CARE HOMES FOR OLDER PEOPLE
Lambton House Lambton House New Lambton Fencehouses Durham DH4 6DE Lead Inspector
Belinda Parker Announced Inspection 22nd September 2005 12:00 X10015.doc Version 1.40 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 House DS0000007484.V251065.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 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. Lambton House DS0000007484.V251065.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Lambton House Address Lambton House New Lambton Fencehouses Durham DH4 6DE 0191 3855768 0191 3852169 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) Mr Jason James Thompson Mr Richard Coltman Mr Jason James Thompson Care Home 41 Category(ies) of Old age, not falling within any other category registration, with number (41) of places Lambton House DS0000007484.V251065.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 19th May 2005 Brief Description of the Service: Lambton House is a registered care home providing personal care and accommodation for up to 41 older people in the category of (OP). It is not registered to accommodate persons who require nursing care. The home was opened in April 1999 and is owned by Mr R Colman and Mr J J Thompson. Lambton House is located on the outskirts of Fencehouses. Local amenities are accessible by public transport. The home is a two – storey building situated in its own well-maintained private grounds. Personal accommodation is provided on both floors. Communal space and service areas are located on the ground floor. The home also provides a day care service for up to twelve older persons per day. Separate facilities and staff are provided for this service. Lambton House DS0000007484.V251065.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 3.5 hours. During the inspection time was spent talking to service users, staff and a number of records were examined. Recommendations 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 House DS0000007484.V251065.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Lambton House DS0000007484.V251065.R01.S.doc Version 5.0 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 the following standard(s): 1, 4 and 5 The home has a clear admission process in place, giving prospective service users and their relatives’ satisfactory information to make an informed decision as to whether they wished to move into the home. EVIDENCE: The home has in place an up to date Statement of Purpose and Service User Guide. These documents are also available in large print for ease of reading for service users and others who request a copy of these documents. The manager said no service users are admitted to the home without a full pre-admission assessment being carried out. This process ensures the home has the capacity to meet the individual needs of the prospective service user. The manager said prospective service users and their relatives are welcome to visit and spend time in the home with other service users and staff prior to taking the decision to move in. Lambton House DS0000007484.V251065.R01.S.doc Version 5.0 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 the following standard(s): 8, 9 and 10 The health needs of service users are well met with evidence of good multidisciplinary working taking place. The staff have a good understanding of service users support needs this is evident from the positive relationships formed between staff and the people who live in the home. EVIDENCE: Care plans examined included information to show that the home promotes and maintains service users health and ensures access to health care services to meet assessed needs. The home has in place a policy and procedure for the receipt, recording, storage, handling, administration and disposal of medicines. Information relating to the service user’s ability to self-administer medication is included in the care plan. During the inspection time was spent observing an activity session in the communal lounge. There was good interaction between services users and staff. Staff offered service users the choice as to whether they wished to join in the activity. The home has a flexible daily routine a service user spoken to
Lambton House DS0000007484.V251065.R01.S.doc Version 5.0 Page 9 said “ The staff give you time, you are not rushed”, “ I go to bed when I want”, “ The staff here are so good , you would think they were individually hand picked ”. Lambton House DS0000007484.V251065.R01.S.doc Version 5.0 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 the following standard(s): 12, 13 and 14 Service users living in this home have the choice to participate in a varied activities programme, which enriches their social opportunities. Staff encourage and enable service users to make choices within their chosen lifestyle. EVIDENCE: Observation, written evidence and discussion with service users showed that the home has a varied range of activities available on a daily basis. Service users said it was their choice as to whether they wish to participate. During the inspection a dice game was ongoing in the communal lounge with many service users joining in. One service user said she just enjoyed watching. Service users and staff said visitors are welcome to visit at any time. The manager said there is no restriction on visiting. The home holds various events throughout the year for example the recent summer garden fete, which is always well attended by the local community. Service users are given the opportunity to attend meetings in the home and put forward suggestions and make their views known. The manager said if a service user wishes an advocate to speak on their behalf this would be arranged.
Lambton House DS0000007484.V251065.R01.S.doc Version 5.0 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 the following standard(s): 16 and 17 The home has a satisfactory complaints procedure in place to enable service users to make their views known. Evidence is available to show that service users legal rights are protected. EVIDENCE: The home has in place a clear complaints procedure, which is available in large print if requested by service users or other visitors for ease of reading. There has been no recorded complaints since the last inspection. The manager said service users living in the home have their legal rights protected. During the recent general election a postal system of voting was available to enable service users to participate in the electoral process supported by staff if they so wished. Lambton House DS0000007484.V251065.R01.S.doc Version 5.0 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 the following standard(s): EVIDENCE: This standard set was not assessed at this inspection. Lambton House DS0000007484.V251065.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 and 30 The home has in place a robust recruitment procedure to ensure that the people living in the home are protected from abuse. Service users are cared for by competent and well trained staff. EVIDENCE: Staff personnel files examined during the inspection included the relevant information to ensure that service users are protected from abuse or neglect. Evidence was available to show that staff attend regular training equipping them with the necessary skills and abilities to meet the needs of the people who live in the home. Lambton House DS0000007484.V251065.R01.S.doc Version 5.0 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33 and 35 The home regularly reviews aspects of its performance through a good programme of self-review and consultations, which includes seeking the views of service users and their relatives. EVIDENCE: The manager during discussion was able to demonstrate that an open door policy is operated in the home and service users’ and their relatives’ views are sought and listened to. Service users spoken to said they would not hesitate to speak to staff if they wished to know something or had a problem. The home has a quality audit system in place to ensure the service being delivered is of a good standard. The manager said earlier this year the home had carried out a quality survey distributed to service users and their relatives and a meeting followed to discuss results. A record of this meeting is available.
Lambton House DS0000007484.V251065.R01.S.doc Version 5.0 Page 15 The manager said only small amounts of money are held in the home on service users behalf. If the service user does not have the capacity to manage their own financial affairs the family/representative take responsibility. Lambton House DS0000007484.V251065.R01.S.doc Version 5.0 Page 16 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x x 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 x x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x 3 3 x 3 x x x Lambton House DS0000007484.V251065.R01.S.doc Version 5.0 Page 17 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 House DS0000007484.V251065.R01.S.doc Version 5.0 Page 18 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
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