Inspection on 04/07/06 for Landermeads Care Home

This inspection was carried out on 4th 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

Landermeads Care Home 08/08/07

Landermeads Care Home 04/01/06

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 Steve Keeling Key Unannounced Inspection 4th July 2006 09:00 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.V300547.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 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.V300547.R01.S.doc Version 5.2 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 Mrs Rosalind 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.V300547.R01.S.doc Version 5.2 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 4th January 2006 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.V300547.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over a 4.5 hour period and involved one inspector. The main method of inspection was case note tracking, this is a method of selecting residents within the home and discussing with them their expectations and experiences of living within the home environment. The case tracking method also analyses the records of the residents to ascertain if the residents identified needs are being addressed appropriately within the care home setting and that their safety and well being is being maintained. On this occasion three residents notes were case tracked. Also as part of the case tracking process, a staff member within the home was informally interviewed to further evidence the quality of care afforded to the residents. It was evident that the registered manager and the care staff on duty at the time of the inspection are very committed to providing a high standard of care for the residents. The manager and staff within the unit were very helpful and cooperative thus ensuring that the inspection process progressed in a professional and efficient manner. A relative was interviewed at this inspection to glean further information as to the quality of care afforded to the service users. The relative stated that he felt confident that his relative was receiving a high standard of care from the dedicated team of staff. The fee currently charged at the home range from £340 to £565 plus nursing determination together with additional payments for residents with higher dependency needs. What the service does well: It is evident that Landermeads complex continues to be well managed and residents can enjoy a comfortable and homely environment that is both stimulating and safe. All residents and staff interviewed praised the management at the home stating that they are approachable and genuinely caring towards the residents. The case tracked care plans examined on the day of the inspected were of good quality, being person-centred and addressed the holistic needs of the residents. The care plans also contain short biographies of residents, which were provided by the resident’s family so as to aid staff in getting to know residents as individuals within their own right. Landermeads Care Home DS0000026449.V300547.R01.S.doc Version 5.2 Page 6 The residents care plans are reviewed on a monthly basis to ensure that any changes in the residents needs are addressed efficiently. All care plans are stored effectively to ensure that the resident’s confidentiality is maintained. The inspection process allowed for a partially examination of the buildings, it was evident that the case tracked residents bedrooms were safe, comfortable, homely and the communal areas within the home are maintained to a high standard throughout. The residents, who have impaired sensory abilities can benefit from a sensory room which is well equipped, together with a very pleasant garden area which has fragrant shrubs throughout to aid the residents sensory perceptions. Residents paid particular praise to the meals provided at the home stating that there is always a good choice available and the food is well cooked and presented. The management team at the home continue to provide an effective training programme for staff together with effective bi-monthly supervision sessions and annual appraisals to ensure the care provision at the home is maintained to a high standard. 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.V300547.R01.S.doc Version 5.2 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.V300547.R01.S.doc Version 5.2 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): OP3, YA2. Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. The manager of the home performs effective pre-admittance assessments to ensure identified needs can be met at the home. EVIDENCE: The pre-admittance assessments within the three case tracked notes were detailed in identifying the specific needs of the service users to maintain optimum physical and psychological wellbeing within the home and utilised a recognised assessment tool. The documentation appertaining to the pre admittance assessment is clear, concise and well presented. All the case tracked assessments were signed and dated by the assessor. Landermeads Care Home DS0000026449.V300547.R01.S.doc Version 5.2 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): OP7, OP8, OP9, OP10, YA6, YA9, YA16, YA18, YA19, YA20. Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. The case tracking procedure revealed that the residents “holistic” needs are addressed through an individual care planning process. Residents or relative participation was not always evident within the care planning process. The homes policies and procedures in relation to the administration of medication had not been fully adhered to. Residents at the home are treated with respect and dignity and that their privacy is maintained effectively. Landermeads Care Home DS0000026449.V300547.R01.S.doc Version 5.2 Page 10 EVIDENCE: The case tracking procedure evidenced that care plans are effectively maintained in a clear, concise and very well organised manner. It could be clearly evidenced that resident’s needs were assessed holistically and all identified needs were addressed effectively within the care planning process. The care plans are evaluated on a monthly basis or as required so that the changing needs of residents are fully met at the home. A discussion with the senior nurse established that the information within the care plans is passed onto the carers at handover times which are performed three times per day thus ensuring that the staff within the home are fully aware of the residents needs. The three case tracked notes did not evidence that residents or their representatives had been consulted in relation to the formation of the care plans. The manager of the home should as far as practically possible ensure that residents or their relatives are involved in the care planning process to make certain informed consent is obtained in relation to the content of the care plans. At the time of the inspection no residents were responsible for the selfadministration of medicines. The senior nurse at the home stated that should a resident wish to be independent in the administration of medicines a risk assessment would be performed, if the resident was deemed as being safe, the resident would be supported to be independent in relation to selfadministration of medication. Two Medication Administration Charts (MAR) were examined at the time of the inspection and it was established that the policies in relation to the administration of medicines had not been fully adhered to. The reason for omission of medication codes was not being used correctly. Furthermore the MAR charts of a case tracked resident had two gaps present with no explanation as to why the medication had not been given. The aforementioned issues were discussed with the manager at the home and it was agreed that staff at the homed would be reminded of the importance of maintaining effective and concise documentation in relation to the administration of medicines. Medication fridges at the home are temperature monitored daily to inhibit medication degradation and it was evident that the temperatures within the medication fridge was within acceptable parameters. Medications, dressing and medical equipment are stored effectively and well organised within the medication room. Residents spoken with were positive about the way staff spoke to them. The inspector witnessed interactions between residents and staff at the home and it was evident that staff promoted the principles of respect and dignity at all times. Landermeads Care Home DS0000026449.V300547.R01.S.doc Version 5.2 Page 11 Residents stated that staff always knocked on the resident’s bedroom door before entering and also stated that the staff respected the residents privacy and dignity when bathing or performing personal care. Staff interviewed demonstrated a thorough knowledge of the principles of privacy, dignity and respect and were also able to express how these principles are maintained within the home environment. The manager confirmed that issues relating to the promotion of respect and dignity are addressed within the induction process and also discussed within bimonthly supervision sessions that all staff receive. Landermeads Care Home DS0000026449.V300547.R01.S.doc Version 5.2 Page 12 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): OP12, OP13, OP14, OP15, YA12, YA13, YA15, YA17 Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents at the home are able to participate in stimulating social activities if they choose. Residents are encouraged to maintain appropriate personal, sexual and family relationships within the home and within the broader community. Service users are provided with a wholesome, appealing and balanced diet. Landermeads Care Home DS0000026449.V300547.R01.S.doc Version 5.2 Page 13 EVIDENCE: Two part time social activates coordinators are employed at the home Residents stated that they were, on the whole, satisfied with the social activities performed within the homes immediate environment which includes bingo, games, quizzes, cheese and wine evenings and crafts. It was also evident that the residents can access events beyond the homes immediate environment by utilising the home mini bus service thus promoting interactions within the broader community. One resident stated that she particularly enjoyed going to the Theatre Royal or the Concert Hall in Nottingham. The resident also identified a small section of garden just outside her ground floor bedroom, which she maintains as she wishes with potted plants and small shrubs, with the assistance of the staff at the home. The resident also stated that she spends a lot of time her room watching TV, listening to the radio or reading, and that the staff at the home always respects her wishes as to how she spends her time. One case tracked resident who has a hearing impairment was concerned that his television was switched of late at night as it was disturbing other residents within the home. Following a conversation with the manager of the home it was agreed that headphones would be purchased by the residents family thus allowing the resident to view his television in his room without disturbing other residents. The manager and the case tracked residents confirmed that no restrictions are in place in relation to visitations. Residents stated that the staff are always friendly and courteous towards their family and friends and that visitors enjoyed coming to the home. Residents spoken with were very well presented, dressed in appropriate clothing for the season, and were wearing their own shoes or slippers. Residents spoken with stated that the laundry service is on the whole efficient. It was evident that the food provided at the home is wholesome, nutritionally appropriate and varied. It was evidenced that residents always have a choice of meals and that daily menus are displayed for resident’s perusal. On the day of the inspection the menu consisted of Shepherd’s Pie, or poached salmon together with a vegetarian option followed by fresh fruit salad. All the dining rooms within the home were well-decorated, clutter free and aesthetically pleasing. Landermeads Care Home DS0000026449.V300547.R01.S.doc Version 5.2 Page 14 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): OP16, OP18, YA22, YA23. Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents are confident that their complaints are listened to, taken seriously and acted upon thus protecting the residents from abuse. EVIDENCE: It was established that the manager at the home is not investigating any complaints at the time of the inspection. There have been no allegations of abuse since the last inspection and the Commission for Social Care Inspection has not received any complaints relating to the service provision at the home The complaint procedure is displayed throughout the home and residents or their representatives are given the complaints procedure within the homes information pack and Statement of Purpose. The case tracked residents spoken with stated they felt safe within the home, and should they have any concerns they would feel confidant in discussing concerns with any members of staff at the home. A staff member was spoken with at the time of the inspection and it was evident that she had and appropriate knowledge of the complaints procedure utilised at the home. The member of staff was also aware of adult protection issues. She stated that “if I suspected that abuse was happening in the home Landermeads Care Home DS0000026449.V300547.R01.S.doc Version 5.2 Page 15 or an allegation of abuse was made I would inform the manager and he would contact social services, the Commission for Social Care Inspection, the adult protection team or the police if necessary”. Landermeads Care Home DS0000026449.V300547.R01.S.doc Version 5.2 Page 16 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): OP19, OP26, YA24, YA30. Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents live in a safe well-maintained environment. The home is clean pleasant and hygienic throughout. Landermeads Care Home DS0000026449.V300547.R01.S.doc Version 5.2 Page 17 EVIDENCE: The home has a high standard of cleanliness and all areas smelt fresh. All communal areas were well decorated and fit for purpose with no obvious hazards evident. The case tracked residents gave the inspector consent to examine their bedrooms. The bedrooms were found to be personalised, homely, safe and met the residents individual needs and aspirations. The home benefits from a very pleasant garden area, which is tidy, well maintained with a pleasing array of shrubs and flowerers, the garden area is also easily accessible to residents in wheelchairs. The garden offers very pleasant seating areas, which are equipped with tables and chairs thus providing a very agreeable area for the residents, relatives and friends to utilise on hot days. The tranquil garden area also incorporates an aviary and residents stated that they enjoyed watching and listening to the birds. Landermeads Care Home DS0000026449.V300547.R01.S.doc Version 5.2 Page 18 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): OP27,OP28, OP29, OP30, YA32, YA34, YA35. Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. Staffing levels and skill mix at the home are appropriate in meeting the needs of the service users. The home utilises an appropriate recruitment policy, which is adhered to thus ensuring residents are supported and protected. Staff receive appropriate training to do their jobs effectively. EVIDENCE: The staff rota evidenced that an appropriate number of qualified nurses were on duty throughout the 24-hour period who were support by an sufficient level of carers. The recruitment documentation of the last two members of staff to be employed at the home was checked and found to be satisfactory. Landermeads Care Home DS0000026449.V300547.R01.S.doc Version 5.2 Page 19 Both staff members had undergone appropriate Criminal Record Bureau (CRB) cheacks and had provided two written satisfactory references. The documentation is well organised and clear. All staff receive an induction programme, which commences on the first day of employment. It was evidenced that staff also benefit form yearly mandatory training which includes Health and Safety, Moving and Handling, Infection Control, Protection of the Vulnerable Adults, Fire Training, Food Hygiene, First Aid training and the management of challenging behaviours. A senior qualified nurse spoken with confirmed that the training opportunities provided at the home are comprehensive in providing information and guidance for staff within the home thus providing a safe environment for residents and staff alike. Landermeads Care Home DS0000026449.V300547.R01.S.doc Version 5.2 Page 20 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): OP31, OP33, OP35, OP38, YA37, YA39, YA42. Quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. The managers of the home are suitably qualified to perform the management role at the home. Landermeads Care Home DS0000026449.V300547.R01.S.doc Version 5.2 Page 21 The home is run in the best interests of the service users and their health and welfare promoted and protected. Service users are protected from financial abuse and their financial interests are safeguarded Routine maintenance at the home is effective in maintaining the residents and staff health and safety. EVIDENCE: Landermeads is a family-owned home, which opened in 1989. A husband and wife team jointly manage the home. One of the managers is a qualified nurse and works in the home on a full-time basis. Both residents and staff alike made many positive comments about the manager’s abilities together with their management techniques. It was evident that the management style utilised has resulted in a good team spirit thus providing a relaxed, safe and efficiently run establishment. Residents and staff stated that the managers are very approachable and they operate an open door policy ensuring that any concerns that residents and staff might have are listened to and addressed effectively. In ensuring that the home is run in the best interests of the residents formal residents meetings are held in each of the unit’s bi-monthly. The residents meetings, which are facilitated by the activities coordinators employed at the home, provide a forum in which any concerns can be identified and addressed effectively by the management team. In addition key workers ask residents for their views, and these are shared with the manager if residents wish. In protesting the resident from financial abuse it was established through conversations with the administration team that all expenditures incurred at the home for additional services such as hairdressing, daily newspapers, Podiatry interventions are recorded and the resident’s family are invoiced on a monthly basis. To ensure that the residents are safe within the homes environment a range of Health and Safety records were seen, relating to Fire Safety, Gas Safety Certificate, the maintenance of mobility aids, all were found to satisfactory. It is evident that all documentation appertaining to the routine maintenance within the home is well organised by the administration team at the home and easily accessible. Landermeads Care Home DS0000026449.V300547.R01.S.doc Version 5.2 Page 22 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 3 4 x 5 x 6 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 ENVIRONMENT Standard No Score 19 3 20 x 21 x 22 x 23 x 24 x 25 x 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 x 33 3 34 x 35 3 36 x 37 x 38 3 Landermeads Care Home DS0000026449.V300547.R01.S.doc Version 5.2 Page 23 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 OP7 Good Practice Recommendations The registered person should as far as practically possible ensure that residents or their relatives are involved in the care planning process to make certain informed consent is obtained in relation to the content of the care plans. The registered person should ensure that nursing staff adheres to the homes policy in relation to the administration of medicines. 2. OP9 Landermeads Care Home DS0000026449.V300547.R01.S.doc Version 5.2 Page 24 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.V300547.R01.S.doc Version 5.2 Page 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!