Inspection on 28/01/09 for Lancam Nursing Home
Also see our care home review for Lancam Nursing Home for more information
This inspection was carried out on 28th January 2009.
CSCI found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
Inspecting for better lives Random inspection report
Care homes for adults (18-65 years)
Name: Address: Lancam Nursing Home 55-57 Netherlands Road New Barnet Hertfordshire EN5 1BP The quality rating for this care home is: The rating was made on: one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Teferi Degeneh Date: 2 8 0 1 2 0 0 9 Information about the care home
Name of care home: Address: Lancam Nursing Home 55-57 Netherlands Road New Barnet Hertfordshire EN5 1BP 02084407904 02084490557 lancam@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Lancam Nursing Care Limited care home 12 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 physical disability 12 Over 65 12 Conditions of registration: The Registered Person may provide the following categories of service only: Care home with Nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Physical Disability - Code PD and PD(E) The maximum number of service users who can be accommodated is 12 Date of last inspection Brief description of the care home Lancam is a privately owned care home registered to provide nursing care to twelve adults with physical disabilities. The registration category for Lancam allows service users with physical disabilities to continue to receive care at the home when they pass the age of 65 years. There are four single bedrooms and four double bedrooms on the ground floor and first floors of the home. A shaft lift connects the two floors. There are three bathrooms, two of which have assisted baths and one en suite that is not used by the service user who is bed bound. There is a lounge and dining room on the ground floor. There is a large attractive garden to the rear of the home. The home is a Care Homes for Adults (18-65 years)
Page 2 of 9 in a pleasant residential area close to local shops and transport links. Service users vary in age from early fifties to over eighty. The homes registration conditions allow this. The home has operating for many years but was bought by the current owner last year. Mrs Glenda Barker is the acting manager of the home. Fees charged at the home range between £700 and £1350. A copy of this Inspection report can be requested directly from the home or through the CSCI website (web address can be found on page 2 of this report.) Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
We spoke to the manager and the provider about the residents money. We were told that the home is not an appointee for any of the residents. The residents have their relatives or accountants to manage their money. Some residents also manage their own money. We were informed that the residents make additional payments for services such as toiletries, hairdressing and chiropody. Some residents pay to the home through a monthly direct debit for these services. There was no recording system to show the receipt, expenditure and balance of the money received from the residents through the direct arrangement. We were only able to see some receipts showing that money has been paid to a hairdresser who comes to the home. We were told that three residents make a regular payment to the manager for toiletries and other essential services for which they are required to pay as per their contract. We checked the records, receipts and the cash which the manager keeps in the safe and found to be correct. The owner of the home said that the home covers extra expenses for some residents who do not have the money or do not wish to pay. He also said that toiletry items are bought in a bulk and then shared among the residents. We noted that this was not the best way of meeting the individual needs of a resident. The manager knows that the home needs to consult each resident before buying any items. The homes employers liability insurance was current. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 4 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 9 13(2) Records must be kept of the 30/06/2008 dates when bottles of medication in liquid form are opened. This will help the home know how long the medicines have been opened and consequently reduce risks to people who use the service. Details of allergies must be recorded on the medication administration sheets. This will prevent mistakes from occurring and ensures the safe administration of medication. 30/06/2008 2 9 13(2) 3 9 13(2) The registered person must 19/06/2008 ensure that all medicines administered in the home are recorded and signed for by the staff. When service users miss their medication for any reason, this must also be recorded by specifying the reasons. This will ensure that people receive the correct levels of medication. The registered person must investigate the reasons why there were gaps of medicines not being administered and signed for on some occasions by staff. Action must be put Care Homes for Adults (18-65 years) Page 5 of 9 in place to ensure that medication is safely stored and administered as prescribed. In this way the risk to the residents would be eliminated. This was an immediate requirement. 4 22 23(2) Bedroom windows on the first floor must be assessed and fitted with window restrictors. This will reduce or eliminate some accidents and incidents and ensures the health and safety of people who use the service. 30/06/2008 5 27 18(1) There must be a designated 31/08/2008 staff to do the laundry tasks. This would give care staff sufficient time to provide personal and social care to the people who use the service. All staff working at the home 30/07/2008 must have letters of employment which details terms and conditions of service. The registered person must ensure that the employment of any persons on a temporary basis should not prevent service users from receiving services that meet their needs. Quality assurance systems 31/08/2008 must be fully implemented. This would give the residents and their representatives an opportunity to have a say on the quality of services and facilities. The requirements made on March 18 2008 by the local 31/08/2008 6 29 18 7 33 24 8 38 23(4) Care Homes for Adults (18-65 years) Page 6 of 9 fire officer must be complied with. A written confirmation of this compliance must be sent to the Commission for Social Care Inspection. 9 38 23(1)(2) All matters raised on 28 November 2007 by the health and safety officer must be complied with. A written confirmation of this compliance must be sent to the Commission for Social Care Inspection. 31/08/2008 Care Homes for Adults (18-65 years) Page 7 of 9 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 23 20 There must be a clear and 20/02/2009 up-to-date recording system for each residents finances. This will make sure that the residents expenses can be accounted for. It also helps the residents to know that their money is spent only for their benefits. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 1 23 Toiletry items or any items should not be bought in bulk and shared among the residents. Each resident should be consulted individually before items are bought for them. Records of items bought for the residents should also be kept separately. Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 9 of 9 - 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!
