Inspection on 31/01/06 for Laurel Bank

This inspection was carried out on 31st 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Laurel Bank 01/11/06

Laurel Bank 09/09/05

Laurel Bank 01/03/05

Laurel Bank 29/09/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Laurel Bank Knott Lane Gee Cross Hyde Tameside SK14 5HZ Lead Inspector Janet Ranson Unannounced Inspection 31st January 2006 09:30 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 Laurel Bank DS0000005574.V274874.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. Laurel Bank DS0000005574.V274874.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Laurel Bank Address Knott Lane Gee Cross Hyde Tameside SK14 5HZ 0161 368 4719 0161 367 8950 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) Laurel Bank Residential Care Home Limited Mrs Patricia Connell Care Home 41 Category(ies) of Dementia - over 65 years of age (41), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (3), Old age, not falling within any other category (41), Physical disability over 65 years of age (40), Sensory Impairment over 65 years of age (3) Laurel Bank DS0000005574.V274874.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 41 service users to include: *up to 41 service users in the category OP (Old Age, not falling within any other category). *up to 3 service users in the category MD(E) (Mental Disorder, excluding learning disability or dementia over 65) *up to 40 service users in the category PD(E) (Physical Disability over 65 years of age). *up to 3 service users in the category SI(E) (Sensory Impairment over 65 years of age). *up to 41 service users in the category DE(E) (Dementia over 65 years of age). 9th September 2005 Date of last inspection Brief Description of the Service: Laurel Bank is a care home adapted to meet the needs of 41 older people. Previously a Victorian church school, the adaptations now provide accommodation on three floors. There are 35 single bedrooms, 15 of which have en-suite facilities, and three double en-suite rooms. The bedrooms are located on all three floors and there is a full passenger lift. There are a total of six day/quiet rooms on all floors. A conservatory has been built to provide additional lounge space. In addition, there are two dining rooms, one on the ground floor and a further one on the third floor. Adapted baths and toilets are also located and clearly signed throughout the home. There is a small secure garden available to the service users, at the side of the building. Car parking is available at the front of the building in addition to planted areas. The home is situated in a residential area close to the centre of Gee Cross. There is a small shopping area within walking distance. The market towns of Hyde and Stockport are accessible by public transport. The people who live at Laurel Bank have been assessed as requiring residential care. The Commission for Social Care Inspection has registered the home to provide care for older people who may have dementia and/or physical disability. Laurel Bank DS0000005574.V274874.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out over six hours. Laurel Bank residential care home is registered with the Commission for Social Care Inspection (CSCI) to provide personal care for up to 41 people over 65 years of age. It is privately owned. The manager is registered with CSCI and was present throughout the inspection. In addition to teams of carers the organisation employs domestic, catering and laundry staff. As part of the inspection a newly admitted resident described her experience of living at Laurel Bank. She stated that she felt safe, particularly at night when she was aware that the carers would be available should she require them. A further resident spoke with the inspector and confirmed his satisfaction with the service. The inspector also spoke with the chef, senior staff and the financial director. A fire safety officer was also present during a part of the inspection. A tour of the building took place to ascertain compliance with the requirements made during the previous unannounced inspection. The inspector also left comment cards with the manager for completion by the residents and their relatives. It was pleasing to observe a relative with the family dog visiting a resident. The visitor was made very welcome by the staff. What the service does well: What has improved since the last inspection? The manager has made changes to the formal supervision programme that enables the workers to have more involvement in the process. Some bedrooms have been decorated. The kitchen has received an award for cleanliness from the environmental health department. Laurel Bank DS0000005574.V274874.R01.S.doc Version 5.1 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. Laurel Bank DS0000005574.V274874.R01.S.doc Version 5.1 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 Laurel Bank DS0000005574.V274874.R01.S.doc Version 5.1 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): Standards 3 and 5 were assessed at the previous unannounced inspection (September 2005) where they were judged to meet fully with the intended outcomes. Intermediate care (Standard 6) is not provided at Laurel Bank. EVIDENCE: Laurel Bank DS0000005574.V274874.R01.S.doc Version 5.1 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): Standards 7,8,9,10 and 11 were assessed at the previous unannounced inspection (September 2005) where they were judged to meet fully with the intended outcomes. EVIDENCE: The home continues to support those residents with deteriorating needs. An individual care plan is devised to ensure all aspects of care, nutritional and fluid needs, risk assessments, moving and handling assessments are addressed and reviewed. The resident and their family are involved where ever possible in the planning and reviewing of care. The document is then retained within a red ring binder to identify the specialist nature of the care plan. This is considered to be very good practice. Laurel Bank DS0000005574.V274874.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 & 15 The contents of the menu appeared nutritious and well balanced with options provided at each mealtime. Standards 13 and 14 were assessed at the previous unannounced inspection (September 2005) where they were judged to meet fully with the intended outcomes. EVIDENCE: An activities organiser has been employed at Laurel Bank since the previous inspection. This person attends for one session each week and has been well received. The arrangement is new to the home and is therefore considered to be too early to evaluate. The manager recognises the specialist nature of providing meaningful activities for people with dementia. The inspector interviewed the chef as part of the inspection. He has worked at Laurel Bank for some considerable time and provides a consistent and high quality service. The chef is responsible for devising the menus, ordering the produce, supervising his team and maintaining high levels of cleanliness in the kitchen. This kitchen has recently won an award for cleanliness from the environmental health department. Laurel Bank DS0000005574.V274874.R01.S.doc Version 5.1 Page 11 The menus show an option to each meal they appear to be well balanced and nutritious. The resident’s are assisted to choose from the menu with the main meal of the day presented at 5 pm. The chef has the appropriate catering qualifications and has attended additional courses to ensure his specialist knowledge is current. Drinks and snacks are available throughout the day and the night staff have access to food for those resident’s who may require a snack during the night. There are plans to decorate the dining room and replace the carpet; this will greatly improve the environment that has been looking dowdy for some time. Laurel Bank DS0000005574.V274874.R01.S.doc Version 5.1 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 Policies, procedures and staff training is in place to protect the residents from potential abuse. Standard 16 was assessed at the previous unannounced inspection (September 2005) where it was judged to meet fully with the intended outcome. EVIDENCE: The home has a policy and procedure to respond to allegations of abuse. The manager was in the process of reviewing the document to ensure it remained current. The senior carers have received formal training in the Protection of Vulnerable Adults (POVA) as required. This training enables them to “cascade” this to the other carers. The training is carried out at regular intervals and records of those staff that have attended, retained. A whistleblowers policy is also in place. The document is made available to the staff during the induction programme. Laurel Bank DS0000005574.V274874.R01.S.doc Version 5.1 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 & 26 Areas of Laurel Bank do not present as a homely environment for the residents due to a lack of maintenance and forward planning. There is limited evidence of improvement to the decoration and furnishings. EVIDENCE: At the previous inspection there was a requirement that the registered person ensure a programme of redecoration was arranged and implemented. This specifically concerned the communal and private accommodation for service users. During this inspection the inspector noted that some bedrooms had been redecorated but the communal areas continue to look in a poor state. There was evidence of water penetration that may point to a problem with the roof, and damp patches on the wallpaper. In some areas the wallpaper was ripped or peeling off. The paintwork on doorways were heavily damaged from the over enthusiastic use of wheelchairs. Some bedroom furniture was looking tired and shabby. Laurel Bank DS0000005574.V274874.R01.S.doc Version 5.1 Page 14 It is understood that the manager has been seeking estimates for redecoration of the communal areas. It is anticipated that the work will commence shortly. A team of housekeepers work hard to maintain a good standard of cleanliness within the home. Laurel Bank DS0000005574.V274874.R01.S.doc Version 5.1 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): 28 The residents receive care from well-trained staff that responds to the residents and visitors in a respectful manner. Standards 27, 29 and 30 were assessed at the previous unannounced inspection (September 2005) where they were judged to meet fully with the intended outcomes. EVIDENCE: The manager continues to seek out specialist training for the staff. There also continues to be a commitment to the National Vocational Qualification training scheme with carers achieving levels two and three in care practices. Based on observation of staff practice during the inspection the carers responded to the residents in a relaxed and informal manner. Laurel Bank DS0000005574.V274874.R01.S.doc Version 5.1 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, 35 & 36 Monitoring of systems and procedures ensure the resident’s best interests are promoted and protected. Standards 31, 37 and 38 were assessed at the previous unannounced inspection (September 2005) where they were judged to meet fully with the intended outcomes. EVIDENCE: The manager was in the process of reviewing the homes policies and procedures at the time of the inspection. This is considered to be good practice. Systems are also in place for the team leaders to audit each other’s work. Laurel Bank DS0000005574.V274874.R01.S.doc Version 5.1 Page 17 Small amounts of monies are retained for safe keeping by the registered provider. All records of expenditure are retained for inspection, along with the receipts. The records were appropriately maintained in order that the interests of the residents were safeguarded. The formal supervision system has been changed since the previous inspection. The change in emphasis has enabled the staff to become more involved in the process, which takes place every eight weeks. The remedial work required by the fire officer had been completed to the fire officer’s satisfaction, at the time of the inspection. Laurel Bank DS0000005574.V274874.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 1 X X X X X X 3 STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 3 X X Laurel Bank DS0000005574.V274874.R01.S.doc Version 5.1 Page 19 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 OP19 Regulation 23(2)(d) Requirement The registered person must ensure that a programme of redecoration and refurbishment is arranged and implemented. Previous timescales (01/01/05 & 01/06/05) not met. Timescale for action 01/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Laurel Bank DS0000005574.V274874.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Laurel Bank DS0000005574.V274874.R01.S.doc Version 5.1 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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