Inspection on 20/05/05 for Lancastria

This inspection was carried out on 20th May 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

Lancastria 19/09/06

Lancastria 03/10/05

Lancastria 26/01/05

Lancastria 20/07/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Lancastria 138 Elwick Road Hartlepool TS27 9PF Lead Inspector Stephen Willcock Unannounced 20th May 2005 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. Lancastria B54_S21751 Lancastria V224738 200505_stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Lancastria Address 139 Elwick road Hartlepool TS26 9PF 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) 01429 235 207 Milbury Care Services Limited Mr Richard Charles Ross McDonald Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Lancastria B54_S21751 Lancastria V224738 200505_stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th January 2005 Brief Description of the Service: Lancastria is a detached house located in a residential area of Hartlepool within easy walking distance of a variety of community facilities. There is a large garden at the rear of the property providing a private recreational aarea for service users, and a car parking area to the front of the house. The home is registered to provide care and accommodation for up to six persons with a learning disability. Lancastria B54_S21751 Lancastria V224738 200505_stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 20th May 2005 and lasted about 4 hours. Time was spent talking to the manager, staff and service users. We looked around the building and at files and documents. The home was found to be very pleasant with a lovely rear garden that had mature trees and planted areas. One service user was enjoying the specially adapted swing that is in place in the garden. A large trampoline provided by a service user’s family was in place but not currently in use. Records and service user case files were well maintained, and contained information that was clear and easily read. The home did need some improvements to the windows but this had already been noted for replacement by double-glazing. In discussion, a service user said, “all the staff are nice and help me with my work for college” and “this is my house, I cook, clean and tidy up”, showing that service users have a large input in the running and decision making in the home. What the service does well: The home provides a pleasant domestic and homely service that service users feel safe and welcomed in. A service user said that the home was run for the benefit of service users and that they played a large part in decision making. Activities are varied and suggested by the service users and are arranged on an individual or if requested, a group basis. A good and friendly attitude is shown in the home and one service users showed this by saying, “I have a laugh with staff”. Lancastria B54_S21751 Lancastria V224738 200505_stage 4.doc Version 1.30 Page 6 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. Lancastria B54_S21751 Lancastria V224738 200505_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 Lancastria B54_S21751 Lancastria V224738 200505_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) 1, 2 and 5 The home provides service users with appropriate information to make the decision about living at the home. Assessments are undertaken to ensure the home can meet service users needs and contracts or statements of terms and conditions issued. EVIDENCE: A Statement of Purpose and service users guide was available in printed form and also on a audiotape. The information contained in the documents was relevant to the service provided but needed to include the address of the current regulatory body. Individual service user assessments of need were included in care files and these were prepared prior to admission to the home. However, one service users assessment was carried out by a different home and it was advised that the home accepting the admission should do the assessment. Individual service user files contained contracts or statement of terms and conditions. These were corporate documents and not specific to the individual service user and did not include the items listed in National Minimum Standard 5.2. Lancastria B54_S21751 Lancastria V224738 200505_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 and 9 The care planning system is satisfactory. Service users are supported to make decisions if required and risk assessments are carried out to minimize identified risks. EVIDENCE: Individual service user care plans were examined and found to be informative and up to date. There were signs of review and service user participation in the development of the care plan. In discussion, a service user confirmed they were able to make decisions about their lifestyle and everyday activities sometimes without the assistance of staff but staff would give advice if needed. Risk assessments for individual service users activities were in place and regularly reviewed to ensure they were up to date with the service users lifestyle. The assessments covered many areas of health, welfare and activity and included identification of risk and action taken to minimize risk. Lancastria B54_S21751 Lancastria V224738 200505_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) 12, 13 and 14 Service users are provided with a range of opportunities for personal development, leisure and education. EVIDENCE: In discussion, a service user confirmed there were plenty of opportunities to take part in appropriate activities within the local community. Staff had arranged college courses and enabled a friendship made outside of the home to continue and to include home visits. Service users said they were often at the local shopping centre and went to the local pubs and to the college nearby. There were a number of leisure activities available. One service user was looking forward to a forthcoming holiday and another service user was visiting a motor racing track as part of his birthday celebrations. Lancastria B54_S21751 Lancastria V224738 200505_stage 4.doc Version 1.30 Page 11 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) 20 and 21 Procedures are in place to assist a service user to control their own medication if requested. The issue of ageing, illness and dying is handled with respect. EVIDENCE: Examination of medication administration records found them to be well kept and accurate. There were no service users who were self-medicating but a risk assessment process was in place for service users who requested the opportunity to control their own medication. There was evidence of service users giving their agreement for staff to administer medication on their behalf. The home had provided an opportunity for service users and their families to discuss the issue of age, illness and dying and to record their wishes for any arrangements to be made. Lancastria B54_S21751 Lancastria V224738 200505_stage 4.doc Version 1.30 Page 12 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 and 23 Arrangements are in place at the home to protect service users from abuse and to deal with complaints. EVIDENCE: In discussion a service user said that if there was a concern or felt the need to complain, the staff would listen to the complaint and take it seriously. A complaints procedure and policy was available in the home for service users and their families. Examination of service users personal finance records found them to be accurately held and showing evidence of regular checks and audit. The manager said that training in Adult Protection issues was on going and hoped that all staff would do the course. The manager was clear on the issue of adult protection and the action to be taken should an incident of abuse occur. Lancastria B54_S21751 Lancastria V224738 200505_stage 4.doc Version 1.30 Page 13 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 and 30 The home provides good accommodation that is well maintained but would benefit from a larger dining area. EVIDENCE: The home provides accommodation that is generally well maintained and pleasantly decorated. The garden to the rear of the house is very spacious and a delight in the summer months as there are many mature plants and trees. A trampoline had been installed in the garden area and the manager was asked to ensure that all possible risks were identified and minimized when it was in use. It was noted that some window frames were in need of replacement but this had been identified in the home’s programme of repairs and maintenance. It had previously been identified that the dining area was too small for the number of service users at the home. This had not improved. Service users’ bedrooms were furnished to the service users’ choice, however one service users bedroom was in need of some remedial repainting. The home was generally clean and tidy and was free from odours. Lancastria B54_S21751 Lancastria V224738 200505_stage 4.doc Version 1.30 Page 14 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) 34, 35 and 36 Service users are protected by the homes recruitment policies and appropriate training is in place. Staff receive regular supervision from the home’s manager. EVIDENCE: Recruitment to the home was carried out using the company’s corporate policy on recruitment. Staff files held at the home were examined and found to contain appropriate information and were in order. Staff training was being undertaken and some staff were engaged in the Learning Disabilities Awareness Foundation (LDAF) course. Staff were also doing courses leading to NVQ2 and 3 in care and one staff member was hoping to progress to level 4. Staff supervisions were carried out and took place at least 6 times per year; the manager said that a session was held approximately every 8 weeks. A staff member commented that the manager was available at any time and was approachable. Lancastria B54_S21751 Lancastria V224738 200505_stage 4.doc Version 1.30 Page 15 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 and 42 The home is managed competently and capably and records relating to the health and safety of service users, staff and visitors to the home are maintained. EVIDENCE: The manager was appointed to the home in 2003 and is currently engaged in achieving NVQ4 in care and the Registered Managers Award. Staff commented that the manager was willing to listen to suggestions and would act on issues when required to do so. Records of maintenance and fire safety held at the home were found to be generally satisfactory, although there had been an issue with the electrical installation and wiring. The manager had forwarded these concerns to the owners of the home for the issue to be resolved. Lancastria B54_S21751 Lancastria V224738 200505_stage 4.doc Version 1.30 Page 16 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 2 2 x x 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 2 x x 2 x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 x x x Standard No 31 32 33 34 35 36 Score x x x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Lancastria Score x x 3 3 Standard No 37 38 39 40 41 42 43 Score 2 x x x x 3 x B54_S21751 Lancastria V224738 200505_stage 4.doc Version 1.30 Page 17 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. Standard 1 Regulation 4 Requirement The registered person must ensure the Statement of Purpose contains the current address of the CSCI. The registered person must ensure that contracts or statements of terms and conditions between the service user and the service provider contain the items as detailed in NMS 5.2 Timescale for action 31st August 2005 31stAugust 2005 2. 5 5 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. 3. 4. Refer to Standard 24 25 28 37 Good Practice Recommendations The manager should ensure that renewal of the wooden window frames are replaced where needed. The manager should make arrangements for a service users bedroom to be repainted where needed. The provider should consider ways to provide an enlarged dining area. The manager should achieve qualifications at NVQ4 in care and management by 2005. Lancastria B54_S21751 Lancastria V224738 200505_stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection No 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Lancastria B54_S21751 Lancastria V224738 200505_stage 4.doc Version 1.30 Page 19 - 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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