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Inspection on 03/01/06 for Larpool Lane (1) - North Yorkshire County Council

Also see our care home review for Larpool Lane (1) - North Yorkshire County Council for more information

This inspection was carried out on 3rd January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The service provides purpose built residential accommodation for older people. It was noted that staff on duty were going about their roles in a respectful and pleasant way and that residents were relaxed and comfortable. The premises are situated on the same site as a day care centre accessible by residents. The providers ensure that a range of care related training is available to staff with updated training being available as necessary.

What has improved since the last inspection?

A new bathroom has been created on the lower ground floor. A bathroom on the ground floor has a new style accessible bath fitted and the bathroom has been re-painted.

What the care home could do better:

They could ensure that the existing cubical toilet facilities in all areas are replaced with toilet facilities that provide privacy and maintain the dignity of people accommodated. At the time this report is published the provider has confirmed in writing that the upgrading of communal toilet facilities in the home is scheduled for action in the North Yorkshire Service Improvement/Development Plan for 2005/2006. They could ensure that all recruitment documents required by Schedule 2 of the Care Homes Regulations are made available for the purpose of regulation. They could ensure that the home at all times is free from offensive odours. At the time of this report being published a satisfactory action plan in respect to the requirements and recommendations of this report has been received by the Commission.

CARE HOMES FOR OLDER PEOPLE Larpool Lane (1) - North Yorkshire County Council 1 Larpool Lane Whitby North Yorkshire YO22 4JE Lead Inspector Mavis Pickard Unannounced Inspection 03 January 2006 11:00 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 Larpool Lane (1) - North Yorkshire County Council DS0000034288.V266307.R01.S.doc Version 5.0 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. Larpool Lane (1) - North Yorkshire County Council DS0000034288.V266307.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Larpool Lane (1) - North Yorkshire County Council 1 Larpool Lane Whitby North Yorkshire YO22 4JE Address 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) 01947 603582 01947 602 806 North Yorkshire County Council Mrs Avril Elizabeth Paton Care Home 52 Category(ies) of Old age, not falling within any other category registration, with number (52) of places Larpool Lane (1) - North Yorkshire County Council DS0000034288.V266307.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25 August 2005. Brief Description of the Service: 1 Larpool Lane is a care home providing personal care and accommodation for up to 51 older people. It is owned by North Yorkshire County Council. The premises located on the eastside of of Whitby about 1 mile from the ‘old town’ shops and amenities provides resident accommodation over 2 floors and has a passenger lift. All bedrooms are for single single occupancy. There is level access to the front and rear of the grounds where suitable garden furniture is provided. Larpool Lane (1) - North Yorkshire County Council DS0000034288.V266307.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over a 3-hour period. The registered manager was not available and the inspection was facilitated by a deputy manager other staff members. The home was running well; residents said that they had enjoyed a ‘New Years’ party the day previously to which friends and family members had been invited. Overall the home presented as being clean although it was discussed with the person in charge that an unpleasant odour of urine was detectible in the entrance hall and some ground floor areas. The home’s registration certificate advises that the home is registered to accommodate 52 people. The home has however 51 single bedrooms. The person in charge during this visit advised that a bedroom has recently been made into a bathroom. It is not clear if this information has been formally passed to the registering authority. What the service does well: What has improved since the last inspection? A new bathroom has been created on the lower ground floor. A bathroom on the ground floor has a new style accessible bath fitted and the bathroom has been re-painted. Larpool Lane (1) - North Yorkshire County Council DS0000034288.V266307.R01.S.doc Version 5.0 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. Larpool Lane (1) - North Yorkshire County Council DS0000034288.V266307.R01.S.doc Version 5.0 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 Larpool Lane (1) - North Yorkshire County Council DS0000034288.V266307.R01.S.doc Version 5.0 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): 1,4 and 6 Appropriate information is provided to all prospective residents and/or their representative. Written confirmation is not provided to people advising them that the home can meet their needs. Intermediate care is not provided. EVIDENCE: The home’s statement of purpose and service user information was examined evidencing that prospective residents and their representatives are provided with a range of useful information prior to being admitted. However the person in charge said that prospective residents and /or their representative do not receive written confirmation confirming that the home can meet their assessed needs. The home does not offer intermediate care services. Larpool Lane (1) - North Yorkshire County Council DS0000034288.V266307.R01.S.doc Version 5.0 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): 10 Resident’s rights to dignity and privacy are not always upheld. EVIDENCE: From direct observation it is clear that staff treat residents with respect, people spoken with said that staff treat them well. However the home’s ‘communal’ lavatory facilities are of a cubical style. Clearly residents have become used to this style of facility since their admission and have in effect not been given a choice in respect to this issue. Although generally such cubical facilities are commonplace in public toilets, where more space is required for wheelchair users and/or where personal assistance is required, public disabled facilities are generally of a style that provide space and comfort for residents and helpers and ensure that privacy and dignity is upheld. The type of lavatory facilities provided communally in this home fall short of this standard. Larpool Lane (1) - North Yorkshire County Council DS0000034288.V266307.R01.S.doc Version 5.0 Page 10 Staff spoken to during this visit stated that they feel that resident’s privacy is not respected nor their dignity upheld by having to use such facilities, their continued use is considered unacceptable. The person in charge during this visit said that it is North Yorkshire County Council’s [LA’s] intentions to replace this style of lavatory with more conventional facilities. From previous inspection reports it is clear that this issue has been raised with the LA over a protracted period of time. This situation is unsatisfactory. [Please refer to standard 21(1)] Larpool Lane (1) - North Yorkshire County Council DS0000034288.V266307.R01.S.doc Version 5.0 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): None of these standards examined at this visit. EVIDENCE: Larpool Lane (1) - North Yorkshire County Council DS0000034288.V266307.R01.S.doc Version 5.0 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): 18 The home maintains appropriate policies and procedures in respect to Adult Protection. EVIDENCE: The person in charge was spoken with in respect the home’s practice regarding adult protection. The staff member was clear about her responsibilities regarding this issue and understood what she would be expected to do should there be a suspicion that any abuse had or was likely to take place in the home. The organisation ensures that appropriate policies and procedures are in place to provide guidance for staff about this issue. However the person in charge said that staff had not undertaken training specific to the recognition and/or handling an abusive situation. The staff-training matrix which is kept on the home’s computer showed that although a range of care related training has been undertaken by management and staff with regular updates, adult protection training has not yet been completed. Larpool Lane (1) - North Yorkshire County Council DS0000034288.V266307.R01.S.doc Version 5.0 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): 21 and 26 The lavatories provided are not wholly suitable for people accommodated. Unpleasant odours were detected in some communal areas of the home. EVIDENCE: The home provided sufficient toilets for the numbers of people accommodated. However the style of lavatory provision does not wholly met the needs of people accommodated. There are privacy and dignity issues in respect to the provision of cubical style lavatories throughout the home. [Please refer to standard 10] There are also issues regarding the difficulty that staff find when attending to the continence needs of residents particularly should the resident be a wheelchair user or require staff to assist. From direct observation of the space provided by this style of lavatory it is clear that they are not suitable for all people accommodated. Larpool Lane (1) - North Yorkshire County Council DS0000034288.V266307.R01.S.doc Version 5.0 Page 14 The person in charge said that it is the organisations intent to replace the cubical toilets with a more modern and satisfactory type of provision. It is required by this report that a timescale be forwarded to the Commission in respect to this issue being resolved. A tour of the home was undertaken that showed the home was generally clean and tidy although some smaller sitting rooms were being used to store spare furniture. However it was concerning to note that some communal areas of the home smelled strongly of urine, particularly the entrance hall and corridors on the ground floor. Larpool Lane (1) - North Yorkshire County Council DS0000034288.V266307.R01.S.doc Version 5.0 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 Not all records required to be made available for the purpose of regulation were made available. EVIDENCE: The National Minimum Standards, ‘Care Homes for Older People’ recommend that residents are supported and protected by the home’s recruitment policy and practice. The only way in which this situation can be evidenced is that all recruitment records required by Schedule 2 and Schedule 4 (6)of the Care Homes Regulations 2001are made available for the purpose of regulation. On the day of this visit these records were incomplete. The recruitment records of the 3 most recent people employed as care workers were requested. In the case of 2 people no records were available and in the case of 1 person partial records were available. The organisation has agreed previously that a copy of all recruitment records will be made available in the home; on this occasion this was not the case. There was evidence however that the Criminal Records Bureau [CRB] and Protection of Vulnerable Adults [POVA] disclosures for all 3 people had been satisfactorily received. Larpool Lane (1) - North Yorkshire County Council DS0000034288.V266307.R01.S.doc Version 5.0 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): 33 It is not evidenced that the home is run in the best interests of residents. EVIDENCE: Although the home undertakes quality assurance monitoring based on seeking the views of residents and/or their family and others about the service it provides. There is no evidence that the resulting information is used. There is no evidence made available for the purpose of regulation in the home that the feedback from people targeted by the questionnaires is used to provide an annual development plan to improve and develop the environment and or services provided by the home. Larpool Lane (1) - North Yorkshire County Council DS0000034288.V266307.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X X 1 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 1 11 X 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 X 18 2 X X 1 X X X X 1 STAFFING Standard No Score 27 X 28 X 29 1 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 1 X X X X X Larpool Lane (1) - North Yorkshire County Council DS0000034288.V266307.R01.S.doc Version 5.0 Page 18 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 OP4 Regulation 14(1)(d) Timescale for action The registered person must 03/01/06 confirm in writing to the residents/their representative that having regard to the assessment the home can meet their health and welfare needs. The registered person must 30/01/06 forward to the Commission how they intend to ensure resident’s privacy and dignity are respected at all times with particular regards using the lavatory. Giving timescales for their intended improvement of communal lavatory facilities in the home. 3 OP21 23(2)(a) (f)(n) 16(2)(k) 17(2) & Sch4(6) The registered provider must 30/03/06 ensure that lavatory facilities provided in the home meet the needs of people accommodated. The registered person must 03/01/06 ensure that the premises are kept free from offensive odours. The registered provider must 03/01/06 keep in the home and make available for the purpose of regulation staff records required DS0000034288.V266307.R01.S.doc Version 5.0 Page 19 Requirement 2 OP10 12(4)(a) 4 5 OP26 OP29 Larpool Lane (1) - North Yorkshire County Council 6 OP33 24(1)(a) (b)2 & 3 by Schedule 4 (6) The registered person must 30/01/06 ensure that the results of service user surveys are published and made available to interested parties including the CSCI. 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 18 Good Practice Recommendations The registered provider should ensure that all staff receives training in respect to the protection of vulnerable adults. Larpool Lane (1) - North Yorkshire County Council DS0000034288.V266307.R01.S.doc Version 5.0 Page 20 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 Larpool Lane (1) - North Yorkshire County Council DS0000034288.V266307.R01.S.doc Version 5.0 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. 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. 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