Inspection on 11/07/05 for Laxton Hall

This inspection was carried out on 11th July 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

Laxton Hall 20/11/07

Laxton Hall 03/01/07

Laxton Hall 04/01/06

Laxton Hall 11/01/05

Laxton Hall 25/05/04

Laxton Hall 23/02/04

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Carlton Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

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

CARE HOMES FOR OLDER PEOPLE LAXTON HALL Laxton Corby Northants NN17 3AU Lead Inspector Pat Harte Unannounced 11th July 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 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. LAXTON HALL C51 S12842 Laxton Hall V223469 110705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Laxton Hall Address Laxton Corby Northants NN17 3AU 01780 44292 01780 444574 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 Bogden Baumgart, Polish Benevolent Fund Housing Association Limited, 2 Devonia Road, Islington, London, N1 8JJ Sister Teresa Sabok Residential Care home 29 Category(ies) of OP - Old Age - 29 Places registration, with number of places LAXTON HALL C51 S12842 Laxton Hall V223469 110705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The Home may continue to care for 5 existing named Service users with Dementia or Mental Health problems Date of last inspection 11th January 2005 Brief Description of the Service: Laxton Hall is a care home providing personal care and accommodation for 29 older people with a special condition for 5 existing, named Service Users who also have mental health needs. The Home provides care for Polish people of retirement age whose main language is Polish.The Polish Benevolent Fund Housing Association Limited owns the Home. The Manager is Sister Teresa Sabok. Staffing is provided entirely by a Religious Order of Nuns.The Home is located in a rural environment within its own grounds of approximately one hundred acres near the village of Laxton in north Northamptonshire. Nearest towns are Corby, Peterborough and Stamford. The Home was opened in November 1975 and consists of a large listed building offering 27 single bedrooms and 1 double room. There are 3 large day rooms on the ground floor and additional communal space in the large entrance hall.The building has its own Chapel and service users have access to the extensive grounds. There is a passenger lift. LAXTON HALL C51 S12842 Laxton Hall V223469 110705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is an overview of what the inspector found during the inspection 2005-06 The focus of inspections undertaken by the Commission for Social Care Inspection is based upon the outcomes for residents, and upon their views of the service provided. The primary method of inspection used is case tracking which on this occasion involved selecting 3 service users and tracking the care they receive through reviewing, care plans, discussion with the service users and with the staff, and observing practice. Prior to the inspection taking place, the inspector spent one hour planning the areas to focus on at this inspection, based upon information gained from reviewing the homes service history and the last two inspection reports. The inspection took place in the morning over a period of six hours. What the service does well: Under the leadership of the registered manager the staff promote the ethos of the home, to provide a traditional Polish way of life for the Polish born residents, matching the residents’ needs and expectations. Prospective residents are welcomed to visit the home for a two-week period, during which an assessment of their needs is conducted, and it is only after the two-week assessment period that a decision is made as to whether the home meets the needs and expectations of the prospective residents and that a permanent place can be offered. The plans of care are person centred and specific to the needs of individual residents, outlining residents individual routines for both day and night care needs. There is a commitment to staff obtaining the National Vocational Qualifications (NVQ) level 2 in Care; the home has access to an interpreter to support the staff through the NVQ process. LAXTON HALL C51 S12842 Laxton Hall V223469 110705 Stage 4.doc Version 1.30 Page 6 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. LAXTON HALL C51 S12842 Laxton Hall V223469 110705 Stage 4.doc Version 1.30 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 LAXTON HALL C51 S12842 Laxton Hall V223469 110705 Stage 4.doc Version 1.30 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 Prospective residents can make a fully informed choice as the whether the home can meet their needs and expectations. EVIDENCE: Due to the rural location of the home prospective residents are welcomed to visit the home for a two-week period, during which an assessment of their needs is conducted. It is only after the two-week assessment period that a decision is made as to whether the home meets the needs and expectations of the prospective residents and that a permanent place can be offered. Evidence was seen of residents’ contracts being in place. On speaking with residents the desire to enter the home was to be within a Polish community. LAXTON HALL C51 S12842 Laxton Hall V223469 110705 Stage 4.doc Version 1.30 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 The home meets the needs and expectations of residents. EVIDENCE: Residents spoken with said that they are happy living at the home and that they have access to the doctor, chiropodist, optician and dentist. The plans of care were person centred and specific to the needs of individual residents, and contained individual routines and care required for both day and night care. On the day of inspection the General Practitioner for the home was visiting and a room was made available for residents to see their doctor in private. In general the staff administer medication, records looked at were satisfactory, however the home does not keep residents profiles recording when medication reviews have taken place and any changes made. Residents who do self medicate have suitable lockable storage facilities within their own rooms. LAXTON HALL C51 S12842 Laxton Hall V223469 110705 Stage 4.doc Version 1.30 Page 10 On the day of inspection the weather was very hot, and many residents were outside in the homes grounds enjoying the sunshine. Staff were observed taking cooled fruit drinks out to residents, reducing the risk of people becoming dehydrated. LAXTON HALL C51 S12842 Laxton Hall V223469 110705 Stage 4.doc Version 1.30 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 The traditional Polish lifestyle within the home matches the residents’ needs and expectations. EVIDENCE: Residents confirmed that they are happy living at the home, and that there was activities for them to join in if they wished. There is Polish Television and Radio and the home has also installed a computer for residents use if they wish. Residents are able to receive their visitors in private. The Home makes arrangements in respect of special occasions such as Birthdays and extends hospitality to visitors. A Resident commented that she had been enabled to receive 26 guests the day before the Inspection. Residents were observed walking in the homes grounds some escorted by staff and visitors and others independently moving freely around the home. Residents have freedom to go out if they wish. During the Inspection 2 Residents walked over to the local farm to purchase some organic honey. When the inspector arrived at the home, there were 6 residents participating in an exercise activity with a member of staff. LAXTON HALL C51 S12842 Laxton Hall V223469 110705 Stage 4.doc Version 1.30 Page 12 The meal was a traditional Polish dish of Soup, sweet cabbage, Boiled potatoes and pork, followed by homemade cheesecake, biscuits and tea/coffee. The food looked appetising and was well presented in tureens, staff were observed assisting residents who required extra support at meal times. The support was offered very sensitively preserving the residents dignity. Some residents had visitors with them for lunch, one visitor said that she and her husband often have lunch when they visit, and are always made very welcome by the staff. Some staff sat in the dining room and ate their meal with the residents. The home is in a rural location with community amenities a considerable distance away, the home has its own transport, which provides the means for residents to visit the local community if they wish. LAXTON HALL C51 S12842 Laxton Hall V223469 110705 Stage 4.doc Version 1.30 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 home has a satisfactory complaints system with some evidence that residents feel that their views are listened to and acted upon. EVIDENCE: There is a complaints policy and residents spoken with said that they felt able to raise any concerns that they might have and felt confident that they would be dealt with appropriately. LAXTON HALL C51 S12842 Laxton Hall V223469 110705 Stage 4.doc Version 1.30 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 home and grounds are well maintained the improvements internally and externally made have created a safer environment for those living and visiting the home. EVIDENCE: The home is a listed building with English Heritage, improvements have been made both internally and externally, and there is on going structural work being undertaken to make safe an external archway in the stable block. Grab rails and banisters have been installed in corridors and staircases and redecoration taken place within the lavatories. Residents own rooms are furnished to an acceptable standard with some containing items of residents’ own personal furniture, residents spoken with said that they liked their bedrooms and were very happy living at the home. LAXTON HALL C51 S12842 Laxton Hall V223469 110705 Stage 4.doc Version 1.30 Page 15 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 residents social, emotional, spiritual and cultural needs. However staff recruitment and selection procedures could be improved. EVIDENCE: There are 15 nuns in residence at Laxton Hall, including the Registered Manager, who are all very committed to providing high a quality of care for the residents living at the home. However six of the nuns are reaching retirement age, and the home is experiencing difficulties in recruiting staff that can speak Polish. Currently 4 ancillary staff from Poland are employed to assist the Nuns. All staff currently employed are from Polish origin. On checking staff files there was no evidence of formal job applications from the staff that work at the home, all staff applicants come to the home via the Polish Benevolent Fund Head Office. There was no evidence of staff interviews at the homes level, and staff employment contracts did not reference to the terms and conditions of employment, as set out in the General Social Care Councils code of conduct guidelines (GSCC). There is evidence of staff having clearance from the Criminal Records Bureau (CRB) and or Protection of Vulnerable Adult (POVA) 1st checks. LAXTON HALL C51 S12842 Laxton Hall V223469 110705 Stage 4.doc Version 1.30 Page 16 There is a commitment to staff obtaining the National Vocational Qualifications (NVQ) level 2 in Care; the home has access to an interpreter to support the staff through the NVQ process. LAXTON HALL C51 S12842 Laxton Hall V223469 110705 Stage 4.doc Version 1.30 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) 31,32,33,37 & 38 The manager provides a clear vision for the home, and staff demonstrated an awareness of their roles and responsibilities. EVIDENCE: An application is being processed to appoint a responsible individual for the home. The registered manager promotes the ethos of the home, to provide a traditional Polish way of life for the Polish born residents. Residents said they were very happy with the care provided and that it was in keeping with the Polish traditional way of life. The care plans were specific and detailed on how the residents’ individual physical, health, social, emotional and spiritual needs and expectations were to be met. LAXTON HALL C51 S12842 Laxton Hall V223469 110705 Stage 4.doc Version 1.30 Page 18 There was evidence that the care plans are regularly reviewed and updated as necessary ensuring that the residents health safety and welfare is protected. All staff currently employed are from Polish origin. On checking staff files there was no evidence of formal job applications from the staff that work at the home, all staff applicants come to the home via the Polish Benevolent Fund Head Office. There was no record of staff interviews, or any staff employment contracts at the homes level. LAXTON HALL C51 S12842 Laxton Hall V223469 110705 Stage 4.doc Version 1.30 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 4 3 x 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 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 2 28 3 29 2 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 x x x 2 3 LAXTON HALL C51 S12842 Laxton Hall V223469 110705 Stage 4.doc Version 1.30 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 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. 2. Refer to Standard 29 29 Good Practice Recommendations Records of the staff recruitment and selection processes should be available at the homes level. Staff should be employed in accordance with the General Social Care Code of Conduct and given copies of the code in a format relevant to their written and spoken language. LAXTON HALL C51 S12842 Laxton Hall V223469 110705 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Newland House, First Floor Campbell Square Northampton NN1 3EB 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 LAXTON HALL C51 S12842 Laxton Hall V223469 110705 Stage 4.doc Version 1.30 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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