Inspection on 08/12/06 for Lang Lane South (77)

This inspection was carried out on 8th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Lang Lane South (77) 09/03/06

Lang Lane South (77) 14/12/05

Lang Lane South (77) 28/02/05

Lang Lane South (77) 29/11/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Lang Lane South (77) 77 Lang Lane South West Kirby Wirral CH48 7EG Lead Inspector June Beaver Key Unannounced Inspection 8th December 2006 10 am Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 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 Lang Lane South (77) DS0000018992.V307774.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 Adults 18-65. 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. Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lang Lane South (77) Address 77 Lang Lane South West Kirby Wirral CH48 7EG 0151 625 6721 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) Alternative Futures Limited Mr Peter Grace Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only adults (18-64) with learning disability may be accommodated. Date of last inspection 9th March 2006 Brief Description of the Service: Seventy seven Lang Lane South is a three bed roomed detached bungalow that provides accommodation and personal care for three adults with learning disabilities. Seventy seven Lang Lane South is owned by Alternative Housing and managed by Alternative Futures. The home is located on the Wirral in a residential area that is situated on the top of a hill and subsequently benefits from panoramic views of the Mersey estuary. Communal space within the home comprises of a large lounge/dining room, a small quiet area, a study and a kitchen. Adapted and accessible bathing, toilet and shower facilities are also shared. Service users have access to a patio area and gardens, which are well maintained. Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The visit was unannounced and took approximately four hours. The three service users were present for some of the time and were all home for lunch. The Manager was on duty as well as two other members of staff. The visit consisted of looking at records, chatting to the service users and a tour of the premises. A pre-inspection questionnaire was completed prior to the visit and the information it contained was verified during the time spent at the home. What the service does well: The home’s Statement of Purpose and Service User guide are very detailed and contain a lot of very useful information which would help any prospective new client decide whether to move into the home or not. It contains a full list of all the amenities and services the home has to offer plus details of staff members, their skills, experience and qualifications. The service users are supported by staff who treated each service user in a friendly but respectful way. The home encourages family and friends to keep in contact with service users and visitors welcome at the home at any time. The home is clean and warm and offers a safe environment for service users to live in. There is an on-going programme of activities, which is individualised to service users own personal choice and hobbies, and there are some group activities when all the service users choose to get together. Staff appeared to be aware of service users likes and dislikes and how they prefer to spend the day. One of the service users spoken to confirmed this and said the staff are “great” and “the Manager is very helpful”. All activities, meals and general day to day events are recorded in detail in each service users’ file. The standard of record keeping at the home is very high. The Manager stated that the home has a very good relationship with the local G.P.’s surgery and Community Nursing Team . The service users are encourage to attend all health care check ups and the home is developing Health Action Plans for the service users which will help if service users need to access any medical help in the future. The food served at the home is based on a healthy eating plan and weight watchers point system. (Two of the service users followed this plan). The other service user followed a normal diet but was encouraged to eat well and the menus shown supported this. There are cookery books in the home which the service users can follow called “Meals made Easy” and one of the service users will often bring recipes back from cookery classes at college. Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 Page 6 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. Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 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 the following standard(s): 1,2,3,4 and 5. The quality outcome in this area is excellent. This judgement has been made using all available evidence including a visit to the premises. The Statement of Purpose and service user guide contained very detailed information to enable service users and their families to make an informed choice regarding the suitability of the service. The pre-admission procedure is excellent which ensures the appropriateness of all admissions. EVIDENCE: The home’s Statement of Purpose and Service User guide are updated regularly and contain excellent information about the facilities, services and amenities provided by the home and its staff in both written and photographic format. Evidence was provided in the records that admission procedures are very thorough and service users compatibility is very important to everyone at the home. There are trial visits including overnight or weekend stays, a full medical and personal history is taken as well as an assessment of the interaction between other services users. This helps to ensure that all possible problems are identified before admission and that the service users rights are protected. Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 Page 9 The contracts, called licences, were also very detailed with information about fees and terms and conditions and are written in a service user friendly format. Details of the local advocacy service are available if needed. Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 Page 10 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 the following standard(s): 6,7 and 9 Quality outcome in this area is good. This judgement has been made using all available evidence and by a visit to the service. The care plans and Essential Life Plans provide staff with clear details on how to assist service users with their goals and aspirations. EVIDENCE: It was evident from looking at the records that the care plans and essential life plans reflect the personal choices of the individual service user. Each file contained information about the personal care and health care for each service user as well as their goals and achievements. This ensured that all aspects of life at the home were assessed and that service users were given the opportunity to participate in the running of their home. All records and documentation including risk assessments for the various activities are kept under regular review and updated as necessary. Each service user has a daily dairy sheet which details what has been achieved each day and what if anything could have been done better. This document also contains details of which staff member supported the service user with each Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 Page 11 activity which enables the Manager to assess the interaction between staff and individuals. Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 Page 12 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 the following standard(s): 12,13,15,16 and 17. Quality in this outcome area is excellent. This judgement has been made using all available evidence including a visit to the service. The service users are provided with opportunities to pursue appropriate leisure activities and are fully supported by a dedicated staff team to take part in all aspects of the community. EVIDENCE: Service users are encouraged to set goals, plan their day to day activities and leisure time and are supported by a dedicated staff team to achieve their aims and aspirations. For example, two of the service users attend college courses taking life skills and computer classes one of the service users is taking music therapy classes and another developing kitchen skills. Evidence of achievements was kept on the service users files e.g. copies of certificates and photographs of presentation awards. The service users are able to use this evidence to show families and new staff what they have achieved and gives them a sense of well being. On the day of the site visit, one of the service Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 Page 13 users was completing an application form for a college course with support from staff and the Manager. The service users supported by staff use the services and facilities locally such as the library, local cafes and snack bars, the cinema and colleges which helps to make them feel part of the community and to get to know some of the neighbours. They are supported to shop locally but can go further if they wish to for example the Trafford Centre or the shops in Chester which increases their choice. On the day of the site visit one of the service users had gone out to a local tea room and another was going out in the afternoon to the shops. Friends and family visits are encouraged and staff will try their best to make sure family contact is maintained. One of the service user has a friend in a nearby home and staff will support visits to and from the home as often as wished. Some of the service user’s family members cannot visit but do keep in touch by letter and phone. This information is always shared with service users who are given the opportunity to reply. Since the last inspection, the service users with the help of the Manager and staff at the home have now obtained two mobility cars, this has made a big difference to the amount and type of activities they all can pursue as there have been occasions when preferences have been a cause of conflict which is natural when a group of people live together. Service users, supported by staff have regular trips and holidays. Evidence was provided in each file in photographic format that they had recently been to London and Llandudno as well as Lytham St Anne’s Throughout the visit staff were observed asking service users opinion, giving them choices of what they wanted to do, or asking whether they wanted a drink, and at lunch time the service users were given a choice of food. The menus looked at were based on a healthy eating plan and weight watchers point system. (Two of the service users followed this plan). The other service user followed a normal diet but was encouraged to eat well and the menus shown supported this. Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 Page 14 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 the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using all available evidence including a visit to the home. The personal care given to service users is carried out by staff in a manner, that they have been consulted on and agreed to and are supported by staff to follow a healthy lifestyle. EVIDENCE: Evidence that service users are asked about the way they want their personal care delivered was on file as well as what care had been delivered each day. During the visit staff were observed asking service users whether they felt like going out or if they wanted to rest. Information in the personal care files indicated that there were no specific routines and service users could choose when to get up in the mornings, when to go to bed, what time to eat, where to eat and how to spend their day. The recordings in each file provided evidence that health care needs were being met. Any health related visit to either a G.P. or hospital outpatients department was recorded in detail by staff with an explanation of why the service user went and what was said or prescribed. This helps all staff coming on shift to be kept fully informed about service users current state of health. Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 Page 15 Attendance at Well Person clinics have been discussed with service users to find out whether the routine health checks that are available as part of National Health Service screening service are something they wish to take part in. Attendance at these sessions will help identify any underlying current health problems or any in the future. The Manager stressed the decision to access these routine health screens is made as part of a multi-disciplinary review which includes the service user and/or their family. . None of the service users can self medicate due to their learning difficulties, however the practices carried out on their behalf by the home are robust and meet a very high standard. Medication for each service user is kept in their own room in a lockable piece of furniture so that it is kept safely and securely. Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 Page 16 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 the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using all available evidence including a visit to the service. The home has a good complaints system providing information on how service users concerns would be listened to and acted upon if necessary. The home’s policy and procedures protect residents’ from abuse, neglect and self-harm. EVIDENCE: Each service user has a copy of the home’s complaints procedure which is fairly service user friendly and the information it provides give them or their advocates a clear picture of how to raise a concern or complaint. There have been no complaints since the last inspection either at the home or at the CSCI Liverpool/Wirral office. Staff are given training in how to manage any adult protection issues during induction and in regular updates and evidence was in the staff files to support this. This type of training helps staff understand the importance of protecting service users from any form of harm or abuse. Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 Page 17 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 the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using all evidence available including a site visit to the service. Service users live in a warm comfortable well maintained environment and are encouraged to help with the day to day running of the house. EVIDENCE: A tour of the premises was carried out and all rooms were clean, warm and nicely decorated. Each bedroom was tailored to meet individual tastes and needs and evidence that service users had been consulted over choices e.g. colour schemes was provided in the essential lifestyle plans and daily record sheets. The home was free of any bad odours and both indoors and outdoors appeared to be well looked after providing service users with a homely place to live. A random test of the hot water supply from the sink in the bathroom was carried out and the hot water appeared cool to the touch. A recommendation has been made to try and make improvements to the system. Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 Page 18 The kitchen was well equipped with modern appliances and adaptations to enable service users to help in the kitchen preparing meals and drinks with support from staff. Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 Page 19 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35. Quality in this outcome area is good. This judgement has been made using all available evidence including a visit to the service. The service has a robust recruitment procedure and employs sufficient numbers of staff to ensure the service users health and welfare needs are met in a safe manner. EVIDENCE: An inspection of the rota indicated that there is a steady stable workforce with no vacancies. The present staffing levels ensure service user needs are met and that their lifestyles and social activities are promoted. Through reviewing the staff files it was evident that there is a good recruitment procedure operating at the home. Staff files contained the information required to make sure service users are looked after by appropriately vetted staff. The service users are involved in the recruitment process as much as possible. All potential new staff are invited to visit the home to meet the service users and spend some time chatting with them. Whilst not all of the service users are able to converse the interaction between all parties is very important and is used as part of the recruitment process. Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 Page 20 The home provides staff with a wide range of appropriate training which includes NVQ training (National Vocational Qualification) to level 2 & 3. The home operates a training matrix which makes tracking training needs easier. All staff are given regularly one to one supervision and a record kept of each session. Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 Page 21 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. Quality in this outcome area is good. This judgement has been made using all available evidence including a visit to the service. The Manager is competent and has the skills necessary to manage the home in an efficient manner whilst developing good working relationships with staff, visitors and the service users. EVIDENCE: The Manager has worked for the company (Alternative Futures) for a number of years and has a lot of experience in working with this client group. He has completed the Registered Manager’s Award and an NVQ 4 in Care. He regularly takes part in training updates and specific training relating to learning disabilities. He has developed good leadership skills and feels the company who own the home are very supportive and will fund training if it is relevant to the service. Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 Page 22 Staff spoken to during the inspection spoke well of the style of management in evidence at the home and stated that the Manager was very supportive. On the day of the visit the interaction between the Manager and the service users was observed to be very relaxed and natural. There was evidence that staff meetings take place giving staff the opportunity to raise any matters regarding the running of the home and there was evidence that service users’ and their families were given questionnaires asking them for their opinion on the standards at the home. The service is supported by a Service Manager who visits monthly and sends a copy of the monthly audits to the Commission for Social Care Inspection. The certificates of worthiness required by registration for gas, fire equipment, electrics. Portable appliances, water temperature, hoist and lifts were available and up to date. One of the service users is a designated Fire Marshall and with support from staff carries out regular fire safety checks on the premises. Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 Page 23 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 Standard No Score 1 4 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 x 27 2 28 3 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 x 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 3 12 4 13 3 14 3 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 Page 24 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. 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 YA27 Good Practice Recommendations The registered person is recommended to improve the supply of hot water to the communal toilet and bathroom. Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Lang Lane South (77) DS0000018992.V307774.R01.S.doc Version 5.2 Page 26 - 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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