Inspection on 06/02/06 for Lampton House

This inspection was carried out on 6th February 2006.

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

Lampton House 16/10/07

Lampton House 29/09/06

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 Alison Murray Announced Inspection 7th February 2006 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.V275334.R01.S.doc Version 5.1 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.V275334.R01.S.doc Version 5.1 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 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.V275334.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 31/08/05 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, about half a mile from the centre of the village, and 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. Mr David Gillespie, managing director of Treasure Homes, is the responsible individual for Lampton House. Mrs Suzanne Morgan is the registered manager. Lampton House DS0000008047.V275334.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a positive announced inspection. During the 7 hours spent in the home, a range of care and staff records was reviewed. Time was spent in discussion with Mrs Morgan. Other staff were not formally interviewed, but chatted with the inspector as they went about their work. Eleven of the 29 residents, and one relative were consulted individually, whilst others were observed in the communal areas of the home. Comment cards were received from 9 relatives and 8 residents. What the service does well: What has improved since the last inspection? Lampton House DS0000008047.V275334.R01.S.doc Version 5.1 Page 6 Since the last inspection, the programme of refurbishment and redecoration has continued. Work to upgrade the communal bath and shower rooms is now complete. Both residents and staff said that they appreciated this. 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. Lampton House DS0000008047.V275334.R01.S.doc Version 5.1 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.V275334.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5. Standard 6 does not apply. Care needs of prospective residents are comprehensively assessed before their admission to Lampton House. Relatives are given good information about the range of services offered at the home. EVIDENCE: The statement of purpose and service user guide has not been changed since the last inspection. They contain the required information, and are well presented. Care records reviewed contained evidence of a detailed pre admission assessment. It was clear that Mrs Morgan had spoken with the prospective resident, their family and other health professionals to get a clear picture of individual needs. During the inspection Mrs Morgan spoke on the telephone to the relatives of a prospective resident. She gave them good information about the services offered at Lampton House, before making arrangements to visit their relative. Lampton House DS0000008047.V275334.R01.S.doc Version 5.1 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 the following standard(s): 7, 8, 9 and 10. The standard of care documentation is good, although comments made in respect of one resident reflected a judgemental attitude. Residents’ health and personal care needs are well met. There is a friendly atmosphere in the home, with a good rapport between residents and staff. EVIDENCE: The standard of care documentation was good. Care plans were written for each area of identified need. They provided staff with clear guidance to meet residents’ needs. This guidance was based on current good practice, and demonstrated the involvement of other health professionals. Staff had recorded a daily statement about each resident. In one case, the comments made were negative and judgemental. This was discussed with Mrs Morgan. She plans to speak to the staff, and provide training to ensure that this does not happen again. Many residents were consulted individually, and others observed in the communal areas of the home. All were neatly dressed, and attention had been paid to their hair and nail care. Lampton House DS0000008047.V275334.R01.S.doc Version 5.1 Page 10 There was a calm, relaxed atmosphere in the home. The residents said that the staff were ‘lovely’, with several naming specific favourites. One person said ‘the staff are very special people’. Others gave examples of staff members going out of their way to be helpful. A number of residents told of how Mrs Morgan and her staff had worked to improve long-standing health needs. One visitor said that she never had to prompt staff to call the GP. During the inspection, the physiotherapist worked with one resident, whilst the district nurse visited another. There was evidence of good communication between staff and these visiting professionals. Medicine administration records were clearly printed, and the standard of documentation was good. Medicines were securely stored. Lampton House DS0000008047.V275334.R01.S.doc Version 5.1 Page 11 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, 14 and 15. The programme of planned and informal activities offered at Lampton House meets the needs and expectations of the residents. Family and friends are made welcome. The food provided is of a particularly high standard. Residents actively enjoy the meals provided. EVIDENCE: Residents confirmed that they were encouraged to arrange their day according to their own preferences. The majority of residents choose to take coffee and afternoon tea together in the lounge. It was apparent that several had formed close friendships. All the residents said that they enjoy the social activities provided in the home. One lady said that there was something happening every day. Activities ranged from ‘needles and natters’ handicraft afternoons to table skittles and club nights. Residents were enthusiastic about a planned ‘Scrabble’ club. Several residents said that they enjoy trips to the local pub. During the inspection there was a steady stream of visitors to the home. Residents said that their family and friends were always made welcome. Lampton House DS0000008047.V275334.R01.S.doc Version 5.1 Page 12 The home operates a 4-week menu. This has been formulated taking the likes and dislikes of the residents into account. The choices offered looked varied and nutritious. The cook said that she tried to ensure that residents received their five portions of fruit or vegetables each day. There was a commendable emphasis on local produce. The cook said she adapts the menu to meet the dietary requirements of individual residents. She and Mrs Morgan both demonstrated a very good knowledge of the dietary needs and preferences of specific residents. Lunch on the day of inspection looked and smelt tasty. There was evidence that the residents are offered a good choice. The majority of people chose to take their meal in the dining room. This is an attractive room, decorated in the style of a tearoom. The staff discretely offered assistance to individual residents. There was a pleasant buzz of conversation during the meal. Residents were keen to praise the standard of the meals provided at Lampton House. One person said ‘the food is beautifully cooked and served’. Another simply ticked the comment box ‘Do you like the food?’ four times! Lampton House DS0000008047.V275334.R01.S.doc Version 5.1 Page 13 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 18 The complaint procedure in the home is satisfactory. Staff demonstrate a good awareness of adult protection issues. EVIDENCE: Residents said that they would have no problem raising concerns or complaints with either Mrs Morgan, or her deputy Mrs Kitchen. Staff on duty demonstrated a good awareness of adult protection issues. Lampton House DS0000008047.V275334.R01.S.doc Version 5.1 Page 14 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): 19, 21, 22, 23, 24, 25 and 26. Residents like the accommodation offered at Lampton House. Continued refurbishment is needed to ensure that this accommodation meets residents’ needs. The lack of a patient hoist means that staff and residents are placed at risk because of unsafe manual handling practices. EVIDENCE: Lampton House is a listed former vicarage situated on the hillside of Long Ashton. A steep drive leads up to the home, but there is ample parking at the rear of the building. Access to the home from the car park is level and CCTV cameras cover all the entrances. There is a garden to the front of the property and the first floor lounge opens on to a pretty patio and terrace. There is ramped access to this area. Several residents commented that they enjoyed sitting on the patio. They said that it was nicely shaded in the hot weather. A relative commented that they had been frustrated when repeated requests to Mr Gillespie to repair the path Lampton House DS0000008047.V275334.R01.S.doc Version 5.1 Page 15 around the home had been ignored. Mrs Morgan has now had this work completed. When the inspection took place, the home was clean and tidy. Residents confirmed that this was always the case. The domestic staff showed a commendable pride in their work. Residents said that they liked their individual rooms. These were attractively decorated, in keeping with the character of the property. Furniture and fittings were of a good standard. Many residents had chosen to bring their own belongings into the home. At present staff in the home do not have access to a patient hoist. Care records stated that staff had manually lifted residents who had fallen. This is not good practice, and poses a risk to both staff and residents. Since the last inspection, the communal bath and shower rooms have been redecorated. These are much improved. Building work has now started to repair, and redecorate the ground floor lounge. Residents said that they had been kept informed of the progress of the work. They hoped to be able to use the room again in a couple of weeks. The paintwork in the corridor and landing areas is now looking shabby. Mrs Morgan said that she thought that Mr Gillespie planned to redecorate these in the near future. Lampton House DS0000008047.V275334.R01.S.doc Version 5.1 Page 16 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): 27, 28, 29 and 30. Staffing levels meet the needs of the current residents. Staff are given good opportunities to develop their skills and knowledge. Recruitment procedures demonstrate good practice. EVIDENCE: All the residents consulted said that there were enough staff on duty. They said that the staff were kept busy, but always had time for a chat and a smile. Staff consulted during the inspection confirmed that this was the case. Staff records were well completed, and contained evidence of thorough pre employment checks. Mrs Morgan said that external training events were organised by staff at a sister home. Training records contained evidence of staff attendance at a good range of course. Staff are booked to attend a manual handling update in the next month. Lampton House DS0000008047.V275334.R01.S.doc Version 5.1 Page 17 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): 31, 32, 33, 35, 36, 37 and 38. Management systems in the home are sound, offering staff and residents opportunities to comment on the way the home is run. More attention is required to health and safety issues, in order to safeguard the well being of residents and staff. EVIDENCE: Mrs Morgan has been the manager of Lampton House for about 10 years. During this time, she has built up a committed team of care and support staff. Residents said that they liked having an established staff team. One relative commented ‘The home is run in a very professional manner, and we find all the staff delightful’. Residents and other relatives echoed this view. Lampton House DS0000008047.V275334.R01.S.doc Version 5.1 Page 18 Conversations with staff and residents, as well as observations made during the inspection confirmed Mrs Morgan’s open management style. Staff clearly felt empowered to comment and offer suggestions about the running of the home. Resident said that they had regular meetings, but if anything ‘crops up in-between, we can always go and ask Suzanne’. Mrs Morgan said that she had not carried out a quality audit for over a year. She has devised a satisfaction survey, which she plans to distribute to residents and their relatives in the near future. All the records seen during the inspection were up to date, and appropriately stored. Mrs Morgan holds ‘pocket money’ for a number of residents. This money was securely stored, and records kept demonstrated good practice. There was no reason to question the financial viability of the home, but it was noted that the employers liability insurance certificate displayed in the home expired in September 2005. Health and safety practices in the home require further attention. In addition to the issues raised in the environmental standards, other areas of concern were identified. The environmental health inspector visited the home at the end of January. Her work schedule was not available in the home, but it appeared that some requirements from the last CSCI inspection had not been met. In the kitchen, Mr Gillespie has provided a reconditioned fridge. This seemed in a better state of repair than the fridge it placed, but the door seal had a hole in it. The melamine edging on some of the kitchen shelves has been repaired, but other areas still need attention. Lampton House DS0000008047.V275334.R01.S.doc Version 5.1 Page 19 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 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 3 2 3 3 3 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X 3 3 3 2 Lampton House DS0000008047.V275334.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? Yes 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 2 Standard OP10 OP19 Regulation 12.4 23.2 Requirement Timescale for action 06/02/06 06/08/06 3 4 OP22 OP33 13.5 24.1 5 6 OP34 OP38 25.1 23.2, Staff must not write judgemental comments in the care records. The programme of refurbishment and redecoration must continue, with particular attention to rucked carpets on the first and second floor landings. A patient hoist must be provided to enable staff to safely lift residents who have fallen. A system for reviewing the quality of service offered at Lampton House must be established and maintained. This must include the views of residents and staff. A copy of the current employer liability insurance certificate must be sent to CSCI. 23.5 Requirements made by the environmental health officer must be met within the agreed timescale. These requirements were made by CSCI at the last inspection in August 2005. They have not been met. 30/03/06 06/05/06 20/02/06 06/08/06 Lampton House DS0000008047.V275334.R01.S.doc Version 5.1 Page 21 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 OP19 OP21 Good Practice Recommendations The staircases, landings and corridors should be redecorated. Mr Gillespie should explore the possibility of providing an additional communal toilet on the ground floor. Lampton House DS0000008047.V275334.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Lampton House DS0000008047.V275334.R01.S.doc Version 5.1 Page 23 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!