CARE HOMES FOR OLDER PEOPLE
Laurieston Albion Terrace Saltburn-by-Sea TS12 1JY Lead Inspector
Ray Burton Unannounced Inspection 9th January 2006 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 Laurieston DS0000000076.V266601.R01.S.doc Version 5.1 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. Laurieston DS0000000076.V266601.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Laurieston Address Albion Terrace Saltburn-by-Sea TS12 1JY 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) 01287 623890 Mr D Caley Mrs K Caley Mrs Kathleen Caley Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Laurieston DS0000000076.V266601.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 27th June 2005 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 DS0000000076.V266601.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was the second of two inspections carried out each year as required by the Care Standards Act 2000. A tour of the building was conducted and documentation examined. The inspector spoke to three residents, two relatives and four members of staff. What the service does well: What has improved since the last inspection?
New carpets have been fitted to several bedrooms and all bedroom doors are now fitted with “hold open devices” linked to the fire alarm system. The Newly introduced “Lauriston Newsletter” has proved to be a popular means of keeping residents and relatives in touch with what is going on in the home. Laurieston DS0000000076.V266601.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Laurieston DS0000000076.V266601.R01.S.doc Version 5.1 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 Laurieston DS0000000076.V266601.R01.S.doc Version 5.1 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): These standards were not assessed on this occasion. EVIDENCE: Laurieston DS0000000076.V266601.R01.S.doc Version 5.1 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): These standards were not assessed on this occasion. EVIDENCE: Laurieston DS0000000076.V266601.R01.S.doc Version 5.1 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): These standards were not assessed on this occasion. EVIDENCE: Laurieston DS0000000076.V266601.R01.S.doc Version 5.1 Page 11 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Theses standards were not assessed on this occasion. EVIDENCE: Laurieston DS0000000076.V266601.R01.S.doc Version 5.1 Page 12 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion. EVIDENCE: These standards were all assessed and found to be satisfactory during the inspection conducted on 27th June 2005. A walk round the building on this occasion revealed the high standard of the environment had been maintained and since the last inspection there had been several improvements: some bedrooms had been re-carpeted; all bedroom doors were now fitted with “hold open devices” linked to the fire alarm system; new over bed tables had been purchased for some of the bedrooms. Laurieston DS0000000076.V266601.R01.S.doc Version 5.1 Page 13 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): 27,28,29,30 The home had a robust recruitment policy and procedures. Staff were employed in sufficient numbers to meet residents needs. Staff were encouraged to undertake training. EVIDENCE: Observation during the inspection and examination of staffing rosters indicated adequate numbers of staff were on duty at all times to meet the assessed needs of residents. The homes recruitment procedure ensured all necessary checks, including Criminal Record Bureau, were conducted and two suitable references received prior to commencement of employment. Five personnel files were examined, each contained evidence that all necessary procedures had been carried out. Staff spoken to during the inspection spoke enthusiastically about their work and described the atmosphere in the home as being very friendly and just like a big family. They said that all members of staff were encouraged to undertake courses that would aid their personal development and help them meet service user needs. Training records revealed the home had maintained 100 of staff holding a minimum of NVQ level 2 in Care, with many being qualified to NVQ level 3. In addition to ongoing NVQ training, various other training courses had been undertaken since the last inspection including: Food Hygiene; Infection Control (12 week course); Fire Awareness.
Laurieston DS0000000076.V266601.R01.S.doc Version 5.1 Page 14 It was observed during the inspection that visitors to the home were greeted in a friendly manner, and it was apparent that good relationships existed between staff and relatives. Comment cards returned to the CSCI by relatives all made very positive comments about the home and the way in which it was managed: “Staff at Lauriston are very friendly and caring. Visitors are made welcome with a friendly greeting, tea or coffee plus biscuits.” “I find the staff efficient and friendly.” “An excellent, well run establishment with caring staff that make you feel welcome into the home and brighten up the experience of visiting.” “The residents of Lauriston are well cared for and well entertained. The staff take time to keep the residents mentally and physically stimulated.” In conversation the inspector was told by one visitor “If you’ve got to be in a home this is the one to be in.” Laurieston DS0000000076.V266601.R01.S.doc Version 5.1 Page 15 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 The home was effectively managed and had policies, procedures and records in place to ensure the health, safety and welfare of residents. EVIDENCE: The manager held appropriate qualifications in care and management and was described by members of staff as being approachable and supportive, they said that she always listened to what they had to say and would consider any suggestions that were made to improve the running of the home and the welfare of residents. Laurieston DS0000000076.V266601.R01.S.doc Version 5.1 Page 16 The home had effective quality assurance and quality monitoring systems, both formal and informal, to measure success in meeting its aims, objectives and statement of purpose: Resident/family satisfaction survey; staff meetings; resident meetings; regular reviews; informal daily contact with residents and their families. The importance of keeping residents and relatives in touch with what was going on in the home was recognised and the recently inaugurated monthly “Lauriston Newsletter” was proving a popular and effective means of communication. Policies, procedures and records were in place to cover all aspects of the health, safety and welfare of residents. Regular checks of the building and equipment were carried out, and maintenance and servicing undertaken to ensure a safe and comfortable environment. Management and staff were aware of their responsibilities under health and safety legislation. Staff training was ongoing and covered areas such as: First Aid; Fire Safety; Manual Handling. Residents financial affairs were dealt with by a designated representative, usually a relative, and only small amounts of cash were handled by the home. Any money or item of value held for safekeeping on behalf of a resident was held securely and an appropriate record maintained. Laurieston DS0000000076.V266601.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x x x x x x x x x STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Laurieston DS0000000076.V266601.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Laurieston DS0000000076.V266601.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Tees Valley Area Office 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
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