Inspection on 04/01/06 for Landermeads Care Home

This inspection was carried out on 4th 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

Landermeads Care Home 08/08/07

Landermeads Care Home 04/07/06

Landermeads Care Home 05/10/05

Landermeads Care Home 01/03/05

Landermeads Care Home 16/11/04

Landermeads Care Home 05/03/04

Landermeads Care Home 05/01/04

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 HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Landermeads Care Home 265 High Road Chilwell Nottingham NG9 5DD Lead Inspector Kim Cowley Unannounced Inspection 4th January 2006 11:00 X10029.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 Landermeads Care Home DS0000026449.V276389.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 and 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. Landermeads Care Home DS0000026449.V276389.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Landermeads Care Home Address 265 High Road Chilwell Nottingham NG9 5DD 01159256996 0115 9224454 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) Landermeads Investments Limited Mr Robert Alan Heath Care Home 89 Category(ies) of Dementia (5), Dementia - over 65 years of age registration, with number (34), Old age, not falling within any other of places category (73), Physical disability (16), Terminally ill (4) Landermeads Care Home DS0000026449.V276389.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Service will limit its services to the following categories of Service Users Old Age not falling within any other category (OP) 73 (both) Physical Disability (PD) 16 (both) Terminally Ill (TI) 4 (both) Dementia , over 65 years of age (DE/E) 34 (both) Dementia (DE) 5 (both) 1 named person under the age of 65 with physical disabilities (1). (Name available in the documentation relating to minor variation dated 8th November 5th October 2005 2. Date of last inspection Brief Description of the Service: Landermeads is an 89 bedded home situated in Chilwell on the outskirts of Nottingham. The home is divided into three units: The Meads, Lander House and Catherine Tam House. The Meads provides care for 39 residents, the majority of whom have dementia. Lander House provides care for 34 residents who require nursing and personal care. Catherine Tam House provides care for 16 younger adults with physical disabilities. The home is well designed and equipped for residents with limited mobility and is wheelchair accessible throughout. The home is surrounded by well-established gardens and has a car park. Landermeads Care Home DS0000026449.V276389.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on a weekday. When undertaking inspections the Commission for Social Care Inspection (CSCI) focuses on the outcomes for residents living in a home. In order to do this, the inspector ‘case tracked’ eight residents. This means the inspector checked their care records and, where appropriate, met with them. In addition the inspector met a further three residents and three relatives, and interviewed the Manager, two nurses, and one carer. Further care and other records were examined. The Manager and staff are commended for running the home so effectively. Two recommendations were made. What the service does well: Landermeads is a family-owned home and although large, it has a homely atmosphere. The Manager spends time in all three units and knows every resident and member of staff by name. She said ‘I am available for staff, residents, and visitors to come and see me at any time to discuss anything they want.’ All residents and staff interviewed praised the Manager and said how approachable and caring she is. One resident said, ‘The Manager visits this unit all the time. She is lovely to talk to and very supportive.’ Another commented, ‘The Manager and staff listen to us and if there’s a problem they try and sort it out.’ A member of staff said ‘The Manager gives you plenty of time. She’s a true friend to the staff and the residents.’ It is evident from these comments that Landermeads is well run, with the views of both residents and staff taken into account when decisions are made. Team spirit was much in evidence during the inspection and the Manager and staff are commended for running the home so effectively. Staff have good relationships with local health care professionals, who are responsive to residents’ needs. One resident commented, ‘My GP comes straight out to me when staff ask him to.’ Medication is properly managed and administered by nursing staff. One resident said, ‘The staff sort out my medication and I don’t have to worry about it.’ Those care plans inspected were of good quality, being person-centred and containing short biographies of residents which helps staff to get to know them as individuals. In general all residents interviewed were satisfied with the home and the care they receive there. Their comments included: ‘You couldn’t better this place.’ ‘I’ve been in quite a few homes and this is the best.’ Landermeads Care Home DS0000026449.V276389.R01.S.doc Version 5.1 Page 6 ‘I am perfectly satisfied with this home. It is just what I wanted.’ ‘The staff here are fantastic.’ ‘The staff and residents are a great crowd.’ ‘I love this place!’ And a member of staff said, ‘This is a home I’d like to come to myself if I every needed to.’ 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. Landermeads Care Home DS0000026449.V276389.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Landermeads Care Home DS0000026449.V276389.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These Standards were inspected at the last inspection on 5.10.05. Landermeads Care Home DS0000026449.V276389.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are 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 Staff in the home and healthcare professionals in the wider community meet residents’ health care needs. Medication is properly managed and administered. EVIDENCE: All residents are registered with local GPs. The Manager said staff have good relationships with local health care professionals, who are responsive to residents’ needs. One resident commented, ‘My GP comes straight out to me Landermeads Care Home DS0000026449.V276389.R01.S.doc Version 5.1 Page 10 when staff ask him to.’ A private physiotherapist works in the home with residents twice a week and provides staff training when required. Nursing staff are responsible for medication administration in the home. Supplies and separate records are kept in each of the units. A contract pharmacist carries out an annual medication audit, and provides up to date advice and information to staff, and training where necessary. At present no residents self-medicate. All new residents have their medication reviewed when they are admitted, and then as necessary. One resident commented, ‘The staff sort out my medication and I don’t have to worry about it.’ Landermeads Care Home DS0000026449.V276389.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Residents are pleased with the breakfast and lunch menus, but would like the tea menu to be improved. EVIDENCE: There is a large kitchen in the Meads, where the main meals are prepared. These are delivered in hot trolleys to the other units. Lander House and Catherine Tam House also have their own kitchens. A head chef, three cooks, and kitchen assistants are employed. Each unit has a dining room or dining area. Some self-catering is done in Catherine Tam House to suit the needs of the younger resident group accommodated there. Landermeads Care Home DS0000026449.V276389.R01.S.doc Version 5.1 Page 12 All residents interviewed said they liked the breakfasts and lunches. Comments included, ‘The lunches are very tasty – I’ve not had one I didn’t like’, and ‘The puddings are lovely.’ However a number of residents (and their relatives) felt the teas could be improved. The following comments were made: ‘I would like more hot snacks at teatime. I’m fed up with sandwiches.’ ‘Lasagne or pasta bake would be nice at teatime.’ ‘We usually have sandwiches for tea. There’s a range a different fillings but I still get bored with them.’ ‘I’d like a curry for tea. It would make a nice change.’ ‘Baked potatoes would be good. Or pasties. Anything but sandwiches.’ This issue was discussed with the Manager who said she was happy to address it. It was suggested that residents (supported by relatives/staff/advocates where appropriate) could be asked what they would like for tea, and menus reviewed and altered where necessary. Landermeads Care Home DS0000026449.V276389.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These Standards were inspected at the last inspection on 5.10.05. Landermeads Care Home DS0000026449.V276389.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These Standards were inspected at the last inspection on 5.10.05. Landermeads Care Home DS0000026449.V276389.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These Standards were inspected at the last inspection on 5.10.05. Landermeads Care Home DS0000026449.V276389.R01.S.doc Version 5.1 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) 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 The home is well run by the Manager and staff. Residents’ views are listened to and taken into account. EVIDENCE: Landermeads Care Home DS0000026449.V276389.R01.S.doc Version 5.1 Page 17 Landermeads is a family-owned home, which opened in 1989. The Manager is responsible for its day-to-day running. Her husband, a qualified nurse, works in the home full-time. The Manager said ‘I am available for staff, residents, and visitors to come and see me at any time to discuss anything they want.’ Residents and staff made many positive comments about the Manager and the way the home is run including: ‘The Manager is always popping in.’ ‘This home is well run by the Manager and the staff.’ ‘The Manager came to see me on Christmas day with her children and her parents and brought me a present.’ ‘The Manager visits this unit all the time. She is lovely to talk to and very supportive.’ ‘The Manager is very approachable. She’s brilliant.’ ‘The Manager and staff listen to us and if there’s a problem they try and sort it out.’ ‘The Manager gives you plenty of time. She’s a true friend to the staff and the residents.’ Team spirit was much in evidence and the Manager and staff are commended for running the home so effectively. Residents’ views are gathered in a number of ways. The Manager visits each of the units every day, knows the names of all the residents and staff, and makes a point of talking to everyone in the home including visitors. Formal residents meetings are held in each of the units every few months. These are run by the activities organisers (employees of home) and minutes are taken. The Manager does not attend these meetings unless specifically invited, but said she reads and acts on the minutes. In addition key workers ask residents for their views, and these are shared with the Manager if residents wish. Occasional quality assurance questionnaires are also sent out to residents/relatives. Landermeads Care Home DS0000026449.V276389.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 X 2 X 3 X 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X ENVIRONMENT Standard No Score 19 X 20 X 21 X 22 X 23 X 24 X 25 X 26 X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No Score 31 4 32 X 33 3 34 X 35 X 36 X 37 X 38 X Landermeads Care Home DS0000026449.V276389.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? No 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. 1 Refer to Standard OP15 Good Practice Recommendations It is recommended that residents (supported by their relatives/staff/advocates where appropriate) are asked what they would like for tea, and menus reviewed and altered where necessary. It is recommended that consideration is given to making more storage space available in or near Catherine Tam House. 2 OP22 Landermeads Care Home DS0000026449.V276389.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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. Landermeads Care Home DS0000026449.V276389.R01.S.doc Version 5.1 Page 21 - 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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