Inspection on 25/07/05 for Langrigg House

This inspection was carried out on 25th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Langrigg House 09/05/07

Langrigg House 08/01/06

Langrigg House 19/01/05

Langrigg House 05/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Parkside

Dystlegh Grange

Thornton Lodge

Belvidere Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Langrigg House Langrigg Road Morton Carlisle Cumbria CA2 6DX Lead Inspector Margaret Drury Unannounced 25 July 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 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. Langrigg House F58 F10 s35210 langrigg house v234445 250705 ui stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Langrigg House Address Langrigg Road Morton Carlisle Cumbria CA2 6DX 01228 606391 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) Cumbria Care Eileen Joy Muir Care Home 40 Category(ies) of OP - Old Age registration, with number DE - Dementia of places PD - Physical Disability Langrigg House F58 F10 s35210 langrigg house v234445 250705 ui stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 2. The home is registered for a maximum of 40 service users to include: - up to 40 service users in the category of OP (older people, not falling within any other category. - up to 13 service users in the category of DE(E). 3. The staffing levels for the home must meet the Residential Forum Care Staffing Formula for Older Adults. 4. When single rooms of less than 12 sqm usable floor space become available they must not be used to accommodate wheelchair users, and where existing wheelchair users are in bedrooms of less than 12 sqm they must be given the opportunity to move to a large room when one becomes available. 5. One named service user in the category of PD (phyiscal disability) may be accommodated within the overall numbers of registered places. Date of last inspection 19 January 2005 Brief Description of the Service: Langrigg House is located in a suburb of SW Carlisle and is close to local amenities such as health centre, shops, Post Office and public transport. The home is owned by Cumbria Care, an internal business unit of Cumbria County Council, and operated on a daily basis by Mrs Eileen Muir. The internal layout had been redesigned to offer accommodation in four smaller units, each having a sitting/dining room, and kitchenette. There is a separate 10 bedded EMI unit and dedicated respite accommodation. These are both on the ground floor with its its own separate lounge. The EMI unit has a lounge and conservatory area, which can be used for private visits. The home has ample toliet and washing facilities,all of which are suitable for people with a disability. Thirteen bedrooms have en-suite facilities. Residents are able to move around the home independently with the help of passenger lifts, ramps, handrails and grab rails. There is also a day service for older people situated within the home. Langrigg House F58 F10 s35210 langrigg house v234445 250705 ui stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home, and took place over one morning. During the inspection, time was spent talking with the manager and the care staff on duty. Records to do with the day-to-day running of the home and the care of residents were examined. Time was spent with some of the residents and some visitors and much of the home was looked at during the visit. The inspection took place on a Monday, the day of the admissions and discharges from the respite unit and this together with the services provided by the day care unit, made for an extremely busy day for the manager and staff. What the service does well: The home carries out in-depth assessments of people before admission to ensure their individual needs can be met and the correct level of care given. The care staff have, through the excellent care planning system, all the information required to deliver a high level of care. All healthcare needs are met, with a record of all professional healthcare visits and external appointments highlighted on the daily record sheets and also in the diary. Residents said they are able to see the doctor or nurse when they want to. There is a programme of activities for those wishing to join in. Residents said there was usually something going on but they did not have to join in if they did not want to. Efforts are made to ensure that a nutritious and varied menu is provided with a choice at each meal. Langrigg House F58 F10 s35210 langrigg house v234445 250705 ui stage 4.doc Version 1.40 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. Langrigg House F58 F10 s35210 langrigg house v234445 250705 ui stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Langrigg House F58 F10 s35210 langrigg house v234445 250705 ui stage 4.doc Version 1.40 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 standard(s) 2, 3 & 5 Residents and their families benefit from the clear admission procedure that ensures, through an in-depth assessment, all individual needs can be met. EVIDENCE: All residents are given a formal contract/terms and conditions when they are admitted to Langrigg House.. The home has a full admission procedure, which means all residents have an in-depth assessment prior to admission, to ensure all their needs can be met. Part of this procedure ensures that family members and/or friends are invited to meet the staff and look around the home before any resident is admitted. Langrigg House F58 F10 s35210 langrigg house v234445 250705 ui stage 4.doc Version 1.40 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 standard(s) 7, 8, & 10 The home has an excellent, clear and consistent care planning system, which ensures residents’ health, and social care needs are met in a way that promotes their privacy and dignity. EVIDENCE: The home has a very detailed care planning system that was examined during the inspection. The format is that which is used throughout the organisation, but the information contained in the plans is excellent and extremely detailed. This includes information about residents care needs, including moving and handling assessments. They are regularly reviewed and updated with the residents, even those with a higher degree of dependency, being consulted. The plans provide the care staff with all the information needed to deliver the very highest level of care. Details of healthcare needs and professional visits are recorded on the daily record sheets and in the diary and residents said that they only have to request a G.P. visit and the appointment is made. Langrigg House F58 F10 s35210 langrigg house v234445 250705 ui stage 4.doc Version 1.40 Page 10 The care staff speak to the residents in a courteous and polite manner and always knock before entering bedrooms. Residents said that the care staff always give personal care in a way that preserves their privacy and dignity whilst encouraging independence. Langrigg House F58 F10 s35210 langrigg house v234445 250705 ui stage 4.doc Version 1.40 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 standard(s) 12, 13, 14 & 15 Social activities and meals are varied and provide residents with a range of choices and opportunities on a daily basis. Residents benefit from being able to follow their religious beliefs and the ability to express their opinions through the forum of residents’ meetings. EVIDENCE: Activities are available for those wishing to join in although the residents did say that the choice whether or not to participate is entirely theirs. The manager encourages visitors from the community to visit the home and Communion from local ministers is provided monthly. There is very little restriction on visiting and families and friends are made welcome anytime. Residents meetings are held every 3 months and minutes of the latest one were made available for the inspector to read. There is a four-weekly menu and residents who spoke with the inspector said they enjoyed their meals. Special diets are catered for. Langrigg House F58 F10 s35210 langrigg house v234445 250705 ui stage 4.doc Version 1.40 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 standard(s) 16, 17 &18 Residents benefit from a full complaints procedure with evidence that they know any issues raised will be dealt with. Staff have an excellent knowledge and understanding of Adult Protection issues, which safeguards the residents from abuse. EVIDENCE: Residents are given information about how to complain when moving into the home, and said that if they raise any issues they are dealt with promptly. Information about making a complaint is displayed in the entrance area of the home. The home has a full abuse policy in place and staff have access to Cumbria’s policy for “Protection of Vulnerable Adults”. Discussions with staff evidenced their knowledge of adult protection and how to deal with any incident that may occur. The advocacy service is currently used and one resident benefits from an appointed advocate. Langrigg House F58 F10 s35210 langrigg house v234445 250705 ui stage 4.doc Version 1.40 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 standard(s) 19, 20, 22, 25 & 26 Residents benefit from a warm, comfortable and safe environment in which to live. EVIDENCE: The organisation provides an annual repairs and maintenance budget for each home that is agreed with the home manager. It is some time since the home was refurbished and parts are beginning to look “a little tired” and some redecoration of residents’ rooms would be beneficial. The manager’s husband has redecorated the bathrooms and the staff redecorated a further room. Access to all parts of the building is available to all residents via a passenger lift and ramps. The day care unit is situated on the ground floor right at the front of the building. On the day of the inspection it was extremely noisy and with a lot of coming and going, which was confusing to those residents who were being admitted to the respite care unit. Langrigg House F58 F10 s35210 langrigg house v234445 250705 ui stage 4.doc Version 1.40 Page 14 The home provides specialist equipment to assist those residents with a disability to remain as independent as possible. Domestic arrangements mean the home is clean, pleasant and hygienic. Langrigg House F58 F10 s35210 langrigg house v234445 250705 ui stage 4.doc Version 1.40 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 &30 The residents benefit from a qualified and experienced staff group, who are appointed following a robust and thorough recruitment procedure. This ensures maximum protection for people living in the home. EVIDENCE: The manager uses her allocation of staff hours extremely well, the result being a staff team that work well together for the benefit of the residents. There is sufficient staff on duty during the day to meet the assessed needs but only two through the night. It would be beneficial for there to be an extra member of waking night staff particularly on a Monday, which is the day new residents are admitted to the respite unit. This would give the staff more time to help the new residents to settle in. Extra staff hours are utilised for staff to work with the seniors when giving out the medication. This system is working very well and means added security for those responsible for the medication. The home uses the organisation’s recruitment policy and the manager ensures all the required checks are completed prior to employment starting. There is a good training programme with each member of staff being responsible for keeping their own continuous professional development files up to date. The manger is keen on ensuring all staff training is up to date and is constantly looking for as much external training as possible. Langrigg House F58 F10 s35210 langrigg house v234445 250705 ui stage 4.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 36 &37 The manager is supported well by the senior team in providing clear leadership throughout the home, with all staff demonstrating an awareness of their roles and responsibilities. Residents benefit from experienced and trained staff and the home’s record keeping and policies and procedures. EVIDENCE: The registered manager has a great deal of experience in the care of older people. She is highly motivated and encourages the staff to give a high level of care. She is qualified to NVQ level 4 in management and has completed the Registered Manager Award. She is also an NVQ assessor and verifier. She has a relaxed style of management although is more than capable of putting her point across when necessary. Staff who were interviewed said that her office door is always open and they very much appreciated her support. Langrigg House F58 F10 s35210 langrigg house v234445 250705 ui stage 4.doc Version 1.40 Page 17 The manager ensures all the policies and procedures are implemented in order to safeguard the residents. Residents said that the atmosphere in the home is warm and friendly and they felt completely at home. Staff are supervised by their line manager six times a year and all training is kept up to date by the organisation’s annual training plan. The manager also sources as much free training as possible. Langrigg House F58 F10 s35210 langrigg house v234445 250705 ui stage 4.doc Version 1.40 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 x 3 x x 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 x x 3 3 x Langrigg House F58 F10 s35210 langrigg house v234445 250705 ui stage 4.doc Version 1.40 Page 19 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 Good Practice Recommendations Langrigg House F58 F10 s35210 langrigg house v234445 250705 ui stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith, Cumbria CA11 9BP 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. 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