Inspection on 18/01/06 for Canwick House

This inspection was carried out on 18th January 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 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

Canwick House 24/09/09

Canwick House 28/04/09

Canwick House 26/04/07

Canwick House 03/05/06

Canwick House 24/08/05

Canwick House 24/01/05

Canwick House 22/07/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Canwick House Hall Drive Canwick Lincs LN4 2RG Lead Inspector Roger Harrison Unannounced Inspection 18th January 2006 08:50 X10015.doc Version 1.40 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 Canwick House DS0000002338.V275782.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 Older People. 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. Canwick House DS0000002338.V275782.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Canwick House Address Hall Drive Canwick Lincs LN4 2RG 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) 01522 522275 Mrs C Paul Mrs C Paul Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Canwick House DS0000002338.V275782.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th August 2005 Brief Description of the Service: Canwick House is a large three storey, listed building with a modern extension. The home is situated in a small village, which is approximately one mile from the centre of the city of Lincoln. The home has been adapted and extended to provide accommodation for up to twenty-two residents to receive personal care. The home is accessed via a shared driveway which opens on to a small tarmac car park. There is a local church nearby with all other amenities located within the city centre. The home is not located on a bus route and residents rely on relatives or the proprietors for transport when this is needed. To the rear of the property are secluded grounds and gardens, which are well maintained. Accommodation for residents is on the ground and first floor of the building. The second storey is reserved as the private accommodation of the proprietor. The home is run as a family business and the proprietor is fully involved in the management of the home as well as the delivery of personal care. Canwick House DS0000002338.V275782.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken over a five-hour period, with the inspector using a method of inspection called “case tracking”. This involved selecting three residents who currently live at the home and tracking their experience of the care and support they have received during the time they have lived at the home. This was achieved by the inspector talking to the manager, touring the home, looking at information on care plans and files, talking to residents and care staff, and observing day-to-day care practice within the home. 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. Canwick House DS0000002338.V275782.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Canwick House DS0000002338.V275782.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes not looked at. The key standards were looked at during the last inspection undertaken on 24/08/05. EVIDENCE: Canwick House DS0000002338.V275782.R01.S.doc Version 5.1 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8 and 9. The Manager and Care team know all residents well and respect their privacy and dignity in a variety of ways. Comprehensive care plans are used to ensure residents health, personal and social care needs are met. Systems are in place to ensure the safe storage, recording and administration of medication. EVIDENCE: All residents have an up to date care plan, which shows how each persons daily need is being met. These plans are kept in the manager’s office with residents having access whenever needed. Care plans were found to be accurate and included health, social and personal preferences of each individual. The home has two communal bathrooms, which have mechanical bath chairs and a range of equipment to support the mobility needs of residents, including a mobile hoist. Residents told the Inspector that their health needs are met in the way they wished them to be. One resident said, “I am happy here they look after all my needs and the staff always come around when I need them”. Each resident is allocated a key worker and wherever possible the care team encourages residents to self medicate. Only senior staff that have been trained to give medicines do so. Care plans include a risk assessment so that where support is needed with medication it is discussed together with the resident and relatives. The home uses a “nomad” system for storage and dispensing of residents medicines, which was observed in use on Canwick House DS0000002338.V275782.R01.S.doc Version 5.1 Page 9 the day of inspection along with Medication records, which were fully up to date. Staff were seen to be talking to residents in a gentle and caring way, ensuring that privacy was respected. Canwick House DS0000002338.V275782.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above 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 and 15. The Manager and care team support residents in retaining choice and control over their lives. Residents are supported to maintain family and community links in order to promote choice and self-determination. Residents and carers feel that the food available is of good quality. EVIDENCE: At the start of this Inspection residents were observed eating breakfast and lunch, which included a variety of options. The Manager confirmed there is currently a vacancy for a cook at the home, which at present is being filled by the Manager and through additional hours for staff as appropriate. The current arrangements were confirmed using the staff rota. The Manager told the Inspector that she continues to actively try to recruit to this post but has made sure there are arrangements in place which ensure meals are provided in the way residents wish them to be without affecting care levels. Five residents told the Inspector “The food here is very good, if we don’t like something we say so”. One relative and a professional worker were observed visiting the home and told the inspector that they felt the food is of high quality and that they were always made to feel welcome by the care team. Resident’s rooms have been individually personalised and were observed to be very clean. Locks are provided on doors to resident’s rooms with a key whenever requested. One resident said, “My room is my home, I feel very safe here” During this Inspection one family carer who was visiting the home told Canwick House DS0000002338.V275782.R01.S.doc Version 5.1 Page 11 the Inspector that “There are good levels of care here, I visit regularly and the food is very good. The matron is so good”. Care plans include details on how residents like to spend their time. The manager and senior carers discuss needs together daily and with residents through group meetings and individual discussion. The manager takes responsibility for organising activities both in and outside the home. Details regarding Religious and cultural activities are included in care plans and are arranged to suit resident’s needs. There was evidence of a range of outside activity trips, which are organised by the manager through discussion with residents. Canwick House DS0000002338.V275782.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. The manager and care team take complaints seriously and wherever possible involve staff, residents and carers in resolving issues as soon as they are evident. The Care team know how to act in order to protect residents from abuse. EVIDENCE: The manager has a complaints procedure and policy available. There is a record of who to contact for residents and family, which includes the manager and senior, care contact details. The home manager attempts to resolve any concerns raised informally. When this cannot be achieved further information and support is given to residents and their carers to access formal procedures. The manager’s complaints log confirmed there had been no formal complaints during the last year. During the inspection the staff team on duty confirmed that good two way communication is occurring between management and staff, three staff members told the Inspector, “ we feel able to approach the Manager regarding any concerns or practice issues”, and also told the Inspector that any concerns raised are dealt with in the right way to protect residents and staff needs. The home has a copy of the adult protection procedures and policy for Lincolnshire and the home has used an external trainer to provide updates on adult protection for staff. The next training update has been arranged for 10/02/06. Three residents told the Inspector that they felt confident to raise any issue of concern with the manager and staff team, and the manager and two staff members gave a good account of correct action that they would take in order to protect residents from abuse. Canwick House DS0000002338.V275782.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. The home provides a safe, clean, welcoming, comfortable and homely environment for all residents. EVIDENCE: The home is very clean, well maintained and decorated to a high standard. The area outside the home is also well maintained and landscaped by a gardener who attends to the grounds regularly. Each room is individually furnished and the home provides a range of aids to assist residents safely as needed within bathrooms, bedrooms and communal areas. There is a well maintained stair lift, which was observed being used by residents, which enables access for individuals to both floors within the home safely and independently. Communal areas were seen to be very clean and well maintained and there are call bells located for easy use by residents in their rooms. Testing and observation of the “call” system during a discussion with one resident, which provided evidence of a rapid response to need by the care team. Canwick House DS0000002338.V275782.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30. Competent and caring staff are organised and supported to meet the needs of residents safely. The manager ensures that staff recruitment is undertaken appropriately and that training is provided to enable staff undertake their work appropriately. EVIDENCE: On the day of inspection there were thirteen residents living at the Canwick House. The staffing levels and skill mix available was appropriate to meet the needs indicated on care plans. All staff members have a staff file, which contains appropriate details regarding safe recruitment practice. One new staff member told the Inspector “I am going on a full two day induction course next week, The Manager is very supportive and I feel I am having a good practical induction with support from senior staff”. Two staff members told the Inspector that staffing levels for both day and night shifts are maintained and that during the night there are always two team members available. One senior staff member told the Inspector that “There is always a handover meeting and night staff only leave after a full handover has been completed”. Three team members told the Inspector that they are supported to undertake training opportunities, which help to develop safe practice. Staff told the Inspector that they are supported to undertake NVQ qualifications and during the Inspection an external NVQ assessor who was visiting to assess a team member told the Inspector “I find the support here very good. I assess staff on my own and have been here several times, the staff operate good moving and handling techniques”. During this inspection three residents told the Inspector that they were well supported and that care is undertaken safely using equipment and timely physical support whenever this was called for. Care plans provided Canwick House DS0000002338.V275782.R01.S.doc Version 5.1 Page 15 information regarding review of risk assessments with outcomes detailed in order to support safe practice at all times. Canwick House DS0000002338.V275782.R01.S.doc Version 5.1 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,35,36 and 38. The home is managed and run in the best interests of residents living in the home. Residents are supported to manage their finances appropriately. The recruitment of a cook/deputy Manager will help to create more management time to focus on fully updating the systems in place for recording activity relating to staff recruitment and supervision more clearly EVIDENCE: The home has a registered manager who takes a full working role within the home. This “hands on” approach gives the manager a good understanding of residents and staff needs. The home has a range of policies and procedures for staff to follow, which are currently being updated, and are kept with staff files in the manager’s office. Residents are supported and encouraged to manage their own finances and are enabled to do so by the manager who supports residents to maintain contacts with family carers, who act as support advocates wherever appropriate. Canwick House DS0000002338.V275782.R01.S.doc Version 5.1 Page 17 Staff are supervised by the manager and their views are sought about improvements to the services provided using team meetings and a staff questionnaire which is due to be circulated to all carers in order to seek more information and ideas about how services can be maintained and developed to support residents. A suggestion box is also being put in place for staff and residents use. During this Inspection it was clear that the Manager is undertaking additional work as the main cook within the home whilst attempting to actively fill the vacancy that exists. The Manager confirmed that this work is not affecting the levels of support given to residents but did agree that this additional work is reducing the capacity she has to undertake the Managers role. When looking at records together there was not enough information available to confirm an organised system of supervision, which ensures consistency in terms of staff supervision and recording is being used. The manager agreed to ensure that staff records are updated and that formal supervision is arranged using a more structured approach. Canwick House DS0000002338.V275782.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 2 X 3 Canwick House DS0000002338.V275782.R01.S.doc Version 5.1 Page 19 NO. 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 OP36 Regulation 18(2) Requirement The registered person must fully implement a formal supervision structure to enable supervision to be carried out at least six times a year. Timescale for action 22/02/06 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 Canwick House DS0000002338.V275782.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Canwick House DS0000002338.V275782.R01.S.doc Version 5.1 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. 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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