Inspection on 12/05/05 for Laneside

This inspection was carried out on 12th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Laneside 21/06/07

Laneside 20/10/04

Laneside 08/07/04

Similar services:

Home Farm

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

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

CARE HOME ADULTS 18-65 Laneside Sandbrook Road Ainsdale Southport PR8 3RG Lead Inspector Orla Murphy Unannounced 12th May 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Laneside F53 F03 S5313 Laneside V228343 12.05.05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Laneside Address Sandbrook Road Ainsdale Southport PR8 3RG 01704 570134 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Community Integrated Care Mrs Catharine Morgan Care Home 4 Category(ies) of Learning Disability, 4 registration, with number of places Laneside F53 F03 S5313 Laneside V228343 12.05.05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Servise users to include up to 4 Learning Disability 2. The service should at all times employ a suitably quailified and experienced manager who is registered with the CSCI Date of last inspection 20 October 2004 Brief Description of the Service: Laneside is a detached bungalow, situated off a lane, off Sandbrook Road in Ainsdale. The service provides care and accommodation for four adults with Learning Disabilities. The service is managed by a voluntary organisation, Community Integrated Care (CIC) and the Manager is Mrs Cath Morgan, The area is quiet and mostly residential but there are local shops and facilities on Sandbrook Road. Public transport is a short walk away, mostly bus routes, going to Southport & Liverpool town centres. The bus journey to Southpory takes approximatley 15 minutes. Hillside train station is approximately 15 minutes drive from the area. The service has its own minibus as current residents have some mobility difficulties & having their own transport allows much greater freedom in travel & accessing community facilities. Parking is available at the front of the building. Laneside F53 F03 S5313 Laneside V228343 12.05.05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection was unannounced and neither residents nor staff knew the Inspector was coming. The last inspection report was examined and some requirements needed to be followed up on this visit. The Inspection was the first in the home’s required visits, which are 2 inspection visits per year. 3 residents and three staff were spoken to at the inspection. One resident was “case tracked”. Case tracking means that the Inspector concentrates on the care given and experiences of one or more residents to get an idea of what is like to live there and how that person’s needs are being met. Case tracking also shows the inspector where needs aren’t being met. A variety of records (care plans, medical notes, complaints records, assessments, reviews, medication sheets, meeting minutes, menus, timetables, risk assessments and significant events) were examined. What the service does well: What has improved since the last inspection? The environment has improved greatly since the last inspection. New furniture, fittings & décor are in place, as is a new kitchen & sensory garden. All other areas remain of a very good standard where no improvements were needed. Laneside F53 F03 S5313 Laneside V228343 12.05.05 Stage 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Laneside F53 F03 S5313 Laneside V228343 12.05.05 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Laneside F53 F03 S5313 Laneside V228343 12.05.05 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 All residents have had full assessments, from their placing Social Worker and by CIC. These enable all identified needs to be met in the care given. EVIDENCE: One resident was case tracked and her assessments were examined. These were very detailed and informative. These showed how the suitability of the home was assessed before her move to the home. The care plan and ELP seen showed that the assessment was ongoing and was changed where needs changed. Reviews were all up to date and these too showed that where needs had changed, those needs were reassessed. Observations of staff working with the resident case tracked showed they were very aware of her needs and the ways she liked to be helped and supported. Laneside F53 F03 S5313 Laneside V228343 12.05.05 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 &7 The service supports residents through their care plans to develop skills and strengths in areas they need support in. The service encourages residents to be as independent as possible. Residents are involved in the home & its management. EVIDENCE: The resident case tracked had a very detailed care plan and daily notes commented on each section of the plan. There was clear evidence as to how needs were being met and where the care needed to be changed or increased. The daily records that staff write were very good; they showed what care and activities had occurred and any health or mood issues were also written about. Reviews of care plans and ELP’s were up to date and showed where improvements had been made. The staff were observed supporting the resident, being kind and helpful and the resident expressed satisfaction in smiling, gestures, touching and responsive sounds. Staff involved residents in activities during the inspection; one resident & member of staff went out for lunch. Residents were clearly comfortable with staff and showed they had a trusting and positive relationship. Laneside F53 F03 S5313 Laneside V228343 12.05.05 Stage 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13 &15 The service enables residents to be involved in every day experiences and opportunities. Relationships are recognised as very important and encouraged EVIDENCE: The resident case tracked attends day services and also has a day at home to spend one to one time with staff, relax and go out locally shopping and for lunch. All residents have weekly timetables, 2 of which were examined. Activities and opportunities include church group, meals out, shopping, arts, clubbing, bowling, visiting friends/family, barbeques, video evenings, manicure/beauty sessions in addition to day services provided by other organisations. Residents have made links and friends locally and it was obvious the residents like, and feel part of, their local community. All residents have close relationships with their families/friends and visits to Laneside and to family homes are encouraged. Staff support the resident case tracked to visit home & remain with her, to support the family, whilst visiting. Essential Lifestyle Plans seen detailed `all the important people in residents lives, their contact details and the routine of their relationships (i.e. visits, calls, holidays, special events). Staff have supported one resident through Laneside F53 F03 S5313 Laneside V228343 12.05.05 Stage 4.doc Version 1.30 Page 11 bereavement by holding a “Saying goodbye” ceremony in the home, talking about the deceased and listening to favourite music and sharing memories. Laneside F53 F03 S5313 Laneside V228343 12.05.05 Stage 4.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 & 20. The service follows to detail the care plan that shows how to provide all aspects of care to residents. Medication is administered safely. EVIDENCE: The care plan of the resident case tracked laid out what help was needed in relation to personal care. Health records are kept and these show all visits to GP’s, dentists, opticians, chiropodists and consultants. Daily records held information about each resident’s mood, health, welfare and personal care given. Staff were observed helping residents discreetly and respectfully with personal care issues. No residents can currently take responsibility for taking their own medicines and all have risk assessments explaining this. The medication records for the resident case tracked were seen and were up to date, signed for and satisfactory. The storage of medicines is also safe & satisfactory. Laneside F53 F03 S5313 Laneside V228343 12.05.05 Stage 4.doc Version 1.30 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22. The service encourages, listens to and acts upon complaints made to them. EVIDENCE: There have been no complaints in this cycle. The service has employed an advocacy service to audit the home annually. The Advocacy service tries to find out how satisfied residents are in the home. Staff also record and monitor when residents are showing signs they are unhappy or worried. Laneside F53 F03 S5313 Laneside V228343 12.05.05 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 28 & 30. The building is comfortable, safe and homely. The communal areas are comfortable and attractive. The home is clean & hygienic. EVIDENCE: The building is a bungalow, detached in quite secluded grounds. All areas of the home are easily accessible and residents were moving around the home freely on the day of the inspection. The home is unusual in its location but blends in & does not look out of place with other homes locally. The communal lounge has been redecorated and refitted/refurnished. The area now looks very attractive & comfortable. Residents like the new furniture & looked very at ease and at home during the visit. All areas of the home were clean & hygienic on the day of the inspection. Laneside F53 F03 S5313 Laneside V228343 12.05.05 Stage 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 & 35. Skilled and competent staff supports the service, and the residents. EVIDENCE: Staff demonstrated throughout this & previous inspections that they are skilled, competent and committed to the welfare of residents. This was evident through observations of staff and residents care plans, reviews and daily records. Staff evidently respect residents and strive to get the best quality of life for them, through opportunities, activities and care. Staff are concerned about their terms & conditions and this could have an impact on residents indirectly as if staff are dissatisfied they may move elsewhere, which threatens the consistency and the skills available to residents. Laneside F53 F03 S5313 Laneside V228343 12.05.05 Stage 4.doc Version 1.30 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 & 42. Quality is part of the service and is important to staff and the service. The service promotes the health, safety & welfare of residents. EVIDENCE: The home’s quality audit was examined and looked at all aspects of the home and service. People First, an advocacy service for adults with learning disabilities, carried out the audit. One of the auditors had a learning disability, giving the audit a very good measurement of what is really important to residents. The audit was extremely positive and picked up on the commitment and positive relationships residents have with staff. Fire safety, gas, electrical and other safety checks were seen & were up to date and satisfactory. Staff carry out health & safety checks and these are up to date. Statutory training is continually carried out on a rolling basis and most staff are up to date with Manual Handling, First Aid, Food Hygiene, Protection Of Vulnerable Adults and Fire Safety. Laneside F53 F03 S5313 Laneside V228343 12.05.05 Stage 4.doc Version 1.30 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x 3 x 3 Standard No 11 12 13 14 15 16 17 x x 3 x 3 x x Standard No 31 32 33 34 35 36 Score x 4 x x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Laneside Score 4 x 3 x Standard No 37 38 39 40 41 42 43 Score x x 4 x x 3 x F53 F03 S5313 Laneside V228343 12.05.05 Stage 4.doc Version 1.30 Page 18 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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. 1. Refer to Standard 35 Good Practice Recommendations Staff terms & conditions should be reviewed in line with the quality of service provided. Laneside F53 F03 S5313 Laneside V228343 12.05.05 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Burlington House South Wing 2nd Floor Crosby Road North, Waterloo Liverpool L22 0LG National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Laneside F53 F03 S5313 Laneside V228343 12.05.05 Stage 4.doc Version 1.30 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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