Inspection on 19/01/06 for Larchfield Manor

This inspection was carried out on 19th 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

Larchfield Manor 08/05/07

Larchfield Manor 12/01/05

Larchfield Manor 03/06/04

Similar services:

Snydale Care Home

Abbey The

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Braeburn House - North Yorkshire County Council

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

CARE HOMES FOR OLDER PEOPLE Larchfield Manor Leadhall Lane Harrogate North Yorkshire HG2 9NW Lead Inspector Caroline Long Unannounced Inspection 19th January 2006 10:30 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 Manor DS0000007800.V277703.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 Manor DS0000007800.V277703.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Larchfield Manor Address Leadhall Lane Harrogate North Yorkshire HG2 9NW 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) 01423 871077 01423 873078 Loyalmace Limited Mrs Kathleen Brook Care Home 47 Category(ies) of Old age, not falling within any other category registration, with number (47) of places Larchfield Manor DS0000007800.V277703.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th October 2005 Brief Description of the Service: Larchfield Manor is run by Loyalmace Limited and is registered to provide a care service 47 for older people age 65 years and over. The home is a large converted manor house standing in its own garden and situated close to shops and other community facilities. It is approximately one mile from Harrogate town centre. Accommodation is arranged over three floors and the upper floors are accessible by a vertical passenger lift. Larchfield Manor DS0000007800.V277703.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out on the 19th January 2006. It was unannounced, 2 hours were spent preparing for the inspection and 4.30 hours were spent in the home. Five residents and one relative were asked about their experience of living in and visiting the home. One staff member was asked about working in the home and other staff members were observed interacting with residents. The Deputy Manager on duty assisted with the inspection until the Registered Manager and the Senior Deputy Manager were available. Most of the shared areas and some of the bedrooms were visited. A sample of Resident and Staff files was examined. Verbal and written feedback was given at the end of the inspection to the Registered Manager and the Senior Deputy Manager. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Larchfield Manor DS0000007800.V277703.R01.S.doc Version 5.1 Page 6 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 Manor DS0000007800.V277703.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Residents are able to make an informed choice about the home. EVIDENCE: The Registered Manager explained all residents are provided with information about the home, and their relatives are asked to visit the home on more than one occasion, and have a meal before entering the home. The Registered Manager or other senior staff members visit prospective residents in their own homes or in hospital to assess their needs and ensure the home is suitable. On entering the home all residents are provided with a written contract of terms and conditions. This was confirmed by a resident and by inspection of a case file of a resident who had recently moved into the home. Intermediate care is not provided. Larchfield Manor DS0000007800.V277703.R01.S.doc Version 5.1 Page 8 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): 7,9,10,11 Although residents’ personal and social care needs are met, these maybe compromised by the absence of regular reviews. EVIDENCE: Three residents files were inspected all contained a detailed Service User plan, and risk assessments. The service user plans and risk assessments had been updated following any changes in care needs, however there were inconsistencies of regular reviews, due to the work caused by the transfer of ownership. Although this had no detrimental affect on the care residents received, regular review should be recommenced. Staff were observed working with residents in a considerate and respectful way. They were attentive to the individual needs of residents. Residents said they enjoyed living in the home and talked highly of the staff commenting that they found staff to be helpful and respectful. One resident’s relative said the home met all their expected needs, staff were ‘excellent’ and the home was ‘wonderful.’ Larchfield Manor DS0000007800.V277703.R01.S.doc Version 5.1 Page 9 The systems for the administration and recording of medication were inspected and were satisfactory. The Deputy Manager explained the home would accommodate a long term resident with terminal illness with the support of the GP and District Nurses. Larchfield Manor DS0000007800.V277703.R01.S.doc Version 5.1 Page 10 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): 12,13,14,15 Residents follow a lifestyle that suits their individual needs and maintain regular contact with relatives. EVIDENCE: The home offers a varied program of social activities, which are chosen by the residents by means of a survey. During the inspection residents were observed carrying out various activities of their choice. In the lounge residents were playing chair skittles with staff, one resident was going out to lunch. Photographs available portrayed residents and staff at various theme dinner and outings. Residents confirmed they could choose whether or not to be involved. The cook explained a three-course meal was offered at lunch and evening, residents, an alternative to the menu would be offered if necessary. Residents would normally eat in the dining rooms; if unwell a tray would be taken to their rooms. Residents all said ‘the food was very good’. Visitors were present at the time of the inspection; many were joining the residents for lunch. Residents said that they are able to see their relatives and friends at times convenient to them. A visiting relative also confirmed this. Larchfield Manor DS0000007800.V277703.R01.S.doc Version 5.1 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18 Residents’ complaints are listened to and the home protects them from abuse. EVIDENCE: All five resident said they had no complaints about the service they received from the home, and were aware of how to raise any concerns should they need to. The Deputy Manager explained all minor complaints affecting all residents were discussed at residents meetings, logged in the minutes and dealt with immediately. All individual minor complaints regarding service were not logged. The general complaints log showed no recent complaints. The Deputy Manager confirmed the residents all Residents are able to exercise their right to vote in a general election and have access to independent advocacy services as required. The home has a copy of the North Yorkshire County Council No Secrets and Protection of Vulnerable Adults. The Managers at the home were aware of how to protect residents from abuse. Larchfield Manor DS0000007800.V277703.R01.S.doc Version 5.1 Page 12 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): 19,20,24,25,26 Residents live in a home, which is well maintained, clean and meets their individual needs. EVIDENCE: On inspection the home appeared comfortable, well maintained and clean. All residents’ rooms visited, displayed evidence of their own possessions. Many of the downstairs rooms had patio doors offering direct access to the gardens. Residents who where in their rooms during the inspection, all said they were clean and comfortable. The gardens were landscaped and provided seating areas; the home operated a gardening club for residents. All health and safety records inspected were up to date. Water temperatures to some bedrooms that had been recorded as high were being repaired at during the inspection. Larchfield Manor DS0000007800.V277703.R01.S.doc Version 5.1 Page 13 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): None assessed. EVIDENCE: Larchfield Manor DS0000007800.V277703.R01.S.doc Version 5.1 Page 14 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, 33,35,36,38. This home operates with its residents’ best interest as its priority, the Staff take proper precautions to ensure the health and safety of the residents’. EVIDENCE: There is a clear management structure in the home; all staff confirmed they felt the Registered Manager was approachable. Residents and staff confirmed that regular resident and staff meetings are held and records kept. During the inspection a staff meeting was taking place. The Manager explained the home holds the Investors in People Award, during the inspection the registered provider was carrying out a quality inspection visit. Quality questionnaires were sent out annually to residents and visitors. Two samples of residents’ monies were checked against the records both were correct. The Manager explained the monies were checked, regularly by staff. Larchfield Manor DS0000007800.V277703.R01.S.doc Version 5.1 Page 15 Supervision records examined showed the staff had not received supervision in accordance with the minimum standards, the Manager explained this was due to the recent sale of the business and these had now been recommenced. All health and safety records examined were up to date. Larchfield Manor DS0000007800.V277703.R01.S.doc Version 5.1 Page 16 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 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 X X X 3 3 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 3 X 3 2 X 3 Larchfield Manor DS0000007800.V277703.R01.S.doc Version 5.1 Page 17 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. 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 2 3 Refer to Standard OP7 OP16 OP36 Good Practice Recommendations Service user plans and risk assessment to be reviewed as required by the National Minimum Standards The complaints procedure could be reviewed to ensure it accurately records all complaints. Supervisions are recommenced and carried out to meet the National Minimum Standards requirements. Larchfield Manor DS0000007800.V277703.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Larchfield Manor DS0000007800.V277703.R01.S.doc Version 5.1 Page 19 - 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!