Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 15/11/05 for Laurel Bank Nursing Home

Also see our care home review for Laurel Bank Nursing Home for more information

This inspection was carried out on 15th November 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.

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 home is clean, tidy, comfortable and well maintained. Residents look well cared for. All residents spoke well of staff and said they are kind and caring. Residents said that the food at the home was good.

What has improved since the last inspection?

Details of residents wishes during illness and following death are being written down, so that staff know how to look after them when the time comes.

What the care home could do better:

Care staff could be more involved in getting residents views about their general care, activities they enjoy and about the meals. The meal times could be better organised. Publish the results of the survey that was done, so residents and relatives can see what people think of the home.

CARE HOMES FOR OLDER PEOPLE Laurel Bank Nursing Home Holdsworth Road Holmfield Halifax West Yorkshire HX2 9TJ Lead Inspector Paula McCloy Unannounced Inspection 15th November 2005 9:15 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 Nursing Home DS0000001062.V265658.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. Laurel Bank Nursing Home DS0000001062.V265658.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Laurel Bank Nursing Home Address Holdsworth Road Holmfield Halifax West Yorkshire HX2 9TJ 01422 244123 01422 247212 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) Mr Christopher Bolland Mrs Catherine Bolland Mrs P Linda Parker Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places Laurel Bank Nursing Home DS0000001062.V265658.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Can provide accommodation and care for three named service users under 65 years of age - category PD Can provide accommodation and care for one named service user aged under 65 years 23rd June 2005 Date of last inspection Brief Description of the Service: Laurel Bank is situated in Holmfield, Halifax. It is close to the High School and there are some small local shops and two pubs nearby. It is set in its own very attractive, well maintained grounds with parking facilities to the front of the building. Laurel Bank is a care home with nursing. It is a large house, which has been extended to provide accommodation for 37 older people. The accommodation is arranged over 4 floors. There are single and double bedrooms, some of which have en suite toilets. There are four lounges and a dining room. Laurel Bank Nursing Home DS0000001062.V265658.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over 6.75 hours and focused on the environment and the management and administration on the home. The last inspection in June 2005 looked specifically at the care the home provides and the staffing levels. Eight residents, one relative and three members of staff were spoken to. A tour of the building was made and some records were looked at. What the service does well: What has improved since the last inspection? Details of residents wishes during illness and following death are being written down, so that staff know how to look after them when the time comes. Laurel Bank Nursing Home DS0000001062.V265658.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. Laurel Bank Nursing Home DS0000001062.V265658.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 Laurel Bank Nursing Home DS0000001062.V265658.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): See the inspection report for 23 June 2005 for details. EVIDENCE: Laurel Bank Nursing Home DS0000001062.V265658.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): See the inspection report for 23 June 2005 for details. EVIDENCE: Laurel Bank Nursing Home DS0000001062.V265658.R01.S.doc Version 5.0 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): See the inspection report for 23 June 2005 for details. EVIDENCE: Laurel Bank Nursing Home DS0000001062.V265658.R01.S.doc Version 5.0 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 the following standard(s): See the inspection report for 23 June 2005 for details. EVIDENCE: Laurel Bank Nursing Home DS0000001062.V265658.R01.S.doc Version 5.0 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 the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 Residents live in a clean, safe, comfortable, well maintained home. EVIDENCE: Laurel Bank is situated in Holmfield, Halifax. It is a large property, which is set in its own extensive, well kept grounds. There is car parking to the front of the building. There is seating available outside which service users enjoy using in fine weather. A lawned area has been created at the side of the home, which has a water feature and bird table. This is a very pleasant area that service users can use. There are some local shops and two public houses within walking distance. There were no recommendations from the last environmental health inspection and the fire officer has confirmed that all of the works that were required, have been completed. Laurel Bank Nursing Home DS0000001062.V265658.R01.S.doc Version 5.0 Page 13 There are three lounges, a small lounge/visitors room and an open plan dining area. There are three bathrooms and one shower room available for service users. There are two bathrooms with assisted bathing facilities. The assisted bathroom on the first floor has been well fitted and is bright and welcoming. The bathroom on the ground floor is very basic and not particularly welcoming. The bathroom on the second floor is not assisted and is not used. There are eight toilets located around the building all of which have suitable locks fitted. There is a separate sluice and a sluicing disinfector. There are eight double bedrooms and twenty one single bedrooms, four of the bedrooms have en suite toilet facilities. All of the bedrooms are carpeted, have curtains, a bed, wardrobe, wash hand basin, emergency call bell point, main lighting, mirror and drawer space. Privacy screening is available in the double bedrooms for use as required. All of the bedrooms were clean and tidy. Most of the rooms are very personal to the occupant and a variety of photographs and ornamentation make the rooms very homely. There is ramped access to the building and a passenger lift serves the ground, first and second floors. Emergency call bells are available in every room. The home was clean and tidy on the day of the inspection. The laundry was well equipped, clean and tidy. The required ‘non return’ valves are in place on the washing machines. Laurel Bank Nursing Home DS0000001062.V265658.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): See the inspection report for 23 June 2005 for details. EVIDENCE: Laurel Bank Nursing Home DS0000001062.V265658.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): 31, 33, 35 & 38 The home is well managed and run in the best interests of residents. Practices in the home promote the health, safety and welfare of the residents. EVIDENCE: The registered manager has recently completed her NVQ level 4 training in management and is awaiting the certificate. The manager has addressed a number of complaints that have been made about the home, in the past, and has learnt from these. She has implemented changes at the home to ensure that residents needs are identified, met and regularly reviewed. Residents are consulted about the running of the home the annual quality assurance questionnaires. These questionnaires were last circulated approximately 6 months ago. The comments that residents, relatives and staff made need to be analysed and the results published so that people know how Laurel Bank Nursing Home DS0000001062.V265658.R01.S.doc Version 5.0 Page 16 the home intends to address any issues that were raised. Residents and relatives all said that if they had any problems they would speak to the manager and were confident that any issues would be resolved. The manager does hold money on behalf of residents. The records examined were well maintained and accurate. The service users guide gives information about residents accessing the records that are held in the home. There is a policy in place regarding service users seeing the records that are held on them. Records at the home were readily available and well maintained. There is a written Health and Safety policy. Staff receive moving and handling, food hygiene, fire safety, first aid and infection control training. The fire alarms are tested weekly and fire drills/practices are held. Gas safety, electrical installation and portable electrical test records were all seen and were up to date. Risk assessments regarding safe working practices for staff need to be completed and implemented. Laurel Bank Nursing Home DS0000001062.V265658.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 X X X X X X 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 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 1 X 3 X X 2 Laurel Bank Nursing Home DS0000001062.V265658.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? No 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 OP33 Regulation 24 Requirement The results of the homes quality assurance survey must be published and made available to residents, relatives and the Commission for Social Care Inspection Timescale for action 31/12/05 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 OP2 Good Practice Recommendations A note should be made on residents care plans that a contract or terms and conditions of residence document has been issued and signed. (outstanding recommendation from the inspection that took place on 23 June 2005) Care staff should contribute to the monthly reviews by getting the residents views about their general care, activities and meals. (outstanding recommendation from the inspection that took place on 23 June 2005) Meal times need to be better organised so residents receive their meals in a timely way and that staff are DS0000001062.V265658.R01.S.doc Version 5.0 Page 19 2 OP7 3 OP15 Laurel Bank Nursing Home 4 OP38 available to assist when necessary. (outstanding recommendation from the inspection that took place on 23 June 2005) Risk assessments need to be completed in relation to safe working practices for staff. Laurel Bank Nursing Home DS0000001062.V265658.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Nursing Home DS0000001062.V265658.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. 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!