, 33, 34, 35 and 36 Staffing arrangements within the home remain appropriate for the needs of existing residents and are well supported from a caring staff team. EVIDENCE: Four weeks staff rosters were inspected and these continue to be appropriate to meet the needs and numbers of existing residents. Staff rosters evidence that there has been a reduction in the numbers of support staff working long days/double shifts. At the time of the inspection the home had 2x 20 hour waking night posts and 1x 18 hours support care hours available. Since the last inspection the home has recruited two new members of support staff, however recruitment checks are yet to be fully completed. Staff employment files are held at head office and the Commission for Social Care Inspection has agreed that a staff profile record detailing personal details, job title, contracted hours, qualifications and training and references/CRB/POVA/Proof of ID etc can be kept at the care home as their evidence that appropriate recruitment checks are being completed by the registered person. A random sample of staff training records were inspected. Records detail that staff have received both mandatory and specialist training, however some updates/refresher courses are required i.e. Manual Handling, Basic Food Hygiene, Fire Awareness, Infection Control etc. Currently all members of staff Luncies Road (97) DS0000018030.V253199.R01.S.doc Version 5.0 Page 15 are receiving Person Centred Planning and Autism training. The registered manager advised that 1x staff member is undertaking NVQ/Assessors Award, 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 undertaking NVQ Level 4/Registered Managers Award. Good evidence was available to indicate that there is an appropriate system in place for staff to receive formal supervision on a regular basis. Luncies Road (97) DS0000018030.V253199.R01.S.doc Version 5.0 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): 42 Records as required by regulation were available and seen to be satisfactory, evidencing that the health and safety of residents are promoted and protected. EVIDENCE: 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.V253199.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Luncies Road (97) Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000018030.V253199.R01.S.doc Version 5.0 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. 1 2 Standard YA23 YA35 Regulation 13(6) Requirement Timescale for action 01/07/06 01/07/06 Ensure that all staff receive POVA training. 18(1)(c)(i) Ensure that all staff receive 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.V253199.R01.S.doc Version 5.0 Page 19 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.V253199.R01.S.doc Version 5.0 Page 20 - 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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