Inspection on 21/06/05 for Lake View Manor

This inspection was carried out on 21st June 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

Lake View Manor 25/04/07

Lake View Manor 09/11/05

Lake View Manor 16/11/04

Lake View Manor 24/08/04

Similar services:

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Larchfield Manor

Hawkhills

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The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Lake View Manor 29 - 30 Pearson Park Kingston upon Hull East Yorkshire HU5 2TD Lead Inspector Janet Lamb Unannounced 21 June 2005 9:00 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. Lake View Manor J54_s858_Lake View Manor_v229672_210605_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Lake View Manor Address 29 - 30 Pearson Park Kingston upon Hull East Yorkshire HU5 2TD 01482 447476 NA NA Mr G Davies 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) Ms Elaine Garland Care Home 26 Category(ies) of OP Old Age (26) registration, with number of places Lake View Manor J54_s858_Lake View Manor_v229672_210605_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 16/11/04 Brief Description of the Service: Lake View Manor is a large Victorian property made from two houses in Pearson Park in the west of the city of Hull. There is a bus route close by,a rear garden for residents to use and a small car park to the front. There are shops, pubs and health services close by. The home accommodates up to 26 residents who are elderly, in ten single and eight double rooms on three floors, accessed by a passenger lift. The house is well maintained and decorated and rooms are personlised. Staff provide personal care and support. Meals, entertainment and laundry are included in the care. Lake View Manor J54_s858_Lake View Manor_v229672_210605_Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over two mornings and took six and a half hours to complete. It was one of the two inspections the home is required to have in each year. The Inspector looked around the house, talked to residents, the Manager, staff and visitors and some records were inspected. Of the 26 residents living in the home three were interviewed and another five were spoken to. There were three care staff, one senior carer, one cook and two cleaners working in the home and two care staff and the Manager were interviewed. The Inspector observed interaction between residents and staff, and between residents. What the service does well: What has improved since the last inspection? 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. Lake View Manor J54_s858_Lake View Manor_v229672_210605_Stage 4.doc Version 1.30 Page 6 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 Lake View Manor J54_s858_Lake View Manor_v229672_210605_Stage 4.doc Version 1.30 Page 7 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 and 6. The Manager and staff do a good job of assessing prospective residents’ needs before they move into the home. Residents know as a result of this if the home can meet their needs. Staff are trained and competent to meet residents’ needs. Standard 6 is not applicable. EVIDENCE: There is documentary evidence held on file in the form of the David Mason Associates (DMA) systems, of prospective residents being assessed in their home or in hospital, by the Manager and the placing authority. There is a copy of a standard letter informing residents their needs can or cannot be met. There are plans of care compiled by the Manager or a senior carer, covering all identified care needs, which are reviewed each month and recorded as done. Staff have many training opportunities starting first with induction and foundation training and then mandatory training course, which equips them to care for residents with the kind of identified needs. There are also more specialist courses on dementia, diabetes, epilepsy, etc., although the home is not registered for older people with dementia. The Manager ensures there are satisfactory levels of staff on duty each shift. Staff spoken to confirmed that only senior staff assist the Manager in assessing needs and compiling plans of Lake View Manor J54_s858_Lake View Manor_v229672_210605_Stage 4.doc Version 1.30 Page 8 care. Residents spoken to said they were aware of their plans of care and documents held in the office, but none were interested in viewing them or in knowing what was recorded. Residents confirmed having been visited before moving into the home, and the Manager and Care Coordinator asking questions. Lake View Manor J54_s858_Lake View Manor_v229672_210605_Stage 4.doc Version 1.30 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 and 10. The Manager and staff have compiled good plans of care, which cover a very comprehensive range of needs. They generally meet these needs very well and are careful to promote and safeguard the privacy and dignity of the residents. EVIDENCE: Plans of care were seen in residents’ files and cover all areas of personal, social, health, emotional, religious/cultural and nutritional needs. Daily diary notes and specific care needs charts show when care was given and who by. Residents when spoken to confirmed that staff are very helpful and assist them when requested. Staff were observed supporting and assisting residents throughout the inspection. One resident spoke of staff always being busy and that in her opinion the home could do with more of them, to be able to spend more time with each resident. On the subject of privacy and dignity residents said staff leave them to live their own lives in private, but are always willing to help when necessary and are very kind. Staff were observed to be discreet, polite and efficient in offering help and support and always suggested somewhere private to ensure residents’ dignity. Lake View Manor J54_s858_Lake View Manor_v229672_210605_Stage 4.doc Version 1.30 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 standard(s) 12, 13, 14 and 15. The staff do a good job of encouraging residents to keep in touch with relatives and friends and to make choices and decisions about their daily lives and pastimes. Residents are provided with a very good standard of food and drink, with lots of choice and alternatives if necessary. EVIDENCE: Residents spoke about being able to make their own choices about getting up, going to bed, what to wear, where to go and what to do. They realise some routine is necessary and that sometimes days are almost all the same, but usually they lead the life they choose. They spoke of receiving visitors, sending and receiving letters and cards (one resident had a birthday on the day of inspection and opened cards and presents), and of sending e-mails (another resident keeps in touch with family abroad). Records in diary notes and files showed choices residents make, visitors they receive and activities they get involved in. The Manager informed us that she has been improving outings for small groups of residents by taking them out for a meal at a local restaurant on a monthly basis. She intends to extend this further by offering picnics in the park and perhaps Tai Chi in the home in small groups. Lake View Manor J54_s858_Lake View Manor_v229672_210605_Stage 4.doc Version 1.30 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 standard(s) 16 and 18. The residents are well protected by the home’s systems and practice for making complaints and reporting abuse, and staff are well informed and instructed in both areas. EVIDENCE: There is a clear and simple complaint procedure and forms to be completed. The Manager responds to complaints promptly and finds out what went wrong and how to put it right. Records are maintained of all complaints made and the outcome of any investigation. Staff are also fully aware of how to deal with complaints. Residents said they had little to complain about and were not the sort of people to do so anyway. One said she would talk to her keyworker, and others said to any staff member if they wanted to make a serious complaint. They expressed the view that things run smoothly in the home and that they are confident about passing on concerns. The Manager has done abuse training and sets a good example to the staff group, who are instructed through NVQ and foundation training on what is considered abusive and how to report it. Staff have copies of training documents, policies and procedures available to them and understand the seriousness of protecting residents from abuse. Lake View Manor J54_s858_Lake View Manor_v229672_210605_Stage 4.doc Version 1.30 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 standard(s) 19 and 26. The home is suitably located, has good access, is near to the city centre and local services, and provides a comfortable and homely place to live. The rear garden is pleasant, accessed by a ramp and is well used. Internal decoration and furnishings are well maintained. The home is clean, pleasant and hygienic. EVIDENCE: A tour of the building and some residents’ rooms revealed the house is accessible to those with impaired mobility, offers plenty of private and communal space, and has a satisfactory level of security with locks and bolts to the main doors. Fire safety records show the home meets the requirements of the local fire service, that checks are done weekly on the system, that drills are held at least twice a year for each staff member who also complete fire training twice a year. Accident records are maintained in data protection format and any trends are identified and acted upon. There is a policy on infection control and staff practice was observed to be good in this area. There is a separate laundry and a place for staff to wash their hands, and equipment is suitable and meets the Water Supply (Water Fittings) Regulations 1999. Lake View Manor J54_s858_Lake View Manor_v229672_210605_Stage 4.doc Version 1.30 Page 13 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 and 29. The Manager does a good job of recruiting and selecting staff to enable her to ensure there are enough people with different skills to meet the needs of residents. EVIDENCE: The Manager and the staff confirmed the recruitment and selection procedure, and documents held in files acted as evidence it is followed. Documents included all items of proof of identity and suitability for the post, as required in schedule 2. Staff receive induction, foundation and mandatory training and are expected to follow practices of care as set in examples by the Manager and senior staff. Staff training files showed copies of certificates and details/documents of training done. One resident said the home could do with more staff to be able to give each resident more time and attention during the day. Lake View Manor J54_s858_Lake View Manor_v229672_210605_Stage 4.doc Version 1.30 Page 14 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) No judgements were made on the outcomes for any standards in this section as none were assessed. EVIDENCE: None gathered. Lake View Manor J54_s858_Lake View Manor_v229672_210605_Stage 4.doc Version 1.30 Page 15 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 x 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 4 14 3 15 4 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x x Lake View Manor J54_s858_Lake View Manor_v229672_210605_Stage 4.doc Version 1.30 Page 16 NO Are there any outstanding requirements from the last inspection? 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 NA 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 OP28 Good Practice Recommendations A minimum of 50 of care staff should have NVQ Level 2 by the end of 2005. Lake View Manor J54_s858_Lake View Manor_v229672_210605_Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Lake View Manor J54_s858_Lake View Manor_v229672_210605_Stage 4.doc Version 1.30 Page 18 - 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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