Inspection on 18/08/05 for Lawreth

This inspection was carried out on 18th August 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

Lawreth 25/04/07

Lawreth 12/01/06

Lawreth 17/03/05

Lawreth 23/08/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Lawreth 267 Station Road Seaham Durham SR7 0BH Lead Inspector Kathy Bell Unannounced 18 August 2005 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Lawreth B54 S7599 Lawreth V 234328 180805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Lawreth Address 267 Station Road Seaham Durham SR7 0BH 0191 5130111 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) European Services for People with Autism Ltd Mrs Jean Guy CRH 2 Category(ies) of LD Learning disability (2) registration, with number of places Lawreth B54 S7599 Lawreth V 234328 180805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 17 March 2005 Brief Description of the Service: Lawreth is registered to provide care (but not nursing care) for two people with learning disabilities between the ages of 18 and 65 years. The home provides a specialist service for people with autism spectrum disorder and physical disabilities. The home is a bungalow which has been adapted to meet the needs of the disabled resident. It provides two single bedrooms, a lounge, kitchen/dining room and a garden. It is furnished and decorated in a domestic style to a good standard. The building is near the town centre of the coastal town of Seaham. Lawreth is managed by the organisation now known as European Services for People with Autism Ltd which was established in 1987 and runs a range of services for young adults autism spectrum disorders. Lawreth B54 S7599 Lawreth V 234328 180805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place during one afternoon in August 2005 and both residents were at home during part of it. Kathy Bell looked at the building and some records, met residents and talked to the manager and two staff. Residents were not able to take part in the inspection fully because of their learning and communication difficulties. However, each year the home asks residents parents about their views of the home. Parents responses showed that they were very pleased with the home and care provided. What the service does well: What has improved since the last inspection? The manager had been able to spend more of her time on her management work, rather than on direct care of residents. However, during this summer, after two staff left, she has spent more time on direct care again, until new staff could be appointed. New staff are now in post and she can, once again, have sufficient time for her management role. Lawreth B54 S7599 Lawreth V 234328 180805 Stage 4.doc Version 1.40 Page 6 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. Lawreth B54 S7599 Lawreth V 234328 180805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR 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) Scoring of Standards Statutory Requirements Identified During the Inspection Lawreth B54 S7599 Lawreth V 234328 180805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 Espa carries out a full assessment of each residents needs to make sure that they will be able to meet those needs. EVIDENCE: Both residents have lived in the home for some time and had previously lived in other services run by Espa. The organisation was therefore well aware of their particular needs and preferences. Before the first admission, Espa carries out a full assessment, involving specialists such as a psychologist and obtaining comprehensive background information. Residents are only admitted after the admissions panel has agreed the placement. Lawreth B54 S7599 Lawreth V 234328 180805 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 & 8 Residents each have a care plan which describes the care they need. These provide detailed guidance to make sure that staff are aware of residents needs and wishes and how these must be met. The only thing missing is up-to-date guidance on the moving and handling needs of one resident. However staff have received verbal instruction on these. Daily records showed that residents can tell staff what they want or dont want to do despite communication disabilities. EVIDENCE: Each resident has a care plan which describes the care they need . These are very detailed and take into account residents wishes. They include assessments by Espass speech therapist and guidance to staff on how to respond to any challenging behaviour. The care plans show that staff respect residents rights to independence as far as possible. However there was not up to date guidance on how to help a resident move from the chair to his wheelchair etc. The home has received assessments and training from an occupational therapist in the past and the manager confirmed that all staff have been told how best to help the resident. This guidance Lawreth B54 S7599 Lawreth V 234328 180805 Stage 4.doc Version 1.40 Page 10 should be written in his care plan to make sure that all staff are aware and are working in the same way. The lack of written guidelines is less likely to have caused problems in a small home of this kind where there are few new staff and staff do not work alone. However to be absolutely certain that guidelines are understood and followed, they must be written down. Daily records and discussion with the manager showed a strong commitment to listening to residentss views. For example, staff offer swimming as an activity to a resident who usually enjoys it but record when he decides not to go. The records of the activities each resident takes part in at the day centre show that they have different timetables: sometimes they take part in the same activity but often their interests and abilities are different. Lawreth B54 S7599 Lawreth V 234328 180805 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the 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 and 17 Residents are helped to take part in a range of leisure activities, for pleasure and personal development. A range of art and craft and social activities are provided at Espas own day centre. The home has its own vehicle so that residents can easily be taken out to use local community facilities which makes their lives as much like anyone elses as possible. Staff help to maintain contact between residents and their families. They try and provide a good diet, taking into account residents choices. EVIDENCE: Residents have an active life, with a variety of leisure activities. Within the home, residents work with staff in the greenhouse and garden. They go out and about in the homes own vehicle, using pubs, shops and other community facilities. In Espas day centre, pottery, cafe visits, sensory room, aerobics arts and crafts, IT and photography are available. Staff take one resident on visits home and comments from parents show a good relationship between them and the home. Lawreth B54 S7599 Lawreth V 234328 180805 Stage 4.doc Version 1.40 Page 12 Staff keep detailed records of the food offered and eaten by one resident to enable them to make sure he is eating adequately. They respond to his particular needs by offering snacks he will enjoy if he has refused the main meal. They are aware of likes and dislikes but these vary from day to day. Lawreth B54 S7599 Lawreth V 234328 180805 Stage 4.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 Care plans provide detailed guidance staff on meeting personal care needs and these take into account residents wishes and rights to independence. However, see also comments in standard 6. The home has a number of systems to help staff make sure that health needs are met and receives regular support from a specialist doctor. There are established satisfactory systems for handling and giving medication to residents which include a full recording system. EVIDENCE: Care plans include detailed guidelines on how residents like to be cared for. This helps staff to act in the consistent way which residents prefer. The risk assessments gives staff permission to respond to a residents own assessment of if he feels fit enough to be more independent on that day, but within limits necessary for his health and safety. Staff make sure that residents received a good standard of health care. They arrange regular checkups such as dental care and the dentist has recorded his compliments about how the staff maintain dental hygiene. Lawreth B54 S7599 Lawreth V 234328 180805 Stage 4.doc Version 1.40 Page 14 Staff stayed with a resident during a hospital admission to reduce the stress for him and ensure his needs were met. Staff record a weekly update on residents health and well-being to make sure that whenever their psychiatrist visits, information is available for him. When necessary, they record their monitoring of the effects of any changes of medication to assist the doctor in his assessment. The home has an established system for handling medication. Staff have received training in this and the system covers all the necessary areas including ordering, storage, administration and disposal. Lawreth B54 S7599 Lawreth V 234328 180805 Stage 4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed during this inspection. EVIDENCE: Lawreth B54 S7599 Lawreth V 234328 180805 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 & 30 The home provides a pleasant, comfortable place to live which meets residents needs. The home seemed clean and hygienic on the day of inspection. EVIDENCE: The building is a bungalow which has been specially adapted to meet the needs of disabled resident. It provides two single bedrooms, a lounge and kitchen/dining room. A bathroom and extra separate toilet have been made accessible for both residents. The building is furnished and decorated in a domestic style and appears well maintained. Office space has been provided in the garage to make sure that the kitchen/dining area remains fully available for residents. The home appeared clean and well cared for. Lawreth B54 S7599 Lawreth V 234328 180805 Stage 4.doc Version 1.40 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 Enough staff are on duty at all times to meet the needs of residents. EVIDENCE: There are always two staff on duty during the daytime and some of the week the manager is on duty as well. The staffing levels enable the home to run safely, provide individual attention for residents and give them an active lifestyle. Night staffing consists of one waking person which seems enough to meet the residents needs. Lawreth B54 S7599 Lawreth V 234328 180805 Stage 4.doc Version 1.40 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed during this inspection. EVIDENCE: Lawreth B54 S7599 Lawreth V 234328 180805 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 Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 4 x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 4 3 4 3 x 3 Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Lawreth Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x B54 S7599 Lawreth V 234328 180805 Stage 4.doc Version 1.40 Page 20 No 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 6 Regulation 15 Requirement Care plans must include written assessments and guidelines about moving and handling. Timescale for action 1.10.05 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. 2. Refer to Standard 37 33 Good Practice Recommendations The manager should achieve NVQ 4 in management by 2005. 50 of the staff should achieve NVQ 2 in care by 2005. Lawreth B54 S7599 Lawreth V 234328 180805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection No 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Lawreth B54 S7599 Lawreth V 234328 180805 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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