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Inspection on 29/11/05 for Laywell House Ltd

Also see our care home review for Laywell House Ltd for more information

This inspection was carried out on 29th November 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has a group of staff that have worked there for a long time. They are keen to maintain the high standards of care provided and deliver the service in a sensitive way to residents. The registered manager provides good leadership. Four residents were consulted during the inspection and all advised that they were very happy with the service and praised their carers and the manager of the home. The meals provided at the home are varied and well balanced and are taken in the home`s spacious dining room that has good access for residents in wheel chairs.

What has improved since the last inspection?

A new storage facility has been provided for all medication subject to the controlled process and the exposed nuts on the base of the pillar hoist have been covered. The home has been introducing a new care planning approach and this is now completed. Ten door guards have been fitted to the bedroom doors in the new wing to enable the residents in those bedrooms to have their door open if they wish, this complies with the fire regulations, as the doors would close if the fire alarm was activated.

What the care home could do better:

No requirements or recommendations have been raised in this report.

CARE HOMES FOR OLDER PEOPLE Laywell House Ltd Laywell House Summer Lane Brixham Devon TQ5 0DL Lead Inspector James Rose Unannounced Inspection 29th November 2005 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 Laywell House Ltd DS0000018384.V269318.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. Laywell House Ltd DS0000018384.V269318.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Laywell House Ltd Address Laywell House Summer Lane Brixham Devon TQ5 0DL 01803 853572 01803 853572 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) Laywell House Limited Mrs Jennifer Victoire Dewaele Murray Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability over 65 years of age of places (30) Laywell House Ltd DS0000018384.V269318.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th June 2005 Brief Description of the Service: Laywell House is a large extended detached residence that has two stories and stands in its own grounds. The home offers 24-hour residential care for up to 30 persons in the category of Old Age and Physical Disability over the age of 65 years. The home has available four separate communal lounge areas and a dining room. Smoking is possible in one of the smaller lounges. There are 26 single rooms and 3 doubles, 8 of the single rooms and 1 of the double rooms have on suite facilities. Two vertical lifts are provided and bathing and toileting aids are available for persons with mobility issues. At the front of the building there is a hard standing car park, which has the capacity to take several vehicles. At the rear of the home there is a large well-tended garden, which has views of the surrounding area. There are also productive vegetable and fruit plots that supply the home. Access into the building is by a single step; a folding ramp is available for use when required, all other entrances into the building are level. Laywell House Ltd DS0000018384.V269318.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over four hours on 29th November 2005. A complete tour of the communal areas of the home was undertaken and samples of care records maintained by the home were examined. Four residents were consulted who gave their views of the service provided. The registered manager assisted throughout the inspection. What the service does well: What has improved since the last inspection? A new storage facility has been provided for all medication subject to the controlled process and the exposed nuts on the base of the pillar hoist have been covered. The home has been introducing a new care planning approach and this is now completed. Ten door guards have been fitted to the bedroom doors in the new wing to enable the residents in those bedrooms to have their door open if they wish, this complies with the fire regulations, as the doors would close if the fire alarm was activated. Laywell House Ltd DS0000018384.V269318.R01.S.doc Version 5.0 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. Laywell House Ltd DS0000018384.V269318.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 Laywell House Ltd DS0000018384.V269318.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): 3 and 6 A comprehensive assessment is undertaken of all prospective residents before they are admitted to the home, the assessments covers needs in the areas of health, personal and social. EVIDENCE: Comprehensive assessments were undertaken by the home to ensure that all the needs of the person could be met at Laywell House. Three assessments were examined during the inspection and four residents were asked for their views and they confirmed that this process was undertaken and that their needs were well met at the home. Standard 6 refers to a service not provided at Laywell House. Laywell House Ltd DS0000018384.V269318.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): 7 and 9 An individual service user plan was available for each resident in the home these included all the health, personal and social needs of the person. Residents are able to self medicate and the administration of medication at the home ensures residents are safe. EVIDENCE: Three service user plans were examined in detail at the time of the inspection, these demonstrated that a comprehensive approach is undertaken and all needs are met. Four residents were consulted and they also confirmed that all their needs were met by the service provided at Laywell House and that they could always see their doctor if they wished. Residents that wish are able to self medicate subject to a risk assessment approach to ensure they have the capacity. The administration of medication records that are maintained by the home were examined and were found to be complete and up to date, unused medication was returned to the pharmacist and all medication was checked and booked in when received. The storage of medication was appropriately secure including medication subject to the Laywell House Ltd DS0000018384.V269318.R01.S.doc Version 5.0 Page 10 controlled process. The comprehensive approach taken by the home ensures residents are safe. Laywell House Ltd DS0000018384.V269318.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 14 and 15 The lifestyle experienced at the home was to residents liking. Contact was maintained with family and friends and residents were assisted when making decisions and exercising choice and control. A good quality balanced diet is provided and meals are taken in pleasing surroundings. EVIDENCE: Four residents were consulted in private about their life at Laywell House; they were open in their replies and advised that they enjoyed the lifestyle and were able to join in the activities when they wanted to. When asked no resident could suggest any additions they would like to the activities undertaken. Weekly crafts, occupational therapy and bowling are some of the activities offered. The home has an unrestricted visiting policy and procedure and residents confirmed that they were able to have visitors at anytime. Residents also confirmed when asked that they could change mealtimes and cleaning times of their rooms if they wished. Residents felt that they had control over decisions that affected them and the management of the home and the staff had their complete confidence. Laywell House Ltd DS0000018384.V269318.R01.S.doc Version 5.0 Page 12 Residents praised the quality of the food provided at the home. A varied menu was available that offers choice and meals are taken in a spacious dining room that is easily able to accommodate wheelchairs and walking aids. Laywell House Ltd DS0000018384.V269318.R01.S.doc Version 5.0 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 the following standard(s): 16 and 18 Residents were confident that if they made a complaint this would be taken seriously and resolved quickly to their satisfaction. Service users are protected from abuse. EVIDENCE: The home has a clear complaints policy and procedure readily available. Four residents were consulted during the inspection process, they were clearly confident that if they raised an issue this would be listened to and treated seriously by the manager of the home who would then resolve it quickly to their satisfaction. No complaints were made during the inspection and there are no complaints outstanding. The home has available a policy and procedure to protect residents from all types of abuse that is based on the Department of Health Guidelines No Secrets and this includes an element on whistle blowing. A training video is also available and an alerters guide. These issues are taken seriously by the home and they have had printed their own booklets which forms part of the home’s training to the care staff team to ensure residents are safe. Laywell House Ltd DS0000018384.V269318.R01.S.doc Version 5.0 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 the following standard(s): 19 and 26 Laywell House provides a well-maintained, spacious and comfortable environment for the residents. The home is also clean and pleasant throughout with high standards of hygiene evident. EVIDENCE: A complete tour of the communal areas of the home was undertaken during the inspection process; the building was well maintained, decorated to a good standard with comfortable seating provided in all the lounges. Four residents were consulted who felt that the home provided very high standards for them and one said “You couldn’t do better than this”, another advised “For me this is better than being at home as I feel safe and I always have someone to talk to”. All the bathrooms and toilets were seen, the lounges and the dining area, the home was clean and pleasant with high standards of hygiene apparent throughout. Laywell House Ltd DS0000018384.V269318.R01.S.doc Version 5.0 Page 15 Laywell House Ltd DS0000018384.V269318.R01.S.doc Version 5.0 Page 16 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 There are always adequate numbers of experienced staff available to ensure residents’ needs are met appropriately. EVIDENCE: Many of the care staff team at Laywell House are experienced people that have been working at the home for many years. The staff rota record demonstrated that the number of care staff available remains at the same level as at the last inspection. Residents confirmed that their needs are met in a timely fashion and that if they have to use their call bell this is answered quickly. One resident remarked “The staff are very good, we are well looked after” another said “Everything here is as it should be, very good”. Laywell House Ltd DS0000018384.V269318.R01.S.doc Version 5.0 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 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): 35 and 38 Service users financial interests are appropriately protected. The health safety and welfare of residents and staff is taken very seriously by the management of the home and they are appropriately protected. EVIDENCE: The home does not get involved with the finances of residents beyond giving some assistance with the administration of pocket money. Four sets of records were examined of the pocket money accounts of residents these were chosen at random and demonstrated that all transactions were appropriately recorded and signed for and any purchase made on behalf of a resident the receipt was always retained. The actual cash available was checked with the records and was found to be correct. Laywell House Ltd DS0000018384.V269318.R01.S.doc Version 5.0 Page 18 Health and safety issues are given appropriate priority by the management of the home, all equipment is regularly serviced including the home’s two lifts and the water supply is checked for unwanted bacteria. Gas and electrical items are checked and the home has a current electrical installation certificate available. The records of the fire precautions undertaken by the home were examined and were found to be clear and up to date. All harmful chemicals had appropriate secure storage and the management were aware of the procedure for the reporting of any dangerous occurrences in the home. Laywell House Ltd DS0000018384.V269318.R01.S.doc Version 5.0 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 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 X 9 3 10 X 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 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 3 Laywell House Ltd DS0000018384.V269318.R01.S.doc Version 5.0 Page 20 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. 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. Refer to Standard Good Practice Recommendations Laywell House Ltd DS0000018384.V269318.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Laywell House Ltd DS0000018384.V269318.R01.S.doc Version 5.0 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!