Inspection on 09/12/05 for Laurieston House

This inspection was carried out on 9th December 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 House 26/06/07

Laurieston House 20/07/06

Laurieston House 01/08/05

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Laurieston House 118 Hady Hill Chesterfield Derbyshire S41 0EF Lead Inspector Ray Coonan Unannounced Inspection 9th December 2005 02:00 Laurieston House DS0000062837.V266891.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 Laurieston House DS0000062837.V266891.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. Laurieston House DS0000062837.V266891.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Laurieston House Address 118 Hady Hill Chesterfield Derbyshire S41 0EF 01246 629389 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) Dr Bolegowda Narayana Swamy Nanda Swamy Nanda Swamy Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Laurieston House DS0000062837.V266891.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1. The Responsible Individual must attend a recognized training course concerning Multi Agency Adult Protection Procedures in Derbyshire within six months of his registration. 2. The Registered Manager must enroll on a NVQ Level 4 course in Management and Care before the end of 2005. 3. Bedroom 3 will not be used as service user accommodation once the present occupant has vacated the room. 1st August 2005 2. 3. Date of last inspection Brief Description of the Service: The Home is a detached corner house, located in a residential area just outside the centre of Chesterfield, and close to a wide range of local amenities and facilities. There are attractive garden and sitting areas accessible to the residents. The Home is run on family domestic lines and each resident has their own bedroom. There are 2 lounge areas in use and suitable bathroom and toilet facilities available. The manager and proprietor live on the premises and share the Homes facilities with residents, who also attend local day care centres during the week. Laurieston House DS0000062837.V266891.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection took place over a period of two and a half hours on the 9th December. The manager and owner, Mrs Swamy, was present throughout the visit and there was also the opportunity to meet and talk with all three residents living at the Home. A range of documents, such as care plans, medication records and staffing rotas was viewed during the inspection visit. A full inspection of the premises was not undertaken on this occasion. What the service does well: What has improved since the last inspection? What they could do better: There were no major areas for improvement though some small aspects of recording require attention. Laurieston House DS0000062837.V266891.R01.S.doc Version 5.0 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 House DS0000062837.V266891.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 Laurieston House DS0000062837.V266891.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): 2 and 4. People coming to live at the Home have their needs and abilities properly assessed and are given the chance to try out living arrangements before any permanent move is agreed. EVIDENCE: Since the last inspection the Home has had a new resident who has been living there for just over a month. From discussions with the manager and the resident it was clear that the move was appropriately planned with opportunities for initial visits and stays at the home to try out living arrangements and meet other people at the Home before any final decision was made. The manager was mindful of other residents’ views and interests during this process. Care plan information demonstrated that a full range of assessment information was obtained with clear arrangements for specific supports from community services and suitable review arrangements in place. Laurieston House DS0000062837.V266891.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 and 9. Individual plans for care were satisfactorily maintained with residents’ views appropriately established and respected and their independence and development supported in a purposeful manner. EVIDENCE: Residents’ individual care plan files were examined and these were detailed, comprehensive and gave a good sense of each resident’s preferences, capabilities, needs and interests. Minutes from resident meetings were also seen and demonstrated that residents were consulted in such areas as social activities and meals and the general ongoing life of the Home. There was satisfactory guidance for meeting care needs and appropriate risk assessment information evident on care plans, which covered the physical, emotional and social welfare of each resident. There were also copies of up to date reviews with Care Manager and Day Centre input. Laurieston House DS0000062837.V266891.R01.S.doc Version 5.0 Page 10 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): 11, 12, 13,14,15 and 16. Each resident had a full and active lifestyle, which complemented their overall developmental needs as well as expressed interests and preferences. EVIDENCE: Care plan files showed that each resident’s day centre activities were reviewed and linked to their overall personal development. It was also clear that they have a wide range of leisure activities throughout the week, which includes use of local amenities such as shops and pubs, and also regular outings from the Home at weekends. One resident also attends a luncheon club each week and the new resident was continuing with her regular paid employment during some days in the week. Residents chatted quite happily about their general social life and interests and it was clear that their preferences were taken into account. Activities were less structured within the Home, though residents had their own television and music facilities and some games and craft materials were available. Residents were observed using the various parts of the Home as they wished. The manager said that the residents helped around the house up to a point and that one particularly liked to help in the garden. Laurieston House DS0000062837.V266891.R01.S.doc Version 5.0 Page 11 Only one resident had any family contacts, which were facilitated by the Home in line with agreed plans. The two longstanding residents were well known in the neighbourhood and had local visitors though neither had any particular friendships amongst their peer group. Laurieston House DS0000062837.V266891.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): 18,19 and 20. Residents’ general health needs were suitably promoted and any specific needs were monitored appropriately with the support of specialist health services. EVIDENCE: Residents were seen to be in good general physical health and there were records on care plans of any appointments with community health resources such as G.P., optician and dentist. Plans would also monitor general behavioural, and social issues relevant to each individual’s emotional wellbeing. Any personal care needs were identified and reviewed on care plans and these were minimal. Discussions with the manager indicated this was dealt with in a sensitive manner. One resident had had a particular difficult episode since the last inspection and had spent a short time in Ash Green Community hospital for Learning Disabilities. All residents were in contact with Ash Green for regular reviews and relevant records were maintained. Medication was stored securely and records of administration were satisfactorily maintained. The manager administered insulin injections on a daily basis and stated that instruction had been provided through the practice nurse at the local surgery, and there was now written evidence of this. The Home has recently changed to Boots pharmacy, though an audit of the Home’s arrangements for the handling of medicines had not yet taken place. Laurieston House DS0000062837.V266891.R01.S.doc Version 5.0 Page 13 Laurieston House DS0000062837.V266891.R01.S.doc Version 5.0 Page 14 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): Standards in this section were not fully assessed on this occasion. EVIDENCE: The Provider/Responsible Individual for the Home, Dr. Swamy, has now completed relevant training in the protection of vulnerable adults. Laurieston House DS0000062837.V266891.R01.S.doc Version 5.0 Page 15 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): 24,25,26 and 28. Residents enjoy a comfortable and homely environment that suits their needs. EVIDENCE: Although a full inspection of the premises was not undertaken, communal/lounge areas and bedrooms were viewed. The Home was run on domestic lines and was homely, clean and well maintained with fixtures and fittings of a good standard. Bedrooms were comfortably furnished and very much personalised by each resident. One resident’s room was slightly below size requirements but it was his own choice to remain in that room and the two lounge areas in use compensated for this shortfall. All communal areas, apart from the bathroom were shared with the owners who also live on the premises. Externally, the Home is congruent with surrounding properties and convenient for local shops and transport. There were good sized, attractively maintained garden and sitting areas for resident use, which included a greenhouse. Laurieston House DS0000062837.V266891.R01.S.doc Version 5.0 Page 16 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): 33 and 36 Residents are supported by staff who are deployed flexibly to fit in with their daily activities. EVIDENCE: Staffing rotas were seen and indicated that staff levels and deployment was in line with the needs of residents. Apart from the owners there was one other staff member working 15 hours per week. The CRB check is now up to date. The manager is currently advertising for a care assistant (14 hours). Individual staff supervision is arranged regularly though records of these sessions were not kept. Laurieston House DS0000062837.V266891.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 and 38. Residents benefit from an open and friendly atmosphere at the Home which is run on an informal family basis. EVIDENCE: Residents were very relaxed and at ease around the Home and in their interactions with the manager and talked openly about their day wanting to share information about activities they had been involved in. The manager stated that she feels more confident now that she has got to know each resident better and their individual behavioural patterns. The manager has now enrolled on a course for NVQ level 4 in care and management and is also taking up training opportunities at Ash Green hospital. The Home’s systems for managing residents’ finances were examined. Any personal monies were kept secure with records of any financial transactions maintained though these were not signed by the manager or the resident. One resident managed her own personal money. Laurieston House DS0000062837.V266891.R01.S.doc Version 5.0 Page 18 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 X 3 X 3 X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 X 3 X X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X 3 X X 2 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Laurieston House Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 3 X X X X X DS0000062837.V266891.R01.S.doc Version 5.0 Page 19 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. 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. 2. Refer to Standard YA36 YA38 Good Practice Recommendations Records of staff supervision should be maintained. Records of any transactions involving residents’ personal monies should be signed by staff and the resident. Laurieston House DS0000062837.V266891.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Laurieston House DS0000062837.V266891.R01.S.doc Version 5.0 Page 21 - 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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