Inspection on 08/10/07 for Lane House Residential Care Home

This inspection was carried out on 8th October 2007.

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

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Lane House Residential Care Home Lichfield Road Tamworth B79 7SF Lead Inspector Peter Dawson Unannounced Inspection 08:45 8 October, 2007 th 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 House Residential Care Home DS0000067990.V350968.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 House Residential Care Home DS0000067990.V350968.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lane House Residential Care Home Address Lichfield Road Tamworth B79 7SF 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) 01827 58803 01827 58803 Northgate Healthcare Limited Mrs Deborah Anne Bates Care Home 24 Category(ies) of Dementia - over 65 years of age (10), Learning registration, with number disability over 65 years of age (1), Old age, not of places falling within any other category (24), Physical disability over 65 years of age (9) Lane House Residential Care Home DS0000067990.V350968.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: This is a well-established home with a record of high standards of care. The home was purchased by Northgate Healthcare Ltd in January 2007. The new Directors/Provider are keen to continue to achieve the high standards previously established. The Management and staff of the home have not changed and the early indications on this first key inspection following the change are that standards are high and further improvements being made to the building. Located in the periphery of Tamworth, Lane house offers accommodation for 24 older people, some of whom may have dementia care needs or physical disabilities. The home is accessible by public transport. The original building is Georgian and has been extended over time. Resident accommodation is on 2 floors with bedrooms on each floor. All bedrooms, with the exception of 2 have en-suite facilities and there are adequate bathroom/toilet facilities located throughout the home. There is an excellent large, secluded walled garden at the rear providing a pleasant area where residents can look, sit or enjoy with good seating during the summer months. Lane House Residential Care Home DS0000067990.V350968.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced Key Inspection was carried out on one day by one inspector from 8.45 – 5.00 pm. This is the first inspection of this home since the change of ownership (new Directors) in January 2007 and therefore has to be treated as a new registration. An Annual Quality Assurance Assessment was completed by the Manager prior to the inspection and forms part of the information contained in this report. 23 people were in residence including 1 in hospital, there was 1 vacancy. There was an inspection of records relating to the inspection process, including care plans, risk assessments, medication, fire safety, staffing and training records and other documents arising from the inspection. There was an inspection of the environment including a sample of bedrooms. All residents were seen and some spoken with together and separately. Three visiting relatives were seen and spoken with and staff on duty provided useful information and views concerning the operation of the home and care provided. Written feedback was received directly by the Commission prior to the inspection from 5 residents/relatives. Comments were generally very positive about the home and included: “Staff are all excellent and friendly and make me feel better!” “Good selection of meals available every day” and “Lane House is the nicest and most comfortable home that my family and myself have visited”. The fees for residence at Lane House are £395 - £450 per week. What the service does well: A well established home providing high standards of care from a committed staff group, many with several years experience in the home. The staff group Lane House Residential Care Home DS0000067990.V350968.R01.S.doc Version 5.2 Page 6 is quite static. Staffing levels are good with additional staff brought in as circumstances may demand e.g. external trips, internal activities, illness of residents etc. The home creates a friendly, relaxed and welcoming atmosphere confirmed by visitors and evidenced during the inspection. Pre-admission procedures are good. Prospective residents always visit and spend time in the home prior to making a decision about admission. This also allows the home to assess the needs of the person to ensure that their needs can be met. There is an excellent daily programme of activities to suit all tastes and the chosen lifestyles of individual residents. Many external visits to places of interest locally and further afield are arranged throughout the year. These activities add significantly to the quality of life of residents and attraction of the home. There is a good standard environment most rooms are en-suite, well furnished and personalised. The large walled garden area to the rear of the home further enhances the good interior facilities. This area provides an exceptional feature for residents to enjoy from the house or access during the summer months from the large conservatory area. The trees, flowerbeds and lawned areas have good seating to enjoy the pleasant seclusion. Some bedrooms open directly onto the patio/garden area. What has improved since the last inspection? There has been a change of ownership since the last inspection. The new Directors are directly involved in consulting with Manager, staff, residents and visitors to further improve the environment. Work has started to improve the bathing facilities on the ground floor with a new assisted bath and separate walk-in shower facility. There are plans to create three new en-suite bedrooms and extend the lift to the second floor. Ongoing maintenance, redecoration and refurbishment of some rooms is in place and continues. The Manager is constantly seeking to improve the good standards of the home. Annual audio tests for residents have been introduced and new Food Safety documentation to co-ordinate and improve the catering facilities. A new “Map of Life” document has been drawn up for families to complete with residents, to provide greater detail of the past life (social history) This will be used to facilitate more knowledge of the interests, choices and experiences of residents which can be extended/built upon in the daily living situation to stimulate interest and further improve quality of life. Lane House Residential Care Home DS0000067990.V350968.R01.S.doc Version 5.2 Page 7 A very positive working relationship has been established between the new owners and the Manager. The roles of each are well defined and respected and the objectives of both are the same. This provides the basis for the continuity of a good service. 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 House Residential Care Home DS0000067990.V350968.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 Lane House Residential Care Home DS0000067990.V350968.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Adequate information is available to made a judgement about suitability of the home. Contracts are always provided. Pre-admission and assessment procedures are good - prospective residents always spending time in the home prior to making a final decision. The homes own assessment document is satisfactory. Care Management Assessments should always be obtained prior to admission. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a Statement of Purpose and Service Users Guide in place. Information has been updated to reflect the change of ownership and related details. The Statement of Purpose is a large document and presently being completed. A Lane House Residential Care Home DS0000067990.V350968.R01.S.doc Version 5.2 Page 10 smaller guide (Service Users Guide) is updated and available for current and prospective residents. Funded residents have contract provided by the sponsoring Local Authority, Self-funding residents have a private contract with the home. A recently completed contract was seen. The notice period for cancellation of the contract is 2 weeks for both parties. There is a good pre-admission procedure in place. All prospective residents are invited to visit the home an stay for the day when their needs are assessed by staff. This happens in all cases including residents in hospital. Relatives are also involved in pre-admission visits and there is written confirmation to the resident that following assessment, their needs can be met by the home. In relation to a recently admitted resident who was seen, she had spent the day from 10 a.m. – 6pm in the home from hospital and an assessment completed prior to admission, by the home. A Care Management Assessment is usually obtained prior to admission, but in this instance this had not been obtained, although there had been ongoing dialogue between the home and social worker. This had not been provided 4 weeks after admission. The home were advised to insist upon a Care Management assessment prior to admission. Reviews are carried out to include residents and all relevant others 4 – 6 weeks following admission. This ensure clarity and confirmation of the permanent placement. Lane House Residential Care Home DS0000067990.V350968.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Care plans accurately record health, personal and social care needs. They are regularly reviewed. Health care needs are well documented staff having a pro-active approach to healthcare needs. The medication system is protected by policies, training, accurate recording and a well audited system. Further checks by PCT Pharmacist is an added safety feature. Privacy, dignity and respect for residents are evident. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Lane House Residential Care Home DS0000067990.V350968.R01.S.doc Version 5.2 Page 12 A sample of care plans were inspected including recently admitted and longterm residents. The standard of information and recording was good. Risk assessments were in place for daily living activity. All were reviewed on a monthly basis by the home in-house and on a 3-monthly basis with residents/relatives. Health care issues were discussed and care plans relating to health care matters inspected. There are regular checks with visiting dentists, opticians, audio specialist, and chiropodists. A free annual audio check is provided with results passed to family or GP where appropriate. 6 monthly optical checks carried out following consultation/agreement with relatives. A need for dental work had been established in relation to a recently admitted resident and appointment made with local dentist providing a domiciliary service. The home deals with 10 GP surgeries indicating that where possible continuity of GP service following admission is arranged. A GP visiting during the inspection had a clear relaxed and positive dialogue with staff, was providing ‘flu vaccinations etc. Staff had made a request for her to see a resident who had apparent minor seizures. Her advice was given and received in an atmosphere of open and constructive dialogue. Written feedback in the home from other GP’s referred good and professional engagements with staff and to the positive way “we keep each other informed”. There are no pressure management needs in the home at this time. District Nurses visiting weekly to see and treat 2 residents with oedema only. Written feedback from District Nurses mirrored those of the GP’s . Nutritional assessments are made with referrals to GP where food supplements may be required. Dietary monitoring sheets established where there are concerns. Residents are weighed monthly, or more often where there are concerns about weight loss. It was noted, however that a recently admitted resident had not been weighed (4 weeks) and it is important that weights are recorded following admission. The medication system was inspected with blister packs (monitored dose) supplied by local pharmacy. The receipt, storage, administration and disposal of medication was clear, concise and provided an audit trail. There were no gaps on MAR sheets and returns to the pharmacy documented and countersigned by the Pharmacist. The system was good and safe. Additionally checks are carried out on the medication system regularly by a Pharmacist from the PCT (Primary Care Trust). This was well-documented and apart from a review of the system also included individual reviews of residents medication. These were further checked and reviewed with the Pharmacist or GP as necessary. Lane House Residential Care Home DS0000067990.V350968.R01.S.doc Version 5.2 Page 13 None of the current residents self-medicate and the Manager will continue to review, with risk assessment - any new residents who may be able to continue their own medication as a means of promoting independence. There was evidence of people being treated with respect and dignity with their privacy upheld. An example was where 4 residents need staff assistance with eating and this is provided in the lounge area for them ensuring privacy and dignity. Another resident who is conscious of eating with others is given her own table as she wishes. Good procedures relating to death and dying have been supplemented with staff having bereavement training with local undertaker. Lane House Residential Care Home DS0000067990.V350968.R01.S.doc Version 5.2 Page 14 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): Quality in this outcome area is excellent. There is a varied range of activities inside and outside the home providing stimulation and good quality of life. There is evidence of chosen lifestyles meeting the choices and preferred daily routines of residents. Families are welcomed and an integrated part of the care provision of all residents. Food provision is good – residents are highly satisfied. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a daily activities programme, posted in the home. Specific activities take place usually on each afternoon, but it was interesting to see on this unannounced inspection that after breakfast most residents go into the large lounge where people chat, read papers and engage with staff. During the Lane House Residential Care Home DS0000067990.V350968.R01.S.doc Version 5.2 Page 15 morning staff were sitting in the lounge areas amongst residents talking, laughing, listening to music etc. There was a natural engagement, clearly the daily normal for the home. Staff seemed to enjoy the rapport with residents, two staff spoken to said how they enjoyed coming to work and that was evident. Throughout the day staff were seen talking with, reminiscing, dancing and singing with residents in a relaxed and happy atmosphere. In contrast a resident who prefers to be alone was seen taking the sun in the conservatory overlooking the garden. She said she does not like the noise in the main lounge area and able to sit in a quiet area as she chooses. A good example of chosen lifestyle. This was later confirmed by her son who visited her. A music/movement session is held weekly and popular, some residents are taken out individually by staff and the staffing rota adjusted to include the individual activities. There is an ambitious programme of external visits/events throughout the summer including 18 residents going to Blackpool for the day with 18 staff and some relatives. 1:1 activities with residents include hand/foot massage, foot spa, hairdressing and manicure – all to ensure the relaxation, stimulation and individual attention to residents. The home have established a Friends of Lane House group including residents and relatives to review aspects of care and put forward ideas for improvements/changes. For example - one result was to install tea/coffee making facilities in the conservatory area for visitors to make drinks etc for themselves and their relatives. Visitors were seen arriving throughout the day and several spoken with. All said they were made to feel welcome and an important part of the care of their relative. Residents said that the food was “excellent” and their individual preferences known to staff. There was choice and one resident said “you can have anything you want, it is marvellous”. The kitchen was not inspected on this visit. There had been a recent inspection by the Environmental Health Officer with no requirements – the report will arrive shortly. Arising from the visit the home have introduced a new Food Safety Book, which incorporates the routines and procedures in one place recording the daily information in log form providing an ongoing record of food and kitchen related information. Lane House Residential Care Home DS0000067990.V350968.R01.S.doc Version 5.2 Page 16 Lane House Residential Care Home DS0000067990.V350968.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is good. The complaints procedure is readily available, concise and satisfactory. There has been some staff training in the recognition and reporting of abuse. External training would update and extend knowledge in this area. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a clear and concise complaints procedure posted in the home for residents and visitors. There is a copy of the procedure in the Service Users Guide. No complaints have been received by the home or by the Commission since the last inspection. Staff receive some training in the policies and procedures for identifying and reporting abuse in the staff induction programme. This is followed up in NVQ training. External courses relating to Safeguarding (Adult Protection) have not been accessed and it is recommended that staff do access specific training in this changing area of work. The Manager intends to pursue this. Lane House Residential Care Home DS0000067990.V350968.R01.S.doc Version 5.2 Page 18 The home has a whistle-blowing policy known to all and encouraged to use it if staff have any concerns about care provision. Lane House Residential Care Home DS0000067990.V350968.R01.S.doc Version 5.2 Page 19 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): Quality in this outcome area is good. The home is safe and well maintained with further plans for improvement. Assisted bathing and toilet facilities are being further improved. There is specialist equipment to maximise dependency. Bedrooms are safe, comfortable and well personalised. All areas of the home are clean, pleasant and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Lane House Residential Care Home DS0000067990.V350968.R01.S.doc Version 5.2 Page 20 The home is comfortable and welcoming. There have been extensions to the original Georgian house but character has been maintained in the original part of the building. There is a large extension to the rear providing a court-yard single story appeal with many rooms having doors leading to the patio and garden area. Part of the building is on 3 storeys only 2 presently used by residents, there are plans to extend the shaft lift to the second floor and create 3 new single en-suite bedrooms there. Some refurbishing is presently taking place with redecoration and refurbishment of bedrooms as they become vacant. Work is commencing to replace the assisted bathing facility (hoist) with moveable electrically operated bath and a separate walk-in shower replacing the other bathroom on the ground floor. Four en-suite bedrooms on the ground floor also each have a bath which is unsuitable (not assisted). These en-suite rooms are to be refurbished to include a shower facility. Many windows have been replaced with double-glazed units. This is not possible to the front of the house (Georgian façade) and these are to be replaced on a phased basis with replicated Georgian wooden windows. There is a central lounge area which will accommodate all residents if necessary but there is a large conservatory to the rear providing a bright, spacious setting where residents do sit alone or with visitors if they wish. Some activities also take place in the conservatory. A sample of bedrooms were seen, there have been replacement beds, furniture and redecoration. This is ongoing with planned refurbishments of some rooms. There are 2 shared bedrooms with privacy curtains. A resident admitted some 9 months ago preferred to have a single bedroom. There was some confusion about a conscious decision being made to share, although the family later did say they were aware she would have to share for a time until a single room became available. It is important with shared rooms to ensure that each person has made a positive choice to shared. It is recommended to avoid confusion that this is put in writing to new residents and the fact that there may be a long wait for a single bedroom. The person remaining in the bedroom must be given the opportunity to choose not to share. There are only 2 bedrooms which do not currently have en-suite facilities and there are toilet areas located near to those rooms. There are handrails/ramps throughout the building to assist mobility and all bathroom/toilet areas have raised toilets and adapted pull-down arms to assist and ensure resident safety. Bedrooms seen were bright, well furnished, comfortable and all well personalised to reflect individuality. There were many examples of small items of furniture brought from home. Lane House Residential Care Home DS0000067990.V350968.R01.S.doc Version 5.2 Page 21 The family of a resident admitted 1 month ago from another home were delighted with the re-furbished bedroom with en-suite facility occupied by their relative who likes to spend time in her bedroom and has views of the drive and garden. There is a large, walled garden area to the rear with good access from the building. There are lawns, patios, flowerbed, gazebo and good seating areas providing excellent facilities in a very pleasant setting with total privacy. There is direct access to the garden from the conservatory and many bedrooms. The standards of hygiene throughout the home are high. There is readily available protective wear for staff assisting with person care. Lane House Residential Care Home DS0000067990.V350968.R01.S.doc Version 5.2 Page 22 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): Quality in this outcome area is excellent. The numbers and skill mix of staff is good. Staff are trained to high level, exceeding the basic statutory training required. Staff motivation is high. 100 of staff are trained to NVQ standard. Recruitment procedures are robust and protect residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A total of 506 care hours per week are provided and support - catering, domestic and maintenance staff compliment this. The Managers hours are additional. Basically the staffing numbers of the 3 shifts throughout the 24 hour period are 3:3:3 but those hours are supplemented to cater for residents needs, peak times, activities etc. e.g. there are often up to 5 carers in the afternoon when activities take place and there are many outings both small group and individual where additional hours are provided. The staffing level is good and meets the total needs of the resident group. Lane House Residential Care Home DS0000067990.V350968.R01.S.doc Version 5.2 Page 23 There are 15 care staff, all have completed NVQ training. Some have attained NVQ3. There is a Deputy Manager/Senior Carer on all shifts. Many staff have worked for several years in the home. Several were spoken to and observed during the inspection. All were seen to engage very positively, naturally and in a very supportive way to residents. Several residents confirmed that they were well supported by staff, that they were treated with respect in a verbal and practical way. Comments included “the staff here are wonderful, they will do anything for us”. There is undoubtedly very strong commitment to resident care. Staff were seen to be enjoying their work and there were many impromptu situations where staff laughed, sang and danced with residents. Staff training this year has included courses relating to: Fire Safety, Parkinson’s disease, stroke awareness, infection control, medication and bereavement awareness. This is in addition to statutory training which is provided with the relevant up-dates. All staff have Moving & Handling training from an external provider and the Manager is to attend a Moving & Handling Trainers course with the aim of providing in-house training for all. It was suggested that a staff training matrix would assist in swiftly identifying training needs. There is a comprehensive, robust induction programme for new staff which meets required standards. There is a low turnover of staff in this home. Staff meetings are held 3 monthly. Samples of staff files were inspected. POVA/CRB checks had been obtained as required. References, health checks and other documentation required under Schedule 2 were seen. In one instance only 1 reference had been obtained – this appeared to be an oversight a reference requested but not provided, this should be obtained. Staff had contracts stating their employment terms. Contracts were discussed with the Provider during the inspection who has taken advice from Employment Advisors concerning the existing staff contracts which are between staff and the former owners. New contracts are with the new Company Northgate Healthcare Ltd. Lane House Residential Care Home DS0000067990.V350968.R01.S.doc Version 5.2 Page 24 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): Quality in this outcome area is good. The Manager takes a positive lead in the home and has the required skills to manager a home for older people. There is an open atmosphere and resident quality of life is paramount for all staff. The health, safety and welfare of service users and staff are promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Lane House Residential Care Home DS0000067990.V350968.R01.S.doc Version 5.2 Page 25 The Registered Manager has worked at the home for many years and has the required experience and qualification to run the home. She takes a positive lead in the home working “hands-on” for many shifts. There has been a change of ownership since the last inspection. New Directors have purchased the home. One Director was present during part of the inspection (for the remaining part he was painting a vacant bedroom and talking to visitors). The transition of ownership has been handled sensitively and smoothly. There is a good established relationship between Providers and Manager each understanding the roles and responsibilities of the other. There was a very positive dialogue and they clearly work well together having the shared objective of maintaining and improving standards for residents. There is a very positive, open and inclusive atmosphere. Residents, staff, visitors and other professionals have direct access to the Manager who monitors closely the standards in the home. The staff group are committed and a cohesive group. Staff assist with outings/events when they are off duty, demonstrating their commitment to resident care. There is a very relaxed, homely and friendly atmosphere. Residents finances were not inspected on this visit. The home does not keep monies on behalf of residents, all have family support who provide the necessary weekly allowance and monies for personal spending. Records inspected were to good professional standards. Fire safety is maintained with regular training, checking and servicing of equipment and also regular fire drills for all staff. These were evidence in the Fire Book. Some improvements were identified by the Fire Officer in his letter to the home and Commission dated 13/04/07. These were discussed and appeared all to have been addressed. There is an updated fire risk assessment with individual risk assessments for each resident in the event of fire and evacuation. The home seeks the views of residents, families and other stakeholders from questionnaires distributed each year. These were seen and contained very positive comments from residents, relatives, 3 GP’s and District Nurse. Lane House Residential Care Home DS0000067990.V350968.R01.S.doc Version 5.2 Page 26 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 2 3 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 4 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 4 3 4 2 3 3 4 STAFFING Standard No Score 27 4 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 3 X X X 3 3 Lane House Residential Care Home DS0000067990.V350968.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP3 Regulation 14(1)(a) (b) Requirement Care management assessments must be obtained prior to admission. Timescale for action 12/10/07 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 3 Refer to Standard OP8 OP18 OP23 Good Practice Recommendations Ensure residents are weighed following admission and regularly thereafter. Access external training opportunities for Safeguarding & the Protection of Vulnerable Adults. Residents sharing bedrooms must make a positive choice to share with each other. Lane House Residential Care Home DS0000067990.V350968.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection 1st Floor Ladywood House 45-56 Stephenson Street Birmingham B2 4UZ 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 House Residential Care Home DS0000067990.V350968.R01.S.doc Version 5.2 Page 29 - 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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