Inspection on 13/06/06 for Lawrence Court Care Home

This inspection was carried out on 13th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Lawrence Court Care Home 09/06/08

Lawrence Court Care Home 16/11/05

Lawrence Court Care Home 19/05/05

Lawrence Court Care Home 02/12/04

Lawrence Court Care Home 11/05/04

Lawrence Court Care Home 27/02/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Lawrence Court Care Home Allendale Road Byker Newcastle Upon Tyne Tyne & Wear NE6 2SB Lead Inspector Suzanne McKean Key Unannounced Inspection 13th June 2006 09:30 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 Lawrence Court Care Home DS0000000400.V301437.R01.S.doc Version 5.2 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. Lawrence Court Care Home DS0000000400.V301437.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lawrence Court Care Home Address Allendale Road Byker Newcastle Upon Tyne Tyne & Wear NE6 2SB 0191 276 0017 0191 276 0296 Lawrence.Court@fshc.co.uk www.fshc.co.uk Tamaris Healthcare (England) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) 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) Care Home 46 Category(ies) of Dementia - over 65 years of age (23), Old age, registration, with number not falling within any other category (23) of places Lawrence Court Care Home DS0000000400.V301437.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. At any time up to 10 beds can be used to provide care for service users in either category OP or DE(E) 16th November 2005 Date of last inspection Brief Description of the Service: Lawrence Court is a purpose built care home with nursing located in Byker. It is situated on the same site as another care home owned by the same company. The home provides nursing care for 23 older persons and the ground floor and provides social and personal care for 23 older persons on the first floor. The two floors are accessible via stairs and a passenger lift. There are two lounges and one dining room on each floor and there are designated smoking lounges. All of the bedrooms are single en suite and there are adapted bathing, showers, and toilet facilities throughout the home. The lower ground floor is not readily accessible to residents. This floor has the staff room, kitchens and laundry services. The home has an accessible garden area and there is ample car parking. The home is close to local shops and leisure facilities and is on a local bus route. The current scale of charges is £356 per week. Lawrence Court Care Home DS0000000400.V301437.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection and took place over two days and involved one inspector. Residents care records, staff rota, recruitment/training files plus additional statutory records were examined. The inspector had informal and formal discussion with the manager, deputy, two staff, and three ancillary staff. Six residents and five relative were spoken to during the visit. There were twenty one requirements identified during the last inspection and all but three of which have been fully met. Some of the requirements have remained outstanding however they have been adjusted to reflect the work that has been carried out. There have been no additional requirements made. What the service does well: What has improved since the last inspection? 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. Lawrence Court Care Home DS0000000400.V301437.R01.S.doc Version 5.2 Page 6 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 Lawrence Court Care Home DS0000000400.V301437.R01.S.doc Version 5.2 Page 7 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): 3&6 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Residents are only admitted into the home after a detailed assessment including information obtained from Social Services, previous professional carers, the residents and their families. The home is not registered for therefore does not provide intermediate care. EVIDENCE: Care plans have detailed information to make sure that the home can meet the needs of the prospective resident. The Manager is involved in the decisions and in the majority of instances visits the residents himself prior to their admission. The care plans contained both the Social Services assessment and additional information obtained from other places including residents, relatives and in some cases the professionals caring from the residents at the placement they were in at the time prior to admission. Lawrence Court Care Home DS0000000400.V301437.R01.S.doc Version 5.2 Page 8 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): 7, 8, 9 & 10 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The residents have their needs met by the home and the staff are skilled in providing care in a sensitive and dignified manner. The residents receive their prescribed medication in line with safe working practices and the medicines are well managed and safely disposed of as necessary. EVIDENCE: Four care plans were examined, they were completed well, with relevant risk assessments for the prevention of falls, nutrition, moving and assisting, and continence promotion. The plans showed that they are regularly reviewed and updated. The home are supported by the community nursing service and they provide the nursing advice as necessary. The care plans showed that the residents have access to all NHS services and facilities. A number of assessment tools are in use, and they were reviewed monthly, and were dated and signed by the author. Daily reporting of residents Lawrence Court Care Home DS0000000400.V301437.R01.S.doc Version 5.2 Page 9 care was good, and the changing needs of residents was reviewed and up dated. The staff have a good knowledge of residents care needs with evidence of good partnership workings with other professionals. Throughout the visit staff were treating residents with respect and dignity. Personal care was given in privacy, staff used residents preferred name at all times. Residents were complementary about the staff in the home and felt that they were able to have privacy in their own rooms and the staff respects that this. One relatives’ comments card was returned, it was answered positively and there were no negative comments made. One resident comment card was returned which was also positive about the home and included the comment “activities very good”. The medicines in the home are generally well managed and safely disposed of as necessary. Where hand written entries were required on the Medicines Administration Records these were not always signed as necessary, therefore an effective audit could not be carried out. This must be addressed. The treatment room was very tidy and was well organised. Two residents medication was examined as part of the case tracking and they were being administered appropriately in line with good practice guidlines. There was a separate list of signatures of staff on record for auditing purposes and this was up date for new staff. There has been a problem with ordering medicines since the last inspection when a member of staff innapropriatley altered a prescription prior to it going to the pharmacist. This was investigated by both the Police and the home, and was found to have been done by staff without the intention to defraud or cause harm. This has been dealt with by the Manager with additional supervision, staff training and a change in the procedures. There is now no longer a risk of this re-occurring, it was dealt with effectively. Lawrence Court Care Home DS0000000400.V301437.R01.S.doc Version 5.2 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): EVIDENCE: Lawrence Court Care Home DS0000000400.V301437.R01.S.doc Version 5.2 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): EVIDENCE: Lawrence Court Care Home DS0000000400.V301437.R01.S.doc Version 5.2 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): EVIDENCE: Lawrence Court Care Home DS0000000400.V301437.R01.S.doc Version 5.2 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): EVIDENCE: Lawrence Court Care Home DS0000000400.V301437.R01.S.doc Version 5.2 Page 14 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): EVIDENCE: Lawrence Court Care Home DS0000000400.V301437.R01.S.doc Version 5.2 Page 15 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 2 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Lawrence Court Care Home DS0000000400.V301437.R01.S.doc Version 5.2 Page 16 Are there any outstanding requirements from the last inspection? Yes 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 OP9 Regulation 13(2) 17(1)(a) Requirement The home must ensure that all medicines received, leaving the home or disposed of are accurately recorded. All hand written entries must be checked and signed by two staff. The laundry flooring must be impermeable and easily cleaned. The flooring requires replacing OUTSTANDING FROM 02/05/04 The home must ensure that a minimum ratio of 50 trained members of staff (NVQ level 2 or equivalent) is achieved by end of 2005. OUTSTANDING Timescale for action 01/07/06 2. OP26 12,13,16 31/08/06 3. OP28 18(1) 01/01/07 4. OP31 9(1)(2)(b) The manager must progress with (i) 10(3) her application with the Commission to become registered. OUTSTANDING 01/09/06 Lawrence Court Care Home DS0000000400.V301437.R01.S.doc Version 5.2 Page 17 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 Lawrence Court Care Home DS0000000400.V301437.R01.S.doc Version 5.2 Page 18 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Lawrence Court Care Home DS0000000400.V301437.R01.S.doc Version 5.2 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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