Inspection on 11/11/05 for Lambspark Residential Home

This inspection was carried out on 11th November 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Lambspark Residential Home 08/08/08

Lambspark Residential Home 09/08/07

Lambspark Residential Home 23/05/06

Lambspark Residential Home 10/05/05

Lambspark Residential Home 24/11/04

Lambspark Residential Home 19/05/04

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

CARE HOMES FOR OLDER PEOPLE Lambspark Residential Home 38 Merafield Road Plympton Plymouth Devon, PL7 1TL Lead Inspector Jane Gurnell Unannounced 11th November 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. Lambspark Residential Home D52-D04 S3538 Lambspark Residential Home V241951 111105 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Lambspark Residential Home Address 38 Merafield Road, Plympton, Plymouth, Devon, PL7 1TL 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) 01752 330470 01752 345126 Mr Richard Wraighte Mrs Tracey Elizabeth Wraighte Care Home 33 Category(ies) of Mental Disorder - over 65 years (33), Old age, registration, with number not falling within any other category (33), of places Dementia - over 65 years (33), Physical Disability - over 65 years (33) Lambspark Residential Home D52-D04 S3538 Lambspark Residential Home V241951 111105 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Age 60 years Date of last inspection 15.5.05 Brief Description of the Service: Lambspark is a detached, three storey property situated in the residential area of Merafield in Plympton. The Home is registered to provide residential accommodation and personal care, for a maximum of 33 persons over the age of 60 who may also have dementia, a mental disorder or physical disability. The home has 29 single bedrooms, 10 on the ground floor, 14 on the first floor and 5 on the 2nd floor; and 2 double bedrooms, 1 on the ground floor and 1 on the 2nd floor, all of which have en-suite toilet facilities. On the ground floor there is a small lounge room, with a conservatory attached, where residents may smoke if they wish to, and a dining room with a further lounge area. There is a large, non-smoking lounge room on the 1st floor. A shaft lift provides access from ground to both 1st and 2nd floor levels. There is a call bell system throughout the home. Residents are enabled to access any health or social care services they require and various social activities are arranged by the home. The garden is attractive, spacious and accessible to the residents. Lambspark Residential Home D52-D04 S3538 Lambspark Residential Home V241951 111105 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place in the afternoon on Friday 11th November 2005. The focus of the inspection was to consult with service users and to review the care planning processes. The inspector made a tour of the building, spoke to 19 residents and 2 visitors, and examined care plans, medication records and the fire log book. For those standards not assessed on this occasion, please refer to the inspection report dated 15th May 2005. 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. Lambspark Residential Home D52-D04 S3538 Lambspark Residential Home V241951 111105 Stage 4.doc Version 1.40 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 Lambspark Residential Home D52-D04 S3538 Lambspark Residential Home V241951 111105 Stage 4.doc Version 1.40 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 The assessment process ensures that residents can be confident that care staff are aware of their needs prior to their admission and are able to meet those needs. EVIDENCE: One newly admitted resident said she was very pleased with the care provided at Lambspark. A pre-admission assessment was documented and clearly identified her care needs. Lambspark Residential Home D52-D04 S3538 Lambspark Residential Home V241951 111105 Stage 4.doc Version 1.40 Page 8 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, 9, 10 Residents health, personal and social care needs are being met and residents are treated respectfully. Practices relating to medication administration protect the residents from risk. EVIDENCE: Residents described that they were very well cared for, have everything they need and the staff as very kind and caring. Two visitors confirmed that their relative receives a good standard of care and the staff are very friendly and welcoming. Care plans are developed for each resident detailing care needs and the action required by staff to meet those needs. Specialist advice is sought when necessary from Community Psychiatric Nurse, District Nurses and continence advisor. Pressure relieving mattresses and seating were provided for those residents as risk from developing pressure sores due to their frailty and immobility. Senior care staff confirmed that on occasion, they secondary dispense medication into named, lidded pots to ease medication administration at meal times when the large medication trolley would cause a hazard in the dining room. Controlled drugs are stored separately and the balance of these was checked and found to be correct. Lambspark Residential Home D52-D04 S3538 Lambspark Residential Home V241951 111105 Stage 4.doc Version 1.40 Page 9 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, 15 Social activities are managed well and provide interest for the residents. Meals are nutritious and varied. EVIDENCE: Residents said that they had just finished a game of “hoop-la” facilitated by one of the care staff and that activities are provided every afternoon: this was confirmed by the visitors. An evening meal of soup, bread and butter, sandwiches and hot dogs and onions was being prepared by one member of the care staff and residents said that the food was always plentiful and very nice. Lambspark Residential Home D52-D04 S3538 Lambspark Residential Home V241951 111105 Stage 4.doc Version 1.40 Page 10 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, 18 Residents are listened to and issues resolved promptly. EVIDENCE: Those residents able to comment as well as the 2 visitors consulted said that the owners and care staff were very approachable and they felt they could discuss any concerns. No complaints had been received since the last inspection. Care staff have yet to attend protection of vulnerable adults training. Lambspark Residential Home D52-D04 S3538 Lambspark Residential Home V241951 111105 Stage 4.doc Version 1.40 Page 11 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) 20, 24, 25, The service users live in a pleasant, well-maintained home that is comfortable and warm and which provides sufficient facilities to meet their needs. EVIDENCE: All communal rooms and bedrooms were pleasantly decorated and were found to be very clean indicating that regular cleaning takes place. Radiators are covered to prevent the risk of burns however control valves have yet to be fitted to the hot water outlets accessible to residents and identified as posing a risk of scald. The Registered Provider identified in the action plan from the previous inspection that these would be fitted in the spring of next year. Lambspark Residential Home D52-D04 S3538 Lambspark Residential Home V241951 111105 Stage 4.doc Version 1.40 Page 12 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, 30 Residents are cared for by caring and motivated staff. Staffing levels are not always sufficient to ensure the needs of the residents can be met at all times. EVIDENCE: Residents described the staff as very kind and caring. At the time of the inspection there were 3 care staff on duty: this was insufficient to meet the needs of the residents during the period of time the inspector was in the home. Staff found it difficult to supervise the residents in both the ground floor and first floor lounges, prepare the evening meal and answer requests for assistance. Examination of the duty rota indicated that there are between 3 and 4 care staff due to work each afternoon. During the morning and early afternoon, care staff are supported by catering, laundry and domestic staff. The Registered Provider must review this to ensure that there are sufficient care staff in the afternoons each day or sufficient ancillary staff to ensure the care staff do not need to prepare the evening meal. Two of the care staff were newly employed and described how they had worked alongside an experienced member of staff during their induction. The home’s in-house induction does not meet the National Training Organisation’s specifications. One of the staff had registered to undertake NVQ 2 training which does include these specifications. Lambspark Residential Home D52-D04 S3538 Lambspark Residential Home V241951 111105 Stage 4.doc Version 1.40 Page 13 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) 33, 35, 36, 38 Residents live in a well managed home. The owners and their staff team strive to provide a stimulating, safe environment that respects and protects residents’ rights. EVIDENCE: Service users said that they feel safe and secure in their home and that the home was well managed. Mr and Mrs Wraighte, the Registered Provider and Registered Manager, are available each day during the week, and at times at the weekends, and meet with service users and staff on a daily basis. Records were available to indicate that care staff were offered regular individual supervision to discuss issues of care practice and personal development. For those residents who are unable to manage their own finances, money is kept in the safe: individual records are maintained and a copy of these is sent to the residents’ next of kin each month to keep them informed of any expenditure. Lambspark Residential Home D52-D04 S3538 Lambspark Residential Home V241951 111105 Stage 4.doc Version 1.40 Page 14 The premises, including the kitchen, was very clean and tidy indicating that regular cleaning and monitoring takes place. The fire log detailed equipment testing and staff training to ensure each member of staff were aware pf their responsibilities in the event of an emergency. Quality monitoring surveys had recently been sent to relatives and visiting professionals to assess their opinions of the care and services provided at Lambspark. Lambspark Residential Home D52-D04 S3538 Lambspark Residential Home V241951 111105 Stage 4.doc Version 1.40 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 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 x 14 x 15 3 COMPLAINTS AND PROTECTION x 3 x x x 3 2 x STAFFING Standard No Score 27 2 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x x 3 x 3 3 x 3 Lambspark Residential Home D52-D04 S3538 Lambspark Residential Home V241951 111105 Stage 4.doc Version 1.40 Page 16 yes 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 OP25 Regulation 13 Requirement Design solutions must be in place to ensure that water is stored at a temperature of at least 60°C, distributed at 50°C and provided close to 43°C. from bath taps/showers and other hot water outlets assessed as posing a risk of scalding to service users. The Regsitered Provider must ensure that there are sufficient care staff employed at all times to meet the needs of those currently living in the home. Timescale for action 31.3.06 2. OP27 18 30.11.05 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. 2. Refer to Standard OP30 OP18 Good Practice Recommendations The home should provide induction training for newly employed staff that meets the National Training Organisations specifications. Care staff should attend training in the protection of vulnerable adults. Lambspark Residential Home D52-D04 S3538 Lambspark Residential Home V241951 111105 Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton Devon, TQ13 7UP 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 Lambspark Residential Home D52-D04 S3538 Lambspark Residential Home V241951 111105 Stage 4.doc Version 1.40 Page 18 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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