Inspection on 24/10/05 for Lea Green Court

This inspection was carried out on 24th October 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 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 Lea Green Court Gosforth Newcastle Upon Tyne Tyne & Wear NE3 3UW Lead Inspector Ian Armstrong Unannounced Inspection 24th October 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 DS0000000401.V252298.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. DS0000000401.V252298.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Lea Green Court Address Lea Green Court Gosforth Newcastle Upon Tyne Tyne & Wear NE3 3UW 0191 285 1720 0191 2851960 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) Tamaris Healthcare (England) Ltd (wholly owned subsidiary of Four Seasons Health Care) Mr Anthony Edward Olson Care Home 45 Category(ies) of Dementia - over 65 years of age (45) registration, with number of places DS0000000401.V252298.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th June 2005 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. DS0000000401.V252298.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 over 3 hours and was unannounced. The inspector looked around some parts of the building and a number of records were inspected. Four residents and five members of staff were spoken to. What the service does well: 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. DS0000000401.V252298.R01.S.doc Version 5.0 Page 6 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 DS0000000401.V252298.R01.S.doc Version 5.0 Page 7 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): 2,3. Each service user has a written contract/statement of terms and conditions with the home. No service user moves into the home without having his/her needs assessed and been assured that these will be met. EVIDENCE: A number of resident’s contracts were seen and these were found to be satisfactory. Four residents files were read and all of these had satisfactory pre-admission assessments completed. DS0000000401.V252298.R01.S.doc Version 5.0 Page 8 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): 7,9. The service user’s health, personal and social care needs are in the main set out in an individual plan of care. Service users, where appropriate, are responsible for their own medication, and are protected by the homes policies and procedures for dealing with medicines. EVIDENCE: Four residents care plans were inspected. Overall a good range of individual care plans had been written with one exception two residents had no social care plans. Evidence was found of care plans being regularly evaluated and reviewed. The systems for the storage, disposal and administration of medicines were checked and found to be satisfactory. DS0000000401.V252298.R01.S.doc Version 5.0 Page 9 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. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. EVIDENCE: Menus in the home were seen; these showed that a good range and choice of food was being offered to the residents. Alternative choices are offered for main meals and sweets each day, sandwiches, ingredients are specified. Since the last inspection both resident dining areas have been tastefully redecorated to a good standard. Evidence of meals being taken flexibly was seen. DS0000000401.V252298.R01.S.doc Version 5.0 Page 10 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. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users are protected from abuse. EVIDENCE: The homes Complaints policy and POVA policies were seen and are satisfactory. There have been no new complaints since the last inspection. A number of relative’s complimentary cards, letters were read; these praised the staff and the service provided. DS0000000401.V252298.R01.S.doc Version 5.0 Page 11 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. Service users live in a safe, well-maintained environment. Service users live in safe, comfortable bedrooms with their own possessions around them. The home is generally clean, pleasant and hygienic. EVIDENCE: The upstairs lounge area was being redecorated at the time of the visit to a good standard. A number of bedrooms were visited these were of a nice standard with lots of evidence of residents personal possessions. The homes laundry was seen, this room was once again very clean. Good systems were in place for managing resident’s laundry. The homes kitchen was visited this was found to be generally clean, however weekly and monthly cleaning schedules for here were not being properly maintained. Cooked meat was seen in one of the refrigerators, which had been opened and had not been dated and signed. A list of resident’s birthdays was seen kept by the cook, cakes are baked on these occasions this is good practise. Bathwater temperatures were tested in the home and found to be within the normal range. DS0000000401.V252298.R01.S.doc Version 5.0 Page 12 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. The numbers and skill mix of staff meets Service users’ needs. EVIDENCE: Staff duty rosters were inspected and these showed the following levels of staffing on an average day; Am, 2 Qualified and 7 care staff, Pm, 2 Qualified and 5 care staff, Nights, 2 Qualified and 3 care staff. The staffing levels are in line with the assessed needs of the residents. The home has the following staff vacancies, 1 full time care staff, 1 full time domestic and 1 part time kitchen assistant all of these posts have been advertised and are soon to be filled. DS0000000401.V252298.R01.S.doc Version 5.0 Page 13 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): 35,38. Service users financial interests are in the main safeguarded. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: The system for the recording and management of resident’s personal monies was checked. Evidence was seen of regular personal expenditures by the residents, however a number of transactions only had one staff signature recorded. The homes accident and fire logbook records were checked and both were found to be satisfactory. DS0000000401.V252298.R01.S.doc Version 5.0 Page 14 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 3 3 X x x HEALTH AND PERSONAL CARE Standard No Score 7 2 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 3 17 X 18 3 3 X X X X 3 X 2 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 2 X X 3 DS0000000401.V252298.R01.S.doc Version 5.0 Page 15 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. 1. Standard OP26 Regulation 23.2(d) Requirement Cleaning schedules in the homes kitchen must be properly maintained. Opened cooked meats must be dated and signed. All residents in the home must have an individual social care plan. Timescale for action 25/10/05 2. OP7 15.1. 31/12/05 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. Refer to Standard OP18 Good Practice Recommendations Two staff signatures should be recorded for all residents’ financial transactions. DS0000000401.V252298.R01.S.doc Version 5.0 Page 16 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 DS0000000401.V252298.R01.S.doc Version 5.0 Page 17 - 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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