Inspection on 03/05/06 for Canwick House

This inspection was carried out on 3rd May 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 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 3rd May 2006 09:30 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.V286854.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.V286854.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.V286854.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th January 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 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. Fees at the home on 03/05/2006 range from: £315.00 - £380.00. Canwick House DS0000002338.V286854.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Key inspection was undertaken using a review of all the information regarding all Inspection records and information provided by the Manager available to the Inspector about Canwick House, and through undertaking a visit to the home, with the inspector using a method of inspection called “case tracking”. This involved identifying three 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 at Canwick House. The inspection site visit 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: The Manager needs to maintain the progress made since the last inspection in starting a formal process of supervision for staff to identify all their individual training and support needs so that these can be fully met, with evidence of this regular supervision maintained for each staff member. Canwick House DS0000002338.V286854.R01.S.doc Version 5.1 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Canwick House DS0000002338.V286854.R01.S.doc Version 5.1 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.V286854.R01.S.doc Version 5.1 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 at least once during a 12 month period. 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. Service users are admitted into the home following a full assessment of their needs, which includes details about how each need will be met. EVIDENCE: Since the last Inspection two new residents have been admitted to the home. Records available show that the Manager makes contact with any new resident before admission and either undertakes a visit or arranges for a meeting at the home as part of the information sharing process. Two residents told the Inspector that they received information about the home either before moving in or at the time they actually moved in. One resident told the Inspector that, “I was helped to move in by my family, the Manager has helped me to settle in and I find the place really homely”. Information is available for residents as part of care plans and in the reception area of the home to confirm that trial periods are used to support residents in making long term decisions about the care they receive and for the care team to undertake a full assessment which meets long term needs in the right way. Canwick House DS0000002338.V286854.R01.S.doc Version 5.1 Page 9 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): 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care records provide staff with sufficient information overall to meet service users care needs and service users feel that they are treated with respect. Reviews are carried out regularly and residents are supported with their medication needs. EVIDENCE: Records looked at during this Inspection visit confirm that residents have an up to date care plan, which shows how each persons daily need is being met. Care plans were found to be accurate and included health, social and personal needs 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. 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, and the Manager confirmed that since the last Inspection six care team members have received formal update training on medication. Care plans include a risk assessment so that where support is needed, for example with medication it is discussed together with the resident and relatives. The Canwick House DS0000002338.V286854.R01.S.doc Version 5.1 Page 10 home uses a mobile system for dispensing of residents medicines, which was observed in use on the day of inspection along with Medication records, which were fully up to date. Canwick House DS0000002338.V286854.R01.S.doc Version 5.1 Page 11 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. 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 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: Since the last Inspection the Manager has taken action to recruit a cook at the home. This has helped to provide more time for the Manager to undertake her role whilst continuing the consistency of food quality for residents at the home. A group of five residents told the Inspector that the food at the home is good and menus looked at confirm that dietary needs are matched on care plan information for residents. Resident’s rooms have been individually personalised and were observed to be clean. Locks and names are provided on doors to resident’s rooms with a key whenever requested. Care plans include details on how residents like to spend their time. The manager told the Inspector that she 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 and showed the Inspector a plan covering April 2006. One resident told the Inspector, “Its quiet but there Canwick House DS0000002338.V286854.R01.S.doc Version 5.1 Page 12 always seems to be something to do”. Details regarding Religious and cultural activities are included in care plans and are arranged to suit resident’s needs. Canwick House DS0000002338.V286854.R01.S.doc Version 5.1 Page 13 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. 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 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 since the last Inspection was made. During the inspection visit the staff team on duty confirmed that good two-way communication is occurring between management and staff. 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. 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 one staff member gave a good account of correct action that they would take in order to protect residents from abuse. Canwick House DS0000002338.V286854.R01.S.doc Version 5.1 Page 14 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a safe, clean, welcoming, comfortable and homely environment for all residents. EVIDENCE: The home is 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 maintained stair lift, which was observed being used by residents; this 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. Since the last Inspection information provided by the Manager indicated that residents are at risk from having access to the cellar area of the home. This issue was discussed with the Manager and as a result the Manager confirmed that a risk assessment had been completed in order to prevent residents from gaining access to this area, Canwick House DS0000002338.V286854.R01.S.doc Version 5.1 Page 15 and action has been taken to consult environmental health and safety services and to fit an appropriate lock to the self-closing door. Canwick House DS0000002338.V286854.R01.S.doc Version 5.1 Page 16 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. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. 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 fifteen 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, those looked at contain appropriate details regarding safe recruitment practice. The Manager 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 to meet the needs of residents. Staff told the Inspector that they are supported to undertake NVQ qualifications. Since the last Inspection The Manager confirmed that there are six staff members with NVQ or equivalent in the team. There has been a reduction in the number of staff with NVQ due to new recruitment of staff, but the Manager said she does recognise the need to keep working toward increasing NVQ qualifications for all staff. During this inspection three residents told the Inspector that they felt supported and that care is undertaken safely using equipment and timely physical support whenever this was called for. Care plans provided information regarding reviews with outcomes detailed in order to support safe practice. Canwick House DS0000002338.V286854.R01.S.doc Version 5.1 Page 17 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): 31,33,35,36 and 38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. 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 is helping to create more management time to focus on fully updating the systems in place for recording activity relating to staff records 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 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 contact with family carers, who act as support advocates wherever appropriate. Canwick House DS0000002338.V286854.R01.S.doc Version 5.1 Page 18 Staff are supervised by the manager and their views are sought about improvements to the services provided using team meetings. Since the last Inspection a suggestion box has been put in place in the reception area of the home for staff, family carer and residents use. During this Inspection it was confirmed that the Manager has taken action to fill the vacancy for a full time cook, which has enabled more time to undertake the Managers role and responsibilities. When looking at records together it was evident that some progress has been made to confirm an organised system of supervision, which ensures consistency in terms of staff supervision and recording is being used, and three staff member’s records show that supervision has taken place. The manager agreed to ensure that the supervision plan in place will be used to ensure that formal supervision is undertaken to meet all staff support needs during the next six months. Canwick House DS0000002338.V286854.R01.S.doc Version 5.1 Page 19 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 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 3 X 3 X 3 2 X 3 Canwick House DS0000002338.V286854.R01.S.doc Version 5.1 Page 20 YES. 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. [This requirement was made on 18/01/06. Some progress has been made but further work is required]. Timescale for action 22/09/06 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.V286854.R01.S.doc Version 5.1 Page 21 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.V286854.R01.S.doc Version 5.1 Page 22 - 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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