Inspection on 23/01/06 for Lanrick House

This inspection was carried out on 23rd January 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 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

Lanrick House 11/05/09

Lanrick House 25/06/08

Lanrick House 24/10/06

Lanrick House 17/09/05

Lanrick House 27/01/05

Lanrick House 04/06/04

Lanrick House 15/10/03

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

CARE HOMES FOR OLDER PEOPLE Lanrick House 11 Wolseley Road Rugeley Staffordshire WS15 2QJ Lead Inspector Mrs Kathryn Marks Unannounced Inspection 13:30 23 January 2006 rd 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 Lanrick House DS0000004970.V274714.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 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. Lanrick House DS0000004970.V274714.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Lanrick House Address 11 Wolseley Road Rugeley Staffordshire WS15 2QJ 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) 01889 577505 01889 577505 Mr Barry Price Mr Richard Charles Britten, Mrs Diane Isobel Britten, Mrs Hazel Mary Elizabeth Price Mrs Geraldine Mary Reid Care Home 32 Category(ies) of Dementia - over 65 years of age (18), Old age, registration, with number not falling within any other category (32), of places Physical disability (1), Physical disability over 65 years of age (6) Lanrick House DS0000004970.V274714.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. One Physical Disability (PD) - Minimum age 62 years on admission. Date of last inspection 17th September 2005 Brief Description of the Service: Lanrick House is a care home that can accommodate thirty-two older people with needs associated with old age and dementia related conditions. The home is located in a residential area of Rugeley, and is close to amenities and served by public transport. The premises a large Victorian house which has been extended, is pleasantly situated with lawns and external sitting areas. Adequate car parking, external roadways and pathways are provided. Accommodation is provided on three levels, the first and second floors are served with stairs and a shaft lift. There are 12 single occupancy bedrooms and 10 doubles, and no bedrooms have an en-suite facility. There are adequate bathroom and toilet facilities on each floor of the home. There are two separate lounges, and two separate dining rooms, located on the ground floor. Services and facilities including laundry, catering and hotel services are adequate with upgrading work taking place. There are no separate smoking or hairdressing areas. The registered care manager, her deputy, and teams of care assistants provide care. Health service professionals such as district nurse, community psychiatric nurse, and physiotherapist are accessed when required, and local GP’s and a pharmacist service the home. Activities, hobbies and entertainment all take place and transport is provided when required. Families and friends are encouraged to take part, and have an involvement in the home. Lanrick House DS0000004970.V274714.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit was made on the afternoon of the 23/01/06. The inspection was undertaken using the National Minimum Standards for Older People as a reference. The Registered Care Manager was in charge of the home, accompanied by the deputy care manager and three care assistants. These staffing levels were adequate to meet the needs of the current residents in the home. Aspects of care had been addressed well, with residents able to choose the home following an assessment and invitation to visit Lanrick House. Resident’s plans had been well written, based on the community care plans completed by social workers. Health, personal and social care needs had been met and well documented. Privacy, dignity and choice aspects for residents were being upheld. The home appeared to be managed well by a competent care manager. General management aspects were good with quality assurance taking place. One complaint has been received since the last inspection relating to moving and handling issues and health and safety in the kitchen. This complaint has been investigated and was found not upheld. What the service does well: The home continues to provide a good standard of residential care, for people with needs associated with old age and dementia, in a very homely atmosphere. Staff and resident interaction was observed to be warm and friendly with a lot of jovial banter being exchanged. Residents made positive comments to the inspector during conversations with them about life at the home and how staff care for them. Lanrick House DS0000004970.V274714.R01.S.doc Version 5.1 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. Lanrick House DS0000004970.V274714.R01.S.doc Version 5.1 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 Lanrick House DS0000004970.V274714.R01.S.doc Version 5.1 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): 1,2,3,4,5. The statement of purpose and user guide was well-written residents and their representatives all had a copy. All had been given the opportunity to visit the home prior to admission, which had been part of the assessment process. Individual health, personal and social cares needs had been established and were being met by staff, which individually and collectively had the necessary skills and experience. The assessment process had ensured that the home was well able to meet the assessed needs of residents. Lanrick House DS0000004970.V274714.R01.S.doc Version 5.1 Page 9 EVIDENCE: As at the previous inspection the documentation seen, evidenced that residents had been assessed prior to admission and they had been enabled to make a choice about the home. All involved had visited the home prior to choosing to stay, had a meal spent the day at Lanrick House and this formed part of the assessment process. A full assessment of each residents needs had taken place and this was documented. The community care plans provided by the social worker, as part of the individual needs assessment process, were seen within the service user plans. Observations of staff and discussions with individuals identified staff had the necessary experience and skills to meet the assessed needs of the current service users. The home must inform residents in writing of the outcome of assessments this will be a requirement of the report. A service user guide was issued and the statement of purpose for the home was seen, both were comprehensive. No intermediate care is undertaken in this home. Lanrick House DS0000004970.V274714.R01.S.doc Version 5.1 Page 10 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): 11 The Care Manager assures residents and their relatives via discussions with them that they will be treated with dignity and respect at the time of death. EVIDENCE: Policies and procedures are in place for death and the dying. In house training has taken place on procedures to be followed in the event of a resident dying in the home. The Care Manager told the Inspector if families wish to remain with the resident they are made comfortable and offered hospitality. The Inspector has observed this to be happening on previous visit to the home. Lanrick House DS0000004970.V274714.R01.S.doc Version 5.1 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): 14 The systems for resident’s consultation in the home are good with a variety of evidence that indicates that resident’s views are sought and acted upon. There was a relaxed and friendly atmosphere with residents moving freely around the home. The home is providing a choice of traditional food with fresh produce being used. EVIDENCE: Observations were made of residents who were able to do so making choices about their daily lives. Staff were assisting residents who were unable to make an informed choice. Where possible residents manage their own financial affairs assisted by relatives. The home keeps small amounts of personal allowance for majority of residents for hair and day-to-day items individuals may want. Accurate records are kept. Lanrick House DS0000004970.V274714.R01.S.doc Version 5.1 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): 16,17,18 The home has a satisfactory complaints system with some evidence that service users feel their views are listened to. EVIDENCE: There has been one complaint received about Lanrick House since the last inspection regarding health and safety and manual handling. This complaint has been fully investigated and was not upheld. The home has a complaints procedure in place this is displayed for residents/relatives and is contained in the service users guide. The home has in place a book to record any complaints and how they are dealt with. Discussions with some residents identified that they were aware of the complaints procedure. Residents are protected from abuse by staff awareness, discussions during supervision and staff meetings, observations, and training. Policies and procedures are in place at the home. Lanrick House DS0000004970.V274714.R01.S.doc Version 5.1 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): 20,21,22,23,24,26 Lanrick House has been and continues to be subject to ongoing refurbishment. It provides a safe well-maintained environment in areas residents have access to. Gardens generally provide a pleasant area for residents to sit and wander around in warmer weather. The home was clean and individual areas were personalised. EVIDENCE: The home generally is well maintained and suitable for its stated purpose. Communal areas include two lounges, and two dining areas one dining area is currently being attractively refurbished. A number of original features of the house have been retained. Lanrick House DS0000004970.V274714.R01.S.doc Version 5.1 Page 14 Bathrooms and toilets are satisfactory in number and appropriately sited around the home. The inspector was told that plans are in hand to refurbish ground floor bathroom in 2006. The home where necessary provided specialist equipment via the district nursing service. Resident’s bedrooms are personalised as individuals wish and meet the needs of the older person occupying the room. Programmes of routine maintenance are in place with work identified having been carried out. Externally there are attractive gardens with level walkways and seating for residents. Observations of the inspector were that the home was clean attractive and free from offensive odour. Lanrick House DS0000004970.V274714.R01.S.doc Version 5.1 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 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): X Not assessed at this visit. EVIDENCE: These standards were assessed on previous inspection and have not been assessed on this occasion. Lanrick House DS0000004970.V274714.R01.S.doc Version 5.1 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 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): 32,34,37,38 The manager is supported well by the proprietors in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities, thus ensuring the Health, Safety and Welfare of residents is observed. EVIDENCE: The Care Manager is competent and experienced to care for older people and manage staff. The Care Manager has the Registered Managers Award. Systems and procedures have been reviewed by her and updated to meet the stated aims and objectives of the home. Records are kept of transactions entered into by the home and those records observed where up to date. Lanrick House DS0000004970.V274714.R01.S.doc Version 5.1 Page 17 The home has in place a quality audit programme along with resident/relatives surveys and questionnaires that are continually reviewed. Where resident’s personal allowance is managed by the home written records are maintained of all transactions. Secure facilities are provided for the safekeeping of money and valuables belonging to residents. The registered proprietors and care manager ensures so far as is reasonably practicable the health safety and welfare of service users and staff. Lanrick House DS0000004970.V274714.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 4 2 4 4 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 X 3 3 3 3 3 X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 4 X 3 X X 3 3 Lanrick House DS0000004970.V274714.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? NO 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 OP4 Regulation 14 (1) (d) Requirement The registered person has confirmed in writing to the service user that having regard to the assessment the care home is suitable for the purpose of meeting the service users needs in respect of his health and welfare. Following the inspection a procedure is now put in place to inform residents in writing of the outcome of assessment. Timescale for action 07/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Lanrick House DS0000004970.V274714.R01.S.doc Version 5.1 Page 20 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 House DS0000004970.V274714.R01.S.doc Version 5.1 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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