Inspection on 29/04/09 for Lands House Care Home

This inspection was carried out on 29th April 2009.

CQC found this care home to be providing an Adequate service.

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

Lands House Care Home 24/04/08

Lands House Care Home 27/04/07

Lands House Care Home 03/07/06

Lands House Care Home 17/03/06

Lands House Care Home 06/02/06

Lands House Care Home 18/01/05

Lands House Care Home 14/09/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 25/11/2009.

Key inspection report CARE HOMES FOR OLDER PEOPLE Lands House Care Home New Hey Road Rastrick Brighouse West Yorkshire HD6 3QG Lead Inspector Cheryl Stovin Key Unannounced Inspection 29th April 2009 10:30 DS0000060872.V375185.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Lands House Care Home DS0000060872.V375185.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Lands House Care Home DS0000060872.V375185.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lands House Care Home Address New Hey Road Rastrick Brighouse West Yorkshire HD6 3QG 01484 716633 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 Georgina Copley Vacant Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Lands House Care Home DS0000060872.V375185.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th April 2008 Brief Description of the Service: Lands House, which is registered to provide nursing and personal care for up to 30 older people, is a spacious detached property situated on New Hey Road in Rastrick with easy access to the town centres of Halifax, Brighouse and Huddersfield. Local community facilities are nearby. The property is generally well maintained provides accommodation in single and double rooms. Safe and accessible garden areas with seating are available for the service users to enjoy, especially in the summer months. The weekly charges at the home range from £347:50 to £486 with a £5:00 top up and additional charges made for personal toiletries, newspapers, hairdressing and podiatry. Lands House Care Home DS0000060872.V375185.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is One Star. This means the people who use this service experience adequate quality outcomes. This report brings together evidence gathered during the Key Inspection of Lands House. This included a visit made to the home on 29th April 2009. A total of six hours were spent on the visit. During this visit we looked round the building looked at records and talked to people living and the home and to management and staff. The last inspection of the home was on 29th April 2008 and no additional visits have been made. The purpose of the inspection is to make sure that people receive the care and support they need and that they and their families are satisfied with the service. I would like to thank everybody for their warm welcome and assistance given during this inspection. What the service does well: Lands House has a relaxed welcoming atmosphere; people living at the home and visiting relatives and friends confirmed this is always the case. Some form of activity takes place most afternoons with a wide choice available for the people using the service to participate in if they choose to do so. The activities are recorded. It is clear that staff work as a team to meet the physical, personal and emotional needs of people who live at the home. People said that the staff are kind and attend to their needs promptly. The meals provided are of a very high standard. People said that the food is “very good”. Lands House Care Home DS0000060872.V375185.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Everybody living in the home has a care plan which details their health and personal care needs. The care plans do not contain any information about people’s previous lifestyles and interests. To make sure that people’s social and emotional needs are met this information should be recorded. To make sure that only suitable people are employed in the home preemployment Criminal Records Bureau and Protection of Vulnerable Adults checks must be obtained and references taken up. To make sure that people’s belongings are kept safe locks should be fitted to bedroom doors and a lockable space provided in their bedrooms. Some rooms are in need of redecoration and refurbishment as a matter of urgency. To make sure that the home is managed effectively suitable managements arrangements must be put in place. Lands House Care Home DS0000060872.V375185.R01.S.doc Version 5.2 Page 7 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Lands House Care Home DS0000060872.V375185.R01.S.doc Version 5.2 Page 8 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 Lands House Care Home DS0000060872.V375185.R01.S.doc Version 5.2 Page 9 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 3,5,6 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed before moving into the home to make sure that the home can fully meet their needs. EVIDENCE: People’s needs are fully assessed before they move into Lands House this is to make sure that the home can meet their needs and that the facilities will be suitable for them. People are encouraged to visit the home before making a decision to move in. This gives them the opportunity to meet the staff and other people living there and to sample the daily routine at the home. At the time of the visit one Lands House Care Home DS0000060872.V375185.R01.S.doc Version 5.2 Page 10 person was visiting for lunch and made the decision that she wanted to move into the home. She said that she was looking forward to moving in as it seemed “a very pleasant place to live”. Intermediate care is not provided in the home. Lands House Care Home DS0000060872.V375185.R01.S.doc Version 5.2 Page 11 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s health care needs are met and personal care is given in accordance with their preferences. EVIDENCE: The care records of six people living at the home were looked at. The records contained assessments of people’s needs and abilities and they were reviewed and updated on a regular basis. Everybody living in the home has a care plan which shows what support people need and how the support and care is to be given. There are risk assessments in place to make sure that people are kept safe and that any potential risks to health are minimised. The care plans did not, however, contain any detail about people’s past lives, interests and people that are important to them. This information is useful to help the staff Lands House Care Home DS0000060872.V375185.R01.S.doc Version 5.2 Page 12 understand the person as a “whole”, and for people to continue to follow their interests. People said that they are treated with dignity and that they receive the personal and health care support that they need. People said that the staff attend to their needs in a prompt and sensitive manner. One visiting relative said that the “home is very good and meets everybody’s needs”. Staff spoken to demonstrated a good understanding of people’s needs and we observed a ‘handover’ between staff where important information about people was shared. Any medication held in the home is securely stored. The medication is administered by the nursing staff in accordance with Nursing and Midwifery Council (NMC) guidelines. Medication Administration Records were accurately completed and stocks held reconciled with records kept. Any controlled drugs are handled in accordance with regulations. Lands House Care Home DS0000060872.V375185.R01.S.doc Version 5.2 Page 13 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to access a range of activities inside and outside of the home, and to maintain contact with family and friends. EVIDENCE: There is a warm and welcoming atmosphere in the home and people said that this is always the case. Visiting relatives said that they are made to feel welcome when they visit the home and that they are kept informed of important matters affecting their relative or friend. People said that they enjoy the meals served at the home. The main meal of the day is served at lunchtime and on the day of the visit was corned beef hash served with fresh vegetables followed by coconut sponge and custard. Lands House Care Home DS0000060872.V375185.R01.S.doc Version 5.2 Page 14 An alternative is always available if anybody does not want what is on the menu. There are activities provided most afternoons and on the day of the visit people were enjoying a game of bingo. Other activities available for people to join in with if they choose include: holistic therapy, visiting entertainers and quizzes. Lands House Care Home DS0000060872.V375185.R01.S.doc Version 5.2 Page 15 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Procedures are in place to make sure that people are protected from abuse and neglect and that their welfare is safeguarded. EVIDENCE: The home has a complaints procedure and people spoken to during the visit knew who to speak to if they were unhappy about anything in the home. The staff have received adult protection training and are aware of what to do if they suspect that an incident of abuse or poor practice has occurred. The home’s policies and procedures are up to date and the staff are aware of the procedures and guidance they contain. Lands House Care Home DS0000060872.V375185.R01.S.doc Version 5.2 Page 16 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,24,25,26 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a generally safe and adequately furnished environment. EVIDENCE: The home is situated in a residential area close to public transport links. The property is generally well maintained and all communal areas are nicely decorated and are bright and clean. The entrance to the home is welcoming and pleasant. Lands House Care Home DS0000060872.V375185.R01.S.doc Version 5.2 Page 17 The home was seen to be clean and hygienic throughout. There are wellmaintained, safe and attractive garden areas, which are enjoyed by the people living at the home in the warm weather. Some bedrooms have been redecorated but the majority are in need of refurbishment as they are tired and dated. Only one bedroom door has a lock fitted and there is no lockable space in the bedrooms for people to keep there valuables safe. There are still curtains fitted to en-suite toilet facilities, however, the owner said that they have plans to replace these with doors to protect people’s privacy and dignity. Lands House Care Home DS0000060872.V375185.R01.S.doc Version 5.2 Page 18 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s needs are met by a well trained workforce but evidence must be provided that all the required checks are made before employing staff. EVIDENCE: There are sufficient staff employed to make sure that people’s health and personal care needs are met. There is always a Registered Nurse on duty supported by a team of carers. During the morning there are five carers on duty and four in the afternoon and evening. During the night one nurse and two carers are on duty. In addition, sufficient domestic, laundry, catering and maintenance staff are employed. There is a programme of National Vocational Qualification (NVQ) training and over 50 of the care staff have achieved the level 2 award and some are working towards the level 3 qualification. This makes sure that care is given in a safe and consistent manner. Lands House Care Home DS0000060872.V375185.R01.S.doc Version 5.2 Page 19 People said that the staff were kind and attended to their needs promptly. Staff were seen to be treating people with dignity and meeting their needs in a sensitive manner. The recruitment files of four members of staff were looked at. Two contained evidence that Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks had been carried out and two written references received before being employed by the home. One file only contained evidence of one reference being received. The other file contained no evidence that CRB checks had been carried out and that references had been received. To make sure that only suitable people are employed in the home these checks must be carried out before employing new staff. Lands House Care Home DS0000060872.V375185.R01.S.doc Version 5.2 Page 20 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,38 People using the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is adequately run with a temporary management structure in place, which means peoples interests are protected. EVIDENCE: The home is currently being managed by the proprietor as the previous acting manager has left. The proprietor agreed to provide written confirmation of future management arrangements in the home. Lands House Care Home DS0000060872.V375185.R01.S.doc Version 5.2 Page 21 The service has clear policies and procedures for handling finances, which means that people’s personal finances are held safely. There are detailed health and safety policies and procedures in place. All staff receives mandatory training in health and safety and safe working practices. Risk assessments are in place, which ensure the health and safety of the people living and working in the home are protected. Lands House Care Home DS0000060872.V375185.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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x 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 x 18 3 3 3 x x x 2 3 3 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 2 3 x 3 x x 3 Lands House Care Home DS0000060872.V375185.R01.S.doc Version 5.2 Page 23 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 OP31 Regulation 9 Requirement To make sure that the home is managed effectively written details must be supplied regarding future management arrangements at the home. To make sure that only suitable people are employed by the home Criminal Records Bureau checks must be carried out before an offer of employment is made. Evidence of the required checks must be available for inspection. Timescale for action 30/06/09 2 OP29 19 30/06/09 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 OP7 OP24 Good Practice Recommendations To make sure that everybody’s social and emotional needs are met, information about people’s previous lifestyles and interests should be recorded. Consideration should be made to the re-decoration and where necessary refurbishment of any bedrooms where DS0000060872.V375185.R01.S.doc Version 5.2 Page 24 Lands House Care Home this has not been undertaken, before these rooms are relet. 3. 4. OP24 OP24 To make sure that people’s privacy and dignity is protected doors, not curtains, should be fitted to en-suite toilet facilities. To make sure that people can keep their belongings safe locks should be fitted to bedroom doors and a lockable space provided in each bedroom. Lands House Care Home DS0000060872.V375185.R01.S.doc Version 5.2 Page 25 Care Quality Commission North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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