Inspection on 05/01/06 for Laurelston

This inspection was carried out on 5th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Laurelston 20/09/07

Laurelston 11/01/07

Laurelston 27/07/05

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 Cheshire CH65 6TA Lead Inspector Maureen Brown Unannounced Inspection 09:15 5 January 2006 th Laurelston And Copperbeech DS0000006611.V273529.R01.S.doc Version 5.0 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 Laurelston And Copperbeech DS0000006611.V273529.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 Adults 18-65. 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. Laurelston And Copperbeech DS0000006611.V273529.R01.S.doc Version 5.0 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 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) Home Farm Trust Kerry Ann Winstanley Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Laurelston And Copperbeech DS0000006611.V273529.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. This home is registered for a maximum of 8 service users in the category of LD (Learning disability) The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 27th July 2005 Date of last inspection Brief Description of the Service: Laurelston and Copperbeech are two units providing personal care and accommodation to eight residents with a learning disability. It is owned by Home Farm Trust Limited and is located in Whitby, which is close to Ellesmere Port and shops, pubs and other local amenities. 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 residents. All of the 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 car parking and the garden to the side and rear of the home is well maintained and accessible to residents. Laurelston And Copperbeech DS0000006611.V273529.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on 5th January 2006. The total time on site was three and a half hours. The inspector spent half an hour planning the inspection by reviewing previous inspection reports and the service history. The inspection included a tour of the communal areas, inspection of records and discussions with four residents, the person in charge and the support workers on duty. Fifteen out of forty-three standards were assessed and most were met. Feedback from this inspection was given to the registered manager at the end of the inspection. What the service does well: What has improved since the last inspection? What they could do better: So that prospective residents and relatives can have relevant information about the home the statement of purpose and function and service users guide must be brought up to date and copies given to residents and the Commission. Laurelston And Copperbeech DS0000006611.V273529.R01.S.doc Version 5.0 Page 6 Annual reviews must be kept up to date and regular records of activities completed by residents should be kept in the care plans so that staff and family members are able to see what a particular resident has undertaken. To ensure that staff are supported by the manager all staff must receive an annual appraisal with records kept. Staff should also receive mandatory training and specialist training in line with the Certificate of Registration. Satisfaction surveys for residents and relatives should be used to obtain views of the service provided and this information should be collated and shared with residents and others. The health, safety and welfare of services users must be promoted and protected by safe working practices including having an up to date gas safety certificate. 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 DS0000006611.V273529.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Laurelston And Copperbeech DS0000006611.V273529.R01.S.doc Version 5.0 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 the following standard(s): 1 Sufficient information is provided for residents to make a decision about moving into the home. 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 staff were aware of these documents. The statement of purpose and service users guide was last reviewed in March 2004. They contained all the necessary information required for people to make an informed choice about the home. Among the details included were, the home’s environment, mission statement, aims and objectives, decision-making, meals, and visitors. Also included was care practices, promoting health and wellbeing, spiritual needs and taking risks. The previous requirements and recommendations with regard to full information being made available in the statement of purpose and service users guide and the residents having their own copy and one sent to the commission had been addressed. Residents had a copy of the home’s statement of purpose and function and service users guide that was within their plan of care. However, these documents now need reviewing in line with changes in the registered managers details, staff information and the Commissions details. See requirement Nos. 1 & 2. Laurelston And Copperbeech DS0000006611.V273529.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 6&7 The residents’ health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. EVIDENCE: Two 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. Annual reviews of the care plans had not been completed. 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 and other information on an ad-hoc basis. It is suggested that more regular recordings be made to enable staff and family members to see what a Laurelston And Copperbeech DS0000006611.V273529.R01.S.doc Version 5.0 Page 10 particular resident has undertaken. The records were written clearly and were signed by carers. This recommendation of good practice remains outstanding from the previous report. 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. See requirement No. 3 and recommendation No.1. Laurelston And Copperbeech DS0000006611.V273529.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 15 Personal and family relationships were encouraged by the home and the staff team supported people with this. EVIDENCE: 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 members and said they could choose to see visitors within their own room or in the shared areas of the home. All the residents have access to the local community and had the opportunity to make friends with people who did not have their disability. Two residents work in the local Asda. Details of significant dates are recorded on the care plans and birthdays etc are celebrated and remembered. On the day of the inspection three residents were out and about in the community. Laurelston And Copperbeech DS0000006611.V273529.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 20 Administration and control of medications were appropriate for the needs of the service users. EVIDENCE: The home had a policy on the administration and storage of medication that was available to all staff members. Storage of medication was appropriate and kept in the sleep in room. The monitored dosage system issued by Boots the Chemist 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 DS0000006611.V273529.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 23 The policies and practices of the agency ensure that service users are safeguarded from abuse and harm. EVIDENCE: The home had the local authority “no secrets” policy available and the manager confirmed that they would follow these guidelines in the event of an alleged or suspected case of abuse. The homes policy on protecting adults with learning disabilities from abuse included information about reducing the risk, spotting the signs, types of abuse and what to do in the event of witnessing abuse. Staff spoken with confirmed that they had a good understanding of the potential indicators of abuse and what to do if they became aware of an allegation of abuse. Documentation confirmed they had received protection of vulnerable adults training. Laurelston And Copperbeech DS0000006611.V273529.R01.S.doc Version 5.0 Page 14 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 the following standard(s): 24 & 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 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. The grass and garden areas were well kept. 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. The manager stated that the lounge and kitchen in Laurelston and the laundry in Copperbeech were due to be redecorated. Laurelston And Copperbeech DS0000006611.V273529.R01.S.doc Version 5.0 Page 15 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 32, 34 and 35 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, 34, 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. Documentation confirmed that supervision sessions were held on a regular basis. Annual appraisals were not completed. Three of the six staff had NVQ level II in Care, two are working towards this and one had almost completed this training. Mandatory training included first aid, fire awareness, food hygiene and medication training. Some staff had completed mandatory training. Health and Safety and Adult Protection were other courses most staff had undertaken. Some staff had completed specialist training in line with the Certificate of Registration. The recruitment procedure had been followed and ensured that all the staff employed were suitable to work with vulnerable people. Two staff files were Laurelston And Copperbeech DS0000006611.V273529.R01.S.doc Version 5.0 Page 16 examined and these showed that pre-employment checks were carried out. Amongst the documentation available were application forms, two references and Criminal Record Bureau checks. All staff had completed a medical questionnaire. Copies of supervision notes and certificates of courses undertaken were also available. The files were up to date and well presented. See requirement No 4 & 5. Laurelston And Copperbeech DS0000006611.V273529.R01.S.doc Version 5.0 Page 17 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Residents’ views were used in the planning for the home. Decisions are influenced by the information obtained from the Person Centred Planning system and from conversations with residents. Arrangements are in place to minimise the risk so that the safety and welfare of the residents is promoted. EVIDENCE: The registered manager had worked with adults with learning disabilities for seventeen years. She had worked in a managerial role for four years, the last two as the manager of Laurelston and Copperbeech. The manager has completed NVQ IV Registered Managers Award. Home Farm Trust has an annual development plan that is based on residents’ needs. Laurelston And Copperbeech DS0000006611.V273529.R01.S.doc Version 5.0 Page 18 Residents’ questionnaires were not used but information obtained during the Person Centred Planning process, which examines how the resident was and what they like about living at the home. Other information is gained through discussions with the residents. However this information is not accessible to other residents, families, other professionals and the Commission. Safe working practices included visits from the fire safety officer and the environmental health officer, which had been completed satisfactorily. The electrical safety and insurance certificates were in place and up to date. Fire alarm tests were being undertaken on a weekly basis and records kept. Emergency lighting tests were also being carried out on a monthly basis with records kept. All staff had received fire awareness training. The gas safety certificate was not available. See requirement Nos. 6 & 7. Laurelston And Copperbeech DS0000006611.V273529.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 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 X X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 2 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 2 2 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Laurelston And Copperbeech Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 2 X X 2 X DS0000006611.V273529.R01.S.doc Version 5.0 Page 20 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 YA1 Regulation 4 Requirement The registered person must ensure that the statement of purpose and service users guide contains up to date information with regard to the Commission, Registered Manager and staff team. The registered person must ensure that the Commission is provided with a copy of the updated statement of purpose. The registered person must ensure that residents’ annual reviews are kept up to date. The registered person must ensure that all staff receive mandatory training and specialist training in line with the Certificate of Registration. The registered person must ensure that all staff have annual appraisals. The registered person must ensure that annual resident surveys are completed and the results are published and made available to residents and others. The registered person must ensure that an up to date gas safety certificate is available. DS0000006611.V273529.R01.S.doc Timescale for action 30/03/06 2. YA1 4 30/03/06 3. 4. YA6 YA35 15 18 30/03/06 30/03/06 5. 6. YA36 YA39 18 24 30/03/06 30/03/06 7. YA42 23 30/01/06 Laurelston And Copperbeech Version 5.0 Page 21 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 YA7 Good Practice Recommendations The registered person should ensure that regular recordings are made to enable staff and family members to see what a particular resident has undertaken during the day. Laurelston And Copperbeech DS0000006611.V273529.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Northwich Local Office 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. Extracts may not be used or reproduced without the express permission of CSCI Laurelston And Copperbeech DS0000006611.V273529.R01.S.doc Version 5.0 Page 23 - 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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