Inspection on 13/06/05 for Lea Green Court

This inspection was carried out on 13th June 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

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 10/07/06

Lea Green Court 24/10/05

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 Gosforth Newcastle upon Tyne NE3 3UW Lead Inspector Ian Armstrong Announced 13 June 2005 09:30 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. Lea Green Court B53-B03 S401 LeaGreenCourt V221870 130605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Lea Green Court Address Gosforth Newcastle upon Tyne NE3 3UW 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) 0191 285 1720 0191 285 1960 leagreen@fshc.co.uk Tamaris Healthcare (England) Ltd (wholly owned subsidiary of Four Seasons Health Care) Mr Anthony Edward Olson CRH 45 Category(ies) of DE(E) - Dementia over 65 (45) registration, with number of places Lea Green Court B53-B03 S401 LeaGreenCourt V221870 130605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 23/9/04. 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 Ltd. A large national provider of care services for a variety of 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 all with en-suite facilities. There are further toilets and bathrooms on each floor,also seperate lounge and dining room areas. The home has its own kitchen and laundry facilities.There is a small garden patio area to the front of the home. The homes philosophy of care is to support the residents in their activities of daily living and to provide for their physical and mental health needs. Lea Green Court B53-B03 S401 LeaGreenCourt V221870 130605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection of the home, the inspection took place over 6 hours. Since the last inspection four additional visits have been made to the home. Letters regarding these visits sent to the registered person can be obtained from the CSCI office on request. The inspector looked round some parts of the home and a number of records were inspected. Five residents, five staff and a visitor were spoken to. Comments from all of these individuals were positive in regard to services provided by the home. What the service does well: What has improved since the last inspection? What they could do better: Lea Green Court B53-B03 S401 LeaGreenCourt V221870 130605 Stage 4.doc Version 1.30 Page 6 Barrier creams must be individually prescribed and only used for that person. Cleaning schedules in the kitchen must be carried out at the required dates and times and records of these kept. Staff meetings need to be held more frequently than at present. Records of resident’s finances should have two staff signatures for all individual transactions. Disposable gloves need to be provided in sluice facilities at all times. 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 B53-B03 S401 LeaGreenCourt V221870 130605 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 Lea Green Court B53-B03 S401 LeaGreenCourt V221870 130605 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. Service users are provided with the information to make an informed choice about the home. All service users have written contracts informing them of their conditions of stay in the home. Pre-admission assessments are completed prior to admission. Service users and their representatives know the home will meet their needs. Relatives are invited to visit the home prior to admission. EVIDENCE: The homes service users guide and statement of purpose documents were of a good standard. A number of resident contracts showed good information about the conditions of their stay in the home. Four residents records were seen and good pre-admission assessments had been completed indicating that their placements in the home were appropriate. The arrangements for visiting the home prior to admission were checked and found to be satisfactory. Lea Green Court B53-B03 S401 LeaGreenCourt V221870 130605 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. Service users health, personal and social care needs are set out in individual care plans. Health care needs are being met. The systems for medications are satisfactory. Service users are treated with respect and their right to privacy is upheld. EVIDENCE: Four service users care records were seen. In all four of these records, there were a good range and variety of care plans. Evidence of regular evaluations of these was recorded. Reviews of care needs are properly structured and regularly held. Eight GP practices have patients in the home and regular visits are made to attend to resident’s health care needs. Services for Dental, Optical and Chiropody were checked and are satisfactory. Records showed that gender of staff for personal care tasks was being identified and met. Lea Green Court B53-B03 S401 LeaGreenCourt V221870 130605 Stage 4.doc Version 1.30 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 standard(s) 12, 13, 14, 15 Service users lifestyles match their expectations and preferences their social, cultural, religious, and recreational needs and interests are being met. Contact with family and friends are maintained. Service users are being helped to exercise choice and control in their lives. Service users are receiving a wholesome balanced diet in pleasing surroundings at convenient times. EVIDENCE: Residents records stated they are given a choice of what clothes to wear each day. Gender of staff for personal care tasks are identified and met. Food likes and dislikes are recorded and lists of these are kept by the homes cook. A weekly activities programme for residents was seen and showed a fair range of events taking place. The homes visiting policy was read and is satisfactory. Records showed that some relatives were taking residents out for visits to the local community facilities. Menus demonstrated a good range and choice of food was being offered to the residents. Mealtimes are flexible according to individual needs. The downstairs dining area has recently been tastefully decorated and work is planned to also complete the upstairs dining area. Lea Green Court B53-B03 S401 LeaGreenCourt V221870 130605 Stage 4.doc Version 1.30 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 standard(s) 16, 18. Service users and relatives complaints are listened to and acted upon. Service users are protected from abuse. EVIDENCE: The homes complaints policy is of a good standard. The Complaints log book was seen this shows three new entries since our last visit all of these had been successfully resolved. The homes POVA policy was read this document is very comprehensive. Lea Green Court B53-B03 S401 LeaGreenCourt V221870 130605 Stage 4.doc Version 1.30 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 standard(s) 19, 20, 21, 23, 24, 25, 26. Service users generally live in a safe and well maintained environment, and have access to comfortable indoor and outdoor communal facilities. However some work as identified in this report which is needed to be carried out. Adequate and suitable toilets and washing facilities are provided in all parts of the home. Service users bedrooms are in the main nicely personalised and suitable for their needs. The home is generally clean, pleasant and hygienic. EVIDENCE: A tour of the premises was carried out and generally the building is being well maintained and it is reasonably decorated in most areas. The laundry area was visited and was found to be spotlessly clean. All machines here were in good working order and COSHH information was appropriately displayed. The homes kitchen was seen and was generally clean. However cleaning schedules over the last few days had not been dated and signed. There were no paper towels in the kitchen toilet, and the waste bin had no lid. The first aid box needs a list of contents. A number of resident bedrooms were visited and Lea Green Court B53-B03 S401 LeaGreenCourt V221870 130605 Stage 4.doc Version 1.30 Page 13 these were generally reasonably decorated and furnished and nicely personalised. In some of the ensuite facilities barrier creams were found that had not been prescribed for the resident whose room it was. There is at present inadequate shelving in ensuite rooms. Bathrooms and toilets were seen and were generally clean and reasonably decorated. A bathwater temperature was tested and found to be within the normal range. The downstairs corridor walls are in need of redecoration. The recent redecoration of the downstairs dining room has been completed to a good standard and enhances the facilities for the residents. Lea Green Court B53-B03 S401 LeaGreenCourt V221870 130605 Stage 4.doc Version 1.30 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 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. Service users needs are met by adequate numbers and skill mix of staff, and service users are in safe hands. The homes recruitment policy and practices are satisfactory and staff are trained and competent in their work. EVIDENCE: The duty rosters were seen and these showed the following levels of staffing in the home each day; A. M. 2 Qualified and 7 Care staff, p.m. 2 Qualified and 5 Care staff, nights, 2 Qualified and 3 Care staff. Staffing levels are in line with the assessed needs of the residents. Two staff files were read and these showed appropriate checks had been carried out, including proof of identity, CRB check, two written references and in the one file a necessary work permit. Staff training files showed good levels of training were being carried out. Lea Green Court B53-B03 S401 LeaGreenCourt V221870 130605 Stage 4.doc Version 1.30 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 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, 35, 36, 37, 38. The manager is an experienced Registered Mental Nurse and home manager. . The home is run in the best interest of the service users and their financial interests are generally safe guarded. Staff in the home are appropriately supervised and appraised regarding their work. Service users rights and best interests are safeguarded. The health, safety and welfare of staff and service users are promoted and protected. EVIDENCE: The home managers certificates in management qualifications were seen and copies of these were obtained. Minutes of relative meetings were read. The last meeting was in March 05 and the agendas for these were appropriate for the client group. Staff meeting minutes were generally satisfactory, however the last meeting was held in January 05. Staff meetings should occur more frequently. Residents finance records showed evidence of regular Lea Green Court B53-B03 S401 LeaGreenCourt V221870 130605 Stage 4.doc Version 1.30 Page 16 expenditures taking place. However only one staff signature was recorded for all transactions, two are required. The homes Data Protection Policy was read and is satisfactory. The systems for the safe storage of residents records was checked and is satisfactory. The Fire log book was read and the records kept are good. The records in the Accident book are satisfactory. Minutes of the homes Health and Safety committee were found to be satisfactory. Lea Green Court B53-B03 S401 LeaGreenCourt V221870 130605 Stage 4.doc Version 1.30 Page 17 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 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 3 2 x 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 2 3 x 2 3 3 3 Lea Green Court B53-B03 S401 LeaGreenCourt V221870 130605 Stage 4.doc Version 1.30 Page 18 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 9 Regulation 13. 2 Requirement All barrier creams must be individually prescribed and must only be used for the person prescribed. Cleaning schedules in the kitchen must be properly maintained. The downstairs corridor needs to be redecorated. Additional shelving is needed to be provided in resident ensuite facilities. Disposable gloves must be provided at all times in sluice facilities. Timescale for action 13/6/05. 2. 3. 4. 5. 26 19 19 21 23. 2(d) 23. 2(b) 23.2(e) 23.2(k) 13/6/05. 31/8/05. 31/8/05. 13/6/05. 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 32 35 Good Practice Recommendations Staff meetings need to be held more frequently than those presently held in the home. Residents financial records, all transactions must have two staff signatories. Lea Green Court B53-B03 S401 LeaGreenCourt V221870 130605 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection 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 B53-B03 S401 LeaGreenCourt V221870 130605 Stage 4.doc Version 1.30 Page 20 - 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. 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