Inspection on 16/10/07 for Lampton House

This inspection was carried out on 16th October 2007.

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

Lampton House 29/09/06

Lampton House 06/02/06

Lampton House 10/03/05

Lampton House 08/06/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Lampton House 125 Long Ashton Road Long Ashton North Somerset BS41 9JE Lead Inspector Jon Clarke Key Unannounced Inspection 16th October 2007 09:30 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 Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 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. Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lampton House Address 125 Long Ashton Road Long Ashton North Somerset BS41 9JE 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) 01275 393153 F/P 01275 393153 Treasure Homes Limited Mrs Suzanne Christine Morgan Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th September 2006 Brief Description of the Service: Lampton House is owned by Treasure Homes Ltd and provides personal care for up to 30 elderly people. The home is situated in a converted eighteenth century vicarage on the hillside of Long Ashton. The property is set back from Long Ashton Road, and is about half a mile from the centre of the village, approximately 2 miles from Bristol city centre. There are gardens to the front and rear of the home, and private parking is provided. The home has 30 single bedrooms. The majority of these have en suite facilities. A passenger lift provides access to a large proportion of the upper floors. Not all have level access; a small number of first floor rooms are accessed by one step. Mr David Gillespie, Managing Director of Treasure Homes, is the Responsible Individual for Lampton House. Mrs Suzanne Morgan is the Registered Manager. The current scale of charges was declared as £420.00 to £460.00 per week. Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit to the home as part of an inspection. A number of records were looked at including care plans, staffing, recruitment and training. I also looked at the arrangements for the management, administering and storage of medication. There was also an opportunity to talk with residents and members of staff. “Have Your Say” questionnaires were sent to the home and responses were received from 15 residents, 5 professionals and 5 relatives. As part of this inspection the manager completed a Annual Quality Assurance Assessment (AQAA) which set out the areas of practice based around the National Minimum Standards summarising what the home does well, the evidence for this, what they could do better and how they have improved in the last 12 months. The information from the AQAA and questionnaires has been used to help make a judgement about the quality of care provided in the home. What the service does well: What has improved since the last inspection? Requirements from the previous inspection have been met and the home uses questionnaires to obtain views about the quality of care provided in the home. As a result of comments made changes have been made to services in the home such as laundry and menus. The home has also made further efforts to offer a range of activities in the home to meet the social needs of residents. Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 Page 7 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 Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s Statement of Purpose generally provides all of the information required so that prospective residents have the necessary information to make an informed choice about living in the home and the service they can expect to receive. The home undertakes full and comprehensive assessment of prospective residents so that they are able to make an informed decision about the capacity of the home to meet health and social care needs. EVIDENCE: The Statement of Purpose sets out the aims and objectives of the home and provides comprehensive details about the service including facilities, “A day at Lampton House” and the Complaints Procedure. Whilst staffing arrangements Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 Page 9 are given there should numbers of staff and their qualifications ie number with NVQ qualification. A number of pre-admission assessments were seen they provided details about the health and social care needs of the prospective resident. Where individuals are known to social services the home obtains a copy of the community care assessment. Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care planning and arrangements for meeting health care needs are satisfactory however care plans could be improved by providing information through moving and handling assessments for all individuals in the home to make sure that individuals health and welfare is fully protected. EVIDENCE: A number of care plans were looked at and they showed good information about the needs of the individual with regular reviews of those needs. Information about health care and visits from professionals is clearly recorded. Whilst moving and handling assessments are completed this should be undertaken for all individuals in the home to identify practice and safeguards when assisting or supporting individuals with moving around the home or providing care that involves moving and handling. Individuals and their representative are given the opportunity to be involved in their care plans and this is evidenced on the care plan. Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 Page 11 Individuals have good access to community health services such as optician, dentist and chiropody. One individual who had had a number of falls had been referred to the falls clinic and physiotherapy. One GP commented in their questionnaire response “an excellent care home, the best I have experienced professionally.” I spoke to a number of individuals who live in the home about how they felt they were treated by staff specifically in relation to being treated with respect and privacy. All those I spoke with were very positive about staff attitudes: “they always treat me well” “definitely can’t fault how they talk to me couldn’t ask for more”. During my visit I was able to observe staff talking and assisting individuals. This was always done in a sensitive, caring and respectful manner. Storage of medication was looked at and was satisfactory as was recording of medication given to individuals. Controlled drugs are recorded and two staff sign when administered. Where able individuals manage their medication a risk assessment had been completed for one individual however there was no indication of the level of risk or that these arrangements had been regularly reviewed with the individual. Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for meeting the social and recreational needs of residents are good and there are opportunities for residents to maintain links with family, friends and the local community. The home’s practice and routines are flexible and enable residents to exercise choice and have control over their lives. The home provides meals, which are balanced and meet the dietary needs of individuals in the home. EVIDENCE: In talking with individuals who live in the home they were positive about activities provided in the home. On the day of my visit there was a drawing class taking place. Comments from individuals included “quite a lot of entertainment”, “I play bingo and there are lots of music and things each day that I can attend if I wish”. One individual said they would like more day trips and this was something the home is looking to improve. Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 Page 13 A weekly activities notice was displayed in individual’s rooms. There are plans to increase small group activities to include flower arranging, crafts and gardening club. Individuals spoke of the “welcoming” nature of the home and described staff as “always friendly to my visitors”. One comment from a relative was that “all the staff are freely available to both residents and their family” and another stated, “On my frequent visits all staff are very friendly”. Staff I spoke with said they felt a strength of the home was that there was a “nice atmosphere” and everyone is “very friendly”. In talking with individuals who live in the home they commented on how they felt able “to choose what I do” “spend our time as we wish”. In talking about some of their daily routines they spoke of how it always “feels up to me” “they leave me to be free” this was particularly true of getting up and going to bed but also importantly the time they spent in their room or taking part in the life of the home. The home provides a varied menu and individuals spoke of “always being a good choice” “food is very good”. All respondents to the Have Your Say questionnaire said that they “always” or “usually” like the meals provided by the home. One comment was “the meals are lovely, I have as much as I can eat but sometimes I am not hungry and they will make me something different. I do not like big meals so they make me small dinners”. Certainly on the day of my visit the meal was well presented and there was a relaxed and unhurried atmosphere in the dining room. A relative commented that “the menu is varied and the food is home cooked”. I spoke with the cook and she clearly had a very good understanding of the dietary needs and particularly the likes and dislikes of individuals in the home. Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has procedures in place enabling individuals to make a complaint and voice their views about the service they receive and to know that they will be listened to and actions taken where necessary. The home makes sure that as far as possible residents are protected from harm by having policy and procedure about the Protection of Vulnerable Adults and staff receive Safeguarding Adults training. EVIDENCE: There had been 5 complaints made since the previous inspection these had all been addressed in a positive way and issues raised had been resolved and the necessary action taken. The home had also responded professionally regarding concern about attitude of a group of residents to another resident and again the matter had been resolved satisfactorily and in the interest of the individual concerned. I spoke with a number of individuals who live in the home about what they would do if they had any concerns or worries and all were very clear that they would discuss their concerns with the manager who they described as “very approachable”. They also all spoke of how they felt staff “would listen”, “all the staff will listen to me”. Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 Page 15 All respondents to the questionnaire said they were aware of how to make a complaint and this was confirmed to me when I spoke to some of the residents. The home has an Adult Protection policy and procedure in place. Staff I spoke to on my visit had not received Adult Protection training and 5 training records I looked at also showed no evidence of this training being available. However I have since my visit been advised that 4 members of staff have completed this training since my visit and all staff will have received this training by 30/03/08. In addition all NVQ qualified staff (5 fully qualified and 3 part qualified) will have had training in this area as part of their NVQ training. Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a safe and hygienic environment for the residents and staff. People who live and work in the home benefit from a warm, welcoming and well-maintained environment. EVIDENCE: At the time of my visit improvements were being made to the home with roof repairs and the addition of en-suite facilities to two rooms. Following this improvement the dining area that had damp patches will also be re-decorated. One comment received was that “repairs can take months” however the home has now employed a full time maintenance man and it is hoped this will result in improved responses to repairs and “resolve maintenance related concerns” (from home’s AQAA). The home was generally in a good state of decoration and particularly the lounge areas were pleasant and well decorated. Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 Page 17 Individuals were very positive about the home’s cleanliness “standard of cleanliness excellent”. Questionnaire responses all stated that the home was “always” fresh and clean. On the day of my visit this was certainly the case. The home has procedures in place to make sure hygiene is maintained and risk of infection is reduced as far as possible and staff have the necessary equipment and facilities to prevent infection. Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing arrangements in the home are good so that the needs of residents can be met in an efficient way with care being provided by competent staff. The recruitment and selection of staff is undertaken to make sure that as far as possible the health and welfare of resident is protected. EVIDENCE: Staffing arrangements are satisfactory and rotas confirmed that adequate staff are on duty at all times. Individuals I spoke with all confirmed that staff were available when required and respond well to the needs of individuals. Individuals spoke of staff being “very kind” “very helpful” “very very good staff you get all the help you want” “you get every attention”. There are currently 5 staff that have achieved NVQ 2 or above qualification with further three undertaking this training. The home has yet to meet the 50 target of staff who have the NVQ qualification and this is an area they are wanting to improve on in the next 12 months. I looked at training records for 6 members of staff which included 4 night staff. They had undertaken fire and medication training. None of the individuals had Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 Page 19 first aid, Adult Protection or Infection control training. However the inspector has been advised since the visit that there is a qualified first aider on every shift. The manager and deputy advised me they had moving and handling training and all staff receive training in this area as part of their induction. Other training available to staff included Dementia Care and Diabetes. The home has arranged for staff to undertake Infection Control training and as noted elsewhere in this report all staff will have received Adult protection training by 30/03/08. Recruitment and selection records were looked at and showed that the required checks had taken place with two references and Criminal Record Bureau check. Application forms contained full employment history. Those looked at also had undertaken a full induction. Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good opportunities for residents and others to express their views about the service they receive. The practices of the home help to make sure that the health, safety and welfare of residents and staff are protected. EVIDENCE: Residents and staff all spoke positively about the manager describing her as “approachable” “someone we can talk to”. As part of the home’s quality assurance questionnaires are sent on a bi-annual basis to individuals who live in the home and their families. Responses have been used to look at improvements that could be made to the home’s routines such as laundering and increased activities. Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 Page 21 Menus have also been reviewed and changed to include new meal choices. Residents meeting have not been held and this would provide another way for individuals to comment and make suggestions about the quality of the service they receive. The home’s AQAA provided information about maintenance and servicing of equipment in the home. I confirmed that fire alarms are tested weekly, the last fire drill was held 06/08/07 and the fire alarm system was serviced 12/10/07. The home has also met the new fire regulations regarding risk assessment for the home. Records looked at confirmed that the lift was serviced 17/08/07 and gas safety certificate was issued 03/04/07. Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 Page 22 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 2 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO 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 31/12/07 1. OP7 13 (5) 2. OP7 4 (c) The registered person to make suitable arrangements to provide a safe system for moving & handling service users. (This refers to having as part of individual care plans moving and handling assessments which is part of the ‘safe system”). The registered person to make sure that unnecessary risks to the health or safety of service users are identified. (This is about the need for risk assessments to identify potential risks individuals face and ways to manage or alleviate those risks). 31/12/07 Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 Page 24 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 OP33 Good Practice Recommendations As part of the home’s quality assurance system to hold regular residents meeting to provide opportunity for individuals to comment on and make suggestions about the quality of the service they receive in the home. Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection South West Regional Office 4th Floor Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Lampton House DS0000008047.V346162.R01.S.doc Version 5.2 Page 26 - 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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