Inspection on 24/01/06 for Lansdowne Retirement Home

This inspection was carried out on 24th 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

Lansdowne Retirement Home 22/11/07

Lansdowne Retirement Home 14/12/06

Lansdowne Retirement Home 23/08/05

Lansdowne Retirement Home 14/12/04

Lansdowne Retirement Home 12/08/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Lansdowne Retirement Home 35 Liphook Road Lindford Bordon Hampshire GU35 0PT Lead Inspector Andrew Cole Unannounced Inspection 24th January 2006 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 Lansdowne Retirement Home DS0000058657.V280908.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. Lansdowne Retirement Home DS0000058657.V280908.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Lansdowne Retirement Home Address 35 Liphook Road Lindford Bordon Hampshire GU35 0PT 01202 824390 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) N/A Mrs Nicola Anne Withers Mr Rowland Phillip Withers Mrs Nicola Anne Withers Care Home 17 Category(ies) of Old age, not falling within any other category registration, with number (17) of places Lansdowne Retirement Home DS0000058657.V280908.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd August 2005 Brief Description of the Service: Lansdowne retirement home is a care home providing personal care and accommodation for 17 older people. The home is located in the village of Lindford, which is approximately two miles from Borden. The home is situated close to local amenities and public transport. All bedrooms are single and have en suite facilities. There is a communal lounge and communal dining room. The home has an established enclosed garden with seating that is accessible to the service user. Lansdowne Retirement Home DS0000058657.V280908.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 7 hours the manager was present throughout. A tour of the premises was undertaken and 2 staff were spoken to, as were 3 service users. Records for service users and staff were inspected. What the service does well: What has improved since the last inspection? What they could do better: Lansdowne Retirement Home DS0000058657.V280908.R01.S.doc Version 5.1 Page 6 Attention must be given to the self-administration of medications in the home in order that it may achieve the standard as does all other aspects of medication administration. The inspector was informed that building work would start this year to provide an enhanced laundry facility and some extra accommodation. 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. Lansdowne Retirement Home DS0000058657.V280908.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 Lansdowne Retirement Home DS0000058657.V280908.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): 3,4,5 The pre admission process contains adequate information to ensure the needs of the service user can be identified and addressed. The home is able to \meet needs in general and improving skills in meeting specialist needs such as dementia care are being addressed EVIDENCE: Pre admission assessments were located in the sample of 3 files inspected, they were comprehensive including information on physical and mental health needs, personal lifestyle preferences and dietary requirements. Aspects of this information were noted in the initial care plans. Training has occurred in relation to dementia care and staff spoken to demonstrated a strong motivation towards implementing their learning. This was also commented favourably on by service users spoken to one of whom felt “the staff are always to make sure you are satisfied” Lansdowne Retirement Home DS0000058657.V280908.R01.S.doc Version 5.1 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): 7,8,9,10 Individual plans of care enable the home to meet service users needs. A variety of health and social care needs are met by a multidisciplinary approach ensuring access to relevant professionals. Comprehensive assessment tools ensure timely identification of needs. In the absence of lockable storage and a risk assessment there is a potential for service users to be at risk from (self administered) medications. Service users privacy and dignity is respected. Service users spoken to commented on the staffs’ politeness and solicitude. EVIDENCE: Care plans and daily records were noted to contain reference to the needs of persons with a dementia and the meeting of their particular needs. A wide variety of health and social care assessments were present in the sample inspected, they were regularly reviewed and actions were generated as a result of findings, this was recorded in the care notes. The home has a medication policy and a copy of the Royal Pharmaceutical College guidelines readily available. One storage user self medicates, however this individual does not have adequate storage facilities provided, no risk assessment has been completed. All records and other storage facilities Lansdowne Retirement Home DS0000058657.V280908.R01.S.doc Version 5.1 Page 10 together with policies for acceptance, administration and disposal of medication were in place and in operation. Contact with a variety of local healthcare providers are found in the daily notes together with interventions and advice/guidance for further care. Staff were observed knocking on service users doors before entering and addressing people in a preferred manner. A copy of the homes induction procedure was located in a member of staffs personal file it contained elements relevant to ensuring privacy and dignity .A member of staff spoken to commented on how it was “important to respect the service users privacy, this is their home”. Lansdowne Retirement Home DS0000058657.V280908.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): 12,13,14 Service users lifestyle preferences are reflected in the service provided within the context of communal living. Relative, guests and the local community are welcomed and involved at the home. EVIDENCE: An activities programme is displayed and one service user spoken to commented, “ we often have a laugh and they ask you if there is any games you would like to play”. A local church group attends for a sing-along the last Thursday of each month. Staff were noticed seeking service users preference for meals and when spoken to one member of staff commented on the importance of “making sure the residents have what they prefer.” Relatives were present at the time of the inspection staff were observed interacting in a welcoming and positive way. Lansdowne Retirement Home DS0000058657.V280908.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): 16,18 Complaints information is available and people feel free to access the procedure. Requisite systems are in operation to ensure an ethos of protecting service users from abuse. EVIDENCE: The complaints procedure contains relevant information and is prominently displayed in the reception. Staff and service users spoken to felt their complaints would be addressed in a positive manner and they were happy to make a complaint to the manager should the need arise. There are no recorded complaints since the last inspection. Staffs spoken to were able to identify types of abuse and had received training. The home has a copy of the Hampshire prevention of abuse procedure and a copy of the “No Secrets” document. Lansdowne Retirement Home DS0000058657.V280908.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): 19,20,24 The home is well maintained and accessible. There is adequate recreational and dining spaced. Private accommodation is furnished and equipped to meet the assessed needs of the service users. EVIDENCE: The home is well decorated and maintained throughout, during the length of the inspection no areas for concern were noted. Daily cleaning was in progress during the inspection, windows were open in some areas and natural and electric light was available in all areas to which service users have access. A book for maintenance requests and action is kept it is up to date with requests and outcomes recorded. Access to the garden is wheelchair friendly and access is adequate though the house; acknowledging it is not purpose built door widths in some areas are slightly less than a new build. There is a separate dining room and an L shaped lounge area looking out onto the garden. Lansdowne Retirement Home DS0000058657.V280908.R01.S.doc Version 5.1 Page 14 Private accommodation is furnished with domestic furniture and fittings (some service users have chosen to use items of personal furniture) it is in satisfactory order and well maintained. Service users spoken to felt that it was “homely”. Lansdowne Retirement Home DS0000058657.V280908.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): 29,30 Service users are protected by the homes recruitment policy and procedures. The training programme ensures adequately skilled staff are available to meet the service users identified needs. EVIDENCE: In the sample examined all relevant documentation was in place and relevant POVA and CRB checks had been achieved. The system was supported by comments made by members of staff who were able to recount their own experience as thorough, they were able to relate adequate data gathering from initial contacts in answering a newspaper advert through to interview taking up of references and appointment. There is a training programme displayed in the main office, certificates are kept in files. An induction /foundation programme was in use. There is a breadth of training available including dementia care; fire safety and general care skills. The majority of staff have NVQ2 and some NVQ3 or are working towards this. Lansdowne Retirement Home DS0000058657.V280908.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): 31,33,35,38 The manager is competent and qualified to run the home ensuring the homes aims and objectives are implemented to meet the service users needs. A quality assurance system that seeks the views of service users and their representatives enables the home to be run in their best interests. The manager ensures service users manage their own money those who do not wish to have safeguards in place for the home to manage minor disbursements on their behalf. The health and safety of staff and service users is supported by the implementation of adequate training and monitoring procedures. EVIDENCE: The home has achieved all requirements and recommendations since the last inspection and there has been a continuing programme of training to which all staff are encouraged to attend, NVQ training has been facilitated. Lansdowne Retirement Home DS0000058657.V280908.R01.S.doc Version 5.1 Page 17 All staff and service users spoken to commented favourably on the approachability of the manager and the standard of care over which she presides. The manager was described as “very helpful” and “always willing to listen” The manager has achieved NVQ 4 and the registered managers award. A service users satisfaction survey is run on a three monthly basis, less formal feedback is enabled by forms left in the front office and the on site presence of the manager in a care and managerial capacity. Service users monies may be held upon their request in small amounts. For those who chose to do so the money is held securely and separately receipts and balances are kept. The records of fire equipment tests, fire drills and teaching are current. A maintenance book is used and signed as work is completed. There are plans to expand capacity by using previously private non-registered accommodation and this will include a new laundry facility. The records of fire equipment tests, fire drills and fire procedure teaching are current. There are plans to expand capacity by using previously private nonregistered accommodation and this will include a new laundry facility. Lansdowne Retirement Home DS0000058657.V280908.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 X X 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X 3 X X STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Lansdowne Retirement Home DS0000058657.V280908.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 OP9 Regulation 13(2) Requirement You must provide lockable storage for self-medication together with risk assessment and policy. Timescale for action 21/02/06 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 Lansdowne Retirement Home DS0000058657.V280908.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Lansdowne Retirement Home DS0000058657.V280908.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. 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