Inspection on 14/03/06 for Larchfield

This inspection was carried out on 14th March 2006.

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.

Other inspections for this house

Larchfield 10/11/06

Larchfield 20/10/05

Larchfield 16/09/04

Larchfield 15/06/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Larchfield Joseph Street Leeds West Yorkshire LS10 2AD Lead Inspector Valerie Francis Unannounced Inspection 14th March 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 Larchfield DS0000001473.V285363.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. Larchfield DS0000001473.V285363.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Larchfield Address Joseph Street Leeds West Yorkshire LS10 2AD 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) 0113 2772284 (0113) 2705280 Anchor Trust Mrs Caroline Rhodes Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (39), Physical disability (4) of places Larchfield DS0000001473.V285363.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The PD places are for the use only of the specified service users Date of last inspection 20th October 2005 Brief Description of the Service: Larchfield’s is owned by Anchor Trust, a registered charity and managed on their behalf by Mrs Caroline Rhodes. The care home provides care and accommodation for up to forty older people, five of who may have a physical disability. Larchfield is purpose built and opened in 1990. The care home is situated in a quiet cul-de-sac; to one side are eight properties, which provide housing for single persons who are supported by a visiting warden. These houses have no connection with the care home, apart from the fact that they are owned by the organisation. A short walk from the home is the main road, which is well served by public transport. There are also local shops, which are within easy reach if service users do not wish to travel far. There is a perimeter fence around the building for added security. The care home is on two floors, there is a passenger lift. All bedrooms are single, with en-suite facilities. There are two dining areas on each floor, one communal lounge on the ground floor and a quiet sitting room on the first floor. The large kitchen is fitted with commercial equipment and is not used by service users. Small appliances are provided in service users rooms for their own use and in the dining areas. All service users are subject to a risk assessment prior to them using any appliances. There is a staff room, which doubles up as a training room. There are two communal bathrooms on each floor; each is fitted with specialist equipment. There is also a shower available. All laundry is dealt with in house, consequently a large laundry area is provided. An emergency call system is fitted throughout the home, which can be used to summon assistance if required. Respite care is provided if there is a vacancy and the home can meet the needs of the service user wishing to stay. Staff are provided over twenty-four hours and there are good systems in place for contact with senior managers. Larchfield DS0000001473.V285363.R01.S.doc Version 5.1 Page 5 Larchfield DS0000001473.V285363.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. Over an inspection year from April until March, regulated care homes have a minimum of two inspections a year; these may be announced or unannounced. The last inspection was unannounced and took place on the 30 March 2005. There have been no further inspections until this unannounced visit. The people who live in the home prefer the term resident, and this is the term that will be used throughout this report. The purpose of this inspection was to gain an overview of the care, services and facilities provided. During the inspection records were looked at, some parts of the home were seen, such as bedrooms, lounges and bathrooms; care staff were seen carrying out their work; conversations were held with the manager, five members of staff, two relatives and seven residents. Survey cards were left at the home for residents, relatives or visitors to complete and return to the Commission for Social Care Inspection (CSCI). These cards provide an opportunity for people to share their views of the service with the CSCI. Comments received in this way will be shared with the provider without revealing the identity of those who replied. There was no response to the time of this report was written. What the service does well: What has improved since the last inspection? Plans are in place for the refurbishment of the bathrooms with new assisted bath fitted. The perimeter fence has been erected around the home. Larchfield DS0000001473.V285363.R01.S.doc Version 5.1 Page 7 The issue raised at the last inspection regarding the badly fitted glass office door has been addressed. All effort has been made to keep the home free from unpleasant odours. 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. Larchfield DS0000001473.V285363.R01.S.doc Version 5.1 Page 8 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 Larchfield DS0000001473.V285363.R01.S.doc Version 5.1 Page 9 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. People who use the service are able to access clear and accurate information to help then decide whether or not they wish to live in the home. EVIDENCE: The current information accurately reflects the care and services provided. The home. The statement of purpose and service user guide is regularly reviewed to make sure that prospective residents and others have up to date information about the home and the services provided and the about the staff who deliver the care. Larchfield DS0000001473.V285363.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. Training is being provided to put systems in place for the care of residents coming to the end of their life. EVIDENCE: Information for residents’ last wishes is taken seriously so much so that the manager said all effort is made to work with residents, to ensure that information is obtained in order that their last wishes would be carried out, and a plan of care is in place for staff to follow. The manager told the inspector of a four days course “ End of Life”, that she was attending. Over the three days sessions they would look at all aspects connected with dying and death. The manager and her staff work closely with other agencies so that residents who wish to die in the home do so with dignity, receiving the planned care. The manager said on the whole residents do not want to discuss end of life issues, but all effort is made to work with residents. The plan in place was for the manager to attend a course” End of Life” and for staff to receive cascade training from the home manager when the course is Larchfield DS0000001473.V285363.R01.S.doc Version 5.1 Page 11 completed, but at present the manager and staff work together using the Policy and procedure on dying and death. Larchfield DS0000001473.V285363.R01.S.doc Version 5.1 Page 12 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): These standards was not assessed at this inspection. EVIDENCE: Larchfield DS0000001473.V285363.R01.S.doc Version 5.1 Page 13 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): 17. There are systems in place for service users legal rights to be protected. EVIDENCE: The home works with Age Concern Advocacy, and if there were any concerns an advocate would brought to advocate on behalf of the for residents who do not have any families or friends to advocate on their behalf. Residents have the opportunity to vote, which is either at polling stations in the community, or postal votes, on the whole residents use community facilities. Larchfield DS0000001473.V285363.R01.S.doc Version 5.1 Page 14 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): 19,21,22, 23 & 26. The home is safe and well maintained and offers comfortable communal lounge areas. It is well located being close to churches shopping centres, banks and pubs. Bedrooms suit personal needs and can be personalised with own possessions and made private. Plans are in place for the upgrade of bathrooms and new assisted baths fitted. EVIDENCE: The home is well located giving the residents easy access to buses to Leeds city centre, Wakefield and Rothwell. The building is well maintained with a programme of refurbishment and replacement. Since the last inspection the perimeter wrought iron fencing has been erected to give more security to the home and the people living there. Staff have had infection control training. An inspection by the Environmental Health services for the kitchen has been carried out, and all recommendations made have been addressed. Risk assessment has been carried out with action plan how the minimise the potential risk. Larchfield DS0000001473.V285363.R01.S.doc Version 5.1 Page 15 The home has aids that make things like bathing and toileting easier. Standards of cleanliness are good. Larchfield DS0000001473.V285363.R01.S.doc Version 5.1 Page 16 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): 30. The staff are experienced, well trained and know what they are doing. They have good relationships with the residents and care for them well. EVIDENCE: All new staff receives 4 weeks induction training. A designated trainer for the home makes sure that staff have their induction training. All staff have a portfolio which provides written evidence of the training undertaken by the member of staff. Seven care staff at the time had National Vocational Qualification level 2, 13 staff are currently undertaking an NVQ 2 and four staff are doing NVQ 3. Designated staff that administer and deal with resident’s medication were at the time undertaking a distance learning course on safe handling of medicine. The policy and procedure on safe handling of medicine to be reviewed and up dated to make sure that staff comply with the current recommendations. The manager is to undertake a course, Training for Trainers on Adult Protection, so the she can provide staff with training and regular updates. The staff are committed to this because they know it helps them. Larchfield DS0000001473.V285363.R01.S.doc Version 5.1 Page 17 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, 34,36,37 & 38. The home is well managed and the interests of the residents are the main concern of the manager and staff. Record keeping, safety checks and systems of communication make sure that the home is a safe place to live. EVIDENCE: The home is well managed and encouragement is given to work closely with staff to carry out their duties. There is clear leadership in the home. The manager is very experienced to manage staff and care for residents. She has completed the Registered Manager’s Award course. She likes things right for the residents and personally checks that they are. The record keeping in the home is good, resident’s information is clear and up to date including risk assessments, and regular safety checks are made on equipment and are recorded to make sure the building is safe. The atmosphere in the home is warm and friendly which residents appear to like. Larchfield DS0000001473.V285363.R01.S.doc Version 5.1 Page 18 The manager has some control of the home’s budget with support from her line manager. The manager also works with higher line management of the home looking at the home’s business plan. The manager carries out regular one to one supervision of all staff, and there is daily support from the “open door policy” in the home, which gives staff the opportunity to discuss areas of their job, and any personal issues that would affect their work. A Quality assurance survey was last carried out in February, and an action plan of the outcome is to be sent to the CSCI area office. In the main residents look after their personal allowance and any monies kept a record is kept. Larchfield DS0000001473.V285363.R01.S.doc Version 5.1 Page 19 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 3 X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X 3 X 3 3 3 X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 4 X 3 X 3 3 3 Larchfield DS0000001473.V285363.R01.S.doc Version 5.1 Page 20 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 OP11 Regulation 18 Requirement The registered manager must make sure that staff have training on dying and death Timescale for action 30/06/06 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 Larchfield DS0000001473.V285363.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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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