Inspection on 24/01/06 for Lancaster Court

This inspection was carried out on 24th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Lancaster Court 18/12/06

Lancaster Court 27/09/05

Lancaster Court 14/03/05

Lancaster Court 28/04/04

Lancaster Court 18/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Lancaster Court 21 Lancaster Court Southport Merseyside PR8 2LF Lead Inspector Mrs Margaret Van Schaick Unannounced Inspection 24th January 2006 10:30 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 Lancaster Court DS0000005332.V280488.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. Lancaster Court DS0000005332.V280488.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Lancaster Court Address 21 Lancaster Court Southport Merseyside PR8 2LF 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) 01704 569105 Mr John Kershaw Mrs Joan Kershaw Mrs Kerry Norton Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Lancaster Court DS0000005332.V280488.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 30 OP The service should employ a suitably qualified and experienced manager who is registered with the CSCI 27th September 2006 Date of last inspection Brief Description of the Service: Lancaster Court is a privately owned care home that is registered to provide residential care for 30 older persons. Mr John Kershaw and Mrs Joan Kershaw own the home. The registered Manager Mrs Kerry Norton has recently left, therefore the day-to-day management is provided by Mr Kershaw. It is pleasantly situated in the residential area of Birkdale village, which lies within easy reach of Southport and all the amenities that the seaside town offers. Accommodation consists of 30 bedrooms, one of which has an en suite facility, that are situated over four floors and are accessible by lift. There is a separate dining room and a large sitting room with various seating areas. The home is equipped with ramp access at the front entrance and additional ramp access is available to the rear garden areas. Garden furniture suitable for the service users resident is also available. The home has suitably adapted equipment to assist with the needs of the service users and a call bell system is in place throughout the home and in each bedroom. Car parking facilities are available at the front of the home. Lancaster Court DS0000005332.V280488.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day and lasted 6 hours. This was the second unannounced inspection carried out this year as part of the regulatory requirement for care homes to be inspected at least twice a year. As part of the inspection some areas of the home were viewed. Care records and other nursing home records were inspected as part of the process. Discussion took place with the Proprietor/Registered Manager, Quality Control Manager and one to one interviews with two of the care staff and one domestic staff. Several residents were also spoken with. Two of the residents were interviewed on a one to one basis and their views of the home obtained. One of the residents’ relatives was interviewed on a one to one basis. One visitor to the home was also able to express their views as to how the home was run. What the service does well: Residents are very happy with their healthcare needs and feel that they are being met effectively. Comments from residents include “I see the chiropodist regularly and my GP when I need to” and “I have had the specialist Nurse out to see me and have visited the hospital to see the Consultant” Documentation evidences regular check ups are carried out and specialist health advisors are contacted where needed. Residents at the home are happy with the support they receive to exercise choice over how they wish to spend their time. The home arranges many and varied activities which are enjoyed by the many residents who wish to participate. Resident’s comments include “we have entertainers coming into the home regularly”. Residents who prefer their own company are accommodated. Residents are very complimentary about the food served at the home and enjoy the home baking and mealtimes. The home ensures all staff training is in place The home is audited regularly with records kept as viewed on inspection and this regular monitoring therefore ensures that any areas of the home that may need attention receive it promptly and promotes the health and safety of the Lancaster Court DS0000005332.V280488.R01.S.doc Version 5.1 Page 6 residents and staff. The home has been awarded an external quality assurance award. Residents participate in monthly meetings and their views are audited regularly, which enables the home to monitor how well they are meeting the residents needs. The home is particularly efficient at meeting the health, safety and welfare of the residents and staff. 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. Lancaster Court DS0000005332.V280488.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 Lancaster Court DS0000005332.V280488.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): 3 All prospective residents are assessed prior to admission with documentation evidencing the assessment process including the date carried out which ensures needs are assessed. EVIDENCE: The assessment process is carried out prior to admission and dated. Full details are recorded with regard to personal and physical care. The plan of care is then issued. Residents are encouraged to record their own social history with family input where needed. Residents who do not wish to participate giving information about their social history are supported in this. Records should show this. Lancaster Court DS0000005332.V280488.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): 8,9 Residents are happy with their healthcare needs and feel that they are being met effectively. Documentation in regard to medication administration is accurate and recorded accurately, which is good practice. EVIDENCE: Heath care needs are met through visits from other health professionals where necessary. Documented evidence is available to note regular visits including GP’s, chiropodists and District Nurses. Residents interviewed are happy with how their health care needs are met. Comments from residents include “I see the chiropodist regularly and my GP when I need to” and “I have had the specialist Nurse out to see me and have visited the hospital to see the Consultant”. Relatives interviewed stated, that “the District Nurse visits to see to my mum’s legs”. Other comments from residents include “I have been resident here for many years and am still in good health and I put that down to the care I have received”, “I need help with my personal care and bathing and I have a lovely girl to help, she is so careful”. Medication documentation was viewed and records evidence good record keeping. All medication is set up individually and immediately at point of Lancaster Court DS0000005332.V280488.R01.S.doc Version 5.1 Page 10 administration and staff signatures evidence that residents have taken the prescribed dose. Lancaster Court DS0000005332.V280488.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): 12,13,14,15 Residents at the home are happy with the support they receive to exercise choice over how they wish to spend their time. Residents are very complimentary about the food served at the home and enjoy the home baking and mealtimes. EVIDENCE: The programme of activities is not yet in place but there are posters advertising many events to take place. Residents interviewed were pleased with the many activities on offer. Comments from residents include “there is pretty good entertainment going on” and “we have entertainers coming in regularly like sing songs, musicals, keep fit and bingo”. Residents interviewed stated, “we can have visitors when we wish and my family come in regularly and I go out each week to spend some time with them” and “my family visit regularly each week and I also go into the village when I wish”. Residents also stated, that “religious ministers visit the home and offer communion every Wednesday”. Relatives interviewed also confirmed that they visit when they wish and there are no restrictions. Residents interviewed felt they were able to make choices. One of the residents interviewed stated “I am happy with my room and was able to bring my own furniture”. Many of the residents also participate in the homes monthly meetings, where up to date information such as any home improvements is discussed. Residents are also encouraged to Lancaster Court DS0000005332.V280488.R01.S.doc Version 5.1 Page 12 express their views about how the home is run and are encouraged to express any concerns they may have. Residents are able to choose what to do with their time each day. There are events planned but they do not need to participate if they don’t want to. All of the residents interviewed enjoyed the meals made in the home. Residents comments include “the food is excellent, I like everything and if I don’t like anything, I can get something else” and the vegetables are very good and I like the home baking especially the apple pie”. During the inspection visit it was noted that the residents meals were attractively set out. The menus now display alternative courses and a record is also kept of what each resident has to eat which is good practice. Various alternative nutritious meals are available. Lancaster Court DS0000005332.V280488.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): Standards 16 and 18 were assessed and met at the last inspection therefore do not require assessing again this year. EVIDENCE: Lancaster Court DS0000005332.V280488.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 The radiator situated in one of the residents’ rooms does not now pose a risk. EVIDENCE: The last inspection report identified one bedroom radiator without low surface temperature surface. A dressing table is now in place in front of the radiator and therefore poses no risk to residents. As this standard was assessed and met at the last inspection it has not been assessed again. Lancaster Court DS0000005332.V280488.R01.S.doc Version 5.1 Page 15 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): 29,30 The home ensures all staff training is in place and the pre employment checks in place ensure that all staff are carefully vetted prior to being offered employment. EVIDENCE: Two staff files viewed by the Inspector evidence all necessary pre employment checks are in place, including, application forms, copies of certificates of any previous training attended, POVA (Protection of Vulnerable Adults) and CRB (Criminal Record Bureau) checks, two written references, passport and birth certificate copies. The home also has a record of the pre employment interviews and a checklist to ensure all areas are covered prior to offering employment. The staff files further evidence all training including mandatory training, supervision records and their training and development plans. The home has a good record for staff training and staff interviewed confirmed this. The quality Manager is in the process of setting up the years training ahead with the emphasis on what is appropriate for the home to meet the residents needs. Lancaster Court DS0000005332.V280488.R01.S.doc Version 5.1 Page 16 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): 33,38 The home is audited regularly with records kept as viewed on inspection and this regular monitoring therefore ensures that any areas of the home that may need attention receive it promptly and promotes the health and safety of the residents and staff. EVIDENCE: Quality monitoring systems are in place with continuous self-monitoring carried out by the quality control Manager and Registered Manager. This ensures the home is being managed in such a way that the running of the home is always kept under review. Documentation relating to the regular audits and reviews is open to inspection and were viewed during this visit. Audited records of the kitchen, which include records of food served, samples kept, temperatures recorded and residents views of the food served that day are recorded daily. Management audits include daily checks of hot water temperatures, homes facilities, kitchen food and residents care. The weekly checks look at health Lancaster Court DS0000005332.V280488.R01.S.doc Version 5.1 Page 17 and safety, first aid box, light bulb checks, fridge temperatures and hot water checks also. The evening and night duty Manager also audit on a daily record with records kept that are up to date. All of the audits that are carried out are signed and dated. All records with regard to servicing of all equipment at the home has been viewed during this visit and all are up to date, including, emergency lighting, fire alarm systems, full service of fire and electrical systems, fire equipment and break glass points, lift servicing, hoist servicing, pat testing and gas inspection certificate. Other health and safety issues have been addressed also including an Asbestos building risk assessment, which proved the building had no asbestos and Legionella is checked for twice yearly and is reported as negative. The home also has contracts in place for the removal of clinical waste and other household waste. A Pharmaceutical audit was carried out last August with no issues raised. The home is very well maintained with decoration of bedrooms ongoing where needed. It is decorated and furnished to a very high standard and residents thoroughly enjoy the garden grounds, which are full of healthy shrubs and of colourful planting including pots of flowers. Some of the residents particularly like watching the wild life that comes to the garden to feed at the bird tables. Comments from residents about the garden include “I really like the garden, I look out at it, it’s beautiful”. Lancaster Court DS0000005332.V280488.R01.S.doc Version 5.1 Page 18 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 4 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 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 X 4 X X X X 4 Lancaster Court DS0000005332.V280488.R01.S.doc Version 5.1 Page 19 NO 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 Lancaster Court DS0000005332.V280488.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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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