Inspection on 27/06/05 for Laurieston

This inspection was carried out on 27th June 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

Laurieston 23/02/09

Laurieston 23/01/07

Laurieston 09/01/06

Laurieston 29/09/04

Laurieston 10/05/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Laurieston Albion Terrace Saltburn-by-Sea TS12 1NJ Lead Inspector Ray Burton Unannounced 27 June 2005 09:30 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 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. Laurieston B51-B01 S76 Laurieston V235474 270605 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Lauieston Address Albion Terrace Saltburn-by-Sea TS12 1JY 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) 01287 623890 Mr D Caley Mrs Kathleen Caley Care Home only 16 Category(ies) of OP - Old age registration, with number of places Laurieston B51-B01 S76 Laurieston V235474 270605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29/09/04 Brief Description of the Service: Lauriston is a large detached Victorian house overlooking Riftswood and the Valley Gardens. It is conveniently situated for easy access to all local amenities such as shops, post office, banks, churches and public transport including the railway station. There is a lawned front garden providing an attractive outside sitting area. Accommodation is provided in ten single and three double bedrooms. Two rooms have en-suite facilities, the others have a wash hand basin. There is a large lounge with two separate seating areas and a dining room. Laurieston B51-B01 S76 Laurieston V235474 270605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. What the service does well: What has improved since the last inspection? What they could do better: All of the standards assessed during this inspection were met and in some cases exceeded. Residents and relatives spoke of their satisfaction with all aspects of the home and said that they could not think of anything at all that could be improved. Laurieston B51-B01 S76 Laurieston V235474 270605 Stage 4.doc Version 1.40 Page 6 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. Laurieston B51-B01 S76 Laurieston V235474 270605 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Laurieston B51-B01 S76 Laurieston V235474 270605 Stage 4.doc Version 1.40 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 standard(s) 1,2,3,4,5 Residents and their relatives were able to visit the home and were given sufficient information to enable them to make an informed choice about the suitability of the home. The homes assessment procedure ensured that no one would be admitted unless their needs could be met. EVIDENCE: The home had a Statement of Purpose clearly setting out the aims, objectives and philosophy of care. Each resident had been issued with a service users guide that met the requirements of the National Minimum Standards. Examination of four care plans and conversation with the manager and members of staff revealed that prior to admission a needs assessment was received from a care manger of the placing authority. Following receipt of a referral an invitation was extended to the prospective resident and his/her family to visit and meet with staff and residents and to look around the home. If the service user was unable to visit, the manager or a senior member of staff would visit the prospective resident in their own home or hospital and conduct an assessment to determine if the persons needs could be met at Lauriston. Residents and relatives confirmed they had been able to visit prior Laurieston B51-B01 S76 Laurieston V235474 270605 Stage 4.doc Version 1.40 Page 9 to admission. All admissions were subject to a trial period followed by a review before a decision was made to make the stay permanent. The home does not offer intermediate care. Laurieston B51-B01 S76 Laurieston V235474 270605 Stage 4.doc Version 1.40 Page 10 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 standard(s) 7,8,9,10,11 Resident’s health, personal and social care needs were met by the home and there was evidence of multi-disciplinary working. Systems were in place for the safe and efficient administration of medication. Personal care was conducted in a sensitive manner that upheld the dignity and privacy of residents. EVIDENCE: Care plans contained information about the general health of the individual and details of any specific ailment or medical condition. Constant monitoring of health was undertaken and healthcare needs addressed by community based professionals e.g. general practitioners, district nurses etc. Risk assessments had been conducted in areas such as mobility, risk of falls etc and were regularly reviewed. Suitable management strategies had been developed to ensure that health related needs could be appropriately and safely met and that, where necessary, specialist help and equipment would be obtained. None of the current residents had expressed a wish to maintain control of their own medicines. All medication was stored appropriately and securely and dispensed according to the homes policy and procedures for the receipt, recording, storage, handling and administration of medicines by staff who had received appropriate training. Laurieston B51-B01 S76 Laurieston V235474 270605 Stage 4.doc Version 1.40 Page 11 Examination of the accident records revealed that since the last inspection there had not been an accident at the home requiring referral to the Accident & Emergency Unit. It was observed during the inspection that staff treated residents with respect, that they knocked on bedroom and toilet doors before entering and addressed residents courteously by their preferred name. Residents told the inspector that that they were happy with the way in which care and support was given and praised staff for the way that they looked after them. A suitable policy was in place to deal with dying and death and residents were able to remain at Lauriston during their last days, unless medical needs dictated otherwise. Laurieston B51-B01 S76 Laurieston V235474 270605 Stage 4.doc Version 1.40 Page 12 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 standard(s) 12,13,14,15 Residents were able to exercise control over their lives. Routines within the home were flexible and able to accommodate individual preferences and expectations. Staff encouraged residents to maintain links with family and friends and the local community. A healthy, balanced and varied diet was provided. EVIDENCE: Observation during the inspection and conversation with staff residents and relatives indicated there was a relaxed and friendly atmosphere in the home. Routines were flexible and allowed residents to exercise personal choice and to maintain control over their own lives, subject to their individual plan. Residents were able to choose what time they went to bed and what time they rose in the morning. Meals were at set times and were generally taken in the dining room however there was flexibility to allow for personal wishes, and meals could be served in residents own rooms if they wished (one resident had all of her meals served in her room). The menus showed a balanced and varied diet was provided and that alternatives to the main dish of the day were always available. On the day of the inspection the inspector shared a meal with the residents - it was nicely presented and well cooked. Residents expressed appreciation of the high standard of the food. Laurieston B51-B01 S76 Laurieston V235474 270605 Stage 4.doc Version 1.40 Page 13 It was apparent that great effort was expended to provide a stimulating atmosphere where residents could take part in a variety of different activities if they wished, and it was pleasing to observe the large bookcase in the lounge that had been stocked with books covering a wide range of subjects. The home had a good activities programme and residents were encouraged to take part, however staff understood the importance of allowing residents the freedom to choose whether or not to participate and respected their decision should they decide not to. The manager and staff were aware of the importance of residents maintaining contact with their family and friends and sought to use organised events as a means of increasing relative involvement in the home. Events planned for the summer months to which relatives and friends had been invited included: Prize Bingo Evening; Race Evening and Pie & Pea Supper; Sponsored Family Fun Walk and Barbeque. A new initiative, due to commence on 7th July, is the “Thursday Club”,that will take place in the church hall next door to the home. Planned social activities include: Beetle Drives; sing-a-long; arts & crafts; walks around the neighbourhood. It is intended that this weekly meeting will be, not just a social event but also, a support group for relatives where they can meet with staff and other relatives and also learn practical skills such as the correct way to transfer someone from a car to a wheelchair. On the day of the inspection the inspector met four relatives who were visiting, each made very positive comments about all aspects of the home and the care extended to their family member: “It’s wonderful, the staff are so good. I am always made very welcome.” “I am very impressed with the facilities and staff.” Laurieston B51-B01 S76 Laurieston V235474 270605 Stage 4.doc Version 1.40 Page 14 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 standard(s) 16,17,18 The home had a satisfactory complaints system and policies and procedures to protect residents from abuse and ton safeguard their legal rights. EVIDENCE: The home had an appropriate complaints procedure and kept a record of any complaint received and the action taken. Examination of the complaints book and conversation with the manager revealed there had not been any complaints received since the last inspection. In conversation residents and relatives expressed satisfaction with all aspects of the home and said that they did not have any complaints, but that if they were unhappy about anything they knew the course of action to be taken and who to approach to have the matter dealt with. They said they were confident that any complaint would be handled swiftly and efficiently. One relative said that his mother had been resident at Lauriston for two years and he had never had cause to complain. Policies and procedures were in place to ensure the safety and protection of residents and to respond to any suspicion or allegation of abuse. A copy of the “No Secrets” adult protection procedure was available to staff. Laurieston B51-B01 S76 Laurieston V235474 270605 Stage 4.doc Version 1.40 Page 15 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 standard(s) 19,20,21,22,23,24,25,26 The environment was good, providing residents with an attractive, comfortable and well-maintained place in which to live. EVIDENCE: Lauriston is pleasantly situated within the conservation area of Saltburn, close to all local amenities and the public transport system. The attractively laid out and well maintained garden area had been provided with garden furniture enabling residents to sit and enjoy the views across Riftswood and the Valley Gardens. The internal and external fabric and décor of the building was maintained in good condition. Residents had access to all necessary parts of the building through the provision of ramps and a passenger lift. Sufficient and appropriate specialist disability equipment was available to meet the needs of residents. Records showed that regular checks and servicing of equipment was undertaken. All areas of the home were centrally heated and radiators had been covered with suitable guards to ensure a low surface temperature. Laurieston B51-B01 S76 Laurieston V235474 270605 Stage 4.doc Version 1.40 Page 16 Hot water outlets accessible to residents had been fitted with pre-set valves to provide safe water temperatures. First floor windows had been fitted with restrictors. Lighting was domestic in nature and emergency lighting had been provided throughout the home. The numbers and suitability of lavatories and bathing facilities met the National Minimum Standard. The home currently has 10 single and 3 double bedrooms, however one of the double bedrooms is being used as a single room. All met the size requirements of the National Minimum Standards and will continue to do so as long as one of the bedrooms continues to be let as a single room. The double rooms had been provided with screening to ensure privacy for personal care. All bedrooms were decorated to a high standard and had been improved by the recent acquisition of new furniture. The inclusion of furniture and other effects such as photographs, pictures and ornaments brought from the occupants own home personalised the room and helped to make it more “home-like.” Communal space within the home met the National Minimum Standards. Furniture was comfortable, suitable for use and maintained in good condition. The home presented as being clean, hygienic and free from offensive odours. Policies and procedures were in place to deal with infection control and the safe handling of clinical waste and spillages. Laundry facilities were appropriately sited and suitable for purpose. Laurieston B51-B01 S76 Laurieston V235474 270605 Stage 4.doc Version 1.40 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 30 The home had a good training programme designed to equip staff to fulfil their role and meet service users needs. EVIDENCE: Training records showed that all members of staff were encouraged and supported to undertake training and to gain qualifications that would equip them to fulfil the aims of the home and to meet the needs of the residents. All eleven carers had achieved NVQ level 2 in Care and six were currently undertaking the level 3 (due for completion by August 2005). In addition all care staff had recently completed training in the following: Fire; Eye Care; Manual Handling (refresher); Safe Handling of Medicines. All staff at the home were currently undertaking a course in infection control and a member of the domestic staff had gained an NVQ level 2 in Support Services. Laurieston B51-B01 S76 Laurieston V235474 270605 Stage 4.doc Version 1.40 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed on this occasion. EVIDENCE: Laurieston B51-B01 S76 Laurieston V235474 270605 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 x 28 x 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 x x x x x x x x Laurieston B51-B01 S76 Laurieston V235474 270605 Stage 4.doc Version 1.40 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 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. 1. Refer to Standard Good Practice Recommendations Laurieston B51-B01 S76 Laurieston V235474 270605 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Unit B, Advance St Marks Court Teesdale Stockton-on-Tees TS17 6QX 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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