Inspection on 03/10/05 for Lancastria

This inspection was carried out on 3rd October 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 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lancastria 19/09/06

Lancastria 20/05/05

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 TS26 9PF Lead Inspector Stephen Willcock Announced Inspection 3rd October 2005 10:00 Lancastria DS0000021751.V253853.R01.S.doc Version 5.0 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 Lancastria DS0000021751.V253853.R01.S.doc Version 5.0 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 Adults 18-65. 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. Lancastria DS0000021751.V253853.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Lancastria Address 138 Elwick Road Hartlepool TS26 9PF 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) 01429 235207 Milbury Care Services Limited Mr Richard Charles Ross McDonald Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Lancastria DS0000021751.V253853.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th May 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 DS0000021751.V253853.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on the 3rd October 2005 and lasted about 2.5 hours. Time was spent talking to the manager and staff. Due to communication difficulties, it was not possible to discuss the inspection process with service users. We looked around the building and at files and documents. The home was found to be as pleasant as at the last inspection and the rear garden had been improved by the removal of a large trampoline. A disused swing was still in the garden and it was advised that it should be repaired or removed. Records and service user case files continued to be well maintained, and held information that was clear and easy to read. The home was still in need of some improvements to the windows and, although this had already been noted for replacement by double-glazing, the work was yet to begin. The manager also advised that some electrical work may be required and a bathroom was still to be refurbished, but it was hoped disruption to the service users would be kept to a minimum. What the service does well: What has improved since the last inspection? The manager has carried out amendments to the statement of purpose to reflect the current regulatory body and has continued to provide staff with training opportunities. Plans to carry out refurbishment of a bathroom and to the windows of the home are further forward and now include a possible upgrade to the electrical wiring. Lancastria DS0000021751.V253853.R01.S.doc Version 5.0 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. Lancastria DS0000021751.V253853.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Lancastria DS0000021751.V253853.R01.S.doc Version 5.0 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 the following standard(s): 3 and 4 The home can demonstrate that it can meet the needs of service users and offers the opportunity to visit the home prior to admission. EVIDENCE: Service users needs were seen to be well documented within individual care plans and regular review of the plan ensured that changes in need were acted upon. Staff training was specifically organised to meet the identified needs. Evidence was available to show that service users are invited to stay at the home after a process of trial visits including staying for tea and overnight stays before moving in. Transition assessments are carried out and further assessments are conducted to ensure that service users needs are met by the home. Lancastria DS0000021751.V253853.R01.S.doc Version 5.0 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 the following standard(s): 8 and 10 Service users are involved in all aspects of life at the home and confidential information is securely held. EVIDENCE: Evidence was available to show that staff involved service users in making decisions about the running of the home especially in buying items for entertainment and choosing holiday destinations. Staff are able to communicate effectively using methods learnt over time as some service users have verbal communication impairments. Confidential notes and files are securely kept and service users are given the option of where they wish the files to be kept. A record of these wishes and agreement is in place for each service user. Lancastria DS0000021751.V253853.R01.S.doc Version 5.0 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 the following standard(s): 15, 16 and 17 The home encourages contact with families and friends and enables service users to take responsibility for their lives including areas of work and food. EVIDENCE: Contact with family and friends, was maintained and regular. Staff often encourage visits by family and arrange transport when needed. The manager said he was arranging for service user to visit their friends who were also in residential care. Staff were seen to carry out their roles with respect and maintaining the dignity of the service user. Work placements had been arranged and service users were encouraged to take responsibility for their attendance. Food served at the home was to service users preference. Staff said service users would often choose what to eat on a daily basis but any dietary need or special diets would be considered. A dietician had been consulted and their advice reflected in the planning of menus. Lancastria DS0000021751.V253853.R01.S.doc Version 5.0 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 the following standard(s): 18 and 19 Service users preferred way of receiving care is respected and health and emotional needs are met. EVIDENCE: Details of the personal support that each service user needs are recorded in the care plans and staff have full knowledge of service users preferred way of giving their care. Some service users have impaired verbal communication skills and staff have developed an understanding of their needs through eye contact and body language. There are good contacts with local healthcare providers and health checks are arranged and carried out regularly. One service user was receiving the services of a community nurse but the manager said this was to be reduced. Lancastria DS0000021751.V253853.R01.S.doc Version 5.0 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 the following standard(s): 22 and 23 Arrangements are in place at the home to protect service users from abuse and to deal with complaints. EVIDENCE: These standard were looked at during the last inspection. The complaints procedure had been amended to show the details of the current regulatory body and a leaflet was made available to show the timescales and stages of the complaints process. Lancastria DS0000021751.V253853.R01.S.doc Version 5.0 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 the following standard(s): 26, 27, 28 and 29 The home offers comfortable surroundings for service users but work that is planed should be done with minimal disruption to the service users. EVIDENCE: Bedrooms at the home were seen to be pleasantly decorated and furnished to the service users individual needs and choice. The manager said that the upstairs bathroom was to be refurbished and it was noted that a shower chair was in need of replacement There were plans to improve the windows at the home as some frames were in need of repair. The manager said that the home might also be in need of electrical rewiring. It was noted that a large trampoline in the garden had been removed after a risk assessment on its use had been carried out, however a swing in the garden was still in place but was unusable due to the condition of the seat. It was advised that this be repaired or the swing removed. Lancastria DS0000021751.V253853.R01.S.doc Version 5.0 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 33 Staff at the home are competent and supported to provide effective care to service users. EVIDENCE: Staff training is ongoing and further training is arranged in areas of medication and fire training. Studies’ leading to NVQ2 in care has been undertaken and one member of staff is progressing to NVQ3. Staff that currently have NVQ2 have asked to carry on to NVQ3. The manager said that he is also encouraging the senior staff to continue their studies to NVQ level 4 in care. The staffing level at the home is being maintained although there is currently a vacancy and one member of staff is seconded to another home. Staffing levels are being covered by the use of extra shifts and the use of a casual worker contracted to Milbury care services. At the time of the inspection some staff members were escorting service users on holiday, reflecting that the staffing levels had not affected the provision of care to service users. Lancastria DS0000021751.V253853.R01.S.doc Version 5.0 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38 and 39 The home is well managed and inclusive of service users opinions. EVIDENCE: It was observed that the manager of the home was accessible, and was able to effectively communicate and understand the needs of the service users. The manager was able to detail the training program that was in place and discussed future training opportunities. Evidence of a quality assurance survey being carried was available although the results of the survey were not yet published. The manager gave details of how service users, families and care managers were included in the survey. Service users were able to express their views on the service provided and one had recently produced an article for inclusion in the ‘Milbury Kite’ magazine, about their experience of interviewing for staff at the home. Lancastria DS0000021751.V253853.R01.S.doc Version 5.0 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 X X 3 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X X 3 3 3 2 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 3 X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Lancastria Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score X 3 3 X X X X DS0000021751.V253853.R01.S.doc Version 5.0 Page 17 Yes 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 YA5 Regulation 5 Requirement 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 (previous timescale of unmet 31/08/05) The registered person must ensure that the broken swing in the garden is repaired or removed. Timescale for action 31/12/05 2 YA29 13 31/12/05 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 2 3 Refer to Standard YA28YA24 YA28 YA37 Good Practice Recommendations The manager should ensure that wooden window frames are replaced where needed and electrical work is carried out if required. The provider should consider ways to provide an enlarged dining area. The manager should achieve qualifications at NVQ4 in care and management by end of 2005. DS0000021751.V253853.R01.S.doc Version 5.0 Page 18 Lancastria Commission for Social Care Inspection Darlington Area Office 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 DS0000021751.V253853.R01.S.doc Version 5.0 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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