Inspection on 21/09/05 for Leeza Court - Welcome House

This inspection was carried out on 21st September 2005.

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

Leeza Court - Welcome House 29/01/07

Leeza Court - Welcome House 20/06/06

Leeza Court - Welcome House 15/02/06

Leeza Court - Welcome House 29/12/04

Leeza Court - Welcome House 01/04/04

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

CARE HOME ADULTS 18-65 Leeza Court - Welcome House Leeza Court 9 London Road Rainham Kent ME8 7RG Lead Inspector Robert Pettiford Announced Inspection 21st September 2005 09:00 Leeza Court - Welcome House DS0000031629.V251963.R01.S.doc Version 5.0 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 Leeza Court - Welcome House DS0000031629.V251963.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 Adults 18-65. 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. Leeza Court - Welcome House DS0000031629.V251963.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Leeza Court - Welcome House Address Leeza Court 9 London Road Rainham Kent ME8 7RG 01634 377667 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) Welcome House Residential Care Homes Vacant Care Home 16 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (16) of places Leeza Court - Welcome House DS0000031629.V251963.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th December 2004 Brief Description of the Service: Leeza Court is a large detached property with accommodation on two floors, offering fourteen single and one double room. The home is located on the main road in Rainham Kent. The home is close to good transport links to the main Medway Towns and has a pub and local shops and facilities nearby. The home benefits from a large rear garden. Leeza Court - Welcome House DS0000031629.V251963.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Announced Inspection September 2005 at 9:00am. at Leeza Court took place on 21st The Inspector agreed and explained the inspection process with the Manager. Documentation and records were read, including care plans. Time was spent reading a sample of written policies and procedures, reviewing care plans and records kept within the home. A tour of premises was also undertaken. The focus of the inspection was to assess Leeza Court in accordance to the National Minimum Standards for Younger Adults. In some instances the judgement of compliance was based solely on verbal responses given by those spoken with. What the service does well: What has improved since the last inspection? What they could do better: All standards inspected were met or exceeded. Leeza Court - Welcome House DS0000031629.V251963.R01.S.doc Version 5.0 Page 6 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. Leeza Court - Welcome House DS0000031629.V251963.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Leeza Court - Welcome House DS0000031629.V251963.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Prospective service users have all the information they need to make an informed choice about whether they wish to live at the home. Service users’ rights are protected by a written contract / statement of terms and conditions. Service users can be confident that their needs will be suitably assessed and that they will have the benefit of a trial period at the home prior to moving in. EVIDENCE: Service users are provided with a Statement of Purpose at Leeza Court It was found to include all the information as required of Schedule 1 of the Care Home Regulations 2001. The contracts/terms conditions of residency clearly set out the terms of residency and contains all the information as required of the National Minimum Standards. The pre assessments seen contained all of the information needed to make an informed decision as whether the home would be able to meet the prospective service users needs. The home does encourage prospective service users to visit the home prior to moving in. They also invite for a overnight stay and a meal. All service users Leeza Court - Welcome House DS0000031629.V251963.R01.S.doc Version 5.0 Page 9 coming into the home do so on a trail basis, during this time the assessment continues and the service user has the opportunity to see if they are happy at the home. If at the end of this period the home feels it can meet the service users needs and the service user/family are happy then the placement can become permanent. Leeza Court - Welcome House DS0000031629.V251963.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,9 The service users benefit from having an individual plan that is comprehensive, identifies their needs and personal goals, and enables personal decisions and choice. The service users are enabled to take responsible risks through a thorough risk assessment process. EVIDENCE: The home is committed to supporting service users in accordance with their needs and goals. This was evidenced through the care plan which detailed the areas of support that the service users needed. Service users have been involved in drawing up their care plans and have been central to the process. The care plan has been generated from the original assessment with input from care managers and others. A key worker system operates within the home. The Home undertakes monthly internal reviews although the manager indicated that more frequent reviews are undertaken if required. Formal reviews involving significant professionals and relatives are also undertaken. Leeza Court - Welcome House DS0000031629.V251963.R01.S.doc Version 5.0 Page 11 The service Users rights to make decisions are respected and the care plan reflected his ability to make an informed judgement. The care plan included information concerning the preferred lifestyle and choices. The plan further demonstrated that the home used positive planned interventions to manage behaviour. Risk assessments were discussed and viewed and detailed documentation recorded how to support the service User in his daily living activities and identified how to minimise risks for personal safety. Leeza Court - Welcome House DS0000031629.V251963.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 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 inspected on this occasion. EVIDENCE: Leeza Court - Welcome House DS0000031629.V251963.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 Service users feel supported by the level of help given and can be confident that any of their healthcare needs are properly addressed. EVIDENCE: It is evident through talking to members of staff that the emotional health of the service users is of a high priority to the home and that staff are pro-active in maintaining and supporting Service Users with their emotional needs in order to maintain their quality of life. Times of getting up / going to bed, having baths, eating meals and other activities are flexible to allow for different Service Users daily routines. The inspector observed excellent interaction between staff and Service Users. The documentation seen confirmed that all Service users have a GP and visit other health professionals as needed. The health care issues of the residents were seen recorded in the daily record. Visits to health professionals are documented separately on its own page to enable the home to more easily document the outcomes for each visit. Leeza Court - Welcome House DS0000031629.V251963.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 The service user knows that their concerns and complaints are taken seriously and that they are protected from the risks of abuse. EVIDENCE: A copy of the Home’s complaints procedures is in place. The procedure included details of how to complain, timescales for response and information for referring a complaint to the Commission for Social Care Inspection. The complaints procedure has been provided and explained to the service user. The home’s Policy for the Protection of Service Users and staff “Whistle blowing” procedure is in place. These include procedures for the reporting of suspicion or evidence of abuse with a format for the recording of any allegations and action to be taken. Full training is provided in abuse. Criminal Record Bureau Checks (CRB) have been obtained for all staff. The Manager is aware of her obligations with regard to ensuring the safety of Service users and protecting them from abuse. Leeza Court - Welcome House DS0000031629.V251963.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,30 The service user benefits from living in a clean comfortable home, which is suitable for their needs. EVIDENCE: A tour of the service users’ home with his permission was undertaken. All areas viewed appeared bright, cheerful, and airy. Fixtures and fittings and general decoration were seen to be of a good standard and safe. The home promotes and suits the service users lifestyle. The number of toilet and bathroom facilities provided by the Home meets current required standards. No additional staff are employed to undertake laundry and domestic cleaning. This is carried out by staff. The service users are involved in some cleaning and laundry activities with staff support. The Home washing facilities are domestic in nature and does not have a sluicing facility. The home has policies and procedure’s in place with regard to the control of the spread of infection. Leeza Court - Welcome House DS0000031629.V251963.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35 Service users’ care, social and emotional needs are promoted by the employment of caring and suitably trained staff. EVIDENCE: The inspector viewed the staff rota for the current month, staff training matrix record. From observations and discussion with staff members and service users it was evident staff respected service users. Service users appeared to be able to be comfortable with staff members and appeared to be able to approach staff members to discuss their needs or concerns. The manager informed the inspector that the home has a comprehensive induction programme that meets the Sector Skills Council workforce strategy targets. The staff training records indicated planned and undertaken training. The manager evidenced that individual and group staff training needs had been identified. First Aid, Food Hygiene, Health and Safety and other core courses are undertaken to maintain current qualifications and for protection of service users. The inspector viewed a sample of the Home’s policy and procedures including the Home’s recruitment policy and samples of staff job descriptions. From observations and discussion with staff members it was evident that staff understood their roles and responsibilities. Leeza Court - Welcome House DS0000031629.V251963.R01.S.doc Version 5.0 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39 Service users benefit from having an experienced manager whose leadership and management skills enhances their quality of life. Service users, their relatives and staff are encouraged to comment on the services the home offers and to voice any concerns they may have. EVIDENCE: The Manager is actively involved in the day-to-day management of the Home and works with staff and service users. From observation and staff feedback the manager offers a clear sense of direction and leadership, which staff and service users understand. Quality Assurance methods used at the Home include: individual service user feedback, feedback from staff and residents at meetings. Other methods include supporting a good working relationship with relatives and social care professionals, keyworker reports, Inspections by external agencies Kent County Council and CSCI. Leeza Court - Welcome House DS0000031629.V251963.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 x x 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Leeza Court - Welcome House Score 3 3 x X Standard No 37 38 39 40 41 42 43 Score 4 4 3 x x x x DS0000031629.V251963.R01.S.doc Version 5.0 Page 19 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. Standard Regulation Requirement Timescale for action 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 Good Practice Recommendations Leeza Court - Welcome House DS0000031629.V251963.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. 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