Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 12/07/05 for Lee Mount Residential Home

Also see our care home review for Lee Mount Residential Home for more information

This inspection was carried out on 12th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

What has improved since the last inspection?

Some of the bedrooms have been redecorated and new wash hand basins have been fitted. NVQ training is still ongoing and it is expected that all staff will have NVQ level II or III by the end of 2005. Evidence suggests that the manager is constantly reviewing the standard of recording made by staff and the detail and quality of records continues to improve.

What the care home could do better:

The owner fully recognises that improvements need to be made to upgrade the building. He proposed making the changes when he was first registered with CSCI in December 2004 and these plans are now coming to fruition. Immediate proposals to replace the fencing at the front of the house and to create an area with outdoor seating will benefit residents. Proposals for later in the year include an extension to the building, improving facilities and general refurbishment throughout. Personal care must be delivered in private. Although the manager said this was an isolated incident and not the usual practice in the home, staff should be reminded that it is not dignified for a resident to be shaved in the lounge area of the home. When residents are weighed the details should be recorded in the care plan. The recorded weight should be used accurately when completing the nutritional assessments.

CARE HOMES FOR OLDER PEOPLE Lee Mount 32 Lee Mount Road Lee Mount Halifax HX3 5BQ Lead Inspector Lynda Jones Unannounced 12 July 2005 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. Lee Mount J51J01_s61575_lee mount_v238883_120705.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Lee Mount Address 32 Lee Mount Road Lee Mount Halifax HX3 5BQ 01422 369081 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) Lee Mount Health Care Mrs Julia Carling Care Home - personal care only 18 Category(ies) of Older People (over 65 years) 18 registration, with number of places Lee Mount J51J01_s61575_lee mount_v238883_120705.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Conditions of this registration are listed on the registration certificate displayed at the service. Date of last inspection 26/1/05 Brief Description of the Service: Lee Mount is a care home providing personal care and accommodation for eighteen older people. The home is in the Lee Mount area of Halifax, approximately two miles from the town centre and can be easily accessed by public transport. There are some local shops and other amenities nearby. The home has been converted into one large house from four terraced properties. There is a small garden to the front of the house. Accommodation is provided in eighteen single bedrooms. Four bedrooms are on the ground floor; the remainder are at first floor level, which can be accessed by passenger lift. There are two lounges and a dining room on the ground floor.The home provides care and support, all meals and snacks and a laundry service. The fee covers all activities, occasional trips out and visiting entertainers. People pay for their own personal toiletries, hairdressing and chiropody. Lee Mount J51J01_s61575_lee mount_v238883_120705.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over a five-hour period. Six residents, the manager, two care staff on duty, the cook and the owner were spoken to and they provided information for this report. Care records were examined and a tour of the building took place. What the service does well: What has improved since the last inspection? Some of the bedrooms have been redecorated and new wash hand basins have been fitted. NVQ training is still ongoing and it is expected that all staff will have NVQ level II or III by the end of 2005. Evidence suggests that the manager is constantly reviewing the standard of recording made by staff and the detail and quality of records continues to improve. Lee Mount J51J01_s61575_lee mount_v238883_120705.doc Version 1.40 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. Lee Mount J51J01_s61575_lee mount_v238883_120705.doc Version 1.40 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 Lee Mount J51J01_s61575_lee mount_v238883_120705.doc Version 1.40 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) None of these standards were inspected. EVIDENCE: Lee Mount J51J01_s61575_lee mount_v238883_120705.doc Version 1.40 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) 7,8,10. Oral and written communication amongst the staff team is good. The staff have a good understanding of the support that residents require and there is evidence to show that arrangements are in place to meet individual needs. EVIDENCE: The needs of residents are set out in the care plans. There is evidence that all residents have access to a range of health care facilities and that providers of health care services such as district nurses, GP’s chiropodist, dentist etc have regular contact with the home. From speaking to staff it is clear that they seek advice appropriately and that they are proactive in making sure that people receive consultations and treatment when required. Staff need to make sure that all of the information is completed in full on all of the assessment documents relating to residents. There was some evidence that the weight of residents had not been recorded appropriately. This was discussed with the manager during the inspection. All staff must ensure that personal care is delivered in private at all times. During the course of this visit it was noted that one person was shaved in the lounge where others were present. This practice is not acceptable. Lee Mount J51J01_s61575_lee mount_v238883_120705.doc Version 1.40 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. Residents decide for themselves how they wish to spend their time and the staff respect these choices. A range of appropriate activities are on offer. The menu is varied and meals are well presented. EVIDENCE: There is no planned programme of activities that take place. The staff ask residents on a day to day basis to choose from a range of activities such as dominoes, bingo, sing a longs, watching videos etc. The manager commented that some of the staff are particularly skilled in motivating people. People don’t have to join in if they don’t want to. There are two lounges in the home so there is enough space for people to read or watch TV if they wish to do so instead. Residents said they particularly enjoyed the VE day celebrations. The home had been decorated, a buffet was provided, and lots of singing and reminiscing took place and a number of visitors joined in. The staff said they learned a lot about what people had been doing on VE day itself. The staff said that visitors were always welcome and this was confirmed by comments made by residents. People are supported to maintain links with churches and any community groups that individuals were associated with before moving into the home. On Lee Mount J51J01_s61575_lee mount_v238883_120705.doc Version 1.40 Page 11 the day of inspection, one person was out on a trip with church. One person was attending a day hospital session. Plans were in place for two residents to go shopping in Halifax with staff later in the week. Residents said that Lee Mount was a friendly, relaxed place to live. One person said, “the staff are really kind and everyone gets on well together”. The manager and the cook said that the menus had been changed recently to include seasonal produce. In order to put the new menus together, all residents were asked what meals they would like to have on the menu and every effort has been made to reflect what was requested. Several residents were asked about the meals provided and their comments were very positive. People said they enjoyed the food, they said it was plentiful and well presented. The cook was enthusiastic when he talked about working at Lee Mount and he is keen to provide what people enjoy. The owner of the home said he felt that the meals were very important; he was keen to ensure that there was variety on the menu and that good quality ingredients were used. The dining room is small and although there is provision for all residents, there is not a lot of room for residents and staff to manoeuvre around the tables. The owner commented that this would be remedied by the proposed extension to the building. The plans include creating a new dining room. Lee Mount J51J01_s61575_lee mount_v238883_120705.doc Version 1.40 Page 12 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) 16,17,18 The home has a satisfactory complaints procedure and residents feel confident that any concerns they have would be listened to and investigated. EVIDENCE: A complaints procedure is in place and all new residents and their families are provided with information about what to do if they are unhappy with any aspect of the service provided. The manager is approachable and is available at the home if anyone has any concerns they want to raise. The owner is also at the home most days. Residents spoken to said they had no complaints, but if they did they would have no hesitation about talking to staff. Residents said they had good relationships with the staff and they were confident they would be listened to. The home has an adult protection procedure in place and staff have received training in this area. Discussion took place with the manager about the for need for staff need to keep up to date with adult protection issues by attending refresher training. The manager agreed that said she would contact the Area Adult Protection Coordinator to establish what further training was available. Lee Mount J51J01_s61575_lee mount_v238883_120705.doc Version 1.40 Page 13 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) 19,20,21,22,23,24,25,26. Certain aspects of the home, general décor, dining area and access to the outdoor space need to be improved. EVIDENCE: The home meets the National Minimum Standards in terms of the facilities that are required in a care home. There are sufficient numbers of toilets and bathrooms, the home is adequately maintained and all areas are clean and hygienic. Residents confirmed that they were happy with their accommodation and from a tour of the building it was evident that people had lots of their own personal possessions around them. There has not been a great deal of investment in the home in the past and some parts of the home would benefit from redecoration. As already mentioned in this report, the dining area could be improved. Access to the garden needs to be improved and a suitable outdoor sitting area would be beneficial to residents. The fencing around the front of the house is not in keeping with other residential properties in the road and sets the home apart from other houses. The owner is in full agreement with these points. Lee Mount J51J01_s61575_lee mount_v238883_120705.doc Version 1.40 Page 14 The current owner has only been the registered owner since December 2004. Since then he has improved the décor in some of the bedrooms and replaced some of the wash hand basins in bedrooms. He is aware that the home needs further improvements that require more significant structural changes and has plans to extend the home to do this. The plans include creating a larger dining room and an additional sitting area, improving the front garden and making the rear garden accessible to all residents. From discussion with the owner and manager it is clear that they have thought carefully about the improvements and about managing the building process so that it causes minimum disruption to the day to day running of the home. The changes to the building and subsequent re-decoration will improve the facilities for all the residents. Lee Mount J51J01_s61575_lee mount_v238883_120705.doc Version 1.40 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 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) None of these standards were assessed. EVIDENCE: Lee Mount J51J01_s61575_lee mount_v238883_120705.doc Version 1.40 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 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) 31,32,33,37 The home is well managed. Residents and staff feel consulted by the owner and the manager about the way the home is run and they feel that their views are valued. EVIDENCE: The registered manager has several years experience of working with older people. She has worked in a care setting for 13 years, with the last 5 years at senior management level. She has managed Lee Mount since 2002 and has recently completed NVQ level IV, and the Registered Managers Award. The staff work together as a team and communicate well with each other. The owner is available most days and he spends time with residents when he is going about his business in the home. Staff say the owner consults them for their opinions and is very approachable. Residents spoke very highly of all of the staff team and commented on their friendliness and on the help they receive. Lee Mount J51J01_s61575_lee mount_v238883_120705.doc Version 1.40 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 x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 x 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 3 3 3 3 2 3 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 x x x 3 x Lee Mount J51J01_s61575_lee mount_v238883_120705.doc Version 1.40 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. 2. Standard 8 10 Regulation 12(1)(a) 12(4)(a) Requirement Details of the weight of residents must be recorded accurately in the care plans All personal care must be delivered in private Timescale for action with effect from 12/7/05 with effect from 12/7/05 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 None Good Practice Recommendations Lee Mount J51J01_s61575_lee mount_v238883_120705.doc Version 1.40 Page 19 Commission for Social Care Inspection Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Lee Mount J51J01_s61575_lee mount_v238883_120705.doc Version 1.40 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. 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!