CARE HOMES FOR OLDER PEOPLE
Leazes Hall Care Home Leazes Hall Care Home Leazes Burnopfield Newcastle upon Tyne NE16 6AJ Lead Inspector
Gavin Purdon Unannounced Inspection 29th November 2005 09:50 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 Leazes Hall Care Home DS0000054486.V269676.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. Leazes Hall Care Home DS0000054486.V269676.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Leazes Hall Care Home Address Leazes Hall Care Home Leazes Burnopfield Newcastle upon Tyne NE16 6AJ 01207 271934 01207 271934 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) Leazes Hall Care Home Limited Mrs Linda Tupman Care Home 50 Category(ies) of Dementia (20), Old age, not falling within any registration, with number other category (50) of places Leazes Hall Care Home DS0000054486.V269676.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 25th January 2005 Brief Description of the Service: Leazes Hall is a care home registered to provide care, including nursing care, and accommodation, for 50 older people. Up to 20 of these may require specialist care due to dementia. Leazes Hall Care Home Ltd owns the home. It was opened in 1984 and is housed in an extended and adapted two-storey building. All bedrooms are in single use. There is a passenger lift to the first floor. The home has extensive and pleasant gardens with fine views over the local countryside. Leazes Hall is in Burnhopfield, in northwest County Durham, with village amenities close by. Leazes Hall Care Home DS0000054486.V269676.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced, started at 9.50 am and finished at 4.20pm. The inspection included discussion with residents, discussion with management, staff, and a visitor to the home. Some of the facilities were looked at, the food was sampled, and a selection care records seen. What the service does well:
Leazes Hall cares for up to 50 people with a wide range of needs. Residents may be physically or mentally frail, or else more independent. The home takes pride in being able to provide an individual care package to each person. However frail, independent, poorly, or well, a resident is, the home puts a lot of effort into making sure that each person’s needs are understood and that there is a plan to meet those needs. A resident said, “ The home is good on the whole. I’m comfortable here. I’d rather be here than anywhere else. The food’s pretty good. The home’s well kept. The staff are good, the domestics, the handyman, all of them. The place is fine. You can keep yourself to yourself if that’s what you want. You get honesty here and that’s an important thing. You can speak to the manager about any niggles, and if things have gone wrong they do get it sorted out.” Another resident said, “Your visitors are welcome any time. The food’s good. Staff is good. I have a lovely bed and a lovely room. I have no complaints. They’ll do anything for you.” A member of staff said, “ We have a good homely atmosphere here, and people comment on it. It’s a big place, but we get to know everybody, get to know their families and get on well with them. We try to communicate and work with everybody involved, Doctors, nurses, it’s the best way. There’s good communication here. People listen to each other. There’s a lot of training for staff and this has been very beneficial. I would say that we meet individual needs well. For a big home there’s a lot of personalised care. If you want a late breakfast, that’s fine, if you want cheese on toast at nine o clock at night you can have it.” Another member of staff said, “ The activities here are very good. You have to look after people properly, and I think the training we’ve had helps us to do that. This is quite a happy place. You can have a bit of fun and the residents enjoy it. The staff are friendly and work well as a group.” Leazes Hall Care Home DS0000054486.V269676.R01.S.doc Version 5.0 Page 6 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. Leazes Hall Care Home DS0000054486.V269676.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 Leazes Hall Care Home DS0000054486.V269676.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. Before residents come to live at Leazes Hall, they have their care needs looked by the home. That way the home knows what the residents’ needs are, and whether it can meet these needs. The home involves residents, relatives, and anyone else who can help build a picture of what kind of care is needed. This happens whenever possible, and as far as possible. EVIDENCE: Assessment records were seen. Assessment methods were discussed with the registered manager. A resident talked about their experience of assessment. Leazes Hall Care Home DS0000054486.V269676.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, 8, & 10. Residents at Leazes Hall are seen as individuals, with different health, personal and social care needs. The care plans at the home make sure that these differences are known and acted on. This benefits the home and benefits the residents. Residents’ health care needs are fully provided for by combining the skills and services of staff based in the home, with those of specialist health care staff based elsewhere, attending residents in the home. Residents are treated with respect by the staff of the home, and staff respect the residents’ right to privacy. EVIDENCE: Care plans were seen. Their use and value were discussed with the registered manager, and with senior and junior staff of the home. Residents also talked about being consulted on their care plans. Residents’ health care records were seen. How health care services and records are used for the benefit of residents, and the home, was discussed with the registered manager and senior and junior staff of the home.
Leazes Hall Care Home DS0000054486.V269676.R01.S.doc Version 5.0 Page 10 The staff of the home described how important they think it is to see residents as individuals, and help maintain residents’ dignity and right to privacy in every way that they can. Staff said that their training had made them realize how important this is. Training has also made them more aware of the difficulties and how to get over these. Leazes Hall Care Home DS0000054486.V269676.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, & 15. The home cares for people in a way that takes account of residents’ different needs, abilities and interests. Whatever the residents’ individual circumstances the home will try to provide a good quality service to cover those needs in a way that fits their particular situation. The home knows that it does not work in isolation with residents, and needs to include the families and the friends of residents, or anyone else that is important to their residents. The home sees the encouragement of resident choice and control as ways to keep residents involved and interested in what’s going on in the home. The home works extremely hard and very successfully to provide a good quality catering service across a very wide range of health, personal, and social needs. EVIDENCE: The home has its own activities co coordinator working 30 hours a week and a session worker for another 3 hours a week. Activities are well planned and well recorded on an individual basis for each resident. The registered manager of the home, the staff, residents, and a visitor commented on how important and how much appreciated this service is.
Leazes Hall Care Home DS0000054486.V269676.R01.S.doc Version 5.0 Page 12 Discussions with a resident, with a visitor, and with the registered manager and staff of the home, showed how important visitors are to the home and its residents. Visitors are made welcome and the home includes them in discussions and decisions about care if residents want or need them to be. Residents said they had some say about how their everyday lives are led, when their day starts and finishes, what they do, who they spend time with, and where, and what they eat and when. Management and staff of the home see this as important to encourage. Residents and staff talked about the pressures that life in a 50 bed home can put on individual choice and control, but staff and residents said real efforts were made to give people the kind of care they wanted when they wanted it. Good staffing levels, good planning, and good training, were seen as the key to success in this area. Residents, management and staff, said that the food at the home was particularly good and clearly they have a lot of pride and satisfaction in the standard achieved. It is seen as a good example of all round team effort, from outside specialist advice, through care staff involvement with residents, to good provisions and good kitchen skills. Leazes Hall Care Home DS0000054486.V269676.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 & 18. Residents and staff said the same thing about complaints and protection. If they had a worry or concern, they would go straight to the registered manager and they had every confidence it would be sorted out. EVIDENCE: All staff in the home, apart from kitchen staff has completed the 12-week distance-learning course on adult protection. Complaints notices are displayed in the home. A resident said how a particular issue had been of concern and how this was dealt with by going to the manager and talking the matter over. Staff interviewed showed an awareness of and interest in adult protection matters. The home promotes responsibility and accountability at all levels. It believes that by attending to the small things and making sure these are done well, larger problems can be avoided. Leazes Hall Care Home DS0000054486.V269676.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): Not assessed on this occasion. EVIDENCE: Leazes Hall Care Home DS0000054486.V269676.R01.S.doc Version 5.0 Page 15 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 & 29. The residents of Leazes Hall are cared for by a staff team that is bigger in size and better trained than is usual for a care home of its kind. Generally residents are protected by the home’s approach to staff recruitment, but proof of staff identity must be kept by the home, and not just seen, as part of this vetting process. EVIDENCE: When staffing levels were last inspected the home provided 9 to 10 care staff on mornings to mid afternoon. It now provides 10 to 11 during that time. At last inspection 7 to 8 care staff worked mid afternoon to mid evening. 9 staff are now provided during that time. Night staffing remains 3 to 4 care staff. In addition the home has designated activity staff, designated catering, designated domestic, and designated maintenance staff. The home’s numbers have not risen, but it is dealing with complex needs, and aiming to provide good quality individual care on a large scale. Staff Skill levels are also improved. Management and staff showed a keen interest in training completed and planned. This programme will be reported on in the next inspection. The home’s management, senior and junior staff commented that training had helped them understand residents’ needs more than they had done, made them more aware of good and bad practice, and gave them better ideas about how to give good care to their residents.
Leazes Hall Care Home DS0000054486.V269676.R01.S.doc Version 5.0 Page 16 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): Not assessed on this occasion. EVIDENCE: Leazes Hall Care Home DS0000054486.V269676.R01.S.doc Version 5.0 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 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 4 28 X 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X X Leazes Hall Care Home DS0000054486.V269676.R01.S.doc Version 5.0 Page 18 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 OP29 Regulation 19 Requirement A copy of those documents produced by newly recruited staff, as proof of identity, must be kept on file. Timescale for action 21/02/06 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 none none Good Practice Recommendations None Leazes Hall Care Home DS0000054486.V269676.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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