Inspection on 27/07/05 for Laurelston

This inspection was carried out on 27th July 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

Laurelston 20/09/07

Laurelston 11/01/07

Laurelston 05/01/06

Laurelston 23/11/04

Laurelston 29/07/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Laurelston and Copperbeech Silverne Drive Whitby South Wirral CH65 6TA Lead Inspector Maureen Brown Unannounced 27 July 2005 10:30 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Laurelston and Copperbeech F51 F01 S6611 Laurelstone Copperbeech V240399 270705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Laurelston and Copperbeech Address Silverne Drive Whitby South Wirral Cheshire CH65 6TA 0151 355 7686 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) Home Farm Trust Kerry Ann Griffiths Care Home 8 Both Category(ies) of Learning disability (8) registration, with number of places Laurelston and Copperbeech F51 F01 S6611 Laurelstone Copperbeech V240399 270705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 This home is registered for a maximum of 8 service users in the category of LD (Learning disability) 2 The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection Date of last inspection 23 November 2004 Brief Description of the Service: Laurelston and Copperbeech is a care home providing personal care and accommodation to eight service users with a learning disability. It is owned by The Home Farm Trust Limited and is located in Ellesmere Port, close to shops, pubs and other local amenities. The home was opened in April 1994. Laurelston and Copperbeech are two separate buildings which are adjacent to each other. Laurelston is a two-storey building providing accommodation for six residents, Copperbeech is a single storey building which accommodates two, more independent, service users. All of the home’s bedrooms are single, two of the bedrooms have en-suite facilities. Access between the ground and first floor in Laurelston is via the stairway. The area to the front of the home is used for parking cars, the garden to the side and rear of the home is well-maintained and accessible to residents. Laurelston and Copperbeech F51 F01 S6611 Laurelstone Copperbeech V240399 270705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out on 27th July 2005. The total time on site was four hours. The inspector spent an hour planning the inspection by reviewing previous inspection reports and the service history. The inspection included a tour of the home, inspection of records and discussions with eight residents, the person in charge and the support workers on duty. Twenty-five out of forty-three standards were assessed and most were met. Feedback from this inspection was given to the person in charge at the end of the inspection. What the service does well: What has improved since the last inspection? What they could do better: The statement of purpose must contain all the information outlined in Standard 1 and the Commission should be provided with a copy of the up-dated statement of purpose. Also each resident should have a copy of the home’s statement of purpose and function and the service users guide within the residents’ plan of care. Laurelston and Copperbeech F51 F01 S6611 Laurelstone Copperbeech V240399 270705 Stage 4.doc Version 1.40 Page 6 Daily recordings of residents’ activities and events should be made so that staff and family members can see what a particular resident has undertaken during the day. Requirements and recommendations have been made with regard to the above issues. 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. Laurelston and Copperbeech F51 F01 S6611 Laurelstone Copperbeech V240399 270705 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Laurelston and Copperbeech F51 F01 S6611 Laurelstone Copperbeech V240399 270705 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2 & 5 Sufficient information is provided for residents to make a decision about moving into the home. Full assessments of needs are carried out to ensure that the home can meet the residents’ needs. EVIDENCE: The home’s statement of purpose and function, the service users guide and a copy of the most recent inspection report were available for the residents and prospective resident and staff were aware of this. The statement of purpose and service users guide was last reviewed in March 2003. They contained information on the home’s environment, mission statement, aims and objectives, key objectives which covered privacy, dignity, choice, confidentiality, quality of life, decision making, meals, visitors and control of finances. Also included was care practices, equal opportunities, consultation, promoting health and wellbeing, spiritual needs and taking risks. Each resident should have a copy of the home’s statement of purpose and function and the service users guide that should be kept with the resident’s plan of care. (See recommendation No. 1) Care plans examined showed that assessments had been carried out with each person before moving into the home. Laurelston and Copperbeech F51 F01 S6611 Laurelstone Copperbeech V240399 270705 Stage 4.doc Version 1.40 Page 9 Residents had visited the home prior to admission and overnight trial visits were encouraged. Admissions were planned and ranged from a short visit to overnight stays, dependent on the needs and wishes of the person. From discussions with the staff on duty the staff team was well established. Residents confirmed this. Staff said that they had completed mandatory training such as moving and handling, food hygiene and first aid courses. Many staff had also completed other courses. From the previous inspection a requirement had been made regarding the content of the statement of purpose. It still did not contain all the information outlined in Standard 1. This requirement is repeated and remains outstanding. Also from the previous inspection a requirement had been made with regard to providing the Commission with a copy of the up-dated statement of purpose. This requirement is repeated and remains outstanding. See requirements Nos. 1 & 2 and recommendation No. 1 with regard to the above issues. Laurelston and Copperbeech F51 F01 S6611 Laurelstone Copperbeech V240399 270705 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 8 & 9 The residents’ health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. EVIDENCE: Three residents care records were seen during this inspection. These were comprehensive and well presented in individual folders. Each contained personal information, visiting professionals sheet, risk assessments, personal support and daily routines, review sheets and service delivery agreements. The care plans seen were drawn up in consultation with the residents and family and were based on their assessed needs and risks. The care plans were reviewed on an annual basis and in conjunction with the residents. Risk assessments were in place for all the relevant activities that residents undertook. These included self-medication, finances, being home alone, going out alone, self harm and risk to others. Daily record sheets seen showed that significant information was recorded. However this was not on a daily basis. It is suggested that daily recordings be made to enable staff and family members to see what a particular resident has Laurelston and Copperbeech F51 F01 S6611 Laurelstone Copperbeech V240399 270705 Stage 4.doc Version 1.40 Page 11 undertaken during the day. The records were written clearly and were signed by carers. (See recommendation No.2). Residents confirmed they had chosen the décor and furniture within their own bedrooms and it was seen that each bedroom reflected residents’ personality and preferred taste of décor. Residents’ meetings were held in the main lounge every two months and records were kept. Residents spoken to confirmed that they were involved in these meetings. Staff stated that staff meetings were held every six weeks and records were kept. Laurelston and Copperbeech F51 F01 S6611 Laurelstone Copperbeech V240399 270705 Stage 4.doc Version 1.40 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 16 & 17 Residents’ were able to take part in a range of activities of their choosing. Personal and family relationships were encouraged by the home and the staff team supported people with this. Residents’ dietary needs were well catered for with a balanced and varied selection of food that met peoples’ tastes and choices. EVIDENCE: The residents’ plans reflect the range of activities undertaken, including developing and using practical life skills, attending college and day centres and going to work locally. Residents spoken to said they enjoy going out and about in the community, to local shops, out for lunch, to the pub, going to a disco, meeting family or friends or going to the cinema. The home has its own vehicle that all residents can access. The residents said that family and friends visited and were made welcome by the staff. Residents shared with the inspector the contact they had with family Laurelston and Copperbeech F51 F01 S6611 Laurelstone Copperbeech V240399 270705 Stage 4.doc Version 1.40 Page 13 members and said they could choose to see visitors within their own room or in the shared areas of the home. Residents liked to visit friends in the other building on the site and during the inspection residents moved freely between the two buildings. The menus were seen and these reflected people’s personal choices. The staff encouraged a healthy eating regime. During the inspection lunch was seen being prepared. Each resident choose what they wanted for lunch and assistance was given to residents as they needed it. The rapport between residents and staff was friendly and involved “light banter”. Fridge, freezer and hot food temperatures were recorded and kept. The kitchen was maintained in a clean and tidy condition. Residents were seen cleaning the kitchen and lounge with support from the staff. All the residents have access to the local community. On the day of the inspection one resident went to the local hairdressers and others went shopping with the support of the staff. The daily routines were seen to be very good. The residents, who were supported with these tasks as appropriate, completed household chores. Some residents went to the local shops during the morning. All residents had keys to their bedroom doors and they confirmed that they could lock the door. They were aware that staff could override this in an emergency. Laurelston and Copperbeech F51 F01 S6611 Laurelstone Copperbeech V240399 270705 Stage 4.doc Version 1.40 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20 & 21 Residents received support from the staff for personal care in accordance with their stated preference. Administration and control of medications were appropriate for the needs of the service users. The death of a friend of the residents was handled in a respectful and sensitive manner by the staff team. EVIDENCE: The personal support and daily routine sheets seen described how the residents preferred to be supported in their daily routines. Times for rising and resting and personal care preferences were recorded, as was choice of clothing, hairstyle and makeup. All residents were dressed differently according to their own choice. Residents said that assistance with any care needs was conducted in private. Storage of medication was appropriate and a monitored dosage system was used. The medication administration sheets seen were signed and up to date. No controlled drugs were used at this time, however appropriate facilities were available if required. Laurelston and Copperbeech F51 F01 S6611 Laurelstone Copperbeech V240399 270705 Stage 4.doc Version 1.40 Page 15 Within the care plans records of visiting professional sheets were seen. These recorded visits from and to the GP, hospital, optical and chiropody appointments. Residents spoken to said that they access these services within the local community with the support of staff if required. During this inspection residents were getting ready to go to a funeral. The death of a friend had occurred and staff were seen helping residents to come to terms with their loss. Good interaction between residents and staff was seen at this time. The residents showed the inspector the beautiful flowers they had bought to take with them. One of the residents went out to pick them up from the florist during the morning. Residents told the inspector that he was a good friend and that it was “a sad day for them”. Some residents said “they had known this friend for a long time”. Laurelston and Copperbeech F51 F01 S6611 Laurelstone Copperbeech V240399 270705 Stage 4.doc Version 1.40 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 Residents were satisfied with the support they received from the manager and staff. EVIDENCE: The home’s policy on complaints was seen and residents said that they would speak to the staff if they had a complaint. Staff confirmed that they were aware of the procedure and would pass concerns onto the manager. No complaints had been received since the previous inspection and all relevant paperwork was available in the event of a complaint being received. Residents spoken said that they “felt concerns they had would be dealt with appropriately”. Laurelston and Copperbeech F51 F01 S6611 Laurelstone Copperbeech V240399 270705 Stage 4.doc Version 1.40 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 27 & 30 The home provided a clean and comfortable environment for the people to live in. EVIDENCE: The home was furnished in a domestic style. Residents said that bedrooms were decorated to their preferred style and staff stated that residents had helped to choose the colour scheme for the lounge and dining area. The home was clean, tidy and free from any unpleasant smells. Records of menus and daily checks on fridge, freezer and hot food temperatures were kept. The laundry room was located off the kitchen area. There was a domestic style washing machine and drier. Cleaning materials were kept secure and basic information sheets on hazardous materials were available. The grass and garden areas were well kept. Laurelston and Copperbeech F51 F01 S6611 Laurelstone Copperbeech V240399 270705 Stage 4.doc Version 1.40 Page 18 A requirement from the previous inspection with regard to the shower room had been attended to. A new shower curtain had been provided. Residents said “they liked living at the home” and that “they were happy with the environment”. They said that staff had a free and easy rapport with them and this was seen during the inspection. The atmosphere within the home was very good and staff chatted to residents in a friendly manner. Laurelston and Copperbeech F51 F01 S6611 Laurelstone Copperbeech V240399 270705 Stage 4.doc Version 1.40 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 35 & 36 The manager provided clear leadership. Records were well maintained. Staff received support to enable them to meet residents’ needs. EVIDENCE: At the time of this inspection the agreed staffing levels were met. One person in charge and two support workers were on duty that day. Observed day-to-day supervision of staff was good and the staff team confirmed that they were supported by the manager in their delivery of care to residents. The staff said that formal supervision was conducted on a regular basis and records were kept. Staff confirmed that supervision sessions were held on a regular basis. During this inspection staff were seen providing care for residents in a dignified manner. Whilst assisting with mealtimes staff supported residents in the preparation of the meal as required. All the staff have either obtained NVQ level II in Care or were working towards achieving NVQ level II in Care. Mandatory training included moving and handling, first aid, fire awareness, food hygiene and medication training. All staff had completed mandatory training. Health and Safety and Adult Protection were other courses most staff had undertaken. Laurelston and Copperbeech F51 F01 S6611 Laurelstone Copperbeech V240399 270705 Stage 4.doc Version 1.40 Page 20 The staff team was established, the team was covering one vacancy of twelve hours at this time. Staff had worked at the home from six months to twelve years. During this inspection a staff induction pack was seen. These are handed out to all new staff. It contained a welcome to the home and Home Farm Trust, induction checklist, about the staff members role, Health and Safety, local information, recording systems, site specific paperwork, policies, procedures and guidelines, registration and inspection and training record. This is a comprehensive system, which was well planned and easy to follow. It followed the Learning Disabilities Award Framework and by the end of the pack the person will have obtained LDAF level II certificate. This pack can then be used to lead into NVQ level II in care. Laurelston and Copperbeech F51 F01 S6611 Laurelstone Copperbeech V240399 270705 Stage 4.doc Version 1.40 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 40 & 41 Residents’ records were kept safe and secure. EVIDENCE: Records seen were kept in good order. These were in line with the Data Protection requirements. Residents said they were aware of information kept about them. Residents’ files were kept secure. Care plans were discussed with the residents and staff said that residents give full input into the plans, which the residents confirmed. Laurelston and Copperbeech F51 F01 S6611 Laurelstone Copperbeech V240399 270705 Stage 4.doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 3 x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Laurelston and Copperbeech Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x 3 3 x x F51 F01 S6611 Laurelstone Copperbeech V240399 270705 Stage 4.doc Version 1.40 Page 23 No 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. Standard 1 Regulation 4 Requirement The registered person must ensure that the statement of purpose contains all the information outlined in Standard 1. This requirement remains outstanding. The registered person must ensure that the Commission is provided with a copy of the updated statement of purpose. This requirement remains outstanding. Timescale for action 30.9.05 2. 1 4 30.9.05 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 1 Good Practice Recommendations The registered person should ensure that each resident has a copy of the home’s statement of purpose and function and the service users guide within the residents’ plan of care. The registered person should ensure that daily recordings are made to enable staff and family members to see what a particular resident has undertaking during the day. 2. 7 Laurelston and Copperbeech F51 F01 S6611 Laurelstone Copperbeech V240399 270705 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Unit D, Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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. 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