Inspection on 19/10/05 for Landona House

This inspection was carried out on 19th October 2005.

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

The inspector found there to be outstanding requirements from the previous inspection report 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 10/05/05

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 Mike Highfield Announced Inspection 19th October 2005 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 Landona House DS0000062558.V257791.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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 DS0000062558.V257791.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Landona House Address Love Lane Wem Shrewsbury Shropshire SY4 5QP 01939 232620 01939 234937 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) Mrs Radhika Lakhubhai Ramlal Sisodia Mr Kamal Sisodia Care Home 27 Category(ies) of Dementia - over 65 years of age (5), Learning registration, with number disability (2), Old age, not falling within any of places other category (20) Landona House DS0000062558.V257791.R01.S.doc Version 5.0 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 two service users with a learning disability (under the age of 65 years). Ground floor accommodation must be provided for the 5 people diagnosed with dementia. The risk assessment relating to both people with dementia must be regularly monitored, reviewed, and updated. All care staff must received training in dementia awareness and learning disability. The residents with a learning disability should be formally reviewed every six months. There must be a minimum of three care staff on duty from 7am 10pm. There must be two waking members of staff on duty throughout the night. 10th May 2005 2. 3. 4. 5. 6. 7. Date of last inspection Brief Description of the Service: Landona House is situated on the outskirts of the small town of Wem, there are several small shops in walking distance of the home which can be accessed with ease by the more mobile residents. The home is registered with the Commission for Social Care Inspection to provide accommodation and personal care to a maximum of twenty-seven elderly people. At the time of the inspection twenty-seven people were in residence. Residential accommodation is provided in both single and double accommodation on the ground and first floor. Access to the first floor is by a passenger lift. Some rooms have ensuite facilities. The home accommodates 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 Sisodia have put a great deal of effort into the refurbishment of the home which is to be completed 2005-2006. Mrs Dawn Burrows has applied to be the registered manager and has achieved the Registered Managers Award. Mrs Burrows has the skills to cater of the present residents needs. Landona House DS0000062558.V257791.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home is currently considered to be well managed by the inspectorate. It is performing well and has necessary plans in hand to ensure improvements continue to be made, this therefore warrants the application of a reduced methodology. The inspection was announced and commenced at 10.00 am. Two Inspectors undertook the visit which included observing activity within the home, inspecting the premises, looking at records and case tracking and talking to 5 staff, and a number of residents. The Manager and staff on duty were welcoming and helpful throughout the inspection. It was found that most of the National Minimum Standards assessed had been met, with plans identified to address any shortfalls. It was considered that the overall quality of care provided was good. All residents appeared happy, content and very well cared for and those who were able expressed complete satisfaction with their quality of life at the home. Visitors, relatives and all visiting professionals have also expressed satisfaction with the service and care the residents are receiving and have been complimentary regarding the management and care practices at the home. Comments received as part of the inspection process included: ‘A pleasant friendly atmosphere’. ‘Staff are friendly’. ‘The food is good’. ‘Considerable improvement recently in the standard of the physical environment and supervision of care by senior management’. ‘Very helpful when dealing with enquiries’. What the service does well: What has improved since the last inspection? The improvements identified at the time of the last inspection continue to be implemented. Admissions to the home continue to be well managed with all prospective residents being visited prior to moving in the home. The communal lounges and dining area were clean and tidy. In the lounge, chairs have been replaced with new ones and the dining tables are now presented with colourful table cloths, napkins, and condiments. The staff team in the home is more consistent, and no agency are employed. Staff communication continues to be improved as does the clinical supervision. Training has been established in Mental Health Awareness. Some corridors in the home have Landona House DS0000062558.V257791.R01.S.doc Version 5.0 Page 6 been decorated and refurbishment of rooms, this has made the home far more homely in appearance. 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 DS0000062558.V257791.R01.S.doc Version 5.0 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 Landona House DS0000062558.V257791.R01.S.doc Version 5.0 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 to 5 Service users are assessed before moving into the home. Relatives are provided with the opportunity to visit the home to assess its quality, facilities and ability to meet an individual’s needs prior to admission. Staff in post continue to provide the type, and quality, of care required by Residents – particularly those with dementia related illness. EVIDENCE: Pre-admission assessment documentation was found in all Resident’s files examined. The assessment documentation indicated that service users had been visited prior to admission to the home. Residents who have EMI needs are assessed by a qualified RMN nurse. From review of a resident recently admitted it was evident that the admission had been well planned to the home, with necessary equipment identified and in place for the particular resident. Duty rotas showed staff numbers and staff skill-mix to be in accordance with the Conditions of Registration, including the presence of a full time qualified Manager with Mental Health experience. Landona House DS0000062558.V257791.R01.S.doc Version 5.0 Page 9 Staff files demonstrated evidence of training relevant to ensuring that staff are kept up to date in their practice. A programme of Mental Health Awareness training is in place for staff. Landona House DS0000062558.V257791.R01.S.doc Version 5.0 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 the following standard(s): 7 to 11 The health and personal needs of residents appear to be well met with evidence of regular review and of good multi disciplinary working taking place on a regular basis. EVIDENCE: It was evident during the inspection from looking at records, inspecting the facilities and chatting to staff, visitors and residents that individual health, personal and social care needs were being met. Staff who were spoken to during the inspection were extremely knowledgeable regarding the residents in their care. A Key worker system appears to be working very well, with staff very committed to their roles. Securing, administration and the recording of medication appeared satisfactory. The home has established close links with the District Nurses, Community Psychiatric Nurses and Tissue Viability Nurse. Residents were being treated with respect and staff were working both professionally and sensitively in meeting individual needs. Those residents spoken to were complimentary regarding the quality of their lives at the home and comments received from the Social Work team (see summary at front of report) indicated vast improvements in care at the home. Landona House DS0000062558.V257791.R01.S.doc Version 5.0 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 to 15. The routines of daily living at Landona House are flexible and each resident finds the lifestyle experienced in the home meets their individual needs. Many activities take place, there is an open visiting policy and the menu offers a choice of well balanced and wholesome meals. EVIDENCE: The residents are encouraged and enabled to personalise their bedrooms, enjoy good meals in the pleasant dining area or in their own rooms and have a number of activities arranged for them within the home and outside. Individual needs, likes and dislikes are clearly shown in the residents care plan. Residents are certainly enabled to exercise choice and control over their own lives as far as they are able and there is a good range of information for residents and visitors within the home. Visitors are made welcome, and are included in events and are given all the necessary information on aspects of the home and the welfare of the residents. Residents spoken to were complimentary regarding the quality of life they have at the home. Landona House DS0000062558.V257791.R01.S.doc Version 5.0 Page 12 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 to 18. Concerns and complaints are dealt with promptly and professionally and robust procedures and practices are in place to ensure that individuals are protected from abuse EVIDENCE: The home has a clear complaints procedure which is given to residents and their relatives before they move into the home. No complaints have been received since the last inspection by the CSCI. Minor concerns, received by staff at the home, from residents, are dealt with in a professional manner without delay. The home has all necessary documentation in relation to the protection of vulnerable adults and this subject has been included in staff training. Landona House DS0000062558.V257791.R01.S.doc Version 5.0 Page 13 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 to 26. The standard of the environment within the home is good, providing residents with a warm, safe and homely place to live. EVIDENCE: The location and layout of the home are suitable for elderly residents. Communal rooms are well equipped and are warm, homely and welcoming. Many improvements have been made to the lounge area. Corridor areas have also been redecorated to give a much more homely appearance. Bedrooms are personalised and suit individual needs and the gardens at the front of the house are well maintained. Further plans have been identified by the management team, these include development of redundant space above the lounge area into further resident accommodation. The requirements made at the last inspection had been attended to and it was evident that the Management team, Maintenance Man and staff have worked very hard to improve the environment and are committed to further improvements. Landona House DS0000062558.V257791.R01.S.doc Version 5.0 Page 14 At the time of this inspection the standard of hygiene and cleanliness was excellent and the domestic staff must be commended for their good work. Landona House DS0000062558.V257791.R01.S.doc Version 5.0 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): 28 to 30. Staff numbers and skill mix on duty were consistent with that shown on the rota and were sufficient to meet the assessed care needs of the current Residents. EVIDENCE: The current staff team, including qualifications of staff and their experience was fully discussed with the Manager. It appears that there has been considerable progress in the recruitment and retention of staff over the past year which has resulted in a strong committed staff team. Staff personal files seen during the unannounced inspection undertaken in May 2005 showed evidence of full compliance with the Standard and Schedule 2 of the Regulations. Discussion regarding staff training indicated all Staff are subject to a thorough, and relevant orientation/induction programme, which is followed by comprehensive ‘foundation’ training e.g. manual handling and lifting, fire safety, simple infection control and opportunities for ‘developmental’ training, including access to NVQ Courses. Landona House DS0000062558.V257791.R01.S.doc Version 5.0 Page 16 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 to 38. There are clear lines of accountability within the homes management structure and the management approach creates an open and positive atmosphere from which the residents benefit. EVIDENCE: It is evident from the main body of this report that the present management structure is effective. All the improvements that have been noted are as a direct impact of the management. The structure of the home, décor, atmosphere, committed staff team, individualised care, key worker system, communication and staffing levels have all improved meaning that the overall quality of care is good. The Manager and her team all communicated a sense of motivation and commitment to further drive standards at the home forward. The recommendations made by an officer from Environmental Health North Shropshire County Council on a visit to the home on the 15th June 2005 have been addressed, with the purchase of two ‘new’ fridges, Kenwood Chef, and Landona House DS0000062558.V257791.R01.S.doc Version 5.0 Page 17 general maintenance to sealed surfaces allowing them to be cleaned effectively. Advice given by an officer from Shropshire Fire Service on how to secure the premises to allow an increase in the registration for residents with mental infirmity had been adhered to. Regulatory fire emergency equipment testing had been undertaken in July 2005. Gas and Electrical safety checks are due to be undertaken in the late Autumn of 2005. Belvedere safety service to passenger lift was completed in September 2005. Landona House DS0000062558.V257791.R01.S.doc Version 5.0 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 3 4 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 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 Standard No Score 16 3 17 3 18 3 2 3 3 3 3 3 3 3 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 3 3 3 3 3 3 4 3 Landona House DS0000062558.V257791.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? Yes 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 OP19 Regulation 16, 23 Requirement A programme of routine maintainance and renewal of the fabric and decoration of the premises must be continued to be implemented. Timescale for action 30/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP38 Good Practice Recommendations 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 DS0000062558.V257791.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate 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 DS0000062558.V257791.R01.S.doc Version 5.0 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. 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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