Inspection on 08/09/05 for Laburnum House

This inspection was carried out on 8th September 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 House 14/05/07

Laburnum House 28/02/06

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 8 September 2005 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 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 F54 F04 s5510 Laburnum un v248524 080905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Laburnum House Address Laburnum Avenue Shaw Oldham OL2 8RS 01706 847846 01706 881624 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Laburnum House Shaw Limited Mr David Ferguson CRH - Care Home 33 Category(ies) of DE(E) Dementia over 65 (7) registration, with number OP Old Age (24) of places PD(E) Physical Disability over 65 (2) Laburnum House F54 F04 s5510 Laburnum un v248524 080905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 2 Service users to include up to 24 OP, up to 7 DE (E) and up to 2 PD (E). 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. Date of last inspection 15th March 2005 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. 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 31 single bedrooms and one twin bedded room. En-suite facilities are provided in six of the single rooms. The home is registered to provide residential care for 33 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. Laburnum House F54 F04 s5510 Laburnum un v248524 080905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out on 8th September 2005. All of the assessed standards were met and the quality of care provided was good. The inspector spoke with residents, a relative, the owner, the chef and care staff, and 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. What the service does well: What has improved since the last inspection? Several bedrooms have been redecorated and had new carpets fitted. A lounge on the ground floor has been converted to two single en-suite bedrooms and a double bedroom has become a single room, providing 100 single bedroom accommodation within the home. The application to register the two new rooms and increase the registered numbers from 33 to 34 places was being processed at the time of the inspection. Laburnum House F54 F04 s5510 Laburnum un v248524 080905 Stage 4.doc Version 1.40 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 House F54 F04 s5510 Laburnum un v248524 080905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Laburnum House F54 F04 s5510 Laburnum un v248524 080905 Stage 4.doc Version 1.40 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 standard(s) 3, 4 & 5 Assessments of prospective residents’ care needs were completed before they moved into the home. Prospective residents and their relatives have an opportunity to visit and assess the suitability of the home. EVIDENCE: The care files which were inspected contained pre-admission assessments of care needs, which had been completed by the home and care managers from the community. The owner said that prospective residents were also invited to visit Laburnum House, to have a meal and meet the residents and staff. A visitor who spoke with the inspector confirmed that she had visited the home with her relative prior to admission, to assess its suitability. Laburnum House does not offer intermediate care. Laburnum House F54 F04 s5510 Laburnum un v248524 080905 Stage 4.doc Version 1.40 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 standard(s) 7, 8 & 10 Residents’ health, personal and social care needs were set out in an individual plan of care and are met in the home. Residents’ rights were respected and maintained by the staff in the home. EVIDENCE: Care plans and risk assessments, which had been completed by the home and care managers from the community, were in place on the files which were inspected. Separate care plans were provided for day and night, and those on the files seen, had been signed by the residents concerned. Daily reports were informative and relevant to the care plans. A record was kept of visits from health professionals and residents’ weights were recorded on admission and subsequently at monthly intervals. Special dietary needs were reflected in care plans and monitored by care staff in their daily reports. Laburnum House F54 F04 s5510 Laburnum un v248524 080905 Stage 4.doc Version 1.40 Page 10 The residents who spoke with the inspector felt that they were well looked after in the home and that their health and social care needs were met. A visitor said that when she went home from visiting, she felt “relaxed” about leaving her relative at Laburnum House, because she knew she was “being looked after”. Residents said that staff treated them with respect and their rights to privacy and dignity were maintained. References to maintaining residents’ rights to respect, privacy, dignity and independence were also noted in care plans. Laburnum House F54 F04 s5510 Laburnum un v248524 080905 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14 & 15 The daily routine within the home was flexible and enabled residents to make choices in various aspects of their daily life within the home. Residents were able to maintain contact with relatives and friends. Activities provided residents with enjoyment and stimulation. Residents enjoyed the food provided at the home. EVIDENCE: Residents felt that the daily routines within the home were flexible. Comments such as “you can please yourself here” were made and examples were given such as getting up and going to bed when they wished, taking time over meals, having visitors when they liked, joining in with activities if they wished to do so. Members of staff took residents out individually and in small groups locally, and in larger groups further a-field. Up-to-date information about activities was displayed on the residents’ notice board. Laburnum House F54 F04 s5510 Laburnum un v248524 080905 Stage 4.doc Version 1.40 Page 12 A visitor also said that there was plenty of stimulation for the residents, ranging from entertainment, to helping with little jobs around the home, e.g., folding napkins in the dining room. On the day of the inspection a resident’s 90th birthday was being celebrated. The management of the home had bought the lady an arrangement of fresh flowers and invited her family to join in with the celebrations. A singer provided an afternoon of entertainment and residents and visitors were offered sherry and wine. Residents were seen joining in with the singing, and they looked happy and were clearly enjoying themselves. This was followed by a very good buffet tea, which had been prepared by the chef who had also baked a large birthday cake. Residents were very complimentary about the food, and seen to be ‘tucking into’ chicken drumsticks, sandwiches, vol-au-vents, etc. with enthusiasm. By choice, residents have ‘buffet type’ teas served in the lounges. The chef speaks to new residents individually, (or their relative if necessary), regarding dietary needs, discusses any issues with keyworkers and has input into care plans. He has also compiled a folder of information, which he has researched, regarding special diets and healthy eating. The inspector sampled some of the food at lunchtime and found it to be hot, tasty and well cooked. Food hygiene measures were extensive and the standard of cleanliness and organisation of the kitchen and food storage facilities on this unannounced inspection equalled the high standard which has prevailed at previous inspections. The chef had again been awarded the ‘Heartbeat Award’ by Oldham Council’s Environmental Health Department. During discussions with residents and a visitor, it was confirmed that relatives and friends were able to visit when they wished and that they were made welcome by the staff. Laburnum House F54 F04 s5510 Laburnum un v248524 080905 Stage 4.doc Version 1.40 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 standard(s) 18 Staff had received training to protect residents from abuse. EVIDENCE: Since the last inspection all care staff had received certificated training in relation to the protection of vulnerable adults. The local authority’s policy/procedure manual regarding the protection of vulnerable adults was available in the office for staff. Laburnum House F54 F04 s5510 Laburnum un v248524 080905 Stage 4.doc Version 1.40 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 standard(s) 19, 20, 23, 24, 25 & 26 The home was clean, and the owners were maintaining the property and providing pleasant accommodation for the people who live there. EVIDENCE: At the time of the inspection the home was clean and free from unpleasant odours, and residents and a visitor confirmed that this was the normal standard of cleanliness within the home. Gardens were well maintained and residents said that they enjoyed sitting out in them when the weather was good. The home provides a large lounge, two small lounges and two dining areas. There is also an appropriately equipped room for hairdressing. Laburnum House F54 F04 s5510 Laburnum un v248524 080905 Stage 4.doc Version 1.40 Page 15 The bedrooms inspected were personalised to varying degrees according to residents’ choice, including some items of their own furniture. The rooms were decorated and furnished to a good standard and several rooms had been redecorated since the last inspection. A lounge on the ground floor had recently been converted to two single ensuite bedrooms, and a double bedroom had become a single room, providing 100 single bedroom accommodation within the home. At the time of the inspection, the owner’s application to increase the number of registered places, brought about by these changes, was being processed. Laburnum House F54 F04 s5510 Laburnum un v248524 080905 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 & 30 The staffing levels within the home were sufficient to meet the needs of the residents. The procedures for recruiting new staff were satisfactory. Overall, the training programme for staff was suitable for meeting the needs of the residents. EVIDENCE: The information which was obtained for the inspection indicated that staffing levels within the home met the standards and were sufficient to meet the needs of the residents. Information gained from an inspection of a sample of staff records, and an interview with a recently appointed member of staff, indicated that the home’s procedures for recruiting new staff were satisfactory. The owner stated that 20 of the 23 care staff, (87 ), who were employed at the home, had achieved an NVQ level 2 qualification. The remaining staff will automatically enrol for NVQ training when they have completed the statutory period of three months’ employment in the home. Laburnum House F54 F04 s5510 Laburnum un v248524 080905 Stage 4.doc Version 1.40 Page 17 New members of staff had received in-house induction training and had been included in the home’s ongoing training programme, all of which meet the national minimum standards. A training matrix is used to identify the date when training needs to be updated. Since the last inspection staff had received training in the following: the protection of vulnerable adults; emergency first aid; moving and handling, and fire procedures training by an external trainer. At interview staff also gave information about the training, which they had received. Laburnum House F54 F04 s5510 Laburnum un v248524 080905 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Residents’ financial interests were safeguarded. EVIDENCE: Records of money held in safekeeping for residents were selected at random for inspection and were found to be in order. The records were also externally audited each year. Laburnum House F54 F04 s5510 Laburnum un v248524 080905 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION 3 3 x x 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x x x 3 x x x Laburnum House F54 F04 s5510 Laburnum un v248524 080905 Stage 4.doc Version 1.40 Page 20 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Laburnum House F54 F04 s5510 Laburnum un v248524 080905 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 2nd Floor, Heritage Wharf Portland Place Ashton-under-Lyne OL7 OQD 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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