Inspection on 29/06/05 for Laureate Court Care Centre

This inspection was carried out on 29th June 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 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 19/10/05

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 Wellgate Rotherham South Yorkshire S60 2QB Lead Inspector Alan Bartrop Unannounced 29 June 2005 11:00 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. LAUREATE COURT CS0000003081.V195566.R01.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Laureate Court Care Centre Address Wellgate Rotherham South Yorkshire S60 2QB 01709 838278 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) Ashbourne (Eton) Limited Mrs Cheryl Bailey Care Home with Nursing 84 Category(ies) of DE - Demential over 65: 84 registration, with number MD - Mental Disorder: 84 of places LAUREATE COURT CS0000003081.V195566.R01.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The category of persons for whom accommodation is provided shall be persons in need as such by reason of MD, Mental Disorder, (age 45 years and over. 2. Two named clients under the age of 45 years requiring Mental Disorder (MD) be allowed to reside at the home. 3. One named client over 65 years requiring nursing care (OP) be allowed to reside at the home. Date of last inspection 31 January 2005 Brief Description of the Service: LAUREATE COURT CS0000003081.V195566.R01.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which started at 11:00 and finished at 15:30. It involved discussions with the service users, staff, and a relative. I also inspected the building, care plans and other records. The manager was not in the home at the time of the inspection so the lead, for the home, was taken by David Caunt. I also joined the residents for lunch as well as meeting them in the lounges. What the service does well: What has improved since the last inspection? The office furniture has been removed from one of the ground floor lounges which makes it more homely. All the service user’s care plans inspected had an appropriate mode of care identified and followed. LAUREATE COURT CS0000003081.V195566.R01.doc Version 1.30 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. LAUREATE COURT CS0000003081.V195566.R01.doc Version 1.30 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 LAUREATE COURT CS0000003081.V195566.R01.doc Version 1.30 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) 6 Intermediate care is not offered in the home. EVIDENCE: The home is not registered for this and none of the care plans inspected had any indication that this type of care was being offered. LAUREATE COURT CS0000003081.V195566.R01.doc Version 1.30 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) 7,9 All residents have a care plan and there are records to indicate that the care plan has been followed by the staff delivering the care. There are concerns about the storage and administration of medication on one of the units. EVIDENCE: A registered nurse was seen carrying tablets around in the palm of their hand before giving them to residents, this causes contamination of the tablets and indicated poor hygiene practices. Medication administration record & request sheets were not completed at the time that the medication was administered and were found to be inaccurate. Because of this it was not possible to confirm whether or not all the medication had been correctly given to all residents. All residents are checked hourly throughout the night and there was not always any reason indicated in the care plan. This disturbs the residents sleep patterns and should be reviewed to enable as many residents as possible to get an undisturbed nights sleep. LAUREATE COURT CS0000003081.V195566.R01.doc Version 1.30 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 standard(s) 12,15 There are a range of activities provided for the service users during the day and people are able to choose whether or not they attend. There is a good menu that provides a balanced diet which the resident s enjoy. EVIDENCE: The activities are displayed on notice boards around the home and the service users confirmed that they were told about them just before they were about to start in case they had forgotten what was happening. The residents said how much they enjoyed their meals and that there was a choice offered every time. The service of the meal in one of the dining rooms was slow which meant that some tables had finished their meal before the last one was served. Because there were only 4 tables in the dining room the time taken should be reduced as people were commenting on how long they had to wait. LAUREATE COURT CS0000003081.V195566.R01.doc Version 1.30 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 standard(s) 16 The complaints files were badly organised making it difficult to retrieve information. Complaints are investigated and the records of these investigations made available for inspection. EVIDENCE: The complaints information was put in different places without appropriate cross-referencing of the information. Residents said that they knew how to make a complaint if they needed to and what would be done by the staff. The relative stated that they had seen a copy of the complaints procedure. LAUREATE COURT CS0000003081.V195566.R01.doc Version 1.30 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 standard(s) 26 The resident areas of the home were clean and tidy and the cleaning staff were aware of the chemicals they were using both from the perspective of the dangers they posed and their correct use. EVIDENCE: Cleaning staff confirmed that they had received appropriate training in the chemicals and equipment they used. The resident areas of the home were clean and tidy making for pleasant and usable areas for the service users and their visitors. LAUREATE COURT CS0000003081.V195566.R01.doc Version 1.30 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 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 There were an adequate number of staff on duty to meet the needs of the resident group. The staff displayed appropriate skill levels to meet the needs of the service users. EVIDENCE: Staff rotas were inspected and these showed that the number of staff maintained met the agreed standard. Observation of the staff showed that the residents were helped appropriately and in an individual manner. LAUREATE COURT CS0000003081.V195566.R01.doc Version 1.30 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 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) 35,36 The receipt of money and valuables, by staff, on behalf of the residents does not adequately protect the residents or their relatives from theft. Care staff are not receiving supervision at a frequency of at least 6 times per year. EVIDENCE: £50.00 was found in the Controlled Drugs cabinet, in an envelope with a residents name on it, that was not recorded as being received by the home in any of their records. Items of jewellery were also found in the same cupboard with no records made that they had been received. Care staff files showed that they had not received formal 1:1 supervision so that their development can be monitored and guided. LAUREATE COURT CS0000003081.V195566.R01.doc Version 1.30 Page 15 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 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION x x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x x x x x x 1 2 x x LAUREATE COURT CS0000003081.V195566.R01.doc Version 1.30 Page 16 yes 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. 2. 3. 4. Standard 9 35 33 36 Regulation 12 20 17 18 Timescale for action Staff must administer medication 10th August appropriately 2005 Money must not be accepted by 10th August staff without appropriate records 2005 being made Residents valuables received by 10th August staff must be recorded 2005 appropriately stored All staff receive formal 1:1 10th August supervision at least 6 times per 2005 year Requirement 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 7 15 16 Good Practice Recommendations Review the number of residents who receive night checks and the reason for this The serving of meals in the dining room be speeded up The compalints filing system includes cross referencing for the location of information LAUREATE COURT CS0000003081.V195566.R01.doc Version 1.30 Page 17 Commission for Social Care Inspection First Floor Barclay Court Heavens Walk Doncaster South Yorkshire 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 CS0000003081.V195566.R01.doc Version 1.30 Page 18 - 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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