Inspection on 10/07/06 for Lea Green Court

This inspection was carried out on 10th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Lea Green Court 25/06/09

Lea Green Court 23/02/09

Lea Green Court 29/10/08

Lea Green Court 01/07/08

Lea Green Court 17/07/07

Lea Green Court 24/10/05

Lea Green Court 13/06/05

Lea Green Court 23/09/04

Lea Green Court 10/05/04

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

CARE HOMES FOR OLDER PEOPLE Lea Green Court Kenton Road Gosforth Newcastle Upon Tyne NE3 3UW Lead Inspector Ian Armstrong Key Unannounced Inspection 10th July 2006 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 Lea Green Court DS0000000401.V295046.R01.S.doc Version 5.2 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. Lea Green Court DS0000000401.V295046.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lea Green Court Address Kenton Road Gosforth Newcastle Upon Tyne NE3 3UW 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) 0191 285 1720 0191 2851960 leagreen@fshc.co.uk www.fshc.co.uk Tamaris Healthcare (England) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Mr Anthony Edward Olson Care Home 45 Category(ies) of Dementia - over 65 years of age (45) registration, with number of places Lea Green Court DS0000000401.V295046.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named service user is under 65 years of age, category DE. No further admissions are permitted in this category without the prior agreement of CSCI. 24th October 2005 Date of last inspection Brief Description of the Service: Lea Green Court is a care home with nursing. Providing care for older people with enduring mental health problems. Care in the home is provided by Registered Mental Nurses supported by care staff. The home is owned and managed by Four Seasons Healthcare Limited a large national provider of care services to vulnerable client groups. The home is situated in Gosforth in the city of Newcastle upon Tyne close to local shops and good public transport links. The building is comprised of two floors with 45 single bedrooms on each floor. All bedrooms have en-suite facilities. On each floor there are separate lounge and dining rooms. There are also a number of toilets and bathrooms. The home also has its own kitchen and laundry facilities. The philosophy of care in the home is to support the residents in their activities of daily living and to provide for their physical and mental health needs. Lea Green Court DS0000000401.V295046.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place over one day. All of the key standards have been assessed during this visit and from other information provided to the Commission. Six residents and eight staff (nurses, carers and ancillary) were spoken to. Three relatives were also spoken to during the visit. Four residents care plans, three staff files were read and medication records were examined. Health and safety documentation was also seen. What the service does well: What has improved since the last inspection? All residents’ financial transactions now have two staff signatures. Work has continued to redecorate and refurbish communal areas to a good standard. Bedrooms are also being refurbished and decorated on a rolling programme. The entrance area to the home has been cleaned and improved. New patio furniture has been purchased. Lea Green Court DS0000000401.V295046.R01.S.doc Version 5.2 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. Lea Green Court DS0000000401.V295046.R01.S.doc Version 5.2 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 Lea Green Court DS0000000401.V295046.R01.S.doc Version 5.2 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&6. Lea Green Court does not provide intermediate care. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All service users have pre-admission assessments completed prior to moving into the home. EVIDENCE: Pre admission assessments are obtained from other health care professionals and social work professionals. The home also completes their own assessments. Care plans must reflect all of the assessed needs. Evidence was documented of residents and their families visiting the home prior to their admission. Relatives spoken to at the time of the visit said they were satisfied with the arrangements and information provided prior to admission. Lea Green Court DS0000000401.V295046.R01.S.doc Version 5.2 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): 7,8,9&10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The health and social care needs of service users are being met but the records that support this care must be improved. Residents are protected by the homes policies and procedures for dealing with medicines. Residents are treated with respect and their right to privacy is upheld. EVIDENCE: Four care records were examined. In one of these there was no mental health care plan, all four social care plans were too generalised. A number of records were not dated and signed. Evidence of visits by health and social care professionals and their input was recorded. Lea Green Court DS0000000401.V295046.R01.S.doc Version 5.2 Page 10 Medicines are well managed and safely disposed of. The treatment room was tidy. One resident’s controlled medicines were checked and the stock balance was correct. Relatives said residents are treated well and their privacy is respected. Lea Green Court DS0000000401.V295046.R01.S.doc Version 5.2 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&15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents social needs are not being fully met. Residents are helped to exercise choice and control over their lives and maintain contact with family/friends/representatives and the local community as they wish. A wholesome diet is provided in pleasing surroundings at times convenient to residents. EVIDENCE: The home has an activities co-ordinator who has documented individual social care needs for a number of residents. However there is nothing further documented to say these are being met. The homes weekly activities programme was seen and is generally satisfactory. Relatives spoken to said they were made welcome by the staff when they visited. Lea Green Court DS0000000401.V295046.R01.S.doc Version 5.2 Page 12 Residents are encouraged to bring their own possessions and keepsakes from home and this was evident in their bedrooms. Relatives are consulted where residents are unable to make choices, for example on clothing, food and social activities. Menus included good variety and choice of food apart from Friday lunchtime when the choice is fish or fish. The handyman has upgraded both of the homes dining areas to a good standard. Two relatives said the food provided is good. Lea Green Court DS0000000401.V295046.R01.S.doc Version 5.2 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&18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Relatives and friends are confident that their complaints will be listened to and acted upon. Residents are protected from abuse. EVIDENCE: The homes complaints policy is comprehensive and staff are clear about the procedures to follow. Relatives said they knew who to talk to if they were unhappy and felt that their concerns would be dealt with. Five complaints had been recorded since the last inspection all of which had satisfactory outcomes. The home has a Protection of Vulnerable Adults (POVA) procedure. The majority of staff have been trained in this procedure and training is ongoing. Lea Green Court DS0000000401.V295046.R01.S.doc Version 5.2 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): 19,24&26. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents generally live in a safe well-maintained environment. Residents live in safe comfortable bedrooms with their own possessions around them. The home is generally clean, pleasant and hygienic. EVIDENCE: Communal areas of the home such as dining rooms and lounges are well decorated and maintained. The homes handyman is to be applauded for this work. A number of resident bedrooms were seen and these were mainly nicely decorated and personalised. However a large cherry tree has grown to such an extent that it is blocking out natural light to six bedrooms to the rear of the home. A window to each stairwell needs to be renewed, one due to condensation problems the other due to vandal damage Lea Green Court DS0000000401.V295046.R01.S.doc Version 5.2 Page 15 The gardens around the patio area and the rear of the home need weeding. The protective sheeting to the wall outside the kitchen area needs to be renewed. Freezers in the kitchen need defrosting. Lea Green Court DS0000000401.V295046.R01.S.doc Version 5.2 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): 27,28,29&30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Resident’s needs are met by the number and skill mix of staff and are generally protected by the homes recruitment policy and practices. Most staff are well trained and appear competent. EVIDENCE: The staffing rota shows the following levels of staff in the home each day:Am 2 Qualified and 7 care staff, Pm 2 Qualified and 5 care staff, Nights – 2 Qualified and 3 care staff. Three recently recruited staff files demonstrated all appropriate checks were in place apart from only one written reference found in one file. Statutory and in house training records were satisfactory. Lea Green Court DS0000000401.V295046.R01.S.doc Version 5.2 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): 31,33,35,36&38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service The home is generally run in the best interests of residents. Resident’s financial interests are safeguarded. Staff are not appropriately supervised. The health, safety and welfare of residents and staff are promoted and protected. EVIDENCE: The homes manager is an experienced Registered Mental Nurse with a higher diploma in management and has managed the home for over 5 years. Quality assurance arrangements are in place. The regional manager visits monthly and audits a variety of areas of service provision. Reports of these visits were available. Relatives meetings are held, however the last was held in Lea Green Court DS0000000401.V295046.R01.S.doc Version 5.2 Page 18 October of last year. Relative questionnaires have not been sent out for almost two years. Staff supervision records are currently unsatisfactory. Three recently recruited staff members had no supervision sessions recorded in their files. The maintenance and servicing records were checked and were satisfactory. The homes fire log book was read and all checks were found to be correct. Inhouse fire training was satisfactory. Lea Green Court DS0000000401.V295046.R01.S.doc Version 5.2 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 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 3 3 2 X 3 Lea Green Court DS0000000401.V295046.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? Yes 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 OP7 OP12 Regulation 15.1 16.2(m&n ) 23.2(b) 16.2(g) 23.2(b) 19.1 schedule 2. 18.2 Requirement All residents must have a written mental health care plan. Social care plans must be individual and specific for each resident. The cherry tree which is blocking natural light into six resident bedrooms must to be pruned. The protective screen to the rear wall of the kitchen must be renewed. A window in each of the homes stairwells must be renewed. All staff employed in the home must have two written references. Supervision for all staff must take place at least 6 times each year. Timescale for action 30/10/06 30/10/06 3. 4. 5. 6. 7. OP19 OP19 OP19 OP29 OP36 31/08/06 30/10/06 31/08/06 11/07/06 30/10/06 Lea Green Court DS0000000401.V295046.R01.S.doc Version 5.2 Page 21 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. 3. 4. Refer to Standard OP15 OP33 OP33 OP19 Good Practice Recommendations Menus should state a choice for each of the main meals. Relatives meetings need to take place on a more regular basis. Relative questionnaires need to be sent out more frequently to gain feedback about services provided. The garden areas should be weeded. Lea Green Court DS0000000401.V295046.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Lea Green Court DS0000000401.V295046.R01.S.doc Version 5.2 Page 23 - 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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