Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 09/11/05 for Lansbury Court Nursing Home

Also see our care home review for Lansbury Court Nursing Home for more information

This inspection was carried out on 9th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Lansbury Court offers a very comfortable, clean and well maintained home. It is well furnished and efforts are made to make the home inviting to visitors, for example, drinks facilities, music and seating are pleasantly arranged in the main entrance area. Residents are encouraged to bring items from home with them when they come to live in the Home. Therefore many bedrooms reflect the taste of the residents living there. The Registered Provider has robust administration systems in place and support from senior management to monitor care and services in the Home. Therefore promoting the well-being of residents.

What has improved since the last inspection?

Efforts have been made to improve the dementia care unit through development of the environment to help residents become familiar with where they live and to be able to maintain as much independence as possible, for example, pictures and names on bedrooms doors to help residents find their bedroom, street names being placed on corridors to help residents find their way about the Home. Staff working with people with dementia have completed training in this subject to enable them to have a better understanding of their needs and how to best help them in their daily lives.

What the care home could do better:

Care plans currently focus on the health care needs of the residents and little focus is placed on their social and spiritual lifestyle. Staff are able to speak about the interests of residents prior to their coming to live at the Home, but this is not always documented in the residents care plan in a way that might help staff to plan daily activities. This would enable residents to lead fulfilling lifestyles, for example, one resident spoke about their involvement with the Salvation Army and was able to sing hymns, which he enjoyed including his favourite hymn. This might direct staff to take this resident out to a Salvation Army meeting or to organise hymns in the Home.

CARE HOMES FOR OLDER PEOPLE Lansbury Court Nursing Home Parkhouse Avenue Castletown Sunderland SR5 3DF Lead Inspector Sharon McDowell Announced Inspection 9th November 2005 10:00 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 Lansbury Court Nursing Home DS0000018199.V253405.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. Lansbury Court Nursing Home DS0000018199.V253405.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Lansbury Court Nursing Home Address Parkhouse Avenue Castletown Sunderland SR5 3DF 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 549 3950 0191 549 3955 Southern Cross Care Management Limited Mrs. Norene Ann Johnson Care Home 56 Category(ies) of Dementia - over 65 years of age (19), Old age, registration, with number not falling within any other category (56) of places Lansbury Court Nursing Home DS0000018199.V253405.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th June 2005 Brief Description of the Service: Lansbury Court is registered to provide personal and general nursing care for up to thirty-seven older persons and has a separate nineteen-bed unit for personal care to older persons with dementia. The Home is a purpose built single storey building. Single room accommodation is provided, some with en-suite facilities. There is adequate communal living space with good access to all areas of the home. It is built in a quadrangle shape with a central enclosed paved area and is surrounded by grassed areas. There is ample car parking to the rear of the property. There is easy access to local amenities and the Home is situated on a public transport route. Lansbury Court Nursing Home DS0000018199.V253405.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was conducted over six hours during which time the inspector reviewed documentation, including residents care plans, staff training and personnel records, quality assurance documents, health and safety audits and financial records. The Registered Manager was present throughout the inspection. A pre-inspection questionnaire about the service was submitted to the Commission for Social Care Inspection by the Registered Manager, which includes information about the Home, residents and staffing matters. The inspector met with six residents, four relatives and two staff to discuss care provided in the Home What the service does well: What has improved since the last inspection? Efforts have been made to improve the dementia care unit through development of the environment to help residents become familiar with where they live and to be able to maintain as much independence as possible, for example, pictures and names on bedrooms doors to help residents find their bedroom, street names being placed on corridors to help residents find their way about the Home. Staff working with people with dementia have completed training in this subject to enable them to have a better understanding of their needs and how to best help them in their daily lives. Lansbury Court Nursing Home DS0000018199.V253405.R01.S.doc Version 5.0 Page 6 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. Lansbury Court Nursing Home DS0000018199.V253405.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 Lansbury Court Nursing Home DS0000018199.V253405.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): 3 The assessment tool for dementia care has been implemented without explanation or training for staff therefore might not be used to good effect in assisting staff to identify the needs of the residents. EVIDENCE: A new assessment tool for people with dementia has been introduced to the Home, which covers. This looks at the specific needs of the residents. However, it includes an assessment, which one staff member said ‘I wish they had put it in plain English’. It contains quite complex statements, which care staff had not received any training for to help them understand and might be better suited to a professionally staffed setting rather than a residential setting. Lansbury Court Nursing Home DS0000018199.V253405.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): 7,10 Care plans mainly focus on meeting health needs of the resident. Therefore the social and personal care needs are not fully promoted limiting residents from leading a fulfilled lifestyle. Generally staff treat residents in a manner, which respects their privacy and dignity. However, this might not always be apparent and lead to residents and visitors being concerned that some staff do not behave in this manner at all times. EVIDENCE: New care plans have been introduced to the Home but no training has yet been given to staff about how to work with the documentation. Staff have mainly focused on meeting health needs of the resident, for example, nutrition, personal hygiene, continence. Therefore the social and spiritual care needs are not fully promoted limiting residents from leading a fulfilled lifestyle. They do not identify positive outcomes the resident might want to achieve, for example, going to the cinema, theatre or shops, keeping in touch with family who live away from the area, maintaining or learning a new skill, for example, one resident talked about his involvement with the Salvation Army prior to his admission to the Home. They were able to say what their favourite hymn was Lansbury Court Nursing Home DS0000018199.V253405.R01.S.doc Version 5.0 Page 10 but this was not documented. This information could direct staff as to what activities this resident might have enjoyed. Care plans demonstrate that health and social care staff are involved with the care of the residents and outline where Doctors, District Nurses, Tissue Viability nurses and social workers make visits to the Home, which shows residents have access to appropriate health care professionals. Appropriate health related assessments are completed; including, pressure area risk, moving and handling, nutrition, continence and falls risk assessments, which means residents health care needs are appropriately assessed and care plans can be developed to ensure these needs are met. Residents and visitors generally felt they were treated well by staff in the way they were spoken to and helped with care, one visitor stated how the staff were ‘really friendly’ and liked how they were able to make drinks for themselves and relatives. However there was some dissatisfaction expressed with the manner of one or two staff, which the Registered Manager was aware of and was currently looking into. Lansbury Court Nursing Home DS0000018199.V253405.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): 14 There are opportunities for residents to make choices about their daily routines. However, there are limited choices available to help residents to lead fulfilling lifestyles. EVIDENCE: Residents are enabled to make choices about their daily lives, which mainly involves activities such as, when to get up in the morning and when to go to bed, which part of the Home they would like to spend their time in, choices of meals offered, what clothes to wear and what they would like to do through the day if any activities are offered. One visitor said how they felt it was good that their relative could choose to stay in their bedroom to watch television, as they liked to watch most of the ‘soap’ shows. It is unfortunate that the activity person has been off work for about four months and there has just been someone employed on a temporary basis till they come back to work. This has meant there have not been many social events on offer. Some people enjoyed visits to local pubs but they had not been able to go as there were not enough staff to take the residents. This is also demonstrated in the residents care plans as they are given little assistance to have interesting and fulfilling lifestyles. It was suggested that activity person be supported by sending them on some specialist training on how to work with people with dementia. Lansbury Court Nursing Home DS0000018199.V253405.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): 16 The complaints process is presented to residents and visitors to assure them that their concerns will be listened to and taken seriously. EVIDENCE: A complaints process is made available to residents and their visitors in the service user guide and is displayed on notice boards in the Home. Since the last inspection there have been two complaints raised with the Registered Manager, which are currently being investigated. Visitors said they would talk to the Registered Manager if they were concerned about any issues. This can often sort out concerns without having to make official complaints. Lansbury Court Nursing Home DS0000018199.V253405.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): These standards were assessed at the previous inspection. EVIDENCE: Lansbury Court Nursing Home DS0000018199.V253405.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): 27 Staffing levels are maintained to ensure the care needs of the residents are met. EVIDENCE: Eighteen residents were accommodated in the dementia care unit with one senior carer and two care staff on duty through the day and two care staff at night to attend to their needs. Thirty-six residents were accommodated in the older persons unit with two registered nurses and six care staff on duty during the day and one registered nurse and three care staff on duty at night. The Registered Manager is supernumerary to the staffing levels to enable her to carry out her management duties. These staffing levels are maintained as required by the previous registering authority. The Registered Manager states they are adequate for the residents currently living at the Home. One visitor commented that they thought there were good staffing levels when they visited, which was fairly frequently. Lansbury Court Nursing Home DS0000018199.V253405.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): 33, 35, 38 The general management of the Home is organised to promote the general well-being of the residents and staff. Therefore residents, visitors and staff can be assured their views will be listened to. Centralised arrangements for the management of resident’s finances generally protects their interests. However the pooling of interest might not be in the best financial interest of some residents. Arrangements for health and safety of residents, visitors and staff are promoted through regular audit and attention to maintenance responsibilities in the Home. EVIDENCE: There are a number of audits that contribute to the quality assurance system in the Home, which include audits of administration, human resources, housekeeping, resident care, medication, and kitchen and laundry services. The information collected should help the Registered Manager identify areas Lansbury Court Nursing Home DS0000018199.V253405.R01.S.doc Version 5.0 Page 16 that are being well managed and meeting the needs of the residents and areas that might need further development to improve services. Residents meetings are held, the last one being in September of this year. Issues such as meals, the garden and social activities were discussed. This is to enable the residents to make their views known and to contribute to decisions about events in the Home. The administrator is responsible for the management of resident finances and she operates the company system for recording of transactions. She is able to identify the amount that each resident has in their account and all transaction require two signatures, which is part of a safeguard to ensure money is managed in the correct manner. Currently, money held for residents is within an interest earning account and collective interest earned is transferred into a residents welfare account. This means that a resident does not receive interest on their own money as it is pooled into the welfare fund, which is used for social activities. Health and safety meetings are held monthly and a health and safety audit is conducted to identify any areas of the home that might require attention to ensure safety of residents, visitors and staff. The Environmental Health Department visited the Home in July this year and found the areas inspected complied with their requirements. Accident statistics are compiled monthly and submitted to the head office therefore the Registered Manager is able to review accidents to ascertain if there are any themes to causes and if any one person is having several accidents and might need further assessment and supervision. The Home has a maintenance man who is available to deal with daily repairs and carry out inspections of the premises and organise servicing of equipment and amenities such as gas and electric supply. Lansbury Court Nursing Home DS0000018199.V253405.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 X 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 X 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 2 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 2 X X 3 Lansbury Court Nursing Home DS0000018199.V253405.R01.S.doc Version 5.0 Page 18 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 OP3 Regulation 18 Requirement Staff must receive training in the implementation of the assessment for people with dementia. Care plans need to reflect positive outcomes for residents and not just be problems based. (Previous timescale of 31/10/05 not met) Staff must ensure they treat residents and visitors in a respectful manner at all times. Activities and choices for residents must enable them to lead fulfilling lifestyles and be relevant to the individuals needs. Residents with wheelchairs must be provided with furniture at mealtimes that enables them to eat their meal comfortably and with dignity. (Previous timescale of 30/9/05 not met) The Registered Provider must ensure that residents are aware that interest form their personal finances is put in to a centralised welfare fund and that they have given consent to this. The Registered Provider must DS0000018199.V253405.R01.S.doc Timescale for action 31/01/06 2 OP7 15(1) 31/01/06 3 4 OP10 OP12 12(4) 16(2)(n) 31/12/05 31/01/06 5 OP15 12(4)(a) 31/01/06 6 OP35 12, 20(1) 31/01/06 7 OP35 12, 20(1) 31/01/06 Page 19 Lansbury Court Nursing Home Version 5.0 investigate the potential for residents to have their interest from personal finances paid into the resident’s own funds. 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 Lansbury Court Nursing Home DS0000018199.V253405.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 Lansbury Court Nursing Home DS0000018199.V253405.R01.S.doc Version 5.0 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!