Inspection on 07/12/06 for Lavender House Retirement Home For The Elderly
Also see our care home review for Lavender House Retirement Home For The Elderly for more information
This inspection was carried out on 7th December 2006.
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
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
Due to the reduction in numbers of service users being accommodated, the ratio of staff to service users is very good. This has enabled the staff to provide genuine personal care and spend time with the service users on a oneto-one basis. This was reflected in the comments made by the service users and their relatives. The home presents as being a very relaxed and informal environment in which the service users are able to live their lives at their own pace.
What has improved since the last inspection?
Since taking over, the current manager has made a considerable number of improvements. These have included updating and revising the records, improving staff support and training and improving the standard of care provided for the service users. She acknowledged that this improvement has been primarily due to a marked improvement in the staff to service user ratio and she was adamant that this ratio should not regress with future admissions into the home. She has also placed considerable emphasis on the need for staff training. This approach has had a positive effect on staff morale and their overall enthusiasm. The manager has endeavoured to improve relationships between the home and health and social care professionals particularly by improving the standards of communication. The manager has a clear vision of the quality of care that Lavender House should, and must, provide and those elements of care such as independence and choice that go to provide the service users with a good quality of life. The majority of the concerns identified during the previous inspection either have been, or are in the process of being, addressed. The manager has delegated the responsibility for overseeing specific tasks to senior members of staff. By this approach she is able to spend more time supervising and supporting staff and developing the overall service. The introduction of a deputy manager has also been beneficial for the manager and the service users. Considerable improvement has also been made to the standard of the physical environment particularly in terms of cleanliness and the absence of unpleasant smells. Several relatives of the service users confirmed this improvement.
What the care home could do better:
The manager acknowledges that there is still some way to go to achieve a good quality of service that meets the needs of all of the service users. An excellent start has been made but time will tell whether the improvements made to the service have been sustained. Particular attention needs to be given to the activities provided for the service users. Whilst the current activities are appropriate, they are generally undertaken in a group setting and consequently do not necessarily address service users` individual needs and aspirations. Consideration should also be given to providing the service users with occupational activities in order to maintain their dexterity and keep them stimulated. Advice on the type of social activity should be sought from health and social care professionals. Better use could be made of the `key workers`. For example they should be directly involved in the development and review of the service users` care plans. The meals continue to be rather bland and uninteresting. None of the more able service users were aware of what was for lunch. Consideration should be given to providing the service users with a better choice of meal and to allow the more able service users to serve themselves through the use, for example, of tureens.