Inspection on 02/12/05 for Laburnum Court

This inspection was carried out on 2nd December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Laburnum Court 24/10/07

Laburnum Court 04/10/06

Laburnum Court 05/05/06

Laburnum Court 21/09/05

Laburnum Court 14/02/05

Laburnum Court 29/07/04

Laburnum Court 09/02/04

Laburnum Court 22/07/03

Laburnum Court 30/07/02

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Laburnum Court Priory Grove Lower Broughton Salford M7 2HT Lead Inspector Richard Dankwa Unannounced Inspection 2nd December 2005 11:00 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 Laburnum Court DS0000006734.V270425.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Laburnum Court DS0000006734.V270425.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Laburnum Court Address Priory Grove Lower Broughton Salford M7 2HT 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) 0161 708 0171 0161 705 0156 Southern Cross Healthcare Services Limited Marcella Ann Lade Care Home 67 Category(ies) of Dementia - over 65 years of age (30), Old age, registration, with number not falling within any other category (37) of places Laburnum Court DS0000006734.V270425.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Minimum nursing staffing levels as specified in the notice issued under Section 25(3) of the Registered Homes Act 1984 on 10 December 1999 shall be maintained. Up to 17 service users requiring personal care only may be accommodated on the first floor. The person in charge of the first floor unit caring for people with general nursing needs must be registered on Part 1 or 12 of the Nursing and Midwifery Council register. Service users admitted to the unit caring for people with dementia shall not be subject to detention under the terms of the Mental Health Act 1983. The person in charge of the unit on the ground floor for people with dementia must be registered on Part 3 or 13 of the Nursing and Midwifery Council register. The home must at all times employ a suitably qualified manager who is registered with the Commission for Social Care Inspection. 21st September 2005 2. 3. 4. 5. 6. Date of last inspection Brief Description of the Service: Laburnum Court is a purpose built care home on two floors. The first floor of the building is registered to provide accommodation for 37 older people, up to 17 of whom will need personal care only. The ground floor provides accommodation for up to 30 older people whose nursing needs are primarily due to mental ill health. Accommodation is provided in single en suite bedrooms with a variety of communal space for the residents to use. The home is situated in Broughton, a residential area of Salford that is close to local shops and within a bus ride of Salford’s shopping precinct. Laburnum Court DS0000006734.V270425.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced inspection and it took place on 2 December 2005. The manager was on duty and the operations manager visited the home during the inspection. Some of the residents and staff were spoken to regarding the service the home provides. Some of the paperwork kept at the home was examined. A majority of the required improvements identified at the last inspection had been carried out. Other areas requiring improvements were identified during this inspection Specific standards were looked at during this inspection, concentrating on those areas the Commission for Social Care Inspection believes needed more improvements. This report may be read with previous reports to get a good picture of the home and the service being provided. What the service does well: What has improved since the last inspection? Most of the staff had received training in the administration of medication and this had improved the administration of medicines. The complaints procedure had improved by recording all complaints, following them up and dealing with them fully and satisfactorily. All staff had received fire training to enable them deal with fire emergencies. Some carpets had been replaced and a bedroom fully decorated. There was a planned programme in place to upgrade all areas of the home. Laburnum Court DS0000006734.V270425.R01.S.doc Version 5.0 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. Laburnum Court DS0000006734.V270425.R01.S.doc Version 5.0 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 Laburnum Court DS0000006734.V270425.R01.S.doc Version 5.0 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): 2 Residents were given information about the terms and conditions of the home in a written contract. EVIDENCE: A majority of the residents accommodated at the home had a contract with the social service. Private residents had a contract with Laburnum Court. Residents and their representatives were aware of the terms and conditions. Laburnum Court DS0000006734.V270425.R01.S.doc Version 5.0 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, 10. The care needs of the residents were documented enabling staff to meet the assessed needs of the residents. The medication procedures were adequate and appropriate to meet the needs of the residents. Residents were treated as individuals and the staff team promoted their independence. EVIDENCE: The care plans examined were detailed and updated. The care plans included individual risk assessments. The staff who were spoken to had a good understanding of the care needs of the residents. There are policies and procedures in place for the handling and administration of medication. The home now requests and checks all prescriptions before they are sent to the chemist. The home had implemented the new procedure for the disposal of waste medicines from care homes. Observations during the inspection indicated that the staff treated the residents with respect. Residents are treated individually and the staff encouraged them to be as independent as possible. Laburnum Court DS0000006734.V270425.R01.S.doc Version 5.0 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, 15. The individual lifestyles of the residents are met. The home continues to support the residents to maintain contacts with their relatives. The residents are supported to pursue social and leisure activities. However, more activities outside the home should be organised. The home provides a wholesome and appealing balanced diet. EVIDENCE: An entertainer visited the home on a regular basis. The home organised card games, prize bingo, dominoes, big screen cinema every two months, hand and feet massages, and outings to places such as Blackpool. A Christmas party had been organised. Although this might be the case one resident said, “We would like to go out more”. Staff also said that they would like to take the residents out on a regular basis but they are unable to do so. The home should organise more activities outside the home. The home encouraged the relatives to visit. Some relatives were visiting on the day of the inspection. Laburnum Court DS0000006734.V270425.R01.S.doc Version 5.0 Page 11 The home provides good quality wholesome meals. One resident said, “The food is always nice”. The home provides specialist diets to suit the needs of individual residents. These included soft diets, diets for residents with diabetes, finger-feeding diets, low fat diets, and high nutritious diets. There was a menu in place and the residents are offered a choice of meals. Laburnum Court DS0000006734.V270425.R01.S.doc Version 5.0 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, 18. There were policies and procedures in place for dealing with complaints. The policies and the practices of the home ensured that residents are safeguarded from abuse. EVIDENCE: Policies and procedures were in place for dealing with complaints. There was a complaints book in place that indicated that all complaints were fully investigated. It is also monitored on a monthly basis. The Commission for Social Care Inspection and the home had received some complaints since the last inspection. All complaints had been dealt with. There were policies and procedures in place regarding the Protection of Vulnerable Adults and Whistle Blowing. Staff who were spoken to were aware of how to deal with an allegation of abuse and had an understanding of potential indicators of abuse. Staff were receiving POVA training. Laburnum Court DS0000006734.V270425.R01.S.doc Version 5.0 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, 26. The environment generally appeared safe, but improvements were needed to maintain cleanliness and hygiene conditions. EVIDENCE: There was evidence of a programme of redecoration and improvement. The carpet in the main lounge (nursing unit) had been replaced. Decorators were being sent to the home the following week for 8 weeks to do major decorating and improvement work. Some rooms had been decorated already to a high standard. Carpets in 2 bedrooms had been replaced. There was a fire logbook in place and records indicated that weekly fire and health and safety checks were carried out. The hand rails in the corridors had splinters on some parts and all must be checked and repaired. Laburnum Court DS0000006734.V270425.R01.S.doc Version 5.0 Page 14 The home was generally dirty and some areas had an offensive odour of urine. The current management of this must be reviewed as a matter of urgency and the appropriate measures taken. The hours allocated for domestic duties are insufficient for the home. This was discussed with the operations manager and the home manager. The commission for Social Care Inspection had received complaints regarding odours within the home. Laburnum Court DS0000006734.V270425.R01.S.doc Version 5.0 Page 15 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, 30. The home ensures that the right staff are employed to look after vulnerable people. It means that the residents are safeguarded by the robust employment procedures of the home. EVIDENCE: The duty rosters showed that the numbers and skill mix of the staff would be adequate to meet the needs of the residents residing at Laburnum Court. Staff files examined contained all required information. The home had a robust recruitment procedure, which ensured that the staff were suitable to work with vulnerable residents. Staff files examined pointed out that exhaustive pre employment checks were carried out to protect the residents. Training packs are issued to all staff when they start employment at the home. A questionnaire was also given to staff to fill in that identified training needs. All staff received induction training. The staff also receive specialists training such as dementia. 3 staff had completed NVQ Level 2. 6 staff were undertaking it and 4 were undertaking NVQ Level 3. Laburnum Court DS0000006734.V270425.R01.S.doc Version 5.0 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): 31, 33, 36, 38. There were policies and procedures in place to ensure that the well being of staff and residents were protected. EVIDENCE: The manager was undertaking NVQ Level 4 and hoped to complete early next year. The manager’s style encouraged communication between the residents, their relatives and all staff. Meetings were organised that enabled residents, staff and relatives to air their views. The home had a system in place to find out from the residents whether the home was providing a good service or not. Nevertheless, this was not being carried out. Staff supervisions were being carried out to enable them support the residents and to perform their duties appropriately. Laburnum Court DS0000006734.V270425.R01.S.doc Version 5.0 Page 17 There was an accident book in place and accidents were audited. Health and safety checks were carried out on a regular basis. All staff had received fire prevention training and also moving and handling training. The majority of staff had received food hygiene training and the rest were attending the training on the 15 December 2005. Laburnum Court DS0000006734.V270425.R01.S.doc Version 5.0 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 3 X X X X 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 2 X X X X X X 2 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 X X X 3 Laburnum Court DS0000006734.V270425.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP19 Regulation 13 Requirement Timescale for action 15/01/06 2 3 4 OP26 OP26 OP33 16 23 24 The registered person must ensure that all areas that are accessible by the residents are free from hazards to their health. The hand rails must be repaired. The registered person must keep 15/01/06 the home free of offensive odour. The registered person must keep 01/01/06 all parts of the home clean at all times. The registered person must put 15/01/06 systems in place to enable the home consult the residents and their representatives about the care being provided. 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 OP12 Good Practice Recommendations The home should organise more activities outside the home. Laburnum Court DS0000006734.V270425.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Laburnum Court DS0000006734.V270425.R01.S.doc Version 5.0 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. 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