Inspection on 26/07/05 for Lenthall House

This inspection was carried out on 26th July 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

Lenthall House 27/10/08

Lenthall House 31/12/05

Lenthall House 10/10/05

Lenthall House 02/12/04

Lenthall House 30/06/04

Lenthall House 17/02/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

Parkmanor Residential Home

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

CARE HOMES FOR OLDER PEOPLE Lenthall House Lenthall Square Market Harborough Leicestershire LE16 9LQ Lead Inspector Linda Clarke Unannounced 26 July 2005, 10:30am th 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. Lenthall House C51 C01 S33464 Lenthall House V237764 260705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Lenthall House Address Lenthall Square Market Harborough Leicestershire LE16 9LQ 01858 463204 01858 463204 None Leicestershire County Council Social Services 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) Mrs Jill Wright Care Home 40 Category(ies) of Dementia - over 65 years of age (20), Learning registration, with number disability over 65 years of age (4), Mental of places Disorder, excluding learning disability or dementia - over 65 years of age (4), Old age, not falling within any other category (40), Physical disability over 65 years of age (10), Sensory Impairment over 65 years of age (4) Lenthall House C51 C01 S33464 Lenthall House V237764 260705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No person falling within category DE(E) may be admitted to the home when 20 persons who fall within category DE(E) are already accommodated within the home No person falling within category MD(E) may be admitted to the home when 4 persons who fall within category MD(E) are already accommodated within the home No person falling within category LD(E) may be admitted to the home when 4 persons who fall within category LD(E) are already accommodated within the home No person falling within category PD(E) may be admitted to the home when 10 persons who fall within category PD(E) are already accommodated within the home No person falling within category SI(E) may be admitted to the home when 4 persons who fall within category SI(E) are already accommodated within the home Service users between the age of 55-65 years who fall within the above categories and were resident in the care home at the date of registration may continue to reside there To be able to admit the named person under the age of 65 named in the variation application number V19913 dated 3rd May 2005. Date of last inspection 2nd December 2004 Brief Description of the Service: Lenthall House is a care home providing personal care and accommodation for forty older persons. Lenthall House also offers accommodation for two indivdiuals for respite. The forty single bedrooms are without en-suite facilities. The home has a large patio area with raised flowerbeds and a summer house that service users can access. Large pleasant gardens surround the home. The premise is owned by Leicestershire County Council Social Services Department and is situated close to Market Harborough town centre, which is an historic marketing town. The home is easily accessible by private or public transport. Accommodation is provided over two floors with access between the floors being via stairs or a passenger lift. Lenthall House is fully accessible. Communal areas are provided on both floors of the home. Lenthall House C51 C01 S33464 Lenthall House V237764 260705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took place between 10.30am and 3.30pm. The opportunity was taken to look around the home, spend time with residents, view records and policies which, included viewing the care plans of five residents residing at the home. Information recorded on the pre-inspection questionnaire has been incorporated into the Inspection Report, along with relative and resident comment cards. The Registered Manager facilitated the Inspection, spending time with the Inspector; the Inspector also interviewed three members of care staff. What the service does well: What has improved since the last inspection? Quality assurance questionnaires have been devised and issued to residents, relatives and visiting professionals, comments received have been acted upon. The continuing development of care plans has taken place, with consideration being given to the review process and their presentation. Lenthall House C51 C01 S33464 Lenthall House V237764 260705 Stage 4.doc Version 1.40 Page 6 A wing of the home has been refurbished, and following the successful recruitment of staff, will be opened to offer a respite service for individuals with Dementia. 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. Lenthall House C51 C01 S33464 Lenthall House V237764 260705 Stage 4.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 Lenthall House C51 C01 S33464 Lenthall House V237764 260705 Stage 4.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) 1, 2, 3, 4 and 5. Standard 6 is not applicable. The admission process is well managed with residents needs being assessed ensuring staff have the appropriate information to meet individual needs. EVIDENCE: Lenthall House has a Statement of Purpose, which outlines the care and accommodation offered to residents, arrangements for staffing including staff training, the daily living arrangements offered to residents including information on mealtimes. The admission procedure is adequate in that assessments of individuals are carried out by a Social Worker as part of the referral process. Prospective Residents and relatives are encouraged to visit to view the home prior to admission. As part of the assessment process residents and relatives are asked to provide a history of an their life prior to admission, this provides additional information to help in the delivery of care and activities provided. Lenthall House C51 C01 S33464 Lenthall House V237764 260705 Stage 4.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 and 11. Residents are looked after well in respect of their health and personal care needs. EVIDENCE: The care plans and records of five residents were viewed, care plans were well written and were presented to a high standard. Care plans detailed information as to resident’s health care needs, including specific information pertaining to illness and death, where indicated by residents and/or relatives. Information as to a resident’s mental health was also incorporated; however further detail would enable staff to have a higher level of awareness as to how the mental health of an individual affects their daily lives, and how they could offer appropriate support. Consideration should also be given to incorporating daily activities in the care plan providing a holistic approach to care. Daily records give a brief summary of the resident’s day, such records could be more detailed to encompass comments on the residents care plan and detail activities and recreational pursuits. Lenthall House C51 C01 S33464 Lenthall House V237764 260705 Stage 4.doc Version 1.40 Page 10 The Inspector received six completed Comment Cards from residents, all residents indicated that they were well cared for, treated well by staff and liked living at the home. The Inspector also spoke with five residents, all stated they were well cared for, and that the staff were nice and helpful. The Inspector received five completed Comment Cards from relatives; all stated they were satisfied with the overall care provided. Three comment cards included additional comments. “I have always found the staff and carers very helpful and friendly. They always have a good relationship with people living in the home.” “We are very impressed with every aspect of Lenthall House, this has been the case for over 5 years, if you are unfortunate not to be able to look after yourself in old age, Lenthall House is the place to be.” “I am very happy with the level of care and attention my relative receives. I am also very impressed by the kindness the staff show to the residents.” Lenthall House C51 C01 S33464 Lenthall House V237764 260705 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14 and 15. Residents experience a homely life style and visitors are encouraged to visit. Various formal and informal activities meet the individual and collective needs of residents. EVIDENCE: Lenthall House has recently appointed an Activities Organiser, who organises a weekly timetable of events, incorporating both group and individual activities. It is recommended that residents participation in activities be recorded, and recreational and leisure pursuits form part of their care plan. On the day of the Inspection, the Activity Organiser was supporting residents in a group activity, in the main lounge. The activity timetable for the week of the Inspection included movement to music, ball games, bingo, skittles, quizzes and newspaper readings. A resident spoken with, stated that last month she had visited Rutland Water, having a cup of tea and an ice-cream. One gentleman said he has regular visits from his relatives, who on their last visit took him out to the local pub. Lenthall House C51 C01 S33464 Lenthall House V237764 260705 Stage 4.doc Version 1.40 Page 12 The six completed comment cards from residents reflected that four were happy with the activities provided, one didn’t respond to that question, and the sixth person indicated no. The comment cards also reflected that five residents liked the food provided, one indicated sometimes. Lenthall House C51 C01 S33464 Lenthall House V237764 260705 Stage 4.doc Version 1.40 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 standard(s) 17 and 18. Complaints are handled objectively and residents are confident that their concerns would be listened to, taken seriously and acted upon. Procedures and training ensure a proper response to any suspicion of allegation or abuse. EVIDENCE: The Registered Manager has received one complaint since the last Inspection, the complaint had been recorded and a satisfactory outcome had been achieved for the complainant. The Commission for Social Care Inspection has not received any complaints since the most recent Inspection. Staff undertaking a National Vocational Qualification as part of the award study and prepare answers to questions on the protection of vulnerable adults from abuse. In addition to this induction training and staff supervisions are used to discuss adult protection issues. Four of the five completed Comment Cards from relatives indicated they had never made a complaint, all Comment Cards indicated that relatives were aware of the complaints procedure. Lenthall House C51 C01 S33464 Lenthall House V237764 260705 Stage 4.doc Version 1.40 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 standard(s) 19, 20, 21, 22, 24, 25 and 26. A comfortable and safe standard of accommodation is provided for the resident’s including a garden area, which individually and collectively meets the resident’s needs. EVIDENCE: Lenthall House is well maintained and is suitable to the needs of residents; it is decorated and furnished to a standard that creates a comfortable and homely environment, some hallway carpets were stained, the Registered Manager stated that these were due to be cleaned, with some being replaced. Communal areas are located on the ground and first floor; including a dedicated lounge for residents to smoke. The home provides sufficient lavatories and bathing/shower facilities, some of which have recently been refurbished, the others are to be refurbished in the near future. Residents have access to equipment such as hoists to assist them and staff in the delivery of personal care. Lenthall House C51 C01 S33464 Lenthall House V237764 260705 Stage 4.doc Version 1.40 Page 15 The bedrooms of the five residents, whose care plans and records were viewed by the Inspector were inspected, all were in good state of repair and homely and met the individual needs of the resident. Lenthall House has refurbished a wing of the home, which when opened will provide a respite facility for individuals with Dementia. Lenthall House C51 C01 S33464 Lenthall House V237764 260705 Stage 4.doc Version 1.40 Page 16 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 and 30. Staff at the home are well trained and employed in sufficient numbers to meet the needs of residents. EVIDENCE: The Inspector interviewed three members of staff, two of which expressed concerns that the levels of ancillary staff were not consistent for all days of the week; the effect of this was care staff having to undertake ancillary duties. All staff indicated that on a majority of occasions four members of care staff were on duty in the morning, with three care staff being on duty in the afternoon and evening. The Registered Manager advised the Inspector, that Lenthall House currently has residential vacancies, however staff recruitment was currently taken place. The Comment Cards completed by relatives indicated that four of the five are of the opinion that there are were always sufficient numbers of staff on duty. The pre-inspection questionnaire completed by the Registered Manager states that there are currently seventeen members of care staff employed, of which nine have attained a National Vocational Qualification. Training records reflected a wide variety of training, consistent with the Social Services Departmental Training Plan. Training includes moving and handling, risk assessment, fire awareness and basic food hygiene. Specialist training in Dementia and the Safe Handling of Medicines has also been accessed. Lenthall House C51 C01 S33464 Lenthall House V237764 260705 Stage 4.doc Version 1.40 Page 17 Care staff supported by the Management team are responsible for the devising of care plans, when the Inspector asked care staff as to the training in this area, all confirmed that they had not received any formal training. The Inspector noted through reading residents care plans that residents have a variety of medical conditions. The Departmental Training Plan details training available to care staff in care plan writing and medical conditions, care staff should therefore be encouraged to access these courses to increase their awareness and develop service user care. Lenthall House C51 C01 S33464 Lenthall House V237764 260705 Stage 4.doc Version 1.40 Page 18 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) 32, 33, 36 and 38. The Registered Manager offers a clear sense of leadership, which reflects on the day-to-day delivery of care practices of residents and running of the home. EVIDENCE: The Registered Manager offers a clear sense of leadership, as evidenced on the day of the Inspection, in the form of staff being directed as to their work and by a staff meeting having been scheduled for the afternoon. The three members of staff spoken with confirmed that the Registered Manager and the management team were supportive. Lenthall House has devised quality assurance questionnaires for relatives, residents and visiting professionals. The Inspector viewed those received by the home all of which reflected a positive response. Lenthall House C51 C01 S33464 Lenthall House V237764 260705 Stage 4.doc Version 1.40 Page 19 The Inspector received five completed Comment Cards from relatives; one of which incorporated an additional comment. “Under Jill Wright, the Registered Manager care has further improved, her management of the staff and the running of the home is excellent. Staff spoken with by the Inspector confirmed that they receive regular supervisions from a member of the management team, and any concerns they have on a day-to-day basis are directed immediately to the manager on duty. Records were accessible, and were detailed, well written and factual. Records are stored consistent with Data Protection, and are accessible to residents and staff where appropriate. A tour of the environment noted that the banister of the main stairs may present a potential risk to the safety of residents. A risk assessment should be undertaken to establish the risk, if any this may pose to residents, and any risks identified acted upon. The pre-inspection questionnaire completed by the Registered Manager detailed the regular maintenance and checks pertaining to the environment, which includes fire equipment and fire drills. Lenthall House C51 C01 S33464 Lenthall House V237764 260705 Stage 4.doc Version 1.40 Page 20 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 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 x 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 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 x 3 3 x x 3 x 3 Lenthall House C51 C01 S33464 Lenthall House V237764 260705 Stage 4.doc Version 1.40 Page 21 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 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. 1. Refer to Standard 7 Good Practice Recommendations It is recommended that care plans contain additional information, evidencing an holistic approach to care. 1. Mental Health and its affects on the individual to be more detailed. 2. Recreational and activities form part of the care plan. 3. Daily records contain more detailed information, indicative of their care plan. It is recommended that access training in care plan writing and medical conditions as detailed within the Departmental Training Plan. It is recommended that a risk assessment is undertaken as to the height of the stairwell banister, and that any potential risks to residents are acted upon. 2. 3. 30 38 Lenthall House C51 C01 S33464 Lenthall House V237764 260705 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 5 Smith Way Grove Park Enderby Leicestershire LE19 1SX 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 Lenthall House C51 C01 S33464 Lenthall House V237764 260705 Stage 4.doc Version 1.40 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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