CARE HOMES FOR OLDER PEOPLE
Langley Park Residential Home Front Street Langley Park Durham DH7 9YY Lead Inspector
Belinda Parker Unannounced Inspection 17th November 2005 09:00 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 Langley Park Residential Home DS0000007488.V251889.R01.S.doc Version 5.0 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. Langley Park Residential Home DS0000007488.V251889.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Langley Park Residential Home Address Front Street Langley Park Durham DH7 9YY 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) 0191 3735599 0191 3732674 Southern Cross Home Properties Limited Mrs Sharon Smith Care Home 46 Category(ies) of Dementia - over 65 years of age (24), Old age, registration, with number not falling within any other category (22) of places Langley Park Residential Home DS0000007488.V251889.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The home may accommodate a named individual as set out in a letter to the registered person dated 12th December, 2002, which establishes the basis on which the individual`s needs will be met by the home. Where necessary the home`s Statement of Purpose shall reflect any changes in service provision required for this arrangement. This condition may not apply to anyone else, other than the named indivdual who falls outside the registered category. 24th May 2005 Date of last inspection Brief Description of the Service: Langley Park is a residential care home located in centre of the ex-mining village of Langley Park, local amenities are close at hand. It is owned by Southern Cross Healthcare Properties Limited and operates within the private sector. The home is registered to accommodate older persons (22) and older persons with dementia (24). It is not registered to accommodate older persons requiring nursing care. The home is a two-storey building providing two separate units to accommodate persons from the aforementioned service user groups. Personal accommodation and communal areas are provided in both units. Service areas are located on the ground floor. Langley Park Residential Home DS0000007488.V251889.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 17th November 2005 over a period of six hours. During the inspection time was spent talking to service users, staff, management and a relative. A number of records were examined. What the service does well: What has improved since the last inspection? What they could do better:
Even though this home is ran effectively, providing the people who live there with a good standard of comfort and care service delivery. The management are aware as peoples needs change so must the service to meet those individuals’ needs. Langley Park Residential Home DS0000007488.V251889.R01.S.doc Version 5.0 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. Langley Park Residential Home DS0000007488.V251889.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Langley Park Residential Home DS0000007488.V251889.R01.S.doc Version 5.0 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2,4 and 5 The home has a clear and informative admission process in place, which enables prospective service users and their family’s to make a decision as to whether the service user wishes to move in. EVIDENCE: A copy of the new Terms and Conditions of residency document given to service users on admission was looked at. This document is to be given to service users, who will be asked to sign as to there agreement with it, or their relatives on their behalf. The deputy manager said service users are only admitted into the home if following assessment the home can meet the individual needs of that person. Before prospective service users come to live in the home the deputy manager said they are welcome to visit with their relatives and spend time with other people who live in the home and the staff. This helps the prospective service user make a decision as to whether they wish to move in. Langley Park Residential Home DS0000007488.V251889.R01.S.doc Version 5.0 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 8, 9, 10 and 11 The systems in place for promotion of good health of service users and the safe handling of medication in the home are good. Personal support in this home is offered in a way to respect service users’ choice and promote independence. EVIDENCE: Care plans included information to show that people living in the home have received visits from other health professionals to meet their individual needs. A service user spoken to commented, “ If you don’t feel well the staff ask your doctor to call”. All people living in the home are registered with a local GP. The policy and procedure for the handling of medication protects service users and promotes good health. Staff spoken to were able to show that they respected the people who lived in the home. A staff member said, “ We always ask residents what they would like, and give choices, we just don’t go ahead with our choice”.
Langley Park Residential Home DS0000007488.V251889.R01.S.doc Version 5.0 Page 10 A policy and procedure is in place to provide staff with information to deal with death and dying. The home has detailed information on other religions and cultures to enable staff to meet the needs of these people. Langley Park Residential Home DS0000007488.V251889.R01.S.doc Version 5.0 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 13, 14 and 15 Links with the community are good. The home provides a welcoming atmosphere for all visitors. The dietary needs of service users are well met, providing choice and varied selection of food that meets the tastes and choices of service users. EVIDENCE: A relative visiting the home said she and her family visit on a regular basis and are always made welcome anytime they come into the home. The home organises various fund raising events for the comfort fund and invite the local community to join in with service users and their relatives. Service users spoken to said the staff are good and always listen to them. One service user commented, “ I make my own decisions and the staff are always there to give me a hand if needed”. A meal sampled at lunchtime was well cooked and tasty. Care plans contain information to show that the dietary needs of service users are met. A service user spoken to said, “ The food is good, older people like smaller meals but there is always plenty if you want more”. Langley Park Residential Home DS0000007488.V251889.R01.S.doc Version 5.0 Page 12 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16, 17 and 18 The home has in place clear procedures to enable service users and other visitors an opportunity to make their views known. Systems are in place to ensure service users rights are respected and that service users are protected from harm or abuse. EVIDENCE: The home has in place a clear complaints procedure. The deputy manager was able to demonstrate the process and said all complaints are taken seriously. There were no recorded complaints since the last inspection. Service users spoken to said staff take time to listen to them and respect their views. On the day of the inspection the Regional Manager had available for service user information new information on obtaining advocacy services. Which will provide an improved way for service users to get someone to speak on their behalf if they so wish. Evidence was available to show that service users living in the home are protected from abuse. Through POVA training and thorough recruitment procedures. Langley Park Residential Home DS0000007488.V251889.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: This set of standards was not assessed at this inspection. Langley Park Residential Home DS0000007488.V251889.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 30 The system for the training of staff in the home is good. Equipping staff with the skills and abilities to deliver a good standard of service to the people who live in and visit the home. EVIDENCE: Training records examined showed that staff attend regular training events, which develop their skills and abilities within their role of responsibility. Staff spoken to who had recently commenced employment in the home said, “ I completed full induction training”, “We attend lots of useful training, which helps us do our job well “. Evidence was available to show that the home is currently developing individual staff training profiles for all staff who work in the home. Langley Park Residential Home DS0000007488.V251889.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 35 and 38 Appropriate arrangements are in place for the efficient running of the home and care service delivery in the absence of the registered manager. Service users live in a safe, comfortable and accessible environment. EVIDENCE: The registered manager is currently on maternity leave, but the deputy manager is qualified and competent to run the home and maintain a good standard of service to the people who live there and visit the home. The system for safekeeping of money held on behalf of service users has been revised since the last inspection. Service users can now access money held on their behalf over the weekend even when the manager or administrator is not available in the home. This takes away a former restrictive practice and allows unlimited access by service users to their own money.
Langley Park Residential Home DS0000007488.V251889.R01.S.doc Version 5.0 Page 16 Training records examined showed that staff have attended recent training relating to health and safety within the home. The home has in place health and safety policies and procedures to protect service users, staff and other visitors to the home. Langley Park Residential Home DS0000007488.V251889.R01.S.doc Version 5.0 Page 17 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 x 3 x 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 x x x x x x x x STAFFING Standard No Score 27 x 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x 3 x x 3 x x 3 Langley Park Residential Home DS0000007488.V251889.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Langley Park Residential Home DS0000007488.V251889.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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