Inspection on 28/02/06 for Laburnum House

This inspection was carried out on 28th February 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

Laburnum House 14/05/07

Laburnum House 08/09/05

Laburnum House 15/03/05

Laburnum House 16/08/04

Laburnum House 10/02/04

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Laburnum House Laburnum Avenue Shaw Oldham OL2 8RS Lead Inspector Carol Makin Unannounced Inspection 28th February 2006 11:30a 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 House DS0000005510.V281996.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. Laburnum House DS0000005510.V281996.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Laburnum House Address Laburnum Avenue Shaw Oldham OL2 8RS 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) 01706847846 01706881624 Laburnum House Shaw Limited Mr David Ferguson Care Home 34 Category(ies) of Dementia - over 65 years of age (7), Old age, registration, with number not falling within any other category (25), of places Physical disability over 65 years of age (2) Laburnum House DS0000005510.V281996.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 34 service users to include: *up to 7 service users in the category of DE(E) (Dementia over 65 years of age). *up to 25 service users in the category of OP (Old age not falling within any other category). *up to 2 service users in the category of PD(E) (Physical disability over 65 years of age). A Manager, working a minimum of 30 hours each week, must be in place at all times who has the qualifications, skills and experience necessary for managing the home and who is registered, or has an application for registration pending, with the Commission for Social Care Inspection. 8th September 2005 2. Date of last inspection Brief Description of the Service: Laburnum House is a purpose built care home, which is owned by Laburnum House (Shaw) Ltd. It is situated close to bus routes and local amenities in the centre of Shaw, Oldham. The home is registered to provide residential care for 34 service users. The categories of registration include providing care services for people over 65 years with various needs, including care needs associated with old age; people with dementia, and people with a physical disability. Accommodation for service users is provided on the ground and first floors of the building. A passenger lift has been installed between these two floors. There are 34 single bedrooms, and en-suite facilities are provided in 8 of the rooms. Laburnum House DS0000005510.V281996.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 28th February 2006. During the inspection the inspector spoke with some of the residents, visitors, the owner, and the assistant cook, carried out a partial inspection of the premises, and examined records. Verbal feedback of the findings of the inspection was given to the owner during, and at the end of the inspection. All of the assessed standards were met, and the quality of care provided was good. Those standards not inspected on this occasion had been met on the previous inspection. This is the third inspection in which there have been no requirements or recommendations. Laburnum House is a well run home. What the service does well: What has improved since the last inspection? What they could do better: As stated previously, there were no requirements or recommendations arising from this inspection. Laburnum House DS0000005510.V281996.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. Laburnum House DS0000005510.V281996.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 Laburnum House DS0000005510.V281996.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): The standards in this section were not assessed on this inspection. EVIDENCE: Standard 3 was met at the last inspection, and as intermediate care is not offered at Laburnum House, standard 6 is not applicable. The remaining standards are not key standards, and they were met on previous inspections. Laburnum House DS0000005510.V281996.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): 9 Procedures for dealing with medicines were appropriate. EVIDENCE: Standards 7,8 and 10 were not fully assessed on this inspection as they were met on the last inspection, but it is worthy of note that since the last inspection the Head Cook had completed a ‘personal diet plan’, for residents with special dietary needs. The plan had been placed on the residents’ care files with the assessments of their other care needs. A sample of residents’ medicine records were checked, and found to be in order. The storage facilities for medication were also satisfactory. Training had been provided for the members of staff who are responsible for administering medication, and the training for 2 of the staff was at advanced level. Laburnum House DS0000005510.V281996.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The standards in this section were not assessed on this inspection. EVIDENCE: The standards in this section, all of which were met on the last inspection, were not fully assessed on this inspection. Reference was, however made to certain aspects of these standards during the inspection, and the comments subsequently made by residents, and observations made by the inspector, were positive. Comments from residents and visitors who spoke with the inspector included: “There’s always something to do here, and the food is very good”; “The food is good and you always have a choice”; “ The cooks make lovely birthday cakes for us”; “Visitors can come here when they like, and they are made welcome”, and “ The entertainment is good. Singers come in, and we have potato pie suppers”. The inspector sampled some of the lunch and found it to be very well cooked and nicely presented. Laburnum House DS0000005510.V281996.R01.S.doc Version 5.1 Page 11 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 A system was in place, to ensure that complainants would know that their complaint had been taken seriously and acted upon. EVIDENCE: The owner said that there had been no complaints made to the home. There was, however a system in place for recording complaints, which included the nature of the complaint, the investigation, the outcome, and the response made to the complainant. Timescales for responding to the complainant were included in the home’s complaints procedure, which was displayed on the notice board, and included in the Statement of Purpose and Service User Guide. Laburnum House DS0000005510.V281996.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 The home was clean, and the owners were maintaining the property and providing pleasant accommodation for the people who live there. EVIDENCE: The key standards, and most of the other standards in this section were assessed at the last inspection and were met. This inspection therefore focused on the general cleanliness of the home, and any improvements made to the accommodation since the last inspection. Standards of cleanliness within the home continued to be maintained, and no unpleasant odours were detected. Residents and visitors who spoke with the inspector confirmed that this was the normal standard of cleanliness within the home, and made comments such as, “It’s always very clean”. Residents were satisfied with their bedrooms, and they were able to bring in furniture and other personal possessions of their choice to meet their needs, and make the rooms homely. Laburnum House DS0000005510.V281996.R01.S.doc Version 5.1 Page 13 The small lounge and several bedrooms had been refurbished since the last inspection, and decorating was in progress in a bedroom at the time of the inspection. Laburnum House DS0000005510.V281996.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The standards in this section were not assessed on this inspection. EVIDENCE: The standards in this section were not fully assessed on this inspection as they were met on the last inspection, but residents and visitors who spoke with the inspector commented positively about the staff. Their comments included: “the staff know their job, a lot of them have been here a good while”; “they are very kind, especially the night staff”; “you can’t fault any of them here”, and “ we are all well looked after”. Laburnum House DS0000005510.V281996.R01.S.doc Version 5.1 Page 15 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 and 38 Laburnum House is a well run home, in which the health, safety, and welfare of residents and staff are promoted and protected, and the best interests of the residents are ensured. EVIDENCE: Laburnum House is run and managed by David Ferguson and Jeanette Bardsley. Mr Ferguson is the registered manager. He has several years’ experience in this capacity, and is an RMN and RGN qualified nurse, and holds a Certificate in Management Studies. Mr Ferguson was not on duty on the day of the inspection, and Mrs Bardsley was in charge of the home. She has a Higher National Certificate in Managing Care, a City and Guilds Teacher Training Certificate, and she is an NVQ Assessor. This is the third inspection in which there have been no requirements or recommendations. Laburnum House DS0000005510.V281996.R01.S.doc Version 5.1 Page 16 The home has achieved an ISO 9000 award and an Investors In People award, the certificates for which were displayed in the entrance area of the home. The home’s quality monitoring system includes the distribution of questionnaires, to service users, their relatives, and other stakeholders, and an analysis of the survey is produced when completed. A health and safety manual is provided, and an external audit of the health and safety provision within the home was conducted on 16/12/05 by a private consultancy firm. Records showed that the passenger lift had been regularly serviced, and an independent inspection was carried out on 7/10/05. Reports of accidents had been appropriately completed, as had records in relation to fire precautions. Staff training records showed that training in safe working practices had been provided for care, domestic, and catering staff. Laburnum House DS0000005510.V281996.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Laburnum House DS0000005510.V281996.R01.S.doc Version 5.1 Page 18 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. Refer to Standard Good Practice Recommendations Laburnum House DS0000005510.V281996.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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. 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