Inspection on 29/11/06 for Lane End House

This inspection was carried out on 29th November 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

Lane End House 14/03/08

Lane End House 17/11/05

Lane End House 02/06/05

Lane End House 26/01/05

Lane End House 18/10/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Lane End House Lane End Drive Emsworth Hampshire PO10 7JH Lead Inspector Mr Rodney Martin Unannounced Inspection 29th November 2006 09:30 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 Lane End House DS0000061009.V322167.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. 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. Lane End House DS0000061009.V322167.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lane End House Address Lane End Drive Emsworth Hampshire PO10 7JH 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) 01243 373046 01243 378562 Caromar Care Limited Mr Balkrishna Ramaya-Untiah Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22), Physical disability over 65 years of age (8) of places Lane End House DS0000061009.V322167.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17 November 2005 Brief Description of the Service: Lane End House is a 22-bedded residential care home, which is situated in secluded grounds in a quiet residential area of Emsworth. The service is registered for twenty-two people over 65 years old, eight of whom may have physical disabilities. There is purpose built accommodation on the ground floor with en suite toilet facilities, which are suitable for wheelchair users. Lane End House has a shaft lift to the first floor accommodation and assisted bathing facilities. Mr and Mrs Ramaya-Untiah, trading as Caromar Care Limited, with Mr Ramaya-Untiah as the registered manager, privately own the service. On 21 October 2005 the home’s registration increased from sixteen service users accommodated to twenty-two, following the completion of an extension providing five bedrooms downstairs and one upstairs. Lane End House’s aim of philosophy of care is to provide its residents with a secure, relaxed and homely environment in which their care, well being and comfort are of prime importance. Carers will strive to preserve and maintain the dignity, individuality and privacy of all residents within a warm and caring atmosphere and in so doing will be sensitive to the resident’s ever changing needs. The current fees are £400 to £500 per week. This information was obtained on the day of the inspection. There are additional charges for hairdressing, chiropody and newspapers. Lane End House DS0000061009.V322167.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. There were no matters or issues that required attention in the previous inspection report, dated 17 November 2005. The unannounced inspection took place between 9.45am and 2.15pm. The process included an examination of documents and records, observation of staff practices, where this was possible without being intrusive and discussion with service users and a visitor. An opportunity was also taken to look around the home, including communal/shared areas, the home’s kitchen and laundry and a sample of bedrooms. The home’s registered manager was present throughout the visit and was available to provide assistance and information when required. On the day of the visit twenty-one service users were accommodated and of these six were male and fifteen were female. No resident was from a minority ethnic background. Lane End House has one vacancy. The manager reported that this was due to be taken on 4 December 2006. The provider is considering a further extension of the premises, which was discussed. In line with the Commission’s policy, all the key standards were inspected on this occasion. As part of this unannounced inspection the quality of information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service users guide (sometimes called a brochure or prospectus), statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. What the service does well: Systems are in place ensuring that residents’ health, medication, personal and social care needs are met. Residents were suitably dressed and well presented indicating a good standard of care. Lane End House DS0000061009.V322167.R01.S.doc Version 5.2 Page 6 The home provides a good service and the needs of residents are met within Lane End House. There is a very relaxed and friendly atmosphere in the home. The home is well managed with the involvement of both staff and residents. There is a good staff team, who are suitably trained and supervised to provide a good standard of care for residents. One visitor said that the staff were very helpful and there was also very positive comments from a recent questionnaire sent to relatives. There is a commitment to staff training within Lane End House. The home encourages residents to be as independent as is possible, within their capabilities. 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. The summary of this inspection report can be made available in other formats on request. Lane End House DS0000061009.V322167.R01.S.doc Version 5.2 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 Lane End House DS0000061009.V322167.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users and their representatives are given sufficient information to enable them to make an appropriate judgment about Lane End House. The admission process is well managed with an assessment completed, to ensure that Lane End House can meet the prospective service user’s needs. Lane End House does not provide intermediate care. EVIDENCE: On 21 October 2005 approval was given for the home to increase the number accommodated from sixteen to twenty-two service users. On the day of the inspection Lane End House was accommodating twenty-one residents, with just one vacancy. The manager reported that the home has been generally full and that the remaining bed was due to be filled on 4 December 2006. Lane End House DS0000061009.V322167.R01.S.doc Version 5.2 Page 9 As part of this inspection additional information was obtained as part of the Commission’s ‘Inspecting for Better Lives’ to obtain information about the quality of specific aspects of social care services. All service users are given a copy of the Lane End House’s statement of purpose and service users guide, which also includes colour digital photographs of various aspects of the home’s physical environment. All residents have been issued with a terms and conditions of residency that is either signed by the resident or relative or in some cases both. Service users, spoken to, and a visiting relative confirmed this. The manager reported that the contract has not changed, although Hampshire Care Association have recently issued another template contract for homes to consider using, and so he may make some minor changes. A letter is sent every March to relatives advising of any increase in fees from April of that year. This was confirmed, on the day of the inspection. The manager explains to new residents and/or their family how the charge for residential care is made up, which many families are not aware of. The majority of residents are privately funded. The home has an admission policy, which ensures that service users are assessed before accepting a place at Lane End House. When a vacancy occurs, if there are prospective service users on the waiting list they are contacted first, to see if they still require the room. Relatives usually visit first. The prospective service user is then invited to come and spend some time in the home; which includes a complimentary meal and is the preferred way; otherwise, the manager would visit the prospective service user in their own home or in hospital. If the home and prospective service user agrees to an admission, the service user comes on a month’s trial basis. The files of all twenty-one residents were seen. Residents’ case notes are kept together in one file, which contains personal data, the pre-admission assessment, a nutritional assessment, the Barthel activities of daily living assessment as well as risk assessments. These were satisfactorily completed. The inspector was able to view questionnaires completed by relatives in November 2006. One relative had written lengthy positive replies to each question. Regarding the pre-admission of the resident the relative had written, “No residential home could have done more to help X adjust and settle. He had ample opportunity to visit prior to admission for lunches and chats with staff, which enabled them to begin assessing him. Attention has been paid to his individual wishes and needs and all efforts have been made to meet these within the constraints of available resources/staff time”. Lane End House does not provide intermediate care, although prospective service users can come for a short respite stay, if there is a vacancy. Short stay service users are assessed in the same way as permanent service users. Lane End House DS0000061009.V322167.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ physical and emotional needs are being met, with evidence of good support from health professionals. The home has clear arrangements in place ensuring the medication needs of residents are met. Working practices in the home ensure the promotion of privacy and independence for service users. EVIDENCE: All the care plans were seen. The various assessments lead into the care plan. These are comprehensive and the twenty-three headings detail various risk assessments, activities of daily living, memory, spiritual needs and nutrition. The care plans are routinely reviewed on a monthly basis and the resident is involved in the review. Relatives are able to attend the review and this was confirmed in several of the questionnaires completed by relatives in November 2006. The records gave a clear indication of the care required. Lane End House DS0000061009.V322167.R01.S.doc Version 5.2 Page 11 The personal and oral hygiene of each service user is maintained and recorded. A record is kept of all health professional visits. Residents can see their GP in the privacy of their own room. Medical examination is always done in the privacy of the resident’s room. Service users have access to all other health professionals on an as needs basis. There was evidence from individual service users’ files of appointments with the dentist, optician, chiropodist and other health professionals. The home has a medication code of practice, which includes guidelines for use of homely remedies and satisfactorily details the receipt, recording, storage, handling, administration and disposal of medicines. Residents are able to self medicate within the home’s risk management framework, although none are currently self-medicating. The home has a self-medication risk assessment if a resident wanted to self-medicate and would be included in their care plan file. Lockable storage is available in the service user’s room. The home operates a ‘Nomad’ system for administering medication. This is kept in a locked drugs’ cupboard. Controlled drugs, including Temazepam are stored in an inner locked container within the locked cupboard and are recorded in a controlled drugs’ book. Currently three residents are on Temazepam. The manager reported that the GP does not leave a prescription for the home to take to the chemist but leaves it with the pharmacy, which is also in the surgery, for collection. The GP, however, informs the home what the change in medication is and the home then records the new dosage. All the drug administration sheets were inspected. These were found to satisfactorily recorded, with no omissions. Any refusal or medication not given was satisfactorily recorded. The drugs’ cupboard was found to be clean, tidy and safe. Medication in the pharmacist’s bottle was satisfactorily stored along with topical medication. The home has a copy of the Royal Pharmaceutical Society of Great Britain’s document ‘the administration and control of medicines in care homes’, to ensure consistency when staff give out medication. Staff have received inhouse training from the manager in medication administration. Staff members supported service users with kindness and sensitivity, using service users’ preferred names and supporting gently with care giving. Staff members knocked on service users’ door before entering. Lockable storage is provided in each bedroom. An appropriate lock is provided on all bedroom, toilet and bathroom doors. Residents are free to make and receive telephone calls in private. Thirteen residents have their own telephone installed. A Lane End House DS0000061009.V322167.R01.S.doc Version 5.2 Page 12 visitor said that staff are very kind. A resident said that she “was very comfortable in the home and that if I wasn’t I wouldn’t stay”. A relative wrote in their questionnaire to the registered manager, “I and my mother are extremely happy with the care that you, [your wife] and staff provide and we are very grateful. Residents, spoken to, confirmed that there was a relaxed atmosphere in Lane End House and that their needs were met. Lane End House DS0000061009.V322167.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to engage in a variety of appropriate age-related activities in the home. Residents are supported to maintain contact and positive relationships with family and friends. Nutritional needs of residents are well managed and offer variety and choice. EVIDENCE: The home provides various activities for residents to participate in, although there is no organised programme. Staff ask the residents each day what they would like to do. Some residents prefer to remain in their room and even with encouragement do not participate in the various activities on offer. However, this is clearly residents’ choice and a resident who told the inspector that they preferred to spend time in their room confirmed this. The home has used a questionnaire to find out what service users would prefer to do. The home has a good selection of games, puzzles et cetera. Two residents regularly walk eight times round the building after lunch and this was observed, on the day of the inspection. Several residents go out regularly with their family, to church. Communion takes place twice a month. The registered manager regularly takes residents out for local trips. There was a good atmosphere in the home. Lane End House DS0000061009.V322167.R01.S.doc Version 5.2 Page 14 Service users greeted each other when coming to the dining room for lunch and asked after their welfare. The inspector noted a good rapport between the residents and staff, with a lot of friendly banter. Contact with family and friends is maintained and all residents have visitors. On the day of the visit the inspector met the daughter of a service user and spent some time with them. They were very complimentary about the home, stating that they were always made welcome and there was a very relaxed atmosphere in the home. Visitors can visit at any reasonable time and there is a notice up in the foyer regarding this. Residents can see their visitors in the privacy of their bedroom or in the communal areas in the home. Residents are encouraged by the staff to make choices in their daily life and these choices include choosing which clothes they will wear and what time they get up and go to bed. For example on the day of the inspection only one resident was in the lounge, when the inspector arrived at 9.45am. Residents are also encouraged to take control in their daily life. There was evidence that residents had brought their own personal possessions. The home is not appointee for any service user as well as not handling any service users’ money. Residents are not offered a choice for the midday meal unless they do not like what is on the menu. One resident told the inspector that they did not like fish and “they always give me an alternative”. Since the last inspection the home has employed a cook, who started in August 2006, working five days a week. They were appropriately qualified, enthusiastic and interested in her role. The registered manager’s wife cooks at the weekend. She obtained a food hygiene foundation certificate on 20 September 2006. Residents were very appreciative of the meals provided in Lane End House. Twenty residents completed a service users’ food satisfaction survey in October 2006. They were many positive comments. Residents were asked to state their favourite dish and any suggestions for meals to be included on the menu. A request for more cheese on toast at teatime had been implemented, along with other suggestions. One resident wrote, “I get plenty of fresh green vegetables”. The inspector was able to have lunch with the residents. The midday meal was plated and residents had roast chicken, stuffing, roast potatoes and parsnips, brussel sprouts, diced carrots and swede and black forest gateau and cream for dessert. Several residents had wine with their meal. The kitchen was clean and tidy. The record of food provided to residents, including alternatives to the menu, was satisfactorily maintained. Refrigerator and freezer temperatures are routinely recorded, along with the temperature of the main meal, to ensure good food hygiene practices. A senior environmental health officer visited the home in May 2006 and stated that following a thorough food safety inspection Lane End House had an excellent standard of cleanliness and awareness of food safety issues. Lane End House DS0000061009.V322167.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure, which residents feel able to use and an adult protection procedure, which protects and safeguards residents from abuse. EVIDENCE: The home has a detailed and relevant complaints procedure, which was on display in the entrance hall. Residents, spoken to, were aware of whom to complain should they have a need to and confirmed they had received a copy of the complaints procedure. The home has a complaints log, although none were recorded. In May 2006 an ex-resident’s son complained to the Commission about the food provided and the cleanliness of the kitchen. As noted in the previous section, a senior environmental health officer visited the home in May 2006 and stated that following a thorough food safety inspection Lane End House had an excellent standard of cleanliness and awareness of food safety issues. The current residents were also satisfied with the quality and quantity of food provided and this was also born out in the replies in the recently completed questionnaires by both service users and relatives. Lane End House has all the relevant documentation relating to adult protection, including a whistle blowing and the adult protection policy. Staff, spoken to, were aware of the various forms of abuse and the issues involved. Staff have received adult protection training. There have been no incidents of abuse notified to the Commission. Lane End House DS0000061009.V322167.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A very good standard of accommodation is provided ensuring that residents live in a homely, safe and comfortable environment. Residents have individualised their bedrooms, to meet their needs. EVIDENCE: Lane End House is well maintained and provides a safe environment for service users. The home is situated at the end of a cul-de-sac and has ample car parking space. There are attractive grounds for service users to enjoy. Lane End House is a non-smoking home although one resident was observed to smoke a pipe, sitting outside the conservatory. There is easy access around the home. The inspector was shown plans for a further extension of the premises, for another increase of five residents. Lane End House DS0000061009.V322167.R01.S.doc Version 5.2 Page 17 There have been no changes to the building since the last inspection, apart from vacated bedrooms routinely decorated and re-carpeted, as appropriate. Lane End House has twenty-two single bedrooms. The home has a very large conservatory, with access from both the dining room and lounge. Some residents enjoy sitting out in the conservatory, which was comfortably furnished. The inspector spoke in private with a resident and her daughter, who visits regularly. The resident was very complimentary about the home’s facilities and said, I like my room and am very comfortable”. There was evidence of residents’ personal belongings in the rooms. There were no adverse smells noted. The home has a separate laundry room, which is situated away from food preparation. The laundry room was clean and tidy. There was evidence of COSHH [control of substances hazardous to health] policies and procedures in place and staff were observed to be complying with infection control procedures and practices. Lane End House DS0000061009.V322167.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good staffing levels and residents are supported by sufficiently trained and supervised staff, to ensure that their needs are met. EVIDENCE: Lane End House employs three senior care assistants and four carers, plus Mrs Ramaya-Untiah, who currently provides some shifts on the duty rota. She has NVQ [national vocational qualification] in care at level 4 and it was reported that she would take on more management functions in the future. The home also employs a cook [5 days], a domestic [2 days] and a gardener [1 day]. Seven of the eight care staff have obtained or are due to obtain NVQ level 2 or 3 in care. The one carer that has not enrolled on an NVQ course has worked in Lane End House since 2003 and has completed all the basic core-training subjects. Since the last inspection the home has recruited two new carers and a cook. One of the new carers is a senior care assistant, who has NVQ level 3 and with training will be given more responsibilities within the home. Lane End House operates a robust recruitment process and there was evidence from staff files, including the last two carers employed, that the home was following the Lane End House DS0000061009.V322167.R01.S.doc Version 5.2 Page 19 necessary checks before staff commenced their duties. Each staff member has a training record. The home ensures that staff receive training in the basic core subjects of manual handling, first aid, fire safety, food hygiene, health and safety, infection control, abuse awareness and control of medicines. Staff have also received relevant training regarding physical disabilities such as strokes, stoma care and the use of the specialist equipment within the home. The home belongs to a care training consortium and so is able to benefit from courses when they become available. A system of supervision is in place and staff, spoken to, confirmed they had received one-to-one sessions with the manager. A relative had written in the recent questionnaire, “The staff we have met appear well-trained and competent – it seems that nothing is too much trouble. The lead taken by [the manager] in promoting this has a lot to do with his hands-on management style. Relationships feel warm, friendly and relaxed.” A staff member said, “It’s very friendly here, there is a good staff team and the residents are also very friendly”. A visiting relative said, “the staff are very helpful and mum gets on well with all them”. Lane End House DS0000061009.V322167.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is approachable and has an open style of management. He provides good leadership, which ensures staff are supported and residents’ health, safety and welfare promoted through the home’s practices. EVIDENCE: The manager is suitably qualified to run Lane End House, having obtained a nursing diploma in higher education, the registered managers award for NVQ level 4 in management and care as well as having obtained City & Guilds D32 and D33, as an internal assessor for NVQ training. He has a background in nursing and is an RGN. He communicates a clear sense of direction and leadership within the home. He has been able to cascade relevant training to the staff. Mr Ramaya-Untiah is currently seeking to obtain the new A1 award for NVQ assessing. Lane End House DS0000061009.V322167.R01.S.doc Version 5.2 Page 21 There is an open, friendly and transparent atmosphere within the home, which was also confirmed by a visiting relative and evidence obtained from the recent questionnaires completed by both residents and relatives. As noted in the previous section a relative had recorded that “the lead taken by [the manager] in promoting [well-trained and supervised staff] has a lot to do with his handson management style”. Residents spoke warmly of staff and the way the home is run. The home uses the inspection report and the policies and procedures and/or codes of practice that reflect the Regulations and National Minimum Standards, as part of its quality assurance monitoring. The home has used questionnaires to further ensure a quality control within Lane End House [these have been referred to in various parts of this report]. A number of service users were spoken to and they were able to voice their opinions. The home has a current certificate of employers liability insurance, which is due for renewal on 31 August 2007. There is a business and financial plan that is open to inspection and is reviewed annually. The home is financially viable and as mentioned in the environment standards Mr Ramaya-Untiah is considering expanding by having another a five-bedded unit. There is sufficient insurance cover and the home’s accountant audits the accounts on an annual basis. The manager is not appointee for any service user as well as not handling any service user’s money. Additional charges, such as chiropody and hairdressing are billed direct to the family by the chiropodist and hairdresser. The fire logbook was inspected and the records indicated that the fire safety equipment had been tested and serviced within the guidelines. Staff have received fire safety training and the home last had a fire drill on 1 August 2006. The manager ensures the safe working practices by planning courses on health and safety within Lane End House, including first aid, adult protection, manual handling, food hygiene, fire and medication. Risk assessments are in place. There are current and up to date contracts on electrical equipment as well as kitchen and domestic appliances et cetera. COSHH [control of substances hazardous to health] policies and procedures are in place. Window restrictors are in place on the windows above ground level, to ensure safety for residents. From a check of the records and practices observed in the home during the inspection, the health and safety measures taken in the home ensure the welfare and safety of the residents. Lane End House DS0000061009.V322167.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 3 3 3 3 3 N/A 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 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X 3 X 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 X 3 X X 3 Lane End House DS0000061009.V322167.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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. Refer to Standard Good Practice Recommendations Lane End House DS0000061009.V322167.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Lane End House DS0000061009.V322167.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. 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