Inspection on 19/10/05 for Laureate Court Care Centre

This inspection was carried out on 19th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Laureate Court Care Centre 18/02/08

Laureate Court Care Centre 22/02/07

Laureate Court Care Centre 29/06/05

Laureate Court Care Centre 31/01/05

Laureate Court Care Centre 18/08/04

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

CARE HOMES FOR OLDER PEOPLE Laureate Court Care Centre Wellgate Rotherham South Yorkshire S60 2QB Lead Inspector Alan Bartrop Unannounced Inspection 19th October 2005 08:50 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 Laureate Court Care Centre DS0000003081.V256248.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. Laureate Court Care Centre DS0000003081.V256248.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Laureate Court Care Centre Address Wellgate Rotherham South Yorkshire S60 2QB 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) 01709 838278 01709 382692 laureate.court@ashbourne-healthcare.co.uk Ashbourne (Eton) Limited Cheryl Bailey Care Home 84 Category(ies) of Dementia - over 65 years of age (84), Mental registration, with number disorder, excluding learning disability or of places dementia (84) Laureate Court Care Centre DS0000003081.V256248.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The category of persons for whom accommodation is provided shall be persons in need of such by reason of MD Mental Disorder (Age 45 years and over) Two named clients under the age of 45 years requiring Mental Disorder (MD) be allowed to reside at the home. One named client over 65 years requiring nursing care (OP) be allowed to reside at the home. 26/5/05 Date of last inspection Brief Description of the Service: Laureate Court is a care home with nursing providing care for service users with dementia and mental disorders. The home is registered for 84 places and divided into 3 units, each with a separate care manager and staff team. The home is located close to Rotherham town centre and Clifton Park. It was purpose built and has well-maintained, safe useable garden areas and a large car park. Laureate Court Care Centre DS0000003081.V256248.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which stated at 08:45 and ended at 14:30. The inspection included discussions with the service users, staff, and Care Manager. The General Manager was on holiday. What the service does well: What has improved since the last inspection? What they could do better: The recording of complaints still is not done according to company policy. The assistance call system could be improved to give a different sound dependent on whether the call is from the ground or first floor. The main concern is about the receipt, storage, and administration of medicine, including controlled drugs. This has been brought to the attention of the manager in the past and there are still a lot of mistakes that could have very serious consequences being made by both care staff and Registered Nurses. The new system for returning medication that the residents do not need has resulted in a large quantity of part empty bottles being stored in the home instead of being removed. There are also a large number of tablets and capsules that are kept in a large yellow container that can not be audited effectively before they are collected. Laureate Court Care Centre DS0000003081.V256248.R01.S.doc Version 5.0 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. Laureate Court Care Centre DS0000003081.V256248.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 Laureate Court Care Centre DS0000003081.V256248.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): 3,6 Intermediate care is not offered at Laureate Court. Prospective residents are assessed to see that their needs can be met by the home and the staff. EVIDENCE: None of the residents had been admitted under the Intermediate Care scheme. The home is not registered to provide this type of care and does not have the facilities to meet the National Minimum Standards for Intermediate Care. The care files contained assessments of need that were completed by the manager before the service user was admitted, so that any needs that the home could not meet would be identified at an early stage. Care plans are produced and amended as the needs of the resident change so that the care provided is of the type needed to meet the service user’s current needs. Laureate Court Care Centre DS0000003081.V256248.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): The storage and recording of medication is not up to the standard required and urgent action needed to be taken to put things right. The residents have personal care provided in their bedrooms but the doors are sometimes left open during this process. EVIDENCE: There are a lot of medications kept in the home waiting for the contractors to remove them so that the room is becoming untidy. All tablets, except controlled drugs, are popped out of their blister and into a large plastic container for removal. This means that there is no way of knowing if they have been stolen or not once they are in the container. A controlled tablet that had been refused had been wrapped in kitchen paper and taped to the blister pack. A tablet was found in an envelope that had been used to keep money in and was not appropriate for the purpose of storing medication. The tablet had not Laureate Court Care Centre DS0000003081.V256248.R01.S.doc Version 5.0 Page 10 been recorded on the person’s medication administration record & request so that not only was it contaminated the staff did not know it was in the home. Private and personal care was provided in resident’s bedrooms but the doors were not closed so that other people could see in and their dignity was taken away. The residents were addressed by their first name and they were spoken to in a manner that was respectful. Laureate Court Care Centre DS0000003081.V256248.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): 13,14 Visitors can come into the home at any reasonable time and are able to talk to their relatives either in private or in the communal areas. The residents are able to bring personal items into the home and are encouraged to make decisions about their daily activities. EVIDENCE: Service users confirmed that they could have visitors whenever they wanted and that they could see them either in their bedrooms or in the communal areas. Visitors are told that they can visit the home at any time during the day although they are asked to avoid meal times. There are brochures in the foyer, telling people of the different services they can make use of, these can be taken away. Personal belongings were seen in service users bedrooms showing that they were encouraged to make Laureate Court their home. There is a policy covering access to personal records and the staff are aware of the need to maintain confidentiality. Laureate Court Care Centre DS0000003081.V256248.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): 16,17 There is a complaints procedure that is not always followed. The home follows the Rotherham Metropolitan Borough Council Adult Protection Policy. EVIDENCE: The complaint file contained copies of complaints that had been investigated but the records were not complete. A complaint has been received by the Commission For Social Care Inspection regarding the staffing levels and hygiene on Byron Unit. This had been appropriately investigated and recorded. The Rotherham Metropolitan Borough Council Adult Protection Policy is kept in the office and available to staff should the need arise. There has been no cause for concern over adult protection issues since the last inspection. Laureate Court Care Centre DS0000003081.V256248.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): 19 The home was found to be a clean environment where service users had a good level of access around the units. There was some concern that the assistance call system should be more effective. EVIDENCE: A tour of the home proved it to be clean and tidy. The domestic staff have received training on the use of chemicals and the different aspects of health and safety. There has recently been a change to the number entry systems on some of the doors into the different units which causes some confusion amongst the staff, but this is only temporary. Laureate Court Care Centre DS0000003081.V256248.R01.S.doc Version 5.0 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 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): 29,30 There is a good recruitment policy that is followed by the staff at Laureate Court. There is a training plan for the staff within the home but there are less than 50 of the care staff trained to National Vocational Qualification level 2 in Care. EVIDENCE: The files showed that the recruitment of staff is carried out according to the policy of the company that meets the National Minimum Standards. The files used were not designed to have the individual documents fastened in so that there is a danger of the papers becoming misplaced. There are only approximately 33 of the care staff who are hold the National Vocational Qualification level 2 in care, however the statistics that this figure was taken from were inaccurate. Staff confirmed that they had received training in the different aspects of their work. Laureate Court Care Centre DS0000003081.V256248.R01.S.doc Version 5.0 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 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): 33,38 There is some concern over the way the call system buzzes the same tone to indicate that assistance is being requested. There is regular quality assurance monitoring carried out both within the home and by the company. EVIDENCE: The assistance call system buzzes on both floors within a unit when assistance is requested. It does not give a different tone dependent on the floor calling. This lead to a situation where the buzzer was going off, the care staff knew anticipated that the call was from a different floor, and it was only when the system was being explained did they realise that there was also a call from their floor. There were no other health and safety issues relating to the home that were noted. Laureate Court Care Centre DS0000003081.V256248.R01.S.doc Version 5.0 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 X X 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 1 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 2 17 x 18 3 3 X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X 2 Laureate Court Care Centre DS0000003081.V256248.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? Yes 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 10 Regulation 12 Requirement When service users are receiving personal care in their bedrooms the door must be closed to retain their privacy and dignity The records of complaints and their investigation must be completed according to the company policy 50 of care staff be qualified to National Vocational Qualification level 2 in Care Controlled medication must be stored appropriately. Medication must not be accepted into the home without proper packaging. The large quantity of medication for disposal be removed from the home All staff who accept, administer, or return medication be trained in appropriate ways of doing this Timescale for action 01/11/05 2 16 22 01/11/05 3 4 5 6 7 30 9 9 9 9 18 13 13 13 13 01/01/06 01/11/05 01/11/05 01/11/05 01/11/05 Laureate Court Care Centre DS0000003081.V256248.R01.S.doc Version 5.0 Page 18 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 2. 3. 4 Refer to Standard OP15 OP16 38 Good Practice Recommendations The serving of meals in the dining room be speeded up The complaints filing system includes cross referencing for the location of information The assistance call buzzer be altered to give an different sound to indicate which floor the call is from. Laureate Court Care Centre DS0000003081.V256248.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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 Laureate Court Care Centre DS0000003081.V256248.R01.S.doc Version 5.0 Page 20 - 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!