Inspection on 25/08/05 for Larpool Lane (1) - North Yorkshire County Council

This inspection was carried out on 25th August 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.

Other inspections for this house

Larpool Lane (1) - North... 30/04/08

Larpool Lane (1) - North... 31/05/07

Larpool Lane (1) - North... 22/06/06

Larpool Lane (1) - North... 03/01/06

Larpool Lane (1) - North... 12/01/05

Larpool Lane (1) - North... 27/04/04

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

CARE HOMES FOR OLDER PEOPLE North Yorkshire County Council 1 Larpool Lane 1 Larpool Lane Whitby North Yorkshire YO22 4JE Lead Inspector Pauline ORourke Unannounced 25 August 2005 08:45-14:30 th 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. North Yorkshire County Council 1 Larpool Lane J53_J04_S34288 Larpool Lane_V241565_stage 4_110805.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service North Yorkshire County Council 1 Larpool Lane 1 Larpool Lane Whitby North Yorkshire YO22 4JE 01947 603582 01947 602806 Address 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) North Yorkshire County Council Mrs Avril Paton Care Home 52 Category(ies) of Old age, not falling within any other category registration, with number (52) of places North Yorkshire County Council 1 Larpool Lane J53_J04_S34288 Larpool Lane_V241565_stage 4_110805.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 12th January 2005. Brief Description of the Service: 1 Larpool Lane is a care home providing personal care and accommodation for up to 52 older people. It is owned by North Yorkshire County Council. The home is located on the outskirts of Whitby. There is a steep hill down towards the centre of the town. The home consists of a two-storey building with a passenger lift and stairs between floors. All the home’s bedrooms are single rooms. There is access to the grounds where suitable garden furniture is provided for those service users who wish to sit outside. North Yorkshire County Council 1 Larpool Lane J53_J04_S34288 Larpool Lane_V241565_stage 4_110805.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection including preparation time took place over 10 hours. A tour of the building was conducted. A number of the service users records, staff records and records about the management of the home were inspected. 13 of the 42 service users, 5 of the 7 staff on duty, a community health worker and a GP were spoken with. What the service does well: What has improved since the last inspection? What they could do better: On this visit it was apparent that the manager had been able to appoint new staff, however the checks that need to be carried out were not always completed before they started work. So the manager must ensure that all new staff have a Criminal Records Bureau disclosure prior to them starting work. They must also ensure that written references are obtained in support of any application. North Yorkshire County Council 1 Larpool Lane J53_J04_S34288 Larpool Lane_V241565_stage 4_110805.doc Version 1.40 Page 6 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. North Yorkshire County Council 1 Larpool Lane J53_J04_S34288 Larpool Lane_V241565_stage 4_110805.doc Version 1.40 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 North Yorkshire County Council 1 Larpool Lane J53_J04_S34288 Larpool Lane_V241565_stage 4_110805.doc Version 1.40 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) 3 The service users can be assured that their care needs will be met. EVIDENCE: The service user files seen contained copies of an assessment by a care manager. The registered manager confirmed that they do visit all prospective service uses before their admission. However they do not keep a record of their assessment. Service users spoken with confirmed they had seen someone from the home prior to their admission. A care manager spoken with confirmed it is now regular practice for the home to carry out their own assessment prior to any admission. North Yorkshire County Council 1 Larpool Lane J53_J04_S34288 Larpool Lane_V241565_stage 4_110805.doc Version 1.40 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 health, social care and personal needs of the service users are met. All members of staff treat the service users with respect. EVIDENCE: The service user files seen contained a Promotion of Independence Plan. This document was pertinent to the individual concerned and those service users spoken with were aware of their plans. A key worker reviews these plans at monthly intervals with the service users. The service users files contained information about their health needs and details of GP visits and district nurses are recorded. The service users spoken with said that they could see their GP on request and that any visits made either to the home or the surgery were in private. A GP spoken with said that they are only called when necessary and they are always able to see their patient in private, staff assist as required and are always respectful to the service users. Staff were observed treating the service users with respect at all times. The service users said that staff always treat them with respect and try to preserve their dignity at all times. North Yorkshire County Council 1 Larpool Lane J53_J04_S34288 Larpool Lane_V241565_stage 4_110805.doc Version 1.40 Page 10 There is a medication policy in place and all staff who administer the medication have received appropriate training. The storage, dispensing and documentation of the medication was in line with the policy and procedure of the home. North Yorkshire County Council 1 Larpool Lane J53_J04_S34288 Larpool Lane_V241565_stage 4_110805.doc Version 1.40 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 and 15. The service users are able to keep their own routine within the home and join in with social activities. The service users have a varied and balanced diet. EVIDENCE: A visitors’ policy is in place and all visitors sign a visitor’s book on entering the home. The service user said that their visitors are always made welcome and can visit at anytime. The service users spoken with expressed satisfaction at the quality and quantity of the food provided. They confirmed that choices are available at each meal. The meal observed was relaxed and the staff assisted service users appropriately where necessary. A new eight-week menu has been developed; it was examined and appeared to provide a balanced and nutritious diet. The cook explained that local fresh produce is used and they are able to vary the menu to include seasonal foods. The service users spoken with said that they are able to maintain their own routines in the home, although they acknowledged when they needed assistance the flexibility to their day was limited. Activities are available for the service users, and these have included trips to see the Tall Ships, a scarecrow competition in a local village, exercise sessions, quizzes. and entertainers. North Yorkshire County Council 1 Larpool Lane J53_J04_S34288 Larpool Lane_V241565_stage 4_110805.doc Version 1.40 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. Service Users were confident that any complaints or concerns they had could be raised and acted upon. Service users are not protected from possible abuse as recruitment is not carried out in accordance with employment policies. EVIDENCE: North Yorkshire Social Services has a detailed complaints policy. This policy is provided to all the residents and is displayed around the home. There have been no complaints made to the CSCI or the home in the last 12 months. Service users spoken with all said that if they had any problems there was someone within the home they would go to. There is an Adult Protection Policy in place. Staff spoken with had received training in Adult Protection issues and they had a good understanding of their responsibilities if they believed any inappropriate behaviour was taking place. Policies are also in place regarding the management of service users money. However, staff files seen did not contain evidence of a POVAFIRST or a Criminal Records Bureau disclosure. North Yorkshire County Council 1 Larpool Lane J53_J04_S34288 Larpool Lane_V241565_stage 4_110805.doc Version 1.40 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 and 26 The service users live in a clean and well-maintained environment. EVIDENCE: The home was seen to be well maintained and suitable for its stated purpose and there is disabled access throughout the home. It is situated close to a general store and within walking distance of the town of Whitby. All areas of the home seen were clean and free from odour. A schedule of improvements was seen and the toilets currently cubicle in style are due to be made in to single units within the next 12 months. North Yorkshire County Council 1 Larpool Lane J53_J04_S34288 Larpool Lane_V241565_stage 4_110805.doc Version 1.40 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) 27, 29 and 30. Service users are not fully protected from possible abuse, as the recruitment policy is not properly implemented. The service users needs are met by trained staff. EVIDENCE: The staffing levels have not reduced since the home was registered with the Commission. Discussions with staff highlighted that they feel the current staffing level can seem stretched. However, the registered manager is managing this by managing the dependency levels of the home through the assessments of prospective service users. The care staff are supported by the domestic staff and together they provide an effective team. The staff files of three staff members employed in that time were inspected they did not all contain the necessary documentation as required by the Care Homes Regulations 2001. There were criminal records bureau disclosures, but these were dated after the commencement date of the employee. The registered manager did confirm that one member of staff had a POVAFIRST check and she thought the other staff member had also had a check but there was no evidence to support this so the protection of the residents could not be guaranteed. One of the files only contained verbal references and written one must be supplied. The residents spoken to said that the staff were ‘first class’ and ‘very nice’. They said that the staff were helpful and they appreciated the fact that they organise some of the activities whilst being very busy. North Yorkshire County Council 1 Larpool Lane J53_J04_S34288 Larpool Lane_V241565_stage 4_110805.doc Version 1.40 Page 15 The staff receive regular training and currently 63 of the staff have a National Vocation Qualification level 2. North Yorkshire County Council 1 Larpool Lane J53_J04_S34288 Larpool Lane_V241565_stage 4_110805.doc Version 1.40 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 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) 35 and 38 The health and safety of the service users and staff is promoted. Policies and procedures are in place to ensure the service users’ financial interests are safeguarded EVIDENCE: The service users’ financial interests are safeguarded. Staff handle the personal allowance for several service users and the appropriate records were accurate and up to date. The staff spoken with during the inspection said that they had received training in, back care, first aid, food hygiene, COSHH, and fire training. Evidence of this was seen in their records. The equipment used in the home is serviced at the prescribed intervals. Health and safety notices were displayed around the building. North Yorkshire County Council 1 Larpool Lane J53_J04_S34288 Larpool Lane_V241565_stage 4_110805.doc Version 1.40 Page 17 Accidents are properly recorded and where necessary reported to the Commission for Social Care Inspection. Information from the accident records is used in the care planning process. All staff can access Induction and Foundation training, this provides them with basic skills required to undertake the role of resource worker. North Yorkshire County Council 1 Larpool Lane J53_J04_S34288 Larpool Lane_V241565_stage 4_110805.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 1 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 1 x x x x 3 x x 3 North Yorkshire County Council 1 Larpool Lane J53_J04_S34288 Larpool Lane_V241565_stage 4_110805.doc Version 1.40 Page 19 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 18 and 29 Regulation 19(1)b Requirement All staff must have a POVAFIRST disclosure or a Criminal Records Burueau Disclosure and two written references prior to their deployment in the home. Timescale for action with effect from 25.08.05 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 North Yorkshire County Council 1 Larpool Lane J53_J04_S34288 Larpool Lane_V241565_stage 4_110805.doc Version 1.40 Page 20 Commission for Social Care Inspection 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 North Yorkshire County Council 1 Larpool Lane J53_J04_S34288 Larpool Lane_V241565_stage 4_110805.doc Version 1.40 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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