Inspection on 31/07/06 for Lanrick Cottage

This inspection was carried out on 31st July 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

Lanrick Cottage 24/04/07

Lanrick Cottage 01/01/06

Lanrick Cottage 25/07/05

Lanrick Cottage 05/01/05

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Lanrick Cottage 41 Wolseley Road Rugeley Staffordshire WS15 2QJ Lead Inspector Jane Capron Key Unannounced Inspection 31 July 2006 09:15 Lanrick Cottage DS0000062392.V303501.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 Lanrick Cottage DS0000062392.V303501.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. Lanrick Cottage DS0000062392.V303501.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lanrick Cottage Address 41 Wolseley Road Rugeley Staffordshire WS15 2QJ 01889 585262 F/P lanrickcottage@aol.com 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) Care Services (UK) Ltd Mrs Maureen Holcombe Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Lanrick Cottage DS0000062392.V303501.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st January 2006 Brief Description of the Service: Lanrick Cottage is a three-bedded care home for residents with autism/severe learning disability who also have specialist communication needs. The home is situated on a main road leading into Rugeley. The home is set back from the road with parking for a number of cars at the front. The home has an attractive garden at the front and a secure garden at the rear providing opportunities for service users to use the garden. The home is in keeping with the surrounding area. It is well located to access the town centre resources and public transport. The home has its own transport. The accommodation is well maintained and attractively decorated. The home comprises of a lounge, dining room, conservatory, toilet and kitchen and one bedroom with ensuite downstairs and two bedrooms and bathroom upstairs. The home provides residents with the opportunity to undertake a range of independent living tasks such as helping in the house and undertaking shopping. The home has links with local colleges and also provides the residents with a range of leisure activities both in and out of the home. Residents go on holiday and out for day trips. The current fees are £1223 - £1350 per week, which was ascertained at the time of this report. Lanrick Cottage DS0000062392.V303501.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that lasted approximately four hours. The inspection included discussions with the Care Manager and the staff member on duty. All residents have specialist communication needs and the inspection included observing staff interacting with residents including observing the communication methods used. The support plans of all the residents were looked at including the daily records, their activity schedules and risk assessments. The procedures for the administration of medication and the arrangements for safeguarding residents’ finances were examined. The home’s recruitment and selection procedures were examined through looking at a sample of personnel files. Also the training records of the home were looked at. The arrangements for health and safety were looked at through sampling a range of documents including the fire safety records. In addition to the information gained from visiting the home views of the service were provided through questionnaires from relatives of the residents, a representative of a local authority and the speech and language therapist. What the service does well: The home was providing residents with a good standard of service and was being well met by the Care Manager. The manager was very experienced and was qualified in care and management and was fully aware of each resident’s needs. The home provided residents with the level of staff that could meet their needs. Staff received relevant training aimed at developing their knowledge and skill to be able to work effectively with the residents. The level of staff qualified to at least NVQ level 2 was 71 , which was well over the standard required. Observation showed that staff related well to residents and that there was an informal and relaxed atmosphere. Relatives spoke highly of the staff feeling them to be welcoming and providing a good service. Comments were made including ‘the manager and her staff have my complete confidence and trust’ and ‘dedicated staff, well trained in the specific needs of autistic adults’. Lanrick Cottage DS0000062392.V303501.R01.S.doc Version 5.2 Page 6 The home had developed individual support plans and these identified residents’ needs including specialist communication needs. Plans were in place to respond to difficult behaviour including self-harm. The home promoted residents’ right to privacy and independence. Personal care support was provided in accordance with residents’ wishes, discreetly and at a level that supported them to be as independent as possible. The home supported residents to make decisions and to participate in a range of independent living tasks such as shopping, meal preparation, planning the menus, laundry and cleaning their bedrooms. All the residents had specialist communication needs and the home provided training and advice from a speech therapist to support staff to develop their skills to be able to communicate with the residents. This included the use of makaton and pictorial aids to assist residents to make decisions over their daily lives. The home was meeting the healthcare needs of the residents. All residents were registered with a local GP and the home organised dental and eye care. Residents were supported to have appropriate hair and nail care. The home provided residents with a range of educational, social and leisure activities. One resident was due to attend college and another went horse riding and one regularly went with staff to the local pub. All the residents had been on holiday to Wales earlier in the year. The home’s recruitment and selection procedures were safeguarding the residents through ensuring all the required pre employment checks were completed and that a formal application and interview process took place. What has improved since the last inspection? What they could do better: Whilst the home was providing a good service there were areas where the home could develop. The home needed to develop formal methods of monitoring the quality of the service. The home had some plans to do this and these need to be Lanrick Cottage DS0000062392.V303501.R01.S.doc Version 5.2 Page 7 implemented. These should enable the home to monitor its service and to identify ways that it can provide a better service to the residents. The home also needed to further develop its fire risk assessment and implement an evacuation plan that took account of any specific needs of the residents. The home was also recommended to further develop the support plans in a more person centred format and to expand the format of the current risk assessments. In order to further improve the service the staff could benefit from developing their knowledge and skill in working with people who exhibit difficult behaviour. Whilst providing suitable accommodation the accommodation would be improved if shower facilities could be provided. 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. Lanrick Cottage DS0000062392.V303501.R01.S.doc Version 5.2 Page 8 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 Lanrick Cottage DS0000062392.V303501.R01.S.doc Version 5.2 Page 9 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): 2,3,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Whilst the home has had no admissions since it opened six years ago the home has a suitable admission procedure in place that includes an assessment of prospective residents. The home is able to meet the needs of the residents with staff having the knowledge and skills to meet their needs and through the involvement of specialist health professionals. EVIDENCE: Whilst there had not been any admissions at the home for six years the home had an admissions procedure that included a full assessment of a prospective residents’ needs and provided the opportunity for prospective residents to visit the home to meet staff and residents prior to moving to the home. All placements would be made on a trial basis that would not be confirmed until a review had taken place. The home provided residents and/ or their representatives with a contract that outlined the fees and included what the fees covered and what the resident would need to fund for themselves. The home was able to meet the needs of the current residents. The staff were fully aware of the residents’ needs and how to meet them. The home provided residents with the knowledge and training to work effectively with the residents. The home had the regular involvement of health care professionals including a speech and language therapist and the nurse with specialist knowledge in epilepsy. Lanrick Cottage DS0000062392.V303501.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): 6,7,8,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had developed support plans that outlined the residents’ needs and identified the level and type of support required to ensure their needs were met. The home’s staff supported residents to make decisions over their lives and supported them to participate in a range of tasks related to the daily running of the home. EVIDENCE: The home had developed support plans that covered the necessary areas of health and personal care, communication, family contact as well as leisure and domestic issues. The home had also developed plans to support residents with any challenging behaviours. The plans showed the needs of the residents and the actions needed by staff to meet the needs. Plans were reviewed every three months internally and yearly by the funding authorities. The support plans could be further developed in a more person centred format. The home had developed a range of individual risk assessments that covered such areas as accessing the community, using the care, helping in the kitchen, Lanrick Cottage DS0000062392.V303501.R01.S.doc Version 5.2 Page 11 doing the laundry, self harm and going on holiday. There was scope for these to be expanded. All risk assessments had been reviewed. All of the residents had specialist communication needs and the staff were aware of techniques to help them to make decisions and were aware of residents’ non-verbal communication that showed likes and dislikes. During the inspection staff were observed using communication techniques to provide residents with choices including what they wanted to eat and how they wanted to spend their time. For example, one staff member stated that in order to help one resident make choices, she showed the resident a small sample as the resident could only make a choice from a limited range. When a resident needed new items but did not wish to go shopping, staff discussed it with the resident beforehand to identify the colour and design the resident wanted. All the residents were involved in a range of activities relating to the running of the home. They were involved in choosing activities and in helping to choose the menu. Two of the residents went with staff to do the food shopping. Observation showed that residents helped put together the shopping list through using pictures. The home had also developed the complaints procedure and the fire safety leaflet in makaton. Lanrick Cottage DS0000062392.V303501.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): 11,12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home supported and encouraged residents to develop their communication skills and their independent living skills. Residents had the opportunity to take part in educational, social and leisure activities. The home welcomed relatives and supported residents to maintain relationships with family members. The residents were provided with a varied diet that was based on their choices and preferences. EVIDENCE: The home supported residents to develop their communication and independent living skills. The home had a speech and language therapist that visited monthly. She had completed individual assessments and all residents had a communication support plan in place. Residents used a range of communication techniques including some verbal language, pictures and Makaton. The speech and language therapist provided staff with advice and training in communication techniques to improve communication with residents. The home had implemented a range of pictorial resources including pictures to show household items i.e. food, and domestic process such a Lanrick Cottage DS0000062392.V303501.R01.S.doc Version 5.2 Page 13 making a drink and making a meal. One resident had their daily schedule in picture form. Residents were encouraged to maintain and develop their independent living skills. Residents made drinks, helped with meal preparation, laid and cleared the table and helped with their laundry and with keeping their bedrooms tidy. They were also supported to undertake as much of their personal care as possible. All the residents needed some supervision to undertake these tasks. The home encouraged the residents to undertake educational and fulfilling activities. One resident had been to college this year and plans were in place for them to attend for the next academic year. They were to attend a computer course, life skills and video journalism. Although the other residents did not attend for any formal education the home provided them with a range of activities during the day. These included assisting around the home and doing such things as drawing, art and crafts, going out for walks and baking. All the residents helped to deliver a weekly newspaper in the surrounding area. The residents were provided with opportunities to go out but one resident found this very difficult preferring to remain at the home. Two of the residents went out shopping regularly and helped staff to do the food shopping. One resident went horse riding and another went to the pub to play darts. The home also provided residents with trips out in the people carrier. Within the home the residents listened to music, watched TV and videos, used the computer and did gardening and movement to music. The home is recommended to look at whether there are any additional activities that would be suitable for the residents. All the residents had been on holiday to Wales in May. Four staff accompanied the residents. Two of the residents went in the home’s transport and the other went by train with a staff member. The home holiday is paid for by the home and from the income made from delivering the newspaper. The home’s daily schedules were relaxed whilst meeting the residents’ need for consistency and routine. Residents got up when they wanted and breakfast was taken individually when residents got up. Each resident had a weekly schedule although this was not rigidly kept. The residents had good contact with relatives who both visited and telephoned the home and the residents went to stay with their families. All relatives felt the home was welcoming and provided a good standard of care. They felt involved and that the home kept them informed. The home provided a varied menu that was based on residents’ choices and preferences. Breakfast comprised of toast and range of cereals. Lunch tended to be a light meal such as snacks on toast or an omelette. The main meal was provided in the early evening. The home provided a supper and there were snacks between meals. Fruit was provided as a sweet and as a snack. The home monitored the weight of the residents. Lanrick Cottage DS0000062392.V303501.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): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal support was being provided in a manner that promoted residents’ privacy and independence. The health needs of the residents were being met through positive multi agency working taking place. The home’s medication procedures were promoting the residents’ health. EVIDENCE: Support plans identified the personal support and health care needs of the residents. The home’s residents were being supported to have their personal care needs met. The way residents liked to have this support was recorded and staff were fully aware of the type and level of support needed by each resident. Personal support was provided discreetly and with the lowest level of staff input possible thereby promoting residents’ privacy and independence. The home supported residents to make choices about what they wore and encouraged them to be involved in buying their clothes. The home operated a key worker system. The home met the health care needs of the residents. All the residents were registered with a local GP practice. The health condition of the residents was clearly recorded and all medical appointments were recorded. The home Lanrick Cottage DS0000062392.V303501.R01.S.doc Version 5.2 Page 15 supported residents to receive primary and hospital based health care services. Residents attended the dentist and the optician where possible. They had medical and medication reviews. The staff provided the residents with nail and hair care. The residents attended for specialist appointments when needed. The home was supported by a specialist epilepsy nurse and had the services of a speech and language therapist. The home operated a bottle to person medication system. The medication was stored in a locked cupboard in the office. The medication records were checked. There were no gaps and the medication records corresponded with the medication prescribed. Discussions with staff confirmed that they were aware of the reasons for the medication and that they were monitoring any side effects. All staff had undertaken medication training. The home had a homely remedies policy in place. Lanrick Cottage DS0000062392.V303501.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): 22,23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The staff had the necessary skills to understand residents’ communication and to respond to their unhappiness and dissatisfaction. The staff’s knowledge and understanding of adult protection issues was safeguarding the residents. EVIDENCE: The home had a complaints procedure in place. Relatives reported in the pre inspection survey that they were all aware of the procedure. The home had developed the procedure in a pictorial form although the current residents were unlikely to be able to formally make a complaint. Staff consulted with residents and were aware of how residents expressed their views and could identify how they showed dislike and unhappiness. Staff were alert to picking up these signs and would try to ascertain the reason for the dissatisfaction. No complaints had been made since the last inspection. The home had an adult protection procedure in place and staff had received training both internally and externally to identify signs of abuse and how to respond. The home looked after residents’ money. The home maintained individual records and these corresponded with the money held and with the receipts. Residents kept their own money in a locked box in their bedroom. The home were aware of residents’ behaviours including incidents of aggression and self-harm and had plans in place to respond to any such incidents. The home did not use physical intervention. Lanrick Cottage DS0000062392.V303501.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): 24,26,27,28,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home provides residents with suitable private and communal accommodation. Residents’ benefit from a home that is clean and tidy and that has procedures in place to control the spread of infection. EVIDENCE: The home was located in a detached house on a main road into Rugeley. The home is set back from the road with parking at the front and a secure garden at the rear. The home is located within walking distance of the shopping centre of Rugeley. The home was decorated and furnished in a domestic manner throughout. The home was well maintained. The home had suitable communal rooms having a lounge, separate dining room, conservatory and a good sized kitchen. There was a toilet downstairs and a bathroom with toilet upstairs. This bathroom was quite small and would benefit from having shower facilities. The home had all single bedrooms with one downstairs that had ensuite facilities and two without ensuite upstairs. Bedrooms were of a good size and provided adequate storage space. Lanrick Cottage DS0000062392.V303501.R01.S.doc Version 5.2 Page 18 Bedrooms were satisfactorily decorated. Bedrooms provided seating. They were lockable but the residents did not use these. The home was clean and tidy throughout and the cleaning of the home was part of the support workers’ role. Most staff had undertaken infection control training and there was a programme in place for all residents to complete this. The necessary gloves and aprons were available for cleaning tasks. Residents and staff together cleaned their own bedroom and helped with tasks such a vacuuming and doing their laundry. The laundry was located in the garage and had appropriate washing and drying machines. Lanrick Cottage DS0000062392.V303501.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): 32,33,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provided suitable staffing levels to be able to meet the needs of the residents. Residents benefited from staff who were suitably qualified and had the necessary knowledge and skills. The home’s recruitment and selection procedures were safeguarding the residents. EVIDENCE: The home provided suitable staffing levels. The minimum staffing level was for two care staff on duty at any time although during periods of staff holidays one of these staff was the Care Manager. There were often three staff on duty and this level of staffing provided a good level of support and allowed individual work with residents and a good level of community access. At night there was one sleep in staff member. Discussion with the staff member on duty showed that she had the necessary knowledge about the conditions of the residents and that she was fully aware of their individual needs and the nature of support they needed. She was observed as interacting with residents in a relaxed and positive manner. She was aware of the specific communication needs of residents and was able to describe the actions to be taken if incidents of aggression or self-harm occurred. Relatives thought highly of the staff and felt that they were providing a good service. Lanrick Cottage DS0000062392.V303501.R01.S.doc Version 5.2 Page 20 The home placed a high priority on training the staff to have the knowledge and skills to work effectively with the residents. All new staff completed induction training and one staff was currently taking the induction training specifically related to people with a learning disability (LDAF). Staff also undertook training in communication techniques, in working with people with autism and in safeguarding adults. All staff had taken a comprehensive course in medication and most staff had taken a distance-learning course in infection control. Staff would benefit from training in working with people who exhibit difficult behaviour. The home supported staff to take NVQ qualifications. At the current time 71 of staff had achieved at least NVQ level 2. In addition two staff were in the process of completing the qualification. A sample of personnel files was examined. This confirmed that the home had a robust recruitment and selection procedure. All prospective staff completed application forms and underwent a formal interview. References and POVA and CRB checks were completed prior to a person starting work. The home confirmed prospective staff’s identity and ensured staff completed a health check form to confirm they were fit for the work they were to perform. Lanrick Cottage DS0000062392.V303501.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): 37,39,42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents were benefiting from a home that was being effectively led and had a plan for improvement home however there was scope for the quality assurance system to be further developed. The residents were being generally protected through the health and safety procedures of the home but there were issues that needed to be further developed. EVIDENCE: The Care Manager had lengthy experience in working with people with a learning disability. She has managed the home since it opened and therefore was completely aware of each resident’s needs. She has completed the necessary training in care and management and undertaken training to ensure that she kept up to date with current practices. The home had a number of informal systems in place for monitoring the quality of the service. The Care Manager for example checked the medication records Lanrick Cottage DS0000062392.V303501.R01.S.doc Version 5.2 Page 22 and the financial records. She also had contact with relatives. She had daily contact with the residents and was aware how they expressed dislikes and distress and was alert to changes in their behaviour that could indicate dissatisfaction. The home had an improvement plan in place. The home had plans to develop the quality assurance system through introducing formal monitoring procedures. The home had health and safety procedures in place and home had programmes in place to ensure that the staff kept up to date with the required training in, for example moving and handling, fire safety, first aid and food hygiene. Sampling of documentation showed that the home had undertaken the required servicing of fire equipment, boilers and portable appliances. The home undertook regular checks of the water temperatures and had procedures in place to control the risk of the legionella bacteria. The home was completing weekly checks on the fire alarm and monthly checks on the emergency lighting. The home had a fire risk assessment but this needed to be further developed and the home needed to develop an evacuation plan that included any specific needs of the residents. The home had procedures in place for the storage and use of hazardous substances and these were stored securely. Lanrick Cottage DS0000062392.V303501.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 X 2 3 3 4 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 4 25 X 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 3 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 X LIFESTYLES Standard No Score 11 4 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 2 X X 2 X Lanrick Cottage DS0000062392.V303501.R01.S.doc Version 5.2 Page 24 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 YA39 YA42 Regulation Requirement Timescale for action 01/10/06 01/10/06 24(1)(a)&(b) To develop more formal systems for the review of quality 23(4) To further develop the fire risk assessment and complete an evacuation plan that takes account of any individual’s specific needs. 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. 2. 3. 4. Refer to Standard YA6 YA9 YA27 YA32 Good Practice Recommendations For support plans to be developed using the principles of person-centred planning. To expand the current risk assessments To consider providing shower facilities Difficult behaviour Lanrick Cottage DS0000062392.V303501.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Lanrick Cottage DS0000062392.V303501.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. 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