Inspection on 12/10/05 for Lavenders

This inspection was carried out on 12th October 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

Lavenders 19/01/09

Lavenders 06/02/07

Lavenders 19/01/06

Lavenders 01/09/04

Lavenders 04/05/04

Similar services:

Wingham Court

Old Hastings House

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

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

CARE HOMES FOR OLDER PEOPLE Lavenders Lavenders Road West Malling Kent ME19 6HP Lead Inspector Alison Spreadbridge Announced 12 October 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. Lavenders H56-H06 S23974 Lavenders V246026 121005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Lavenders Address Lavenders Road West Malling Kent ME19 6HP 01732 844744 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) Mr Keith Robert Webb Mrs Madeleine Webb Care Home 61 Category(ies) of Old Age (61) registration, with number of places Lavenders H56-H06 S23974 Lavenders V246026 121005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Care of one service user is restricted to one person whose date of birth is 20/04/1946. Date of last inspection 06 July 2005 Brief Description of the Service: Lavenders is a detached property set in its own grounds in the village of West Malling near Maidstone. The home is near to the village high Street and a mainline station. It is a spacious, well decorated house, caring for 61 older people, offering each service user a single room, the majority of which have en-suite facilities. Lavenders H56-H06 S23974 Lavenders V246026 121005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home is well decorated, warm and welcoming. There are a number of lounges and dining rooms for the service users’ use. The majority of service users are accommodated in single en-suite bedrooms. A large number of comment cards were received by the Commission from service users’ relatives prior to the inspection, they were complementary about the services their relatives are receiving. The service users spoken with said they were looked after well and liked the atmosphere in the home. They said they had entertainment and activities that included music, quizzes and card games and a sewing group that got together one afternoon a week. The home provides a monthly newsletter that highlights special events and any changes taking place in the home such as the building extension. Staff training has a high priority for the home’s management and a number of staff have gained their NVQ in care. What the service does well: What has improved since the last inspection? What they could do better: Lavenders H56-H06 S23974 Lavenders V246026 121005 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. Lavenders H56-H06 S23974 Lavenders V246026 121005 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 Lavenders H56-H06 S23974 Lavenders V246026 121005 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) 1,2,3,4,5,6, Service users are provided with the information they need to make an informed choice about moving into the home. EVIDENCE: The home provides each service user with the information they need to make an informed choice about moving into the home. The home provides each service user with a contract and details the home’s terms and conditions. Service users have the opportunity to visit the home and see their room and meet other service users living in the home prior to moving in. Each service user has their needs fully assessed prior to being offered residency. The home does not provide intermediate care. Lavenders H56-H06 S23974 Lavenders V246026 121005 Stage 4.doc Version 1.40 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 standard(s) 7,8,9,10,11 Service users’ personal health needs are assessed and maintained through their individual care plans. EVIDENCE: Each service users needs are assessed prior to moving into the home. The care plans are regularly reviewed, however they would benefit from a more individual approach being taken to service users’ risk assessments. Care plans are reviewed on a monthly basis. Medication in the main is administered centrally. However, arrangements can be made for self-administration where appropriate. The home’s policies and procedures ensure service users are protected. A Boots monitored dosage system is in use. The G.P. has agreed the homily remedies used in the home. The service users spoken with said the staff at the home treated them respectfully. On speaking with staff and the home’s owner they are aware of the needs of service users and their families when they come to the end of their lives. The Lavenders H56-H06 S23974 Lavenders V246026 121005 Stage 4.doc Version 1.40 Page 10 home’s records do not consistently show that the wishes of service users are being recorded in respect to themselves and to their family members. Lavenders H56-H06 S23974 Lavenders V246026 121005 Stage 4.doc Version 1.40 Page 11 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 Service users said they had a variety of activities offered throughout the week. Their social and religious needs are met. EVIDENCE: The service users have breakfast in their rooms and breakfasts start at about 8.15am. Early morning tea is provided. The hairdresser comes into the home two days a week. Service users can make an appointment with her. There is a separate hairdressing salon. Families and friends are able and encouraged to visit the home at any reasonable time. They are able to stay and have a meal in the home by prior arrangement. The service users spoken with said that the food provided was good and the cook made some nice cakes for tea in the afternoon. The local minister calls into the home and services are held on a Sunday afternoon once a month. Lavenders H56-H06 S23974 Lavenders V246026 121005 Stage 4.doc Version 1.40 Page 12 Regular entertainment is provided in the home. Activities are arranged such as cards, sewing groups and music, and quizzes. Newspapers are delivered on a daily basis for those who want them. Lavenders H56-H06 S23974 Lavenders V246026 121005 Stage 4.doc Version 1.40 Page 13 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 service users know their complaints will be listened to. EVIDENCE: The service users and their relatives are aware of the home’s complaints procedure and said they felt confident that they would be listened to. The home’s policies and procedures are in place to ensure service users’ health and welfare is protected. Staff spoken with were aware of the home’s policies and procedures about dealing with complaints and abuse. Lavenders H56-H06 S23974 Lavenders V246026 121005 Stage 4.doc Version 1.40 Page 14 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 standard of the environment both inside and outside of the home is good providing service users with an attractive and homely place to live EVIDENCE: The Service users are encouraged to personalise their rooms. The home is clean, tidy, tastefully decorated and well maintained. The new extension has been added to the home in a very sensitive way so as to blend in with the rest of the home. The manager said that some of the chairs in the small lounge are to be replaced. There are sufficient facilities available for the use of service users. The back of the bath hoist was in need of cleaning. This was pointed out to the manager during the tour of the home. Lavenders H56-H06 S23974 Lavenders V246026 121005 Stage 4.doc Version 1.40 Page 15 Some of the drinking glasses were seen to be in need of replacement, the manager said the damage had been caused by the constant use of the dishwasher. There is a cold water dispensing machine in each lounge. Fruit is also readily available for service users. Lavenders H56-H06 S23974 Lavenders V246026 121005 Stage 4.doc Version 1.40 Page 16 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) 27,28,29,30 The staff have a good understanding of the assessed needs of the service users EVIDENCE: There were sufficient staff on duty and on the rota to meet the identified needs of service users. Staff are provided with opportunities to go on training courses and a number of staff have just concluded their NVQ 2 and some have obtained their NVQ 3 in care. A party was being held to congratulate them on their success. The home has a sound recruitment policy, including obtaining CRBs for staff employed in the home. Staff were heard and seen to treat the service users in a friendly and respectful manner. Service users spoken with said the staff were cheerful and helpful. Lavenders H56-H06 S23974 Lavenders V246026 121005 Stage 4.doc Version 1.40 Page 17 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) 31,32,33,34,35,36,37,38, Service users benefit from a well run home. EVIDENCE: The provider manages the home on a day to day basis in the best interests of the service users. However, at this time the home does not have a registered manager. It is expected that a registered manager will be making an application to the Commission shortly. The home ensures that policies and procedures are in place to protect the rights of the service users living in the home. Health and safety is promoted and protected. Staff were seen to ensure the areas that they were working in remained safe for service users. Lavenders H56-H06 S23974 Lavenders V246026 121005 Stage 4.doc Version 1.40 Page 18 Formal staff supervision is not taking place, however staff are receiving annual appraisals. Six staff have just completed their NVQ’s in Care. A Keyworker system is in use in the home. Staff are provided with handbooks and induction training is taking place. Lavenders H56-H06 S23974 Lavenders V246026 121005 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 4 4 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 3 3 3 3 3 Lavenders H56-H06 S23974 Lavenders V246026 121005 Stage 4.doc Version 1.40 Page 20 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 11 Good Practice Recommendations service users wishes around their care and arrangements after death are recorded. Lavenders H56-H06 S23974 Lavenders V246026 121005 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT 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 Lavenders H56-H06 S23974 Lavenders V246026 121005 Stage 4.doc Version 1.40 Page 22 - 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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