Inspection on 20/09/05 for Lambton Grange

This inspection was carried out on 20th 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

Lambton Grange 14/02/07

Lambton Grange 20/04/05

Lambton Grange 13/12/04

Lambton Grange 15/04/04

Lambton Grange 31/01/04

Lambton Grange 27/10/03

Lambton Grange 03/10/02

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

CARE HOME ADULTS 18-65 Lambton Grange Lambton Grange New Lambton Village Fencehouses Houghton le Spring Durham DH4 6DE Lead Inspector Belinda Parker Announced Inspection 20th September 2005 9:00 Lambton Grange DS0000007483.V251251.R01.S.doc Version 5.0 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 Lambton Grange DS0000007483.V251251.R01.S.doc Version 5.0 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 Adults 18-65. 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. Lambton Grange DS0000007483.V251251.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Lambton Grange Address 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) Lambton Grange New Lambton Village Fencehouses Houghton le Spring Durham DH4 6DE 0191 385 2206 Mr Richard Coltman Mr Jason James Thompson Mrs Rita McEleavey Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Lambton Grange DS0000007483.V251251.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th April 2005 Brief Description of the Service: Lambton Grange is a registered care home providing personal care and accommodation for up to eight adults with a Learning Disability, some of whom may have an additional physical disability. The home is not registered to accommodate people who require nursing care. Lambton Grange is a two-storey building and domestic in design. Personal accommodation is located on both floors. A sensory stimulation room, communal space and kitchen facilities are located on the ground floor. It is located in private, well maintained grounds, next to a larger care home for older people and situated on the edge of the village of Fencehouses, County Durham. Both homes are owned by Mr R Coltman and Mr J J Thompson and operate within the private sector. The homes operate independently of each other. Lambton Grange DS0000007483.V251251.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on 20/9/05 over a period of three hours. During the inspection time was spent talking to service users, staff and the manager. A tour of the building was carried out. Requirements made at the last inspection have been met. 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. Lambton Grange DS0000007483.V251251.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lambton Grange DS0000007483.V251251.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 4 The home’s Statement of Purpose, Service User Guide and admission procedure are excellent providing service users and prospective service users with good information to enable them to make an informed decision as to whether they wish to move into the home. EVIDENCE: Since the last inspection the Statement of Purpose and Service User Guide has been reviewed. These documents are now available in large print including coloured photographs, enabling service users and their relatives to make an informed decision as to whether the prospective service user wished to move in to the home. Care plans examined included evidence of a full assessment being carried out prior to admission, to provide staff with the information they required to enable them to meet the individual needs of the prospective service user. The manager said prospective service users and their family are invited to visit and spend time in the home, getting to know other service users and the staff. This process is followed over a period of time there is no pressure put on the prospective service user to make a decision. Lambton Grange DS0000007483.V251251.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 10 The home has in place a satisfactory policy to ensure the protection of information relating to service users. EVIDENCE: The manager said new staff employed by the home receive training during their induction period on confidentiality and Data Protection for the protection of service users’. Evidence was available in staff personnel files to show that this training was included in new employee induction. The manager said all staff during supervision discuss the importance of confidentiality within their role. Lambton Grange DS0000007483.V251251.R01.S.doc Version 5.0 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: This standard section was not assessed at this inspection. Lambton Grange DS0000007483.V251251.R01.S.doc Version 5.0 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 and 21 The home has in place policies and procedures to provide staff with information to enable them to meet the needs of service users respecting privacy, dignity and choice. EVIDENCE: It was observed during the inspection that service users were given choices by staff and their views listened to. One service user spoken to said he would let the staff member know what he wished to have for lunch. Service users are supported by staff or their family to attend appointments with other health care professionals in the community to enable their individual care needs to be met. Due to the high dependency needs of service users living in the home all medication is administered by staff. An assessment of the service user’s ability to administer their own medication is included in the individual’s plan of care. A policy and procedure is in place in the event of death and includes reference to service users with different religions and cultures. Lambton Grange DS0000007483.V251251.R01.S.doc Version 5.0 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 The home has in place a robust procedure to ensure service users are protected from abuse or neglect. EVIDENCE: All staff in the home has attended POVA (Protection of Vulnerable Adults) training to ensure the protection of service users. Criminal Records Bureau checks have been carried out for all staff. Lambton Grange DS0000007483.V251251.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29 and 30 The standard of the environment in this home is good providing service users with an attractive and homely place to live. EVIDENCE: Since the last inspection a communal games room is now available for service users to enjoy. Some bedrooms have been refurbished to a high standard. One service user spoken to said before moving in he had chosen the colour scheme for his bedroom and soft furnishings. The communal areas in the home are furnished and decorated to a good standard providing service users with a comfortable place to live. Bathing, toilet and washing areas meet the collective needs of the service users. The home is light, bright and airy with no offensive odours present. One service users said he assisted staff to keep his room tidy. The home has in place a range of disability equipment to meet the assessed needs of the service users. Lambton Grange DS0000007483.V251251.R01.S.doc Version 5.0 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 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, 32, 33, 34, 35 and 36 Service users living in this home benefit from staff that have a very good understanding of their support needs. This is evident from the positive relationships, which have been formed between staff and service users. EVIDENCE: Staff during discussion and evidence available showed that the home is adequately staffed with competent and trained staff to meet the individual needs of the people who live there. It was observed during the inspection that staff interacted with service users and listened to their views. One service user said,” All the staff are great”, “I had a lovely holiday at Skegness with the staff, it was fun”. Staff personnel files contained evidence to show that a Criminal Records Bureau check had been carried out for the protection of service users. Services users benefit from well supported and supervised staff. Lambton Grange DS0000007483.V251251.R01.S.doc Version 5.0 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 40,42 and 43 The home is financially viable and ran efficiently by the manager ensuring a good standard of service and protection of service users. EVIDENCE: The manager said she is nearing completion of the Registered Managers Award, which will enhance her skills and abilities in the management of the home and the service provision to service users and other visitors to the home. Policies and Procedures examined where up to date, providing staff with information to deliver a good standard of service to the people who lived in and visited the home. Health and Safety records examined for the protection of service users where accurate and up to date. Evidence has been received from the provider by CSCI to show that the home is financially viable and ran efficiently as a business. Lambton Grange DS0000007483.V251251.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x 3 x Standard No 22 23 Score x 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x x x 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 4 3 4 3 4 3 3 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Lambton Grange Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 x x 3 x 3 3 DS0000007483.V251251.R01.S.doc Version 5.0 Page 16 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. 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 Lambton Grange DS0000007483.V251251.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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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