Inspection on 14/09/06 for Coote Lane Residential Home

This inspection was carried out on 14th September 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

Coote Lane Residential Home 23/02/06

Coote Lane Residential Home 18/08/05

Coote Lane Residential Home 08/12/04

Coote Lane Residential Home 30/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Coote Lane Residential Home Coote Lane Lostock Hall Nr Preston Lancashire PR5 5JE Lead Inspector Mr Patrick Rooney Unannounced Inspection 14th September 2006 10:00 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 Coote Lane Residential Home DS0000049738.V302374.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. Coote Lane Residential Home DS0000049738.V302374.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Coote Lane Residential Home Address Coote Lane Lostock Hall Nr Preston Lancashire PR5 5JE 01772 312152 01772 312157 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) BLHC Coote Lane Ltd Mrs Lesley Margaret May Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Coote Lane Residential Home DS0000049738.V302374.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 20 service users of the category OP (Old Age, not falling within any other category). 23rd February 2006 Date of last inspection Brief Description of the Service: Coote Lane provides residential care, for up to 20 service users, male and female who are over the age of 65. Coote Lane is a purpose built home, situated in 5 acres of land within walking distance of the village of Lostock Hall. Accommodation comprises of 20 single rooms on two floors with lift access for the 1st floor, all with the required furnishings, and a sink. Two have en suite facilities. There are also 2 bathrooms, one shower room, four separate toilets, and three lounge/quiet areas. There are also seating areas outside, accessible through patio windows from the lounge. Fees for a place in the home are currently £380 per week. Coote Lane Residential Home DS0000049738.V302374.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced site visit and took place over a five-hour period. A pre inspection questionnaire was completed by the manager. The inspector consulted care records and spoke to most of the residents living at the home. He discussed their care with them and visiting relatives. Comments received from residents and relatives were positive and were complementary about the care they receive. Their comments include: “They treat me very well”, “The care that I have received is excellent”, “I am very happy at Coote Lane”, Relatives comments included; “We are pleased with the level of care my relative receives in this home”, “The care provided by Coote Lane residential home is of the highest standard. The management and staff are at all times considerate and caring”. The inspector toured the building, spoke to individual staff, had discussion with management and consulted records and policies and procedures. Questionnaires were issued to residents and relatives. What the service does well: What has improved since the last inspection? An updated and revised service users guide has been produced, which give good clear information about the services and facilities offered by the home. Coote Lane Residential Home DS0000049738.V302374.R01.S.doc Version 5.2 Page 6 Medication policies and procedures have been reviewed and there has been an improvement in the system. 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. Coote Lane Residential Home DS0000049738.V302374.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 Coote Lane Residential Home DS0000049738.V302374.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 Quality in this outcome group is good; this judgement has been made using available evidence including a visit to this service. The home has a good information and assessment procedures, which ensure resident’s needs are comprehensively assessed and appropriate care plans made. EVIDENCE: A new revised service users guide has been issued and gives clear updated information to residents, a copy of this has been made available to the CSCI. The assessments of four residents were looked at. A full pre admission assessment had taken place, which identified care to be provided including risk assessments. While the assessments contained good information about care to be provided the sections for social interests, hobbies, religious and cultural Coote Lane Residential Home DS0000049738.V302374.R01.S.doc Version 5.2 Page 9 needs had not been completed. This should be done to ensure that a person centred approach to care planning is developed. For residents who are funded by social services there should be a social workers assessment on file. None of the files looked at had these. Coote Lane Residential Home DS0000049738.V302374.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 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 group is good, this judgement has been made using available evidence including a visit to this service. Residents care plans are comprehensive and ensure health and personal needs are fully met, care is provided ensuring privacy and dignity is maintained. EVIDENCE: During the visit the files of four residents were looked at and their care discussed with them. Each resident had an individual care plan, which provided comprehensive information and detail to ensure that health and personal care needs can be fully met. Care plans are reviewed monthly, residents and their families are able to take part in the process. Care plans and reviews contained signatures of the resident or their representative. Coote Lane Residential Home DS0000049738.V302374.R01.S.doc Version 5.2 Page 11 Each file contained records for monitoring and recording visits by health care professionals including doctors or district nurses. All these records were up to date and provided detailed information. Medication policies and procedures were looked at and records examined, these are well kept and been up dated. A risk assessment is carried out to ensure any resident wishing to self medicate is able to do so. There is a clear description of all drugs dispensed stating what they are for and when they should be given. All staff giving out medication have received training in this. A regular monitoring of temperatures in the medical fridge and medication storage room is carried out. Residents said that they are happy with the care they receive and said that staff are kind and considerate, their comments included; “They treat me very well”, “The care that I have received is excellent”, “I am very happy at Coote Lane”, Relatives comments included; “We are pleased with the level of care my relative receives in this home”, “The care provided by Coote Lane residential home is of the highest standard. The management and staff are at all times considerate and caring”. Good interaction between residents and staff was observed during the visit. Coote Lane Residential Home DS0000049738.V302374.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 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 group is good; this judgement has been made using available evidence including a visit to this service. The home provides residents with choice and routines are flexible, this ensures they are able to exercise control in everyday life. EVIDENCE: The home provides a good variety of activities for residents. The inspector looked at the activity folder, in which there was recorded activities provided, these include, dominoes, bingo, board games, entertainers, shopping trips, trips to garden centres arts and crafts. During the visit residents were enjoying a session in flower arranging. Two activity organisers are engaged for two hours each fortnight. Residents said that there is always something for them to do if they want to be involved. The home provides flexibility with regards to daily routines and each resident has their own preferred getting up time in the morning. The service users guide says; “We offer support and encouragement to older people seeking to maintain an independent lifestyle”. Menus showed that there is a good variety of food available and residents are asked what they like. There are always alternative meals available for those Coote Lane Residential Home DS0000049738.V302374.R01.S.doc Version 5.2 Page 13 who wish. Meals can be taken in resident’s own rooms if they prefer to eat in private. Residents told the inspector they are happy with the meals they receive. The inspector had a meal during the visit, this was of good standard and well presented. Residents are encouraged to maintain their own financial affairs as long as possible. Information regarding access to independent advocacy services is available in the home. Bedrooms are personalised and residents are able to bring items of furniture, pictures and ornaments with them when they are admitted to the home. Coote Lane Residential Home DS0000049738.V302374.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 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 group is good; this judgement has been made using available evidence including a visit to this service. There are good arrangements in place for residents to raise concerns and the homes policies ensure residents are protected from abuse. EVIDENCE: The home has a complaints procedure, which is accessible to residents and their families. Copies are available on the homes notice board and are contained in the service users guide. Residents said that they are aware of the procedure and feel able to raise any concerns with the manager who is always available in the home. The record of complaints is kept up to date and showed that complaints are dealt with appropriately and responded to within the required time. There is a protection of vulnerable adults procedure including a whistle blowing policy. Staff have received training in the protection of vulnerable adults and were able to tell the inspector about the procedures to be followed if they had any concerns. Coote Lane Residential Home DS0000049738.V302374.R01.S.doc Version 5.2 Page 15 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 group is good; this judgement has been made using available evidence including a visit to this service. The home is well maintained and the environment is clean and comfortable. EVIDENCE: The have been improvements made since the last inspection and there is a programme of maintenance in place to ensure standards are always improved. There are plans in place to include another part of the building into the registration. There is a plan in place to ensure radiators are guarded and it is hoped to complete this during 2007. In the meantime risk assessment are in place to ensure more vulnerable residents are protected. Residents were happy with their accommodation and their rooms are personalised with their own ornaments and furniture. There are policies and procedures in place to ensure infection control and the home is kept clean and hygienic. At t he time of the visit the home was observed to be clean and comfortable. Coote Lane Residential Home DS0000049738.V302374.R01.S.doc Version 5.2 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 group is good; this judgement has been made using available evidence including a visit to this service. Arrangements for staffing the home ensure there are sufficient skilled staff on duty to meet the needs of residents. EVIDENCE: Recruitment files for staff were looked at and showed that there is a thorough recruitment process in which references are obtained and Criminal Records Bureau checks carried out prior to employment of staff. One member of staff who had come from abroad had a work permit and clearances had been taken up for this to be completed. However there was some confusion as to whether CRB checks should be carried out, following advice the manager was told that all staff including foreign nationals must have a CRB clearance. Arrangements to do this were actioned immediately Staff records showed that new staff have a comprehensive induction and training to enable them to carry out their duties. A training matrix has been produced which shows staff have received the required training. Certificates of training were seen on staff files. Staff on duty were spoken to individually and said that they are well supported and are given the opportunity to take part in training. 50 of staff are qualified to NVQ 2 and more staff are presently completing this training. Coote Lane Residential Home DS0000049738.V302374.R01.S.doc Version 5.2 Page 17 During the visit it was noted that there were sufficient staff on duty to meet the needs of residents. Rotas seen showed that there are always sufficient experienced staff on duty. Coote Lane Residential Home DS0000049738.V302374.R01.S.doc Version 5.2 Page 18 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 and 38 Quality in this outcome group is good; this judgement has been made using available evidence including a visit to this service. The home is well managed, which ensures residents interests are protected and health and safety issues are promoted. EVIDENCE: There is a new manager in the home, who is applying for registration, she has nine years experience in providing care and has been deputy manager of the home for three years. There is good support from the responsible individual of the company owning the home and regular visits are made. Residents and staff are happy with how the home is run and there are clear lines of accountability. Resident’s views are taken seriously and resident surveys have been carried out. Residents meetings are arranged and the manager is in daily contact with all the residents. Both residents and staff feel Coote Lane Residential Home DS0000049738.V302374.R01.S.doc Version 5.2 Page 19 they are able to approach the manager with any ideas or issues they may have. The home looks after resident’s personal allowances, these are kept in a safe and good records are maintained of any transactions. All the homes policies and procedures have been reviewed and updated. Health and safety is taken seriously and staff receive training in moving and handling, health and safety and first aid. All safety certificates and risk assessments are carried out and are up to date. Coote Lane Residential Home DS0000049738.V302374.R01.S.doc Version 5.2 Page 20 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 3 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 X X 3 Coote Lane Residential Home DS0000049738.V302374.R01.S.doc Version 5.2 Page 21 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 2 3 Refer to Standard OP3 OP3 OP29 Good Practice Recommendations For those residents who have had a social work assessment there should be a copy available on their files. A social history, which includes background, religious, cultural and social interests and hobbies should be included in information available regarding residents. A POVA and CRB clearance should be obtained for any foreign national even if they have a work permit. Coote Lane Residential Home DS0000049738.V302374.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Coote Lane Residential Home DS0000049738.V302374.R01.S.doc Version 5.2 Page 23 - 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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