Inspection on 09/03/06 for Lang Lane South (77)

This inspection was carried out on 9th March 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lang Lane South (77) 08/12/06

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 Lynn Sharples Unannounced Inspection 9th March 2006 12:00 Lang Lane South (77) DS0000018992.V281907.R01.S.doc Version 5.1 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.V281907.R01.S.doc Version 5.1 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.V281907.R01.S.doc Version 5.1 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 Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Lang Lane South (77) DS0000018992.V281907.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only adults (18-64) with learning disability may be accommodated. Date of last inspection 14th December 2005 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.V281907.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home did not know about the visit which took two and half hours. The inspector spoke with the service users, manager and care staff. The inspector read files relating to the service users and the home and toured the premises. What the service does well: What has improved since the last inspection? What they could do better: The bathroom requires redecoration and the staff should attend at least two fire drills per year. Lang Lane South (77) DS0000018992.V281907.R01.S.doc Version 5.1 Page 6 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.V281907.R01.S.doc Version 5.1 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.V281907.R01.S.doc Version 5.1 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): 1,2,5 The homes Statement of Purpose and Service User guide are excellent providing service users and prospective service users with details of the services the homes provides enabling an informed decision about admission to the home. EVIDENCE: The home’s Statement of Purpose and Service Users Guide contains all the relevant information as required in The Care Homes Regulations 2001 and is presented in a format that is service user friendly. The organisation has a written format for pre-admission assessments that includes compatibility criteria. In addition to a written assessment, prospective service users have a number of introductory visits to the home, which can include an overnight stay. It is understood the last service user admitted to the home had an introductory period of five months. The organisation has a new licence agreement, which is split, into three sections: - Finance, Terms and Conditions and Signatures. The document is clear and comprehensive and presented in a format that is service user friendly. The Service User Guide is also well presented and is service user friendly. Lang Lane South (77) DS0000018992.V281907.R01.S.doc Version 5.1 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 the following standard(s): 6,7,9 Service users needs are reflected in their care planning and they are supported in making some decisions and taking risks as part of their lifestyle and routines. Visitors are welcomed at the home. EVIDENCE: The home operates a key worker system and care plans are documented in service users daily files. The care plans are detailed and include appropriate information to enable care staff to meet service users individual needs. Each service user has an Essential Lifestyle Plan. In addition each service user has a daily diary sheet which details who was on shift, what went well what did not go well, what could be done differently and other things to share. This is excellent documentation. Each service user has a Personal Communication Dictionary, which was compiled with the help of a Speech and Language Therapist. This is an excellent tool to aid communication and will help new members of staff. It is understood that a service users bedroom was redecorated in their favourite colour. The Service User Guide is service user friendly. Risk assessments are undertaken and recorded for all situations that are potentially hazardous for service users and staff. Lang Lane South (77) DS0000018992.V281907.R01.S.doc Version 5.1 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 the following standard(s): 12,13,15,16,17 Service users engage in community and leisure activities appropriate to their age. Service users are encouraged to meet with their friends. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. EVIDENCE: None of the current service users are in employment; one service user attends college one day a week. Staff support service users to be part of the local community and evidence of this practice was demonstrated on the day of inspection. The service users went out shopping. The manager stated the home does not have daily routines; service users have individual choice and freedom of movement that is appropriate to their needs. The service users like to go out whenever possible. The manager said that he would monitor a situation if a service user were choosing not to go out. Lang Lane South (77) DS0000018992.V281907.R01.S.doc Version 5.1 Page 11 One service user has a close relationship with someone who lives at another home and they are supported to visit, visitors are welcomed to the home. The staff team open the mail with service users present and read the mail with them. The members of staff on duty were observed knocking on service users doors before entering and asking permission to go in the bedrooms. The staff were observed talking with the service users in a respectful manner. Service users are offered a choice of suitable meals and alternative choices are always available. Separate menus have been developed as part of a healthy eating plan for two of the service users who have health problems. The menus, which were viewed by the inspector, have been devised with the service users involvement and are based on the weight watchers point system. Lang Lane South (77) DS0000018992.V281907.R01.S.doc Version 5.1 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 the following standard(s): 18,19,20 The service users receive the appropriate personal support in the way they prefer and require. The service users’ physical and emotional health needs are well met. The medication at this home is well managed promoting good health. EVIDENCE: There were records on morning, night, bath and grooming routine and how each service user wanted these activities carrying out in the two service users files that were examined. Service users physical and emotional health care needs are met. This is achieved by accessing appropriate support from the G.P. and primary care services. In addition service users receive support from a local community resource centre for people with learning difficulties (Ashton House). The home is developing a Health passport, which will record all visits to any health professional. The inspector suggested that the health records are kept within the care plan. Due to profound learning difficulties none of the current service users are able to self medicate. On the day of inspection the management and administration of medication was found to be in accordance with the Care Homes for Younger Adults and Adult Placements National Minimum Standards 2001. All the staff team receive instruction from the manager regarding recording and security of medication. Some staff have received formal medication training, this will be given to all the staff. The stock sheet that has been introduced reduces the Lang Lane South (77) DS0000018992.V281907.R01.S.doc Version 5.1 Page 13 possibility of any error. Each service user has a lockable cabinet in their room for the storage of medication. Lang Lane South (77) DS0000018992.V281907.R01.S.doc Version 5.1 Page 14 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): 22,23 The complaints process in the home is good with complaints information available to service users. EVIDENCE: The organisation has a complaints policy and procedure that meets the requirements referred to in the Care Homes for Younger Adults and Adult Placements National Minimum Standards 2001. There have been no complaints/concerns received since the last inspection. There is an Adult Protection policy that including a whistle blowing procedure. Physical intervention is not used in the home. Not all the staff team have received adult protection training, the inspector recommended that all the staff team have this training. The manager said that at the next staff meeting training regarding abuse will be given. The finances at the home are being revised. One service user has their own bank account; the home is looking into the other service users having their own accounts. Lang Lane South (77) DS0000018992.V281907.R01.S.doc Version 5.1 Page 15 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): 24,25,27,30 The overall quality of the furnishings and fittings is good The home is comfortable and creates a pleasing and pleasant environment for the service users to live in. EVIDENCE: Service users live in a homely, comfortable and safe environment, which is suitable for its stated purpose. A tour of the premises indicated that the service users bedrooms are decorated individually with consultation. The bed rail in one bedroom was purchased through the occupational therapist who assisted with the risk assessment. The inspector suggested that the manager confirm this in writing with the occupational therapist. The paint in the bathroom was peeling and should be redecorated. The home was clean and free from malodour on the day of the visit. Lang Lane South (77) DS0000018992.V281907.R01.S.doc Version 5.1 Page 16 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): 32,35,36 Staff morale appears high resulting in an enthusiastic workforce that works positively with service users to improve their whole quality of life. EVIDENCE: There are nine staff working at the home, five staff members have an NVQ level 2, three staff are attending an NVQ induction and one staff is completing Learning Disability Award Framework training. The manager has completed the NVQ 4 Registered Managers Award. The staff team appears motivated and there is low sickness record within the team. Some of the staff team have not received 5 days paid training and development days (pro rata) this year. A sample of staff files indicated that the staff receive regular, recorded supervision. Lang Lane South (77) DS0000018992.V281907.R01.S.doc Version 5.1 Page 17 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): 37,39,42 The record of self-review by the registered provider is good and provides the home with adequate quality assurance. EVIDENCE: The manager has recently become the registered manager for the home. Due to the profound learning disabilities of the service users written surveys are not used. Service users views are sought through daily verbal/non-verbal communication and via relatives/representatives. The manager stated that in addition to the above, service users views are always considered during the Essential Lifestyle Plan review process and personal achievements are celebrated informally. The locality manager monitors the process of managing and running the home via monthly visits, which incorporate a quarterly environmental check. Lang Lane South (77) DS0000018992.V281907.R01.S.doc Version 5.1 Page 18 The health, safety and welfare of service users is promoted and protected through the policies and procedures of the home. Fire safety records viewed by the inspector demonstrated that not all staff had received a two fire drills in the last year. Weekly fire alarm/emergency lighting tests were appropriately recorded and up to date. Water temperatures are also tested and recorded on a monthly basis. The insurers liability certificate was current and displayed within the home. Lang Lane South (77) DS0000018992.V281907.R01.S.doc Version 5.1 Page 19 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 X 4 X 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 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 2 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 X 12 3 13 3 14 X 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 2 X Lang Lane South (77) DS0000018992.V281907.R01.S.doc Version 5.1 Page 20 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 2 Standard YA27 YA42 Regulation 23 23 Requirement The registered person must ensure that the bathroom is redecorated. The registered person must ensure that staff have at least two fire drills per year. Timescale for action 24/04/06 24/04/06 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 YA35 Good Practice Recommendations It is recommended that the registered person should ensure that staff receive at least five paid training and development days (pro rata) per year. Lang Lane South (77) DS0000018992.V281907.R01.S.doc Version 5.1 Page 21 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.V281907.R01.S.doc Version 5.1 Page 22 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!