Inspection on 06/03/09 for Laverneo

This inspection was carried out on 6th March 2009.

CSCI found this care home to be providing an Excellent service.

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

Laverneo 15/02/07

Laverneo 25/01/06

Laverneo 12/08/05

Laverneo 24/02/05

Laverneo 04/08/04

Similar services:

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/06/2011.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Laverneo Pennywell Road Nookside Sunderland SR4 9HZ The quality rating for this care home is: three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Eileen Hulse Date: 0 6 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 28 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: Laverneo Pennywell Road Nookside Sunderland SR4 9HZ 01915286908 01915826908 Elaine.Douglass@scope.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : SCOPE care home 4 Number of places (if applicable): Under 65 Over 65 4 3 1 0 learning disability physical disability Additional conditions: Date of last inspection A bit about the care home Laverneo is a purpose built detached bungalow in the Pennywell area of Sunderland. It is situated in a residential area, close to bus routes and other local amenities. The home is registered to provide four people with learning disabilities, including three who may have physical disabilities and one who may be over 65years old. The staff provide personal care for currently three service users who have a learning disability and all who have some degree Care Homes for Adults (18-65 years) Page 4 of 28 of physical disability. The home comprises a lounge, kitchen/dining room, four single bedrooms, two toilets, a bathroom, a shower room and a shower room. An office/sleep in room is provided for staff who share communal areas within the service users. Externally there is an easily accessible garden, parking facilities are available and there is a separate garage. The home has its own transport. The service has developed a Service User Guide that informs prospective service users about the service, the aims and how these are met. A copy of the recent inspection report is available in the home for anyone to read. The fees charged by the home range between #890 and #1067 per week. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 28 How we did our inspection: This is what the inspector did when they were at the care home The last inspection on this service was completed on 15/02/2007 This is an overview of what the inspector found during this inspection. The quality rating for this service is 3 star. This means that people who use this service experience Excellant quality outcomes. How the inspection was carried out Before the visit we looked at Information we have received since the last visit on 15th February 2007 How the service dealt with any complaints and concerns since the last visit Any changes to how the home is run The providers view of how well they care for people The views of people who use the service, their relatives and staff The Visit Observed staff practice and talked with people who use the service Looked at information about the people who use the service and how well their needs are met Looked at other records which must be kept Checked that staff had the knowledge skills and training to meet the needs of the people they care for Looked around the building to make sure it was clean, safe and comfortable Checked if any improvements had been Care Homes for Adults (18-65 years) Page 7 of 28 made We told the manager what we found What the care home does well This is a well run home with good staff support and committment. Laverneo provides the people who live there with a good fulfilling way of life. The quality of the care given is excellant and the caring staff give service users the support they need to make decisions and choices that effect their everyday lives to make sure they have a varied social life. There is good rapport between service users and staff and healthcare needs are well met with other healthcare professionals fully involved. The care plans contain good informationand tell staff how they can meet all of the needs of the people living in the home. Care Homes for Adults (18-65 years) Page 8 of 28 What has got better from the last inspection What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home Care Homes for Adults (18-65 years) Page 9 of 28 If you want to speak to the inspector please contact Eileen Hulse 33 Greycoat Street London SW1P 2QF 02079792000 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 10 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 11 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good assessments are included within the plans of care for all service users that help to form the basis of the individual care plan, this ensures that before admission takes place the home is able to know if the care needs can be met by them. Evidence: All service users living in the house have had needs assessments carried out by a care manager and the manager of the service prior to their admission. When a vacancy occurs, a care manager makes a referral to the home and the prospective service user makes several visits either having a meal with the people who live there or spending some time in the house with them and accompanying them on activities to eventually being offered overnight stays. There has been one admission to the home since the last inspection and the care plan showed that a sensitive gradual introduction had taken place between the prospective service user and other service users and staff within the home and this gives the person the time to decide if they would like to move in and ensures the correct equipment is made available prior to moving in. Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: The organisation has comprehensive policies and procedures regarding the admission process and recently the statement of purpose and service users guide have been reviewed and updated to reflect changes that have been made. Care Homes for Adults (18-65 years) Page 13 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Quality in this outcome area is excellant. This judgement has been made using available evidence including a visit to this service. The care plans contain all aspects of person centred care, they are up to date, well maintained and include comprehensive, detailed information about service users as individuals and this helps staff to provide good quality care. Evidence: All service users living in the home have an individual plan of care that is organised and easy to understand. It includes information on the needs of the person and details how the needs can be met and the support that is needed by staff to help meet the needs and the care plans are monitored and evaluated regularly to reflect any changes. Service users are familiar with their care plans and they are able to discuss the content particularly centred on activities. The activities care plan is completed every day and shows the actual activities that have taken place. So that the service users have Care Homes for Adults (18-65 years) Page 14 of 28 Evidence: access to and an understanding of the records, videos have been made to illustrate what has been written in them. This ensures that the people living in the home have control about what is said and written about them in the care plans. Risk assessments are included within the care plans to make sure that any element of risk to the service user has been assessed and minimised where possible, it also shows the independence of the service user has been judged against any areas of risk. Care Homes for Adults (18-65 years) Page 15 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Quality in this outcome area is excellant. This judgement has been made using available evidence including a visit to this service. There is a good range of social activities made available to all service users to fulfill lifestyles and this ensures people are able to make choices on how to spend their leisure time. The rights of people as individuals is recognised by support being given to maintain personal relationships and to maintain contact with their families and friends. Service users are offered nutritious and varied meals with good choices for everyone Evidence: All daily routines of the house are centred on the preferences of the people who live there. During the visit, everyone was sat around the dining table planning the next weeks menus prior to two of the service users going for the weekly food shopping Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: supported by staff. All service users had input into this and were clearly stating what should be included for the meal choices, three service users were planning and paying for their forthcoming holiday to Spain. Service users were keen to discuss how they spend their leisure time and talk about their home in general. Comments they made included I like living here the staff are good to me and help me I go to a painting class and some of my work is on the walls in the house I have lived here nine months and I love living here, I get out more now I live here I am going to Spain for my holidays, I havent been on holiday for years and it will be my first holiday abroad Staff access information from the internet, local posters and information leaflets to help service users plan and choose what they want to do. Monthly service users meetings are held to discuss where they want to go and any issues they want addressed. Quite often service users visit the theatres and they spoke of going out for meals which they clearly enjoy. Two of the service users attend craft clubs and day centres two days a week and one of the service users attends a cooking class at the local community centre and once a week makes a main meal for everyone. Another service had been out the previous night celebrating her birthday with a meal and a pub visit to the town centre. Care Homes for Adults (18-65 years) Page 17 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Quality in this outcome area is excellant. This judgement has been made using available evidence including a visit to the service. A number of specialist professionals are currently accessed and used by the service and this ensures the healthcare needs of service users are identified and met. Good medication procedures are used and well managed that helps to make sure that service users are given their medication safely. Evidence: Through observation and reading through care plans it was evident that good care practices take place in this home. Staff work sensitively with the service users, showing discretion when assisting with personal needs and demonstrating respect and sensitivity when interacting generally. Through the person centred care plans, the dignity, comfort and personal care of service users includes clear guidelines for staff to follow in relation to equipment that may need to be used to meet the needs of people. The service has a policy and procedure on the administration of medicines used in the Care Homes for Adults (18-65 years) Page 18 of 28 Evidence: home. All medications are recorded on individual medicine administration records that are up to date and well maintained and all staff in the home have completed the accredited medication training Safer Handling Of Medication Care Homes for Adults (18-65 years) Page 19 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Quality in this outcome area is good. This judgement has been made using available evidence and including a visit to this service. The home have good adult protection and complaint procedures in place that help to protect service users from abuse and ensure that any complaints made will be fully investigated. Evidence: The complaints policy is written in a format that is suitable for the people in the home to understand. Any complaint or concern received by the service is recorded and acted upon and records showed there have been no complaints or POVA incidents since the last inspection. Protection of Vulnerable Adults (POVA) procedures are available in the home for staff guidance and they also include whistle blowing. Staff records confirmed all staff currently working in the home have received training on the protection of people living there. Care Homes for Adults (18-65 years) Page 20 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The bedrooms are homely and personalised to suit individual tastes and have a homely, comfortable feel and service users demonstrated a real sense of ownership in their own space in the home. Improvement to the furnishing and decoration of the home has now been completed. The kitchen has been completely refurbished with new electrical appliances, kitchen units and new laminate flooring and service users bedrooms redecorated. Bedroom carpets are to be replaced when service users are away from the home on their planned holdays. Furniture in the sitting room has been replaced and the bathroom has also been refurbished with new appliances and redecoration. There are good cleaning and maintenance schedules for both internal and external areas of the house and this helps to maintain a nice home. Evidence: Quality in this outcome area is excellant. This judgement has been made using available evidence including a visit to this service. Care Homes for Adults (18-65 years) Page 21 of 28 Evidence: The house is homely and comfortable and provides service users with a nice home within a safe environment. Care Homes for Adults (18-65 years) Page 22 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are well trained and have a good understanding of their roles and responsibilities and this ensures that people can be expected to be cared for by staff that have the skills and knowledge to support them and meet their needs. Evidence: The home has a policy and procedure on staff recruitment that is used when recruiting for staff vacancies. The Manager was able to explain in detail the process that is used for prospective staff. The service has a very low turnover of staff and staff members currently working in the home have many years service working there. Observations made during the visit and discussions with the staff on duty evidenced that the staff team have a good understanding of their roles and clearly know the service users well. Staff explained they are provided with training specific to the needs of the service users and this has allowed the home to have a mix of skills and experience among the staff group necessary for the tasks they are expected to undertake. Care Homes for Adults (18-65 years) Page 23 of 28 Evidence: Over 50 per cent of the staff employed hold a care qualification ranging from NVQ Level two up to NVQ Level five. The home has good staffing levels and this was confirmed by the number of staff on duty during the visit and looking at the staff rota. Care Homes for Adults (18-65 years) Page 24 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Evidence: The Manager is well experienced to run the home and shows good leadership, guidance and support to service users and the staff team. This ensures the home meets its stated purpose and is a pleasant place for service users to live in. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 or Textphone : or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 28 of 28 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!