Inspection on 26/04/07 for Canwick House

This inspection was carried out on 26th 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

Canwick House 24/09/09

Canwick House 28/04/09

Canwick House 03/05/06

Canwick House 18/01/06

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 Key Unannounced Inspection 26th April 2007 09:00 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.V336054.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 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.V336054.R01.S.doc Version 5.2 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.V336054.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd May 2006 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 by going through 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. Fees charged by the home for residential care on 26/04/2007 range from: £350.00 - £410.00 Canwick House DS0000002338.V336054.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken by an inspector reviewing all the previous inspection records available, looking at information provided by the manager about The Canwick House, and by undertaking a visit to the home, with the inspector using a method of inspection called “case tracking”. This involved identifying individual residents who currently live at the home and tracking the experience of the care and support they have received during the time they have lived there. The inspection was also used to check that information provided by the manager matched the individual experiences of residents. This was done by talking to the manager, residents and care staff whilst observing day-to-day care practice within the home. Since the last inspection the manager has submitted an application to CSCI to change the homes registration in order to enable the care team to provide care for people who have dementia care needs. At the time of the inspection visit this application was being processed. What the service does well: What has improved since the last inspection? Staff said that they receive support from the manager and that supervision is provided with records maintained. The manager has moved to a bigger office with improved facilities and more space to enable better organisation of policies, procedures, files and information. The staff team have been provided with training in dementia care. A new stair lift has been installed at the home, which helps to provide access to both floors of the home for residents. Canwick House DS0000002338.V336054.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Canwick House DS0000002338.V336054.R01.S.doc Version 5.2 Page 7 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.V336054.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 [Standard 6 N/A]. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager completes an assessment of residents needs and provides information to confirm that their needs can be met before any admission to the home takes place. EVIDENCE: Residents provided written comments to the Inspector before undertaking a visit to the home saying that information is given to them and assessments are undertaken to ensure any new resident is able to make a decision about moving to the home wherever possible. During the Inspection visit residents said that their needs were assessed before they moved in and that they had access to information about the home before deciding to move in. One resident said “I find it very acceptable to me, its an easy place to live and moving in was made easy”. Canwick House DS0000002338.V336054.R01.S.doc Version 5.2 Page 9 The manager has a residents guide and statement of purpose, which residents said is available to help them to know what to expect when they move in. The manager confirmed that these documents are currently in the process of being updated. Care plan information included a record to show that the manager had completed an assessment of need before new residents had been admitted, and that she had involved residents and their family carers in the process. Canwick House does not provide an intermediate care service. Canwick House DS0000002338.V336054.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s health and personal care needs are set out in an individual care plan and their health needs are met. The acting manager has policies and procedures in place, which staff follow in order to support residents with their medication needs. Residents are treated with respect and supported to maintain their dignity. EVIDENCE: Care plans showed how care is being provided for each resident. Information included a section about resident’s needs and risks, along with details and how any risk identified is managed. Records also included detailed nutritional assessments and food profiles, which are shared with the cook by the manager to ensure dietary needs are met in the way residents, wish them to be. Staff members said that they use the care plans and information available about each resident to help them to understand individual care needs. Canwick House DS0000002338.V336054.R01.S.doc Version 5.2 Page 11 Staff members also provided care plan information held in resident’s rooms, which is used to ensure higher physical needs are supported and that all action taken is recorded. During the inspection visit the inspector observed that one resident living at the home had high personal care needs. The care plan in place showed that district nurses had been visiting three times a week to provide support in order to meet physical needs in a safe way. The manager said that all residents are encouraged to be as independent as possible and that this includes being able to take their own medication when they choose to. At the time of this inspection visit all residents needed support to take their medicines. During the inspection a senior staff member provided medication records, which are kept on separate files, but together with the care plan information. Records checked were accurate with no gaps. Medicines were stored in a wall mounted and locked cabinet, which the manager said ensures they are stored safely. Residents said that they felt the staff respect their wishes and needs and during the inspection staff members were observed supporting residents with their personal and health care needs using time and good communication to provide gentle reassuring care. Residents comments ranged from, “The staff are always very kind and helpful” and “Staff and matron are always very friendly and there to help”. Records show that other professionals are involved with supporting care plans and one resident said, “The doctors who visit the home are very good”. Canwick House DS0000002338.V336054.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 12,13,14 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are supported to take part in activities within the home and community and feel that they have control over their own lives. Residents receive a varied, balanced and nutritious diet. EVIDENCE: Before the inspection visit took place the manager provided information to show that residents are supported to take part in a range of activities. The list provided included; day trips, visiting entertainers, visiting storytellers, games and one to one support with key workers. The manager said that she doesn’t currently employ an activity organiser at the home but had a list of activities that she said are provided for residents, which was available in the staff team office and staff members said that they help and support residents with their daily activity choices needs. Canwick House DS0000002338.V336054.R01.S.doc Version 5.2 Page 13 Residents said that they enjoyed taking part in their own religious activities with support from the manager and in individual, as well as organised activities. Most residents said that they chose to spend their time in the communal areas of the home by either reading from the library of books, listening to music or talking together. One resident said, “We have enough to do here” and “I like the quiet here. We all respect each other and I love doing word puzzles because it helps keep my mind active”. One resident commented that, “If I wish to take part in activities I can do. I especially enjoyed the Easter weekend egg painting”. Care plans contained some information about residents interests and hobbies, but this was not detailed and did not always show that residents had always been given the opportunity to be fully involved in giving information about how they would like their social needs to be met. The manager said she is about to start offering residents the choice to take part in completing “residents profiles” together with staff in order to learn more about their social history and how any additional needs not already identified should be met. The cook had a two-week menu plan, which she said is put together with the manager from information contained in the assessment of residents needs and through discussion with residents. The cook said that residents are encouraged to make different choices to the set menu and that any requests for an alternative to the menu were acted upon. During the inspection visit residents said they enjoyed the meals provided and one resident said, “The food is smashing here”. Residents were observed enjoying lunch. As food was being served residents made choices and requests for some changes, which the staff ensured were carried out. One resident commented, “I am a diabetic so they do different puddings for me”. Canwick House DS0000002338.V336054.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager and care team take complaints seriously and wherever possible involve residents and carers in resolving issues as soon as they are raised. The manager and care team know how to act to act in order to protect residents from abuse. EVIDENCE: The manager confirmed that there have been no formal complaints made about the service since the last inspection. One resident commented, “ If I have a complaint I talk to my key worker,” another resident said, “If I felt I was not being listened to by the staff I would speak with the matron who is always happy to speak to me”. There was a “Suggestion box” in the reception area of the home with a statement from the manager to encourage all residents, visitors and staff team members to contribute any ideas for development and to raise any other issues as they wish either directly with her or by using the box. The manager said that the staff team had been provided with training in order to understand how to act in order to make sure residents are protected from abuse. Staff members said that they had started or completed nationally Canwick House DS0000002338.V336054.R01.S.doc Version 5.2 Page 15 recognised qualifications, which helped them to recognise when to report concerns and how this should be done. A copy of the adult protection policy and procedure for Lincolnshire is kept in the staff room and information leaflets were available in the home reception area, which encourage visitors to report any concerns they may have to the manager or staff team. Canwick House DS0000002338.V336054.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a well-maintained, homely and comfortable environment. EVIDENCE: During the inspection visit the manager confirmed that the local fire office had recently undertaken a visit to check on the fire safety arrangements in place at the home, and that the systems currently in place are appropriate. Since the last inspection the manager has taken action to add a keypad lock to the door to enable visitors and residents to gain access whilst making sure that any residents who may be confused are safe from the risk of wandering. Residents said that the home was always clean and tidy and that the manager supports them to make their rooms personal. Resident’s rooms were observed Canwick House DS0000002338.V336054.R01.S.doc Version 5.2 Page 17 to be set out in the way each said they wished and one resident said, “This is my home, I love it here and my room is always clean”. The garden area at the rear of the home was landscaped well maintained with some seating areas that residents said they enjoyed using during good weather. Since the last inspection the manager has erected some fencing around the garden, which she said she is taking action to strengthen in order to protect the safety needs of residents who wish to use the garden areas. During the inspection visit the manager said that there had been a problem regarding the stair lift which provided safe access for residents who lived on the second floor of the home. During the inspection visit plans to replace the system were confirmed and the manager said that the work to fully install the new one was completed on 27th April 2007. Canwick House DS0000002338.V336054.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are currently sufficient numbers of safely recruited care staff available at the home with appropriate training and skills to meet the needs of residents. EVIDENCE: Before the inspection visit took place the manager provided a staff rota for April 2007, which showed that staff work together as a team to provide appropriate levels of support for residents who live at the home. The manager stated that all staff are recruited using proper checks to ensure residents are safely supported, and staff files held by the manager contained information, which confirmed that staff have been recruited safely. Staff members said they had been provided with an induction and three staff members showed the inspector their staff files, which showed that they had received induction and training. One new staff member had a full induction checklist on the file. Canwick House DS0000002338.V336054.R01.S.doc Version 5.2 Page 19 The manager provided training certificates showing that staff members had been supported to develop their skills. During the last year additional staff training has been provided, and staff members were able to transfer what they had learned into practice including; medication, health and safety, fire safety, food safety and literacy skills. During the inspection visit the manager provided copies of training certificates to show that all staff team members had recently completed a training course in dementia care and that future training in addition to that already provided will focus on moving and handling. Canwick House DS0000002338.V336054.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 31,33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an established manager who supports the staff team to care for residents safely and encourage them to be as independent as possible. The manager encourages feedback from residents and staff but there is currently no formal system in place for consulting residents and family carers about the quality of care provided. The manager safeguards resident’s financial interests. EVIDENCE: Since the last inspection the manager showed that she has taken action to create a staff office and a separate managers office. The manager said that Canwick House DS0000002338.V336054.R01.S.doc Version 5.2 Page 21 this has helped her to separate her “hands on” role with that of her management responsibilities. The manager also confirmed that she has continued to develop her skills further by completing the Registered managers award training course. The staff team said that they felt the manager is always available and provided good support for them to develop and that training, supervision and staff arrangements on the rotas help them to work together as a team. One staff member said “The manager lives nearby and she is always around when we need to speak to her, we all find her supportive with training and we can talk to her about any issues”. Residents said they felt the manager does a good job and one resident said, “Matron is always here to have a word with, she likes us and we trust her”. The manager said that she talks to residents every day about their thoughts and ideas for developing the home further and that the suggestion box is available for people to “have their say”. The manager said she is developing a regular, more formal system to consult with residents and their family carers about how the home could be improved but this is not yet in place. Residents said that they are encouraged to manage their own financial arrangements with support from family members. Some residents have asked the manager to provide support with day to day personal monies and the manager has a system, which she said she takes responsibility for, showing a record of money used and the current balance for each resident. A random check of records and finances was made, which was accurate. Canwick House DS0000002338.V336054.R01.S.doc Version 5.2 Page 22 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 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 3 X 2 X 3 X X 3 Canwick House DS0000002338.V336054.R01.S.doc Version 5.2 Page 23 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 OP33 Good Practice Recommendations It is strongly recommended that the registered person ensures that there is an effective quality assurance system in place at the home to regularly measure and evaluate its success in meeting its aims and objectives, and which records the views of residents, family carers and staff members along with action taken to improve the home in the way residents ask them to. Canwick House DS0000002338.V336054.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Canwick House DS0000002338.V336054.R01.S.doc Version 5.2 Page 25 - 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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