Inspection on 22/11/05 for Laurel Villas

This inspection was carried out on 22nd November 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Laurel Villas 25/04/07

Laurel Villas 17/05/05

Laurel Villas 15/12/04

Laurel Villas 15/06/04

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 Villas 170/172 Tulketh Rd Ashton Preston Lancashire PR2 1ER Lead Inspector Ms Susan Dale Unannounced Inspection 22nd November 2005 10:00 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 Laurel Villas DS0000009834.V252462.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 Villas DS0000009834.V252462.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Laurel Villas Address 170/172 Tulketh Rd Ashton Preston Lancashire PR2 1ER 01772 720609 01772 768908 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 Villas Limited Mrs Susan Hall Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (22), Physical disability (2) of places Laurel Villas DS0000009834.V252462.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th May 2005 Brief Description of the Service: Laurel Villas is registered as a care home that provides personal care and accommodation for up to 24 persons, both male and female over the age of 65 years. The home is located near to the centre of Preston in a residential area of Ashton close to shops and various local amenities. The home is not purpose built and arranged over two floors with access provided to all parts of the home via a lift. Accommodation is provided in single rooms and certain rooms are available for use as a double room if so required. The accommodation provides a homely atmosphere with plenty of communal space including a large lounge that overlooks a very attractive garden that can be easily accessed by service users. Laurel Villas DS0000009834.V252462.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and the focused mainly on the standards not assessed at the last inspection. The inspector was able to speak to service users and staff and examine various records. A tour of the premises took place. What the service does well: What has improved since the last inspection? As above, more staff now have an NVQ qualification, 3 staff have achieved NVQ level 3 and the manager and owner of the home have commenced management training at NVQ level 5. The TOPPS training has been up-dated. In order to help staff become more familiar with policies and procedures, one policy is chosen as a topic for learning each week. Environmental Health recommended specific training for staff that provides the meals and this is in the process of being completed. The commitment of staff is recognised with an employee of the month award with an accompanying certificate and thanks. Two bedrooms have been re-decorated and re-furbished and this is on going as rooms become vacant. Laurel Villas DS0000009834.V252462.R01.S.doc Version 5.0 Page 6 There is now a choice of 2 hot meals as well as sandwiches at meal times. New staff have been employed that ensures there are adequate staff on duty at all times. The home has been awarded Investors in People Status following an assessment in September 2005. 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 Villas DS0000009834.V252462.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 Villas DS0000009834.V252462.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 Up to date written information about the home is available and each service user is assessed prior to admission to the home to ensure that the services provided meet their needs. EVIDENCE: The statement of purpose and service user guide that provides information about the services within the home has been reviewed an up-dated; the information includes the philosophy of care and care planning arrangements. The service user guide uses large type for ease of reading, and contains information regarding the services offered at the home, together with a copy of the complaints procedure. New service users can be sure that the home is suitable for them by the decisions reached at the initial assessment and there ability to sample the services prior to permanent residency. Specialist advice is available and staff have confirmed that they have received training to meet the needs of the service users. Laurel Villas DS0000009834.V252462.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): 11 There are policies and procedures in place with regard to the death of a service user. Staff are familiar with the policies and ensure that the service user and their family are treated with respect and sensitivity. EVIDENCE: Policies and procedures are in place with regard to care and comfort being provided to service users who are ill or dying. According to the registered manager every effort is made to ensure that the service user remained comfortable, and stays at Laurel Villas unless medical opinion suggested otherwise. A Fact Sheet is available for staff detailing the signs and symptoms in care of the dying. Laurel Villas DS0000009834.V252462.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): 15 Service users are able to choose from a selection of nourishing meals, snacks and drinks provided at regular intervals throughout the day. EVIDENCE: Menus are planned on a four weekly rota and cater for any service user on a specialised diet. Mealtimes were seen to be unhurried and assistance provided discreetly. Service users spoken to confirmed that the food at the home was of a high standard and the menu offers variety and a choice of meals. Snacks and drinks are provided at regular intervals throughout the day. The registered manager stated there are now more alternatives at meal times with a choice of two hot meals and sandwiches. Drinks are milky coffee and drinking chocolate with cream. A ‘strawberry tea’ was provided at a Halloween Party and there are plans in place for the Christmas Party to which relatives are invited. A chocolate machine is soon to be provided for the benefit of both service users and staff. There are two cooks who cover 7 days a week, both have been trained in Food Hygiene and are also undergoing training recommended by Environmental Health which is a distance course called, ‘Safer Food Better Business’. The course incorporates the Food Hygiene requirements that were changed in January 2004. Laurel Villas DS0000009834.V252462.R01.S.doc Version 5.0 Page 11 Laurel Villas DS0000009834.V252462.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): 17 The legal rights of service users are protected. EVIDENCE: Service users are encouraged to be as independent as possible and all service users are on the electoral register and are able to vote via the post or a personal visit. Staff have assisted service users to make use of the advocacy services on a number of occasions. Laurel Villas DS0000009834.V252462.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): 20, 21, 22, 23, 24, & 25 Service users live within comfortable safe surroundings that are well maintained and meet all their needs. EVIDENCE: Bedrooms are re-furbished and decorated as rooms become vacant and two bedrooms have been decorated since the last inspection and provided with new carpets, curtains and duvet covers. The home has ample communal space, which provides a variety of recreational and dining space including a designated smoking lounge. There are sufficient toilets and bathrooms facilities available for the number of service users. Three communal bathrooms and a shower upstairs and 1 bathroom downstairs; there are 5 communal toilets in total, 3 of which are upstairs. Toilets and bathrooms are fitted with adaptations to aid independent mobility, such as handrails, bath seats. There are 12 bedrooms with en-suite facilities. Laurel Villas DS0000009834.V252462.R01.S.doc Version 5.0 Page 14 The home is served by a passenger lift, and a stair lift and there are grab rails fitted on corridors. Each bedroom is fitted with an alarm call system and mobility aids are provided based on individual occupational therapy assessments. The heating, lighting, water and ventilation of the service users’ accommodation meet relevant health and safety standards. The radiators and pipes have been guarded to provide safe surface temperatures. Baths as well as hand basins are thermostatically controlled to ensure that water provided is at a safe temperature also weekly checks are carried out on the water temperatures to ensure that the water temperature is close to 43 degrees centigrade. Laurel Villas DS0000009834.V252462.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): 28, 29 & 30 Staff training is continuing in order to meet the requirements of service users. The recruitment procedure has been improved to ensure the protection of the service users residing within the home. EVIDENCE: There are 17 care staff and 7 staff have achieved a care qualification at NVQ level 2 and a further 3 staff are working towards the qualification. 4 staff have achieved an NVQ qualification at level 4. The number of staff trained means that the home has met the requirement for 50 of all care staff to be trained to NVQ level 2. All staff have to undertake induction training that has been up-dated in line with the new TOPPS training as recommended by the National Training Organisation for Social Care. The training now includes additional subjects such as Empowerment and Abuse. Staff are encouraged to look training topics for themselves and a different policy is examined each week. The commitment of staff is recognised with an employee of the month award with an accompanying certificate and thanks. At the last inspection there were a few recommendations with regard to the recruitment process. On the application form, any gaps in employment are now being explored and the date when each reference is received is now being recorded. Laurel Villas DS0000009834.V252462.R01.S.doc Version 5.0 Page 16 Since the last inspection there have been additional staff recruited and this has ensured that the staffing rota is always more than adequate with the registered manager always supernumery. Laurel Villas DS0000009834.V252462.R01.S.doc Version 5.0 Page 17 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): 32, 33 & 37 Staff and service users benefit from the leadership of the manager and policies and procedures are in place that ensures the protection and safety of service users. EVIDENCE: Staff spoken to confirmed that the manager is approachable and encourages staff to participate in improving the running of the home. Staff meetings are held every couple of months and a Newsletter is publicised for residents and staff on an irregular basis to assist in communication throughout the home. The registered manager and registered person for the home are both undertaking management training at NVQ level 5. The management and staff of the home have achieved the Investors in People Award on the 21st September 2005. In the process of obtaining this award there have been changes and improvements to policies and procedures and all Laurel Villas DS0000009834.V252462.R01.S.doc Version 5.0 Page 18 the staff have become involved as a team. Formal systems are in place in order to assess the quality of service provided by the home. Finance and business plan is in place and records and invoices of all transactions are maintained at the company head office. A record of personal allowances is maintained within the home. Laurel Villas DS0000009834.V252462.R01.S.doc Version 5.0 Page 19 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 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 x X 3 3 3 3 3 3 x STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 3 X X X 3 x Laurel Villas DS0000009834.V252462.R01.S.doc Version 5.0 Page 20 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. Standard Regulation Requirement Timescale for action 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 Villas DS0000009834.V252462.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Villas DS0000009834.V252462.R01.S.doc Version 5.0 Page 22 - 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!