Inspection on 10/05/05 for Landona House

This inspection was carried out on 10th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Landona House 05/07/07

Landona House 12/01/07

Landona House 19/10/05

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Maple Lodge

Polesworth Group 32 Station Road

Heathlands

Aston Court Nursing Home

Polesworth Group 70 Long Street

Breme

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

CARE HOMES FOR OLDER PEOPLE Landona House Love Lane Wem, Shrewsbury Shropshire SY4 5QP Lead Inspector Michael Highfield Unannounced 10 May 2005 10:00 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Landona House E56 S62558 Landona House V208120 UAI 1005050 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Landona House Address Love Lane, Wem, Shrewsbury, Shropshire, SY4 5QP Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01939 232620 01939 232620 Mrs Radhika Lakhubhai Ramlal Sisodia Mr Kamal Sisodia Care Home 27 Category(ies) of Dementia over 65 yrs (5) registration, with number Learning Disability (1) of places Old Age (21) Landona House E56 S62558 Landona House V208120 UAI 1005050 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may provide accommodation and personal support to a maximum of 27 service users over the age of 65 years to include 5 service users with dementia and one service user with a learning disability (under the age of 65 years). 2. Ground floor accommodation must be provided for the 5 people diagnosed with dementia. 3. The risk assessment relating to both people with dementia must be regularly monitored, reviewed and updated. 4. All care staff must receive training in dementia awareness and learning disability. 5. The resident with a learning disability should be formally reviewed every six months. 6. There must be a minimum of three care staff on duty from 7 am to 10 pm. 7. There must be two waking members of staff on duty throughout the night. Date of last inspection 23rd November 2004 Brief Description of the Service: Landona House is conveiniently situated outskirts of the small town of Wem, there are several small shops in walking distance of the home which be accessed with ease by the more mobile residents. The home is registered with the Commission for Social Care Inspectorate to provide accomodation and personal care to a maximum of twenty-seven elderly people. At the time of the inspection twenty-six people were in residence. Residential accomodation is provided in both single and double accomodation on the ground and first floor. Access to the first floor is by a passenger lift. Some rooms have ensuite facilities. The home accomodates a large lounge, dining room and conservatory area, however some residents prefer to spend time privacy of their own room. The proprietors of the home Mr and Mrs Kamal Sidosia have put a great deal of effort into the refurbishment of the home which is to be completed 2005-2006. Mrs Dawn Burrows the registered manager has achieved the Registered Managers Award and the skills to cater of the present residents needs. Landona House E56 S62558 Landona House V208120 UAI 1005050 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over a period of four hours it was unannounced and formed part of the two routine inspections per year undertaken by the Commission for Social Care Inspection. During the inspection a tour of the premises took place, discussions with the management, eight residents and four staff occurred and care records were perused. Discussions with the management occurred concerning the continuing refurbishment of the home. What the service does well: What has improved since the last inspection? There has been continued progress in the refurbishment in the home since the last inspection, and the good standard of care provided has been maintained. The “new” owner set out a programme of refurbishment for the home in November 2004, which when completed will enhance the quality of life in the home for the residents. Landona House E56 S62558 Landona House V208120 UAI 1005050 Stage 4.doc Version 1.30 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. Landona House E56 S62558 Landona House V208120 UAI 1005050 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Landona House E56 S62558 Landona House V208120 UAI 1005050 Stage 4.doc Version 1.30 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 standard(s) 1-5 The homes statement of how it operates and the residents guide provides present and prospective users with detailed information which would assist them in making a decision on whether or not they wish to become a resident in the home. EVIDENCE: The home has produced a statement of purpose which contains all the relevant information required under Schedule 1 of the Care Homes Act. Each resident has their own personal copy to refer to and their contract with home states the room number they now occupy, and what part of the fees they are expected to pay themselves. Contracts terms and conditions have not changed since the last inspection. The residents assessment form is completed by the manager and utilises elements from the Social Workers assessment. Residents can spend a few days in Landona House if a bedroom is available in the home before making up their mind whether or not the wish to become a permanent resident or not. Many residents had been in the home for some considerable time, they were well settled and had the support of their family members. Landona House E56 S62558 Landona House V208120 UAI 1005050 Stage 4.doc Version 1.30 Page 9 The staff on duty had very detailed knowledge of each residents needs and appeared confident in meeting them. However it was noted by the inspector that the full review of all of all Residents Care Files and Care Plans had not been fully completed since the last announced inspection by the CSCI in November 2004. Landona House E56 S62558 Landona House V208120 UAI 1005050 Stage 4.doc Version 1.30 Page 10 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 standard(s) 7-11 The health needs of the residents are met with evidence of good multidisciplinary working. The system of medicine administration is well managed. EVIDENCE: The home has a policy on care planning which clearly states that the care plans must be reviewed and updated monthly. Some records seen evidenced this. However the manager stated that she is under taking a full review of all the care plans as time will allow her due to her increasing administrative commitment. Care plans developed are discussed with the resident and close member of their family. Each resident has a personal care check list in their care file, and their likes and dislikes in diet and social activities are documented. Appropriate procedures are in place for the safe administration of medicines. It was observed that the residents are treated with the utmost dignity and respect. There was a homely atmosphere in the home and the residents spoken to substantiated this. Landona House E56 S62558 Landona House V208120 UAI 1005050 Stage 4.doc Version 1.30 Page 11 However it was noted by the inspector that the review of all the Residents Care Files and Care Plans had not been fully completed since the last inspection. Landona House E56 S62558 Landona House V208120 UAI 1005050 Stage 4.doc Version 1.30 Page 12 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 standard(s) 12-15 Consultation with the residents by the manager and the staff is good being in both verbal and written form, evidence was given to the inspector by the residents that comments they had made had been acted apon. The home has good links with the local community which enriches their social opportunities. EVIDENCE: Through discussions held with residents it was evident that the individuals have the opportunity to exercise choice, meal times are flexible and residents can choose how they wish to fill their day. Each residents interests are recorded in their careplan and the home encourages them and supports where ever possible to continue with these if the skill is present in the home to do this. The residents stated that their visitors are always made welcome when visiting the home. Discussions held with the residents on the day of the inspection confirmed that they are happy with the choice of meals that are provided and that drinks are readily available at all times. However the residents stated that the proprietor did not communicate with them when purchasing equipment for leisure as a “42” Plasma Television was delivered and they did not require it preferring “more peace and quiet “ Landona House E56 S62558 Landona House V208120 UAI 1005050 Stage 4.doc Version 1.30 Page 13 Whilst it was noted that whilst the home produces a wholesome diet for the residents, at the last Environmental Health Officers review modernisation of the kitchen equipment was required and that this should be placed in the refurbishment programme. With 27 residents now residing in the home the inspector recommended that this requirement should be acted upon as matter of urgency. Landona House E56 S62558 Landona House V208120 UAI 1005050 Stage 4.doc Version 1.30 Page 14 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 standard(s) 16-18 The home has an effective complaints procedure which was evidenced by comments made by the residents. EVIDENCE: No complaints had been received by the home concerning the service they offer. Residents were aware of the complaints procedure as it is included in their contract with the home. Comments received by the inspector were complimentary of the home and the service it offers, they felt that the staff listened to their views and acted apon. However the residents felt that the proprietor did not listen to them when purchasing “new” equipment for their leisure. Landona House E56 S62558 Landona House V208120 UAI 1005050 Stage 4.doc Version 1.30 Page 15 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 standard(s) 19-26 The present environment of the home has improved with the refurbishment programme, providing the residents with a clean and homely place to live in. The future proposed programme by the proprietor will further enhance the facilities offered to the residents when they are completed. EVIDENCE: It was established through inspections of the lounge, dining room, kitchen, bathrooms and bedrooms that the residents live in a homely, clean and comfortable environment. A programme has been put in place by the proprietor for refurbishment as the decoration in the home is rather dated. The bedrooms of the residents are personalised with many family photographs and momento,s. The home has an assisted Parker Type bath on the first floor. Toilets are provided in close proximity to the lounge and dining areas in the home. The home was very clean and the residents spoken to made very favourable comments about this. Landona House E56 S62558 Landona House V208120 UAI 1005050 Stage 4.doc Version 1.30 Page 16 However with the increasing number of Elderly Mentally Ill residents the patio courtyard must be made secure as a matter of urgency. At the time of the inspection it was noted only one washing machine was in working order as a matter of urgency the inspector stated that a further machine with a sluicing facility must be purchased. The local Environmental Health Officer on their last visit to the home viewed the proposed refurbishment plans and stated the kitchens required new cookers and fridges. With the increase in the number of residents to allow the home to cater for their nutritional needs the purchase of new cookers and fridges must be expedited. Landona House E56 S62558 Landona House V208120 UAI 1005050 Stage 4.doc Version 1.30 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27-30 There is good staff morale in the home resulting in an enthusiastic workforce that work positively with the residents to improve their quality of life. The home is very committed in training their staff to provide a quality service. EVIDENCE: The home is registered for 27 people, the staff on duty stated that there are always 4 members of staff on duty, this fact was substantiated by the presented offduty. The present staffing levels met the assessed needs of residents living in the home. It was reported to the inspector that presently 8 staff have completed their NVQ Level 2 in care. Files examined of new staff employed contained all the elements that are required in the care regulations ie: a photograph, 2 references, CRB check and the training undertaken. Since the last inspection basic training in fire prevention and manual handling have been undertaken. Landona House E56 S62558 Landona House V208120 UAI 1005050 Stage 4.doc Version 1.30 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31-33, 35-38 The home regularly reviews aspects of its performance through self review and consultation with the residents, staff and relatives. The manager provides clear leadership throughout the home and to the staff, demonstrating an awareness of her responsibilities. EVIDENCE: The registered manager holds the relevant qualifications for running the home. There is a management structure and accountability process in the home. However Regulation 26 visits by the Proprietor are not being achieved as part of the management of the home and forwarded to the inspectorate. Through discussions held and observations it was evident that the staff are well motivated and committed to their work. The residents or their families have control of their financial affairs. Lockable storage is available to the residents for privacy and their room has a locking facility, risk assessments are undertaken on each resident to assess whether or not they are able to hold their own key. Landona House E56 S62558 Landona House V208120 UAI 1005050 Stage 4.doc Version 1.30 Page 19 Staff reported that they had received all their mandatory training. However it was felt by the inspector that the Proprietor should increase the administrative support in the home to allow for a formal review and rewriting of all Policies Procedures and Care Plans of the Residents in the home. Landona House E56 S62558 Landona House V208120 UAI 1005050 Stage 4.doc Version 1.30 Page 20 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 4 3 2 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 2 3 3 3 2 2 2 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 x 3 3 2 2 Landona House E56 S62558 Landona House V208120 UAI 1005050 Stage 4.doc Version 1.30 Page 21 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 OP3 Regulation 12a 13b 14 15 Requirement That each resident has a plan of care for daily living and longer term outcomes, based on care assessments and the homes own needs assessments. That the service users care plans sets out detailed action which is required by the care staff to meet the residents health and personal care needs. That following the review of the refurbishment plans of the kitchen area by the Environmental Health Officer and the increase in residents numbers catering equipment must be replaced as a matter of urgency. A programme of routine maintainance and renewal of the fabric and decoration of the premises must be continued to be implemented. A number of furnishings throught the home must be replaced or refurbished and rooms redecorated. Carpets in a number of rooms must replaced when redecoration occurs. Timescale for action Immediate 2. OP7 12a 13b 17(3) 24(1) 12 ,16(2)g Immediate 3. OP15 31/08/05 4. OP19 16, 23 30/11/05 5. OP 20 16, 23 30/11/05 6. OP 24 16,23 30/11/05 Landona House E56 S62558 Landona House V208120 UAI 1005050 Stage 4.doc Version 1.30 Page 22 7. OP 24 16,23 8. OP 25 16,23 9. OP 26 13(4)c, 16(2)e,k. 16 10. OP 26 11. 12. OP 37 OP 38 15, 17,24 16,23 13. OP 38 16,23 Lockable storage facilities provided in the residents rooms must be easily accessable for each individual. Pipe work and radiators must be gaurded or have guaranteed low temperature surfaces and the radiators be controlled in the residents own rooms. The ceramic sluice must be updated to stainless steel in order to reduce the risk of cross infection. At the time of the inspection it was seen that the home had only one servicable washing machine, a new machine with a sluice facilty must be purchased at a matter of urgency due to the increasing dependency of the residence. That individual care records, policies and procedures are up to date and in good order. That the proprietor ensures so far as reasonably practicable the health safety and welfare of service users and staff. 1.The risk of scalding hot water temperatures in vanity units to 43.c. 2. Ramping of the exit from the conservatory to the outside yard area as with the increasing immobilty of the residents to prevent falls from occuring and easier access for wheel chairs. With the increase in registration to 5 Residents with Mental Illness, the rear yard should be made secure with the appropriate height fencing. 30/11/05 30/11/05 30/11/05 Immediate Immediate Immediate Immediate Landona House E56 S62558 Landona House V208120 UAI 1005050 Stage 4.doc Version 1.30 Page 23 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. Refer to Standard 16 38 Good Practice Recommendations That the proprietor ask the residents views prior to purchasing equipment for entertainment. Residents felt they had not been consulted. That the proprietor provide administrative time to the manager to allow her time to complete her management review tasks due to the increase of the number of residents in the home. Landona House E56 S62558 Landona House V208120 UAI 1005050 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection 1st Floor, Chapter House South Abbey Lawn SHREWSBURY SY2 5DE 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 Landona House E56 S62558 Landona House V208120 UAI 1005050 Stage 4.doc Version 1.30 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. 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