Inspection on 12/07/06 for Lancum House Care Home

This inspection was carried out on 12th July 2006.

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

Lancum House Care Home 16/07/09

Lancum House Care Home 24/07/07

Lancum House Care Home 03/02/06

Lancum House Care Home 26/07/05

Lancum House Care Home 06/12/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Lancum House Care Home Bush Close Hardwick Road Wellingborough Northants NN8 3GL Lead Inspector Mrs Linda Preen Unannounced Inspection 12th July 2006 10:00 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 DS0000060026.V303762.R01.S.doc Version 5.2 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. DS0000060026.V303762.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lancum House Care Home Address Bush Close Hardwick Road Wellingborough Northants NN8 3GL 01933 442440 01933 443404 Lancum.House@shaw-homes.co.uk www.shaw.co.uk Shaw Healthcare (de Montfort) Ltd 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) Mr Michael Scott Care Home 35 Category(ies) of Dementia - over 65 years of age (12), Old age, registration, with number not falling within any other category (35), of places Physical disability over 65 years of age (10) DS0000060026.V303762.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. All re-development work detailed in the refurbishment plan submitted to the Commission on the 25.04.04 must be completed by March 2009 The home may continue to accommodate 1 named service user who falls within the registration category LD (E) No one falling within the category of DE (E) may be admitted into the home where there are 12 service users who fall within the category of DE (E) already accommodated within the home No one falling within the category of PD (E) may be admitted into the home where there is 10 service users who falls within the category of PD (E) already accommodated within the home No further residents may be admitted to the home in the category of old age (OP) when there are 35 residents in this category already accommodated in the home. Variation number V000029394 allows 2 DE residents to be accommodated in OP beds. 3rd February 2006 4. 5. 6. Date of last inspection Brief Description of the Service: Lancum House is a purpose built residential care home for the elderly, formerly owned by the Northamptonshire County Council Social Services Department, and now owned by Shaw Healthcare. The accommodation for service users is set out on the ground floor. The first floor accommodates the manager’s office, and an area used for training and as a staff room. Service users rooms are divided into small individual areas called flats. Each flat has a small lounge and dining area, and the service user’s bedrooms. All rooms are single occupancy. There is a communal lounge area and a larger foyer area where service users frequently choose to sit. The home has a wide corridor that is called the street, where tables and chairs are placed for the service users use. There is also a shop and a licensed bar in this area. The home is surrounded by pleasant gardens and is situated in a residential area close to the town centre and other local amenities. The home caters for elderly residents of both sexes with both physical and dementia related illness. Fees range from £410 to £450 per week according to resident’s assessed needs. DS0000060026.V303762.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two hours were spent prior to the inspection reviewing previous requirements and recommendations, and collating information provided by the service. The inspection took place over a period of seven hours as part of the statutory inspection programme. Three residents were chosen in order that their experience in the home could be assessed. This included looking at their records, talking to them and also to the staff concerning the care received. In addition to this staff records, Accident, complaint records and Health and Safety records were seen. A limited tour of the home was undertaken. What the service does well: What has improved since the last inspection? Several resident bedrooms have been redecorated and new armchairs have been purchased for one of the resident lounges. The Statement of Purpose, which describes the service provided in the home, has been updated to include all of the areas required by Regulation. The recruitment policy has been updated to include reference to the need to refer prospective staff for Criminal Records Bureau checks prior to employment, in order to protect residents from potential harm. Medication trolleys have been re-sited to a more suitable area in order to reduce the risk of infection. Health and Safety issues concerning fire exits being obstructed and the storage of chemicals in the home have been addressed. DS0000060026.V303762.R01.S.doc Version 5.2 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. DS0000060026.V303762.R01.S.doc Version 5.2 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 DS0000060026.V303762.R01.S.doc Version 5.2 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): 1, 2 and 3 Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. Residents have the information required to enable them to make an informed choice concerning admission to the home. Thorough assessments and Terms and Conditions ensure that residents are confident that their needs may be met in the home. EVIDENCE: The Statement Of Purpose and Service User Guide which set out the facilities and services offered in the home, have been updated since the last inspection and now contain all of the required information. Copies of Terms and Conditions of stay were seen in the files sampled. Comprehensive preadmission assessments are carried out prior to admission to ensure that residents needs may be met in the home. DS0000060026.V303762.R01.S.doc Version 5.2 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): 7, 8, 9 and 10 Quality in this outcome group is adequate. This judgement has been made using available evidence, including a visit to the service. Staff do not always have the information required to ensure that all resident needs are met. Residents are treated with dignity and respect. EVIDENCE: Three residents were chosen in order that their experience in the home could be assessed. One gentleman from the Older Persons category was chosen along with two ladies with a diagnosis of dementia in order that the different groups in the home could be included.Care plans, which guide staff concerning resident’s needs and the way in which these needs are to met in the home,were seen. Those which had been provided were very detailed and specific to residents individual needs but were not available for all assessed needs. For example there was no care plan for the mental health needs of residents with a diagnosis of dementia, or for pressure area care where this had been assessed at high risk. A requirement has been made in this respect. One of the residents chosen to assess had been identified as being at high risk of developing pressure ulcers, and although she had been referred to the DS0000060026.V303762.R01.S.doc Version 5.2 Page 10 Community Occupational therapist team for assessment in June, the recommended pressure relieving equipment and specialist bed have still not been provided. A requirement has been made in this respect. Residents spoken to stated that the staff were very kind and that they felt well cared for, and all appeared well groomed. Staff were observed to be treating residents with dignity and respect. Records of resident’s medication were available in individual files. These not only listed the medication, but also gave details of any side effects which may occur. Residents had been assessed for their abilty and willingness to take care of their own medication, but staff were administering medication to those chosen to assess on this occasion. The medication trolleys have been relocated to a more suitable place in the home following a requirement made at the last inspection. DS0000060026.V303762.R01.S.doc Version 5.2 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 and 15. Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. The standard and provision of food is good but although activities are provided, there are still no activities designed to meet the special needs of residents with a diagnosis of dementia. EVIDENCE: Various activities are provided in the home and a Pig Roast and a trip to the seaside are planned in the near future. A local priest attended the home during the inspection and residents were given the opportunity to join in this sacrament if they so desired. A new activities co-ordinator has been employed and a budget identified for the purchase of activity items for those residents with a diagnosis of dementia, but there were no records of this activity having been provided.This was a requirement at the last inspection and remains outstanding. Visitors are welcome in the home at any time and regular visitors meetings are arranged in order that they may be informed of development plans and other issues in the home. Records of individual preferences concerning times of rising and retiring, food and clothing were available for each resident. Those spoken to confirmed that their wishes were respected. One gentleman said he had always got up early owing to the nature of his previous job, and he still got up at 5am in the home. DS0000060026.V303762.R01.S.doc Version 5.2 Page 12 Lunch was observed to be served in good portions and both looked and smelled appetising. Residents are given a choice at lunch and tea time. Those residents spoken to confirmed that the standard of food was good. DS0000060026.V303762.R01.S.doc Version 5.2 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): 16 and 18. Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. Residents may be confident that their concerns will be addressed and that they will be protected from abuse. EVIDENCE: No complaints have been received by The Commission for Social Care Inspection since the last inspection, and records in the home of issues addressed by the manager were found to be satisfactoy. Staff have received training in the Protection of Vulnerable Adults and were aware of their resposibilities in this respect on questioning. DS0000060026.V303762.R01.S.doc Version 5.2 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, 20, 22, 24, 25 and 26. Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. Residents live in homely surroundings, which are well maintained and clean. EVIDENCE: Residents were sitting in the various small lounges, out in the pleasant garden, or in their own roms according to individual preference. A limited tour of the environment was undertaken, to include the rooms of those residents chosen to assess on this occasion.This demonstrated that all areas were clean and tidy, with an ongoing programme of redecoration in progress. Several residents rooms have been painted since the last inspection, and new chairs have been provided in one of the lounge areas. Individual rooms showed evidence of personalisation, with small items of furniture, pictures and ornaments on display. The home is due for a major redevelopment and refurbishment in the near future which will greatly enhance the facilities provided. DS0000060026.V303762.R01.S.doc Version 5.2 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): 27, 28,29 and 30. Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. Procedures for the recruitment of staff provide safeguards necessary to offer protection to the people living in the home. Staff are provided with training and in sufficient numbers to meet the needs of the residents. EVIDENCE: The recruitment policy has been updated to reflect the need for Criminal Records Bureau checks to be obtained prior to employment. A selection of staff files were seen and these demonstrated that the necessary checks are carried out before staff are empoyed in the home.An equal opportunities policy is in operation and staff from both sexes, all age groups and four different nationalities are employed in the home. Duty rotas demonstrated that there are five staff in the morning and afternnon and three staff at night for thirty five residents, which would appear sufficient to meet the needs of the current resident group The company has a committment to staff training and 50 of the current care staff group hold National Vocational Qualification level 2, which provides staff with a basic understanding of care practices. A training manager is employed and she assists the Registered Manager in ensuring that statutory training for Fire, Health and Safety, Food hygiene and Moving and Handling is kept up to date for all staff. New staff attend a four day induction programme organised by the company to ensure the safety of residents. DS0000060026.V303762.R01.S.doc Version 5.2 Page 16 Staff members spoken to confirmed that they are well supported by the senior staff in the home and that they receive regular supervision at which their training needs and progress in the home are discussed. DS0000060026.V303762.R01.S.doc Version 5.2 Page 17 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): 31, 33, 35, 36 and 38 Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. The Registered Manager ensures that the home is run efficiently, in a way that serves the best interests of the residents. EVIDENCE: The Registered Manager has many years experience in caring for this resident group and holds a National Vocational Qualification Level 4 as well as the Registered Manager’s award. This Award is a management qualification specifically provided for Registered Managers of Care facilities, to ensure that thyey have the skills required to provide a good standard of care to the service users. The home has recently achieved Investors in People accreditation. Monthly quality assurance assessments are carried out, and a further quality assurance DS0000060026.V303762.R01.S.doc Version 5.2 Page 18 tool has been introduced by the County Council with who the beds are contracted, to ensure that a high standard of service is provided in the home. Regular staff and relatives meetings are held in order for them to be informed of prospective developments and so that their suggestions and ideas for improving the service may be considered. Records of the testing of fire alarms and emergency lighting were seen and found to be satisfactory. Fire doors were observed to be clear of obstruction. Good systems are in place for the recording and control of resident pocket money accounts in order to protect residents from possible abuse in this area. All new staff complete a four day induction programme to ensure that they are aware of basic care issues and Health and Safety in the home. A programme of staff supervision, as described in the previous section, is in place to ensure that the standard of care to residents is maintained. DS0000060026.V303762.R01.S.doc Version 5.2 Page 19 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 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 DS0000060026.V303762.R01.S.doc Version 5.2 Page 20 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 OP7 Regulation 15 Requirement Timescale for action 01/08/06 2 OP8 16(2) c Care plans must be reviewed to ensure that guidance on all areas of identified need is available for staff. Where there has been the need 01/08/06 of specialist equipment identified in order to meet resident’s needs, this must be provided without delay. 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 OP12 Good Practice Recommendations Advice should be taken from specialist organisations such as The Alzheimer’s Society, concerning the proper provision of activities for those residents with a diagnosis of dementia, and this advice should be implemented in the home. DS0000060026.V303762.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 DS0000060026.V303762.R01.S.doc Version 5.2 Page 22 - 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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