Inspection on 17/09/08 for Ladybank
Also see our care home review for Ladybank for more information
This inspection was carried out on 17th September 2008.
CSCI found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 12 statutory requirements (actions the home must comply with) as a result of this inspection.
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
Service users spoken with expressed their satisfaction with their quality of life at the home. They were all very happy to be at the home and all were complimentary about the staff that worked with them. Comments made to the inspector included: `The staff look after me well`, `the staff are always happy and cheerful` and `you couldn`t wish for a better bunch!` One visiting relative told the inspector how she is always made to feel very welcome at the home and another commented that `I have nothing but praise for the staff and the care they give my mother.` Meals are well balanced and varied with individual choices and preferences catered for. All interactions observed between the management, staff and service users evidenced that the home has a close and caring staff team.
What has improved since the last inspection?
The ongoing maintenance, redecoration and refurbishment programme provides service users with a comfortable and homely environment in which to live. In their AQAA to demonstrate what has improved since the last inspection, the manager stated: `With the appointment of a permanent manager, The Bridgewell unit is enabling more individuals to return to their homes.` With reference to the Ladybank unit the manager stated that: `Staff training has focused on Mental Capacity Act, and conditions such as COPD, dementia, diabetes, palliative care and other conditions common in older age. We asked at the residents` meeting if they would like to have a representative to liaise directly on their behalf with management/ duty officer. Decoration, lighting, heating systems bathrooms and kitchenettes have all been upgraded this year and is still ongoing.`
What the care home could do better:
The provider must review the organisation and management of the home. The organisational structure and accountabilities within the home must reflect that both Ladybank unit and Bridgewell unit are part of the care home registered as Ladybank and are one registered service with one registered manager. Clear lines of accountability must be established, recognising that the registered manager has overall responsibility for both units. The statement of purpose and service users` guide need to be amended so that prospective service users and people working at the home are clear on the set up and management of the home. Terms and conditions need to be developed and provided to each service user admitted to Ladybank, irrespective of whether fees are payable or not. All management and administrative systems and documentation for both units need to be reviewed and unified to reflect that Ladybank is one registered service with theregistered provider being Bracknell Forest Borough Council (BFBC) and the registered manager being Ms Halliday. It is vital that all staff are aware of and working to the same systems, policies and procedures, whether the staff are employed directly by the home or are employed by someone other than the registered provider, e.g. by the Primary Care Trust (PCT) or by an external agency. There needs to be an effective quality assurance and monitoring system established for the home that is overseen by the registered manager, that covers both units and that incorporates monitoring the quality of the service provided and the monitoring and supervision of all staff working at the home. It is recommended that the provider reviews the telephone system at the home to enable calls to be directed to the registered manager whichever telephone number is dialled by the caller. On the day following this inspection, the provider drew up and provided a preliminary, detailed action plan clearly demonstrating their understanding and commitment to improving and rectifying the issues identified during the inspection. Excerpts from the action plan are quoted in this report. The provider will be asked to provide an improvement plan setting out the methods by which, and the timetable to which, the registered person intends to improve the services provided in the care home. A copy of this plan should be made available to the people living at the home and/or their representatives.