Inspection on 06/12/05 for Lawrence House

This inspection was carried out on 6th 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

Lawrence House 26/02/08

Lawrence House 09/01/07

Lawrence House 21/07/05

Lawrence House 04/10/04

Lawrence House 13/05/04

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

CARE HOMES FOR OLDER PEOPLE Lawrence House 15 St Marks Close Shorncliffe Folkestone Kent CT20 3LY Lead Inspector Mrs Sue Gaskell Unannounced Inspection 6th December 2005 10:00 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 House DS0000037880.V265374.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 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 House DS0000037880.V265374.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Lawrence House Address 15 St Marks Close Shorncliffe Folkestone Kent CT20 3LY 01622 671411 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) caroline.hillen@kent.gov.uk Kent County Council Caroline Hillen Care Home 30 Category(ies) of Dementia (16), Mental disorder, excluding registration, with number learning disability or dementia (1), Old age, not of places falling within any other category (13) Lawrence House DS0000037880.V265374.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents to be 55 years and over Date of last inspection 21st July 2005 Brief Description of the Service: Lawrence House is a Kent County Council run Home providing care, rehabilitation and step down care for up to thirty people. There are sixteen places for those with failing mental capacity. The Home was purpose built in the 1980s and is a single story building set in pleasant and safe gardens. The accommodation is divided into homely living units. It is well staffed and the recuperative care unit has the benefit of on-site occupational therapy services. Lawrence House is situated in the residential area of Shorncliffe. Cheriton High Street is close by and provides amenities such as post office and shops. Lawrence House DS0000037880.V265374.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over approximately 6 hours. The Inspector spoke with the manager, (whose registration application has recently been submitted), 3 staff and 4 of the current 25 residents. The Inspector toured the building and inspected a number of records, policies and procedures. 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 House DS0000037880.V265374.R01.S.doc Version 5.0 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 House DS0000037880.V265374.R01.S.doc Version 5.0 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 and 6 Prospective residents, and/or their representatives, are provided with the information they need in order to make a decision on whether the home will suit them. The health care, emotional and social needs of prospective residents are assessed prior to their admission to the home. EVIDENCE: The individual records which are kept for each resident included a comprehensive pre-admission assessment with input from various health care professionals. There are now occasions when the assessment is carried out by the local Kent County Council care management team rather than by the manager or a member of staff employed within the home. However, the inspector was satisfied that there is appropriate liaison between care managers and the home and that the home would not admit someone if it was felt that their needs could not be met or that their needs would compromise the care and safety of other residents. Residents said that they had been given information regarding the home and that the home lived up to their expectations. Lawrence House DS0000037880.V265374.R01.S.doc Version 5.0 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 and 10 The health and social needs of the residents are well provided for by the home. Personal support is offered in a way that protects the privacy and dignity of the residents and promotes their independence. There are clear and comprehensive systems for the management and administration of medicines and the home promotes good health EVIDENCE: There are care plans in place for all residents which include reference to physical, personal and social care needs, individual aims and objectives, and evidence of reviewing residents’ needs. Risk assessments have been prepared and staff referred to specific guidelines which have been prepared for use in certain situations. The medication administration procedures have been reviewed since the last inspection and medication was seen to be appropriately recorded and stored. All of the residents and relatives spoken to told the inspector that the staff are helpful and sensitive and, whilst able to joke with residents, still treat residents with respect. Lawrence House DS0000037880.V265374.R01.S.doc Version 5.0 Page 9 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): 12,13,14 and 15 The home promotes the well-being, independence and autonomy of the residents and helps them to maintain control over their lives. Residents have access to a range of recreational interests. Residents are assisted with maintaining contact with their previous way of life, and their families and friends are made welcome. Residents’ tastes, choices and dietary needs are well catered for, with a varied selection of food and drinks available during the day and evening. EVIDENCE: All of the residents spoken to said that they are frequently encouraged to say what they would like, in terms of personal care, activities, menus etc., and that any suggestions are acted upon. Residents also confirmed that visitors are always made welcome and offered hospitality. The meal served during the inspection was seen to be appetising and nutritious and residents confirmed that the food is generally of a very good standard. Lawrence House DS0000037880.V265374.R01.S.doc Version 5.0 Page 10 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): 16 and 18 The home’s complaints process is satisfactory and there is evidence to show that residents’, or others’ concerns are taken seriously and responded to appropriately. Staff have a good understanding of adult abuse issues and of the home’s procedures to protect residents from abuse. EVIDENCE: The service user guide includes the home’s complaints procedure. Residents confirmed that they would feel comfortable in mentioning anything to the Managers or staff and confident that any concerns would be resolved. The Manager and other staff referred to procedures and ongoing training in adult protection and showed a willingness to consult with local authority care managers and adult protection co-ordinators. Lawrence House DS0000037880.V265374.R01.S.doc Version 5.0 Page 11 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): 19 and 26 Although there are no serious safety issues, and the home is clean, pleasant and hygienic, the standard of internal maintenance in some areas is affecting the standard of the indoor environment. Residents have access to specialist equipment and their own bedrooms suit their needs. EVIDENCE: The residents’ bedrooms were generally of a reasonable standard and some have had new carpets and furniture. However there are some areas around the building, such as the “blue” lounge which are in need of attention. The corridors have been decorated in bright cheerful colours but again this is spoilt by the marked or damaged wallpaper, door frames and woodwork. Lawrence House DS0000037880.V265374.R01.S.doc Version 5.0 Page 12 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): 27,28, and 30 Staffing, in terms of both numbers and competency, is appropriate to the current needs of the residents. Staff are well trained and supported, and staff morale is high EVIDENCE: Staffing at the time of the inspection comprised the manager, team leader, 7 care staff and kitchen and domestic staff. The manager and staff confirmed that there is a good level of induction and further training and that all necessary checks on staff are undertaken prior to employment. All of the residents spoken to confirmed that day staff and night staff are kind, sensitive, helpful and cheerful. Lawrence House DS0000037880.V265374.R01.S.doc Version 5.0 Page 13 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): ,33,35 and 38 Residents benefit from a well managed home where there are appropriate procedures in place to safeguard their general well-being. There are sound and effective quality assurance systems in place. Generally, there is a high level of attention paid to health and safety issues EVIDENCE: Residents confirmed that they are consulted and kept informed of any developments affecting themselves or the home in general. Records are generally well maintained, and systems and procedures are regularly reviewed. The staff said that health and safety is regarded as a serious issue, that it is covered during their induction training and there is on-going training for staff in core health and safety issues. Lawrence House DS0000037880.V265374.R01.S.doc Version 5.0 Page 14 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 3 X X X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Lawrence House DS0000037880.V265374.R01.S.doc Version 5.0 Page 15 Are there any outstanding requirements from the last inspection? no 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. 2 Standard OP19 OP19 Regulation 13 13 Requirement Ensure that the hot water in the visitors’ WC does not present a risk.. Replace towel dispensers which are rusted Timescale for action 15/12/05 31/03/06 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 OP19 Good Practice Recommendations The home should undertake some re-decoration and fit new carpets in areas where the colours have faded. Lawrence House DS0000037880.V265374.R01.S.doc Version 5.0 Page 16 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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. 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