Inspection on 27/06/05 for Lancaster Place

This inspection was carried out on 27th June 2005.

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

Lancaster Place 27/01/09

Lancaster Place 30/01/07

Lancaster Place 09/11/05

Lancaster Place 12/02/05

Lancaster Place 17/08/04

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

CARE HOME ADULTS 18-65 Lancaster Place 5-11 Lancaster Place Leicester Leicestershire LE1 7HB Lead Inspector Fiona Stephenson Unannounced 27 June 2005 09:30 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 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 Place C51 C01 S6414 Lancaster Place V225961 2706051 STAGE 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Lancaster Place Address 5 - 11 Lancaster Place Leicester LE1 7HB Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0116 255 8649 Prime Life Limited Ms Joyce Elaine Spriggs Care Home 12 Category(ies) of MD Mental Disorder (12) registration, with number of places Lancaster Place C51 C01 S6414 Lancaster Place V225961 2706051 STAGE 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13/02/05 Brief Description of the Service: Lancaster Place is a residential home for up to 12 people with mental health needs. It is situatated in a residential area near New Walk in the city of Leicester. The home consists of two adjoining buildings converted from four semi-detached houses. There are two kitchens, two lounge/dining rooms, and 12 single bedrooms. To the rear of the home are gardens with lawn areas and garden furniture. Lancaster Place C51 C01 S6414 Lancaster Place V225961 2706051 STAGE 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on Monday 27th June 2005. The inspector arrived at the home at 1.00pm and finished the inspection at 5.30pm. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views of the service provided. The primary method of Inspection used was ‘case tracking’ which involves selecting clients and tracking the care they received through looking at their records, talking with them where possible, and looking at their accommodation. On this occasion the inspector ‘case tracked’ two clients. The inspector also talked with other clients residing in the home, talked with staff, and checked other health and safety records. The inspector received 14 comment cards back from clients, G.P.s, and relatives, and the contents of these were discussed at the inspection. What the service does well: What has improved since the last inspection? Clients are being encouraged to cook for themselves. There have been improvements in the satisfaction levels of the majority of clients in relation to the food being provided. Lancaster Place C51 C01 S6414 Lancaster Place V225961 2706051 STAGE 4.doc Version 1.30 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. Lancaster Place C51 C01 S6414 Lancaster Place V225961 2706051 STAGE 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Lancaster Place C51 C01 S6414 Lancaster Place V225961 2706051 STAGE 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) n/a EVIDENCE: Lancaster Place C51 C01 S6414 Lancaster Place V225961 2706051 STAGE 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9 The individual needs and choices of clients living in the home are well met. EVIDENCE: The inspector case tracked two clients care records, which clearly demonstrated that their changing needs are being monitored and supported whilst living at the home. Records, observations and discussions with clients, demonstrate that clients make decisions about their lives and have independent life styles. Lancaster Place C51 C01 S6414 Lancaster Place V225961 2706051 STAGE 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16,17 Clients living at the home, in general have a good lifestyle, although meals continue to be seen as less than satisfactory by some. EVIDENCE: Clients informed the inspector of educational classes they are involved in, and showed the inspector their artwork, and pottery work they had undertaken. One client’s record showed he is due to start GCSE’s at college in the autumn. Clients were observed to be living independently at the home during the inspection, coming and going from the building. Records showed that clients have been on trips to Rutland Water and Bridlington. Some have also been on holiday to Skegness. Regular trips are planned in the future. Clients are supported well in maintaining relationships with family and friends, with the home arranging the occasional trip to Essex with a dual purpose of one client seeing her parents who live there. Clients are supported in making their own food three or four times a week, however three client comment cards indicated clients were still not satisfied with the food provided; and two clients spoken with on the inspection were not happy. One said ‘I’ve had cheese and potato pie two days running…. (the staff member) has no idea how to cook, and burns Lancaster Place C51 C01 S6414 Lancaster Place V225961 2706051 STAGE 4.doc Version 1.30 Page 11 the potatoes and there are lumps in the pie’. She said she thought the problem was that ‘staff don’t know how to cook properly themselves’ Lancaster Place C51 C01 S6414 Lancaster Place V225961 2706051 STAGE 4.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19. Clients receive good personal support with their physical and emotional health needs on the whole, being well met. EVIDENCE: Through observation, discussion and records, it was demonstrated that clients receive support in the way they prefer and require it. One of the client’s case tracked, although being given good support from the home, has not had a review for 18 months. The manager has made good efforts in contacting the placing authority but with little success in securing a review meeting. One client is insulin dependent. Although the manager has had training relating to administering insulin, it was for a different client in a different home with a different injection regime. This training does not qualify her to train staff in drawing up insulin for the client who needs insulin at Lancaster Place. Lancaster Place C51 C01 S6414 Lancaster Place V225961 2706051 STAGE 4.doc Version 1.30 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 Client’s views are listened to, and on the whole, acted upon. EVIDENCE: There is a residents meeting held once a month where all residents are invited to attend and share their views about the home. The two clients spoken with during the inspection felt able to talk to staff, and felt that most issues were acted upon. One said ‘the staff are alright – I can go to any if I have problems’. The other member of staff on duty, was asked about her understanding of the vulnerable adults policies and procedures, and whistle blowing procedures, and she demonstrated a satisfactory understanding of both. Lancaster Place C51 C01 S6414 Lancaster Place V225961 2706051 STAGE 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27 Clients live in a homely and comfortable environment, however standards of hygiene in some areas of the home are not satisfactory. EVIDENCE: The inspector looked at the bedrooms of two clients , the communal areas, the garden area and kitchens. Observations of the bedrooms demonstrated that clients decorate their bedrooms to suit their needs and lifestyles, standards of cleanliness in the bedrooms were satisfactory, although the pillows on one of the beds looked in a poor condition. The communal lounge/dining room areas have been decorated to the specification of clients living in the home – some of the décor is worn, however the manager informed the inspector that an audit of the home will commence in July and these issues will be dealt with. These areas were in a reasonable state of cleanliness. The kitchens and downstairs shower room were observed to be in a poor state of hygiene. Clients are supported in making their own dinners, and although this is good practice and to be commended, the outcome in terms of having a clean and hygiene kitchen is not satisfactory. Lancaster Place C51 C01 S6414 Lancaster Place V225961 2706051 STAGE 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,35,36 Clients benefit from a dedicated staff group, however the level of staffing is not sufficient in supporting independent living EVIDENCE: Clients spoken with said they felt able to talk to staff if they had a problem. Observations of the relationships between staff and clients showed there to be a warm relationship between the two, and clients were popping into the office during the inspection to chat to the manager. A discussion with a member of staff demonstrated that the staff member was aware of her roles and responsibilities. Records, as well as discussions with the manager showed that staff have been provided with good training opportunities. The manager has a National Vocational Qualification (NVQ) level 4 in care, and an NVQ4 in management. Of the eight remaining staff, one is currently undertaking an NVQ4, and one is undertaking an NVQ3. Two staff are on duty during the day (including the manager), and there is one member of staff on duty at night (sleeping duty). Through discussions with clients, observations, and discussion with staff, it was clear that day time staff have insufficient time to undertake all responsibilities expected of them. Lancaster Place C51 C01 S6414 Lancaster Place V225961 2706051 STAGE 4.doc Version 1.30 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,42 The clients on the whole, benefit well from the management of the home. EVIDENCE: Discussions with the manager, checks on care records, and observations of the manager’s relationship with clients demonstrated that the clients living at the home are given good support from the manager. The manager ensures staff are given appropriate training and supervision and is accessible to them. Lancaster Place C51 C01 S6414 Lancaster Place V225961 2706051 STAGE 4.doc Version 1.30 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 x 2 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Lancaster Place Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 x C51 C01 S6414 Lancaster Place V225961 2706051 STAGE 4.doc Version 1.30 Page 18 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. 1. 2. Standard 20 Regulation 12 Requirement Ensure staff are provided with appropriate training to administer insulin. Timescale for action 27/08/05 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 33 Good Practice Recommendations Evaluate the staffing levels in the home to ensure there are sufficient numbers to enable staff to effectively support clients in their cooking skills and in maintaining good standards of hygiene in the home. Improve standards of hygiene in the kitchen. Ensure bedding within the home is of a satisfactory standard. Continue to improve the choice of food for residents. 2. 3. 4. 30 24 17 Lancaster Place C51 C01 S6414 Lancaster Place V225961 2706051 STAGE 4.doc Version 1.30 Page 19 Commission for Social Care Inspection The Pavilions 5 Smith Way, Grove Park Enderby, Leicestershire LE1 7HB 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 Lancaster Place C51 C01 S6414 Lancaster Place V225961 2706051 STAGE 4.doc Version 1.30 Page 20 - 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. 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