Inspection on 04/01/06 for Laxton Hall

This inspection was carried out on 4th January 2006.

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 11/07/05

Laxton Hall 11/01/05

Laxton Hall 25/05/04

Laxton Hall 23/02/04

Similar services:

London Road Neurological and Specialist Care Unit

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 Mrs Bhavna Keane-Rao Unannounced Inspection 4th January 2006 9:30 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 Laxton Hall DS0000012842.V266547.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. Laxton Hall DS0000012842.V266547.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Laxton Hall Address Laxton Corby Northants NN17 3AU 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) 01780 444292 01780 444574 Polish Benevolent Fund Housing Association Limited Sister Teresa Sabok Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Laxton Hall DS0000012842.V266547.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. No person falling within the category Older Person can be admitted to the Home where there are already 29 persons of category OP already accommodated In the Home. The Total number of Service Users in the Home must not exceed 29 The Home may continue to care for 5 existing named Service Users with Dementia or Mental Health Problems 11th July 2005 2. 3. Date of last inspection 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 residents 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 Registered 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 residents have access to the extensive grounds. There is a passenger lift. Laxton Hall DS0000012842.V266547.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during Wednesday morning. It took five hours to complete. This home provides care for up to twenty nine older people. The Home does not provide care for people with Mental Illness or Dementia although it has a condition of Registration to continue providing care for 5 existing residents who have Mental Disorder or Dementia. The Homes primary purpose is to meet the cultural, religious and language needs of Polish people. All the staff, except for two helpers are nuns who live on the premises. All residents and the staff speak Polish as their first language. Thus the inspector had to be accompanied by an interpreter to enable her to inspect this home. Discussions were held with five residents. However other residents were observed in their daily routine. Four resident were spoken with in great detail. The primary method of inspection was speaking to the residents who use the service provided. All the required key standards were inspected during the last visit on 11th July 2005. Therefore only specific standards were inspected this time. All areas of concerns raised at the last inspection have been met. A tour of the premises was undertaken and opportunity was taken to view resident’s daily records, medication sheets and menus of meals. Detailed discussions were held with two members of care staff. The registered manager and the deputy manager participated in this inspection. The manager and her staff spent time discussing many issues that arise in the running of a residential home and facilitated this inspection. What the service does well: One person stated, “ We are made very comfortable by the nuns”. One person stated “I love it here, but its not home”. Another person stated that they got “cared for by the nice nuns”. Laxton Hall DS0000012842.V266547.R01.S.doc Version 5.0 Page 6 When discussing favourite food one person stated that she loved “ all the meals provided” for them. The manager and her staff run this home so as to create a relaxed and homely atmosphere. The observed interaction between the staff and the residents was relaxed and friendly. On the day of the inspection there were eight staff on duty and two paid helpers. This includes the manager and her deputy. 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 DS0000012842.V266547.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Laxton Hall DS0000012842.V266547.R01.S.doc Version 5.0 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 the following standard(s): None EVIDENCE: All the required standards were inspected at the last inspection. The admission procedures are in place and assessments of individuals are carried out by health and/or social care professionals, as part of the referral process. Laxton Hall DS0000012842.V266547.R01.S.doc Version 5.0 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 the following standard(s): 9 The system for administration of medication is safe. EVIDENCE: All the required standards were inspected at the last inspection. Medication is stored in a locked cupboard in the treatment room and administered by staff who are trained. Administration of medication and recording was seen and is considered to be safe. Medication, which is not used, is safely returned. The drug returns book was viewed and found to be up to date. A member of staff was observed giving out medication and recording this in the MAR sheets. Laxton Hall DS0000012842.V266547.R01.S.doc Version 5.0 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): 15 Residents’ dietary needs are met. EVIDENCE: Residents spoken with stated that they liked the meals provided. All the meals provided are freshly cooked on the day of consumption. The meals are traditionally polish food and all, except one, of the residents who were spoken with were happy with the meals provided. One person stated that they did not have any vegetables other then carrots, all the other residents who were spoken with, when asked stated there were a variety of vegetables. The records, translated for the inspector by the interpreter, indicated that there was a variety of fruit and vegetables offered to all the residents. There is always one main meal and an alternative if so requested. There is always a three course menu at main meal times. All the residents spoken with stated that they were provided with hot and cold drinks through out the day. Majority of residents have a facility to make their own drinks in their own bedroom. Laxton Hall DS0000012842.V266547.R01.S.doc Version 5.0 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): None EVIDENCE: All the required standards were inspected at the last inspection. The home has a formal complaints procedure and residents who were spoken with stated that they felt safe in this home. Laxton Hall DS0000012842.V266547.R01.S.doc Version 5.0 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): 24 A comfortable, well-maintained, pleasant, clean and safe standard of accommodation is provided for the residents. EVIDENCE: All the required standards were inspected at the last inspection. The home is well maintained and suited to residents needs. There is ample natural light throughout the home. It is decorated and furnished to an acceptable standard that creates a comfortable homely atmosphere, which is appreciated by the residents who were spoken with. There are a number of lounge areas and a dining area leading to the front and to the back garden. Entry to the home and to the garden is wheelchair friendly. The residents who were spoken with expressed their satisfaction with the physical state of the home. Laxton Hall DS0000012842.V266547.R01.S.doc Version 5.0 Page 13 The garden is made up of very large, few acres, of lawn with climbing plants, pot plants, trees, seating area and all designed for use by people who visit or live at the home. Laxton Hall DS0000012842.V266547.R01.S.doc Version 5.0 Page 14 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): 30 Training and supervision is in place to ensure staff are able to carry out their work safely and competently. EVIDENCE: On the day of this unannounced inspection, there were at least six members of staff on duty to provide care for the residents, this does not include the manager or her deputy. At present there are twenty four residents for whom care is provided. There are 15 members of care staff working at the home. All staff have undertaken all mandatory training. All the care staff have either completed their NVQ level 2 training or are about to complete. The registered manager has also completed her NVQ level 4 and Care Managers Award, she is congratulated on this achievement. Residents who were spoken with were positive about the staff employed at the home. One particular resident stated that she could not thank the staff enough for the care provided for her. The observed interaction between the staff and residents was relaxed and friendly. At the last inspection it was recommended that all the staff be give contract of employment. This was outstanding on the day of the inspection. However the day after the inspection the inspector was informed that the contract of employment were in place. This will be reviewed at the next inspection. Laxton Hall DS0000012842.V266547.R01.S.doc Version 5.0 Page 15 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): 31 Residents and staff benefit from clear leadership. EVIDENCE: The staff and the residents who were spoken with felt that they could go to either the manager or the deputy manager at any time with any concern. All the residents spoken with spoke very highly of the manager and her interpersonal skills. This is positive working practice. Laxton Hall DS0000012842.V266547.R01.S.doc Version 5.0 Page 16 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X 3 X X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X X Laxton Hall DS0000012842.V266547.R01.S.doc Version 5.0 Page 17 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. 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 OP29 OP29 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 DS0000012842.V266547.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 DS0000012842.V266547.R01.S.doc Version 5.0 Page 19 - 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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