Inspection on 20/04/05 for Lapstone House

This inspection was carried out on 20th April 2005.

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

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

Other inspections for this house

Lapstone House 13/04/07

Lapstone House 27/10/05

Lapstone House 18/11/04

Lapstone House 28/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Lapstone House Lapstone Road Millom Cumbria LA18 4BY Lead Inspector Cath Wilson Announced 20 April 2005 at 9.30am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Lapstone House F58-F10 s35223 lapstone house v213868 200405 ai stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Lapstone House Address Lapstone Road, Millom, Cumbria LA18 4BY Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01229 772527 Cumbria Care Miss Christine Pidduck Care Home 25 Category(ies) of Up to 25 service users in category of OP (Older registration, with number People) of places Up to 7 service users in the category of DE(E) (Dementia over 65 years of age) Lapstone House F58-F10 s35223 lapstone house v213868 200405 ai stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 2. The home is registered for a maximum of 25 service users to include: Up to 25 service users in the category of OP (Older People) Up to 7 service users in the category of DE(E) (Dementia over 65 years of age). 3. The staffing levels for the home must meet the Residential Forum Care Staffing Formula for Older Adults. 4. When single rooms of less than 12 sqm usable floor space become available they must not be used to accommodate wheelchair users and where existing wheelchair users are in bedrooms of less than 12 sqm they must be given the opportunity to move to a larger room when one becomes available. Date of last inspection 18 November 2004 Brief Description of the Service: Cumbria Care is an internal Business Unit of Cumbria County Council and they operate Lapstone House. The care and services can be provided for 25 older people of whom 7 may have special mental health needs. Lapstone House is situated in the centre of Millom which is a small town in the South Lake District. There are local facilities and services close to the home. There are three units and each provides their own sitting room, dining areas, bathing, and shower facilities. One of these units is for people with dementia. There are outside seating facilities and a small-enclosed garden and patio to the rear of the building. Car parking facilities are available at the front of the home. Lapstone House F58-F10 s35223 lapstone house v213868 200405 ai stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that started at 9.30 in the morning and took place over 6 hours. The people in the home and some of their family provided valuable views about their care prior to the inspection through comment cards. People met with the inspector during the inspection and also shared their views and opinions about their life in the home. This was done in an individual meeting with the inspector, during lunch, in the communal rooms or in the privacy of private rooms. The manager and staff were also met separately and in the company of residents. A number of records were inspected and the inspector looked around the home. What the service does well: What has improved since the last inspection? The requirements and recommendations following the last inspection had been implemented well within the timescales requested. The plan for ongoing attention to furnishings and decorations continues. Lapstone House F58-F10 s35223 lapstone house v213868 200405 ai stage 4.doc Version 1.30 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. Lapstone House F58-F10 s35223 lapstone house v213868 200405 ai stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Lapstone House F58-F10 s35223 lapstone house v213868 200405 ai stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 3, and 5 The admission procedures ensure that prospective residents receive the information and support they need to make an informed choice before moving into the home. EVIDENCE: The admission procedure is kept up-to-date and guided the manager and staff on the necessary actions to take in assessing and planning for each individual entering the home. People informed the inspector that their care had been discussed with them and this had been recorded. The manager and staff are fully informed of people’s care needs and rightly placed great importance on people’s continued health and welfare. Individual records that were inspected contained an assessment. The home provides a Statement of Purpose and this had been revised and available to everyone in the home and their relatives. This ensures that people are informed of the services and care provided by the home. The Commission for Social Care Inspection had also been informed of this revision. Lapstone House F58-F10 s35223 lapstone house v213868 200405 ai stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10 The identified individual health, personal and social needs are recorded in an accessible and detailed manner. The manager and staff have detailed knowledge of people’s comprehensive needs and requirements through the care planning used. This greatly limits any possible or potential risk to people in the home. EVIDENCE: People have an individual care plan that comprehensively details their needs and the actions needed to meet them. These documents are kept up-to-date and reviewed and had been regularly checked by the manager. People were comfortable with their care and able to air their views about this to the manager and staff. Important events in the home and daily records are recorded, as are personal and environment risk assessments. People informed the inspector they were respected and their care provided in a kindly, sensitive and attentive manner. Medication is securely stored and administered and staff are following the home’s policy and procedure for this. Designated staff are trained in these matters. The manner in which people’s health and Lapstone House F58-F10 s35223 lapstone house v213868 200405 ai stage 4.doc Version 1.30 Page 10 personal care is provided by the manager and staff shows that at the time of this inspection people are protected and safeguarded. Lapstone House F58-F10 s35223 lapstone house v213868 200405 ai stage 4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 All of these standards were assessed during this announced inspection and the outcome for these were found to be met. People can involve themselves in a variety of social interests and pastimes and observe their cultural and religious wishes. Meals provide a healthy and varied diet for people. EVIDENCE: Visitors visit the home regularly and arrangements are in place for contact to be maintained in other ways. People’s individual preferences are detailed in their records. One resident was delighted at the little things staff did for her so that one of her particular hobbies continued. This brought an immense amount of pleasure to both the resident and their relatives. People said they are comfortable in the knowledge that they can choose how they spend their time and can join in things or change their mind. ‘ Whatever they choose.’ There is a choice of menus and meal times are flexible to meet individual needs and wishes. There are currently activities and interests available to people. However, the inspector was informed that ongoing work is being undertaken about this. This will then afford people a wider choice and different stimulation and pleasure. Lapstone House F58-F10 s35223 lapstone house v213868 200405 ai stage 4.doc Version 1.30 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 The home follows the vulnerable adults procedure to ensure that the people living in the home are protected from abuse. There is a satisfactory complaints procedure available to people and their relatives. EVIDENCE: The home has a detailed complaints procedure and response system. There have been no complaints received by the Commission for Social Care Inspection or the home since the last inspection. People who met the inspector know how to air their views. They can also bring up any matters of concern to them in residents meetings as well as individually. The manager and staff fully indicated their awareness of adult protection procedures and the practices needed. Staff spoken to are clear about the responses required and confirmed they had received training in this. Lapstone House F58-F10 s35223 lapstone house v213868 200405 ai stage 4.doc Version 1.30 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 23, 24, 25 and 26 People are provided with safe, comfortable and relaxing surroundings that include specialist facilities and adaptations. EVIDENCE: There are risk assessments in place for the environment that are up-to-date. This is for the inside as well as the outside of the home. There is a recorded programme in place to maintain the furnishings and fittings and this has been time-scaled for completion. This will ensure that the comfortable and homely surroundings are maintained for the ongoing benefit of people in the home. People who showed the inspector their room were delighted to have their own things around them. They had the rooms arranged the way they wanted and found staff very kind and helpful with this also. The outside garden and patio areas are cared for. Arrangements for additional outdoor seating are being considered and this will make sure that people can continue to use this area safely. The latest visit from the Development and Environment Office in February 2005 found that the premises complied with legal requirements. Lapstone House F58-F10 s35223 lapstone house v213868 200405 ai stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28, 29 and 30 The home follows the Cumbria Care procedure for the recruitment of staff. These are robust and offer protection to people living in the home as does the training and development programme for all staff. EVIDENCE: People living in the home spoke highly of staff and found them hardworking and caring and sensitive to their needs. People indicated that staff showed them many kindnesses and did lots of little things that made their lives fulfilling. People did say that staff were sometimes very busy and they ‘didn’t like to bother them.’ This was discussed with the manager who has a monitoring system in place to address this matter to make sure that enough staff will be available. Staff had received regular supervision and said they felt encouraged and supported in their work. Staff are provided with an individual training and development programme. Records of these are up-to-date. Lapstone House F58-F10 s35223 lapstone house v213868 200405 ai stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 36, 37 and 38 There is very positive leadership, guidance and direction for staff to make sure that residents receive a consistent quality of care. These practices promote and safeguard the health, safety and welfare of people in the home. EVIDENCE: There are sufficient staff on duty at the time of the inspection to meet the needs of service users. The manager and staff are clear about their roles and balance their work so that individual and communal needs of people in the home are met. This also included the completion of the necessary paper work. This makes sure individual residents needs and details are up-to-date, and staff appropriately informed to accurately meet people’s needs. The registered manager is highly qualified and experienced in a managerial position. The Lapstone House F58-F10 s35223 lapstone house v213868 200405 ai stage 4.doc Version 1.30 Page 16 records inspected ensure that people’s rights and best interests are safeguarded. Individual records for people are comprehensive, well written and up-to-date and set out clear actions to be taken and the progress made. Records indicated that fire drills and instructions had taken place regularly and staff confirmed this. Records show that the homes services are kept up-todate. Lapstone House F58-F10 s35223 lapstone house v213868 200405 ai stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 x 3 3 3 3 STAFFING Standard No Score 27 x 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x x 3 3 3 Lapstone House F58-F10 s35223 lapstone house v213868 200405 ai stage 4.doc Version 1.30 Page 18 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Lapstone House F58-F10 s35223 lapstone house v213868 200405 ai stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith, Cumbria CA11 9BP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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