Inspection on 27/10/08 for Lenthall House

This inspection was carried out on 27th October 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lenthall House 31/12/05

Lenthall House 10/10/05

Lenthall House 26/07/05

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 17/12/2008.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Lenthall House Lenthall Square Market Harborough Leicestershire LE16 9LQ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Linda Clarke     Date: 2 7 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 30 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 30 Information about the care home Name of care home: Address: Lenthall House Lenthall Square Market Harborough Leicestershire LE16 9LQ 01858463204 01858463204 JIWright@leics.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Jill Wright Type of registration: Number of places registered: Leicestershire County Council Social Services care home 40 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia learning disability mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability sensory impairment Additional conditions: Learning Disability over 65 years of age DE(E) 4 Learning Disability (LD) 4 No persons falling within the categories LD(E) or LD can be accommodated at Lenthall House when 4 persons who fall within these categories/combined categories are already residing at the home Lenthall House Care Home is registered to provide personal care to male and female service users who fall within the following categories :- Old age, not falling within any other category (OP) 40 Dementia over 65 years of age DE(E) 20 Dementia (DE) 8 Care Homes for Older People Page 4 of 30 Over 65 20 4 4 40 10 4 8 4 8 0 8 4 Mental Disorder,excluding learning disability or dementia over 65 years of age MD(E) 4 Mental Disorder, excluding learning disability or dementia (MD) 8 No persons falling within the category MD(E) can be accommodated at Lenthall House when there are 4 persons who fall within the category residing at the home. No person falling within the category DE can be accommodated at Lenthall House when there are 8 persons within this category already residing at the home No person within any of the following categories SI, PD, DE, LD,or MD may be admitted unless they are aged 55 years of older No persons falling within the categories DE(E) or DE can be accommodated at Lenthall House when 20 persons who fall within these categories/combined categories are already residing at the home No persons falling within the category MD(E) or MD can be accommodated at Lenthall House when there are 8 persons who fall within these categories/combined categories are already residing at the home. No persons falling within the category PD(E) or PD can be accommodated at Lenthall House when there are 10 persons who fall within these categories/combined categories are already residing at the home. Physical disability over 65 years of age PD(E) 10 Physical disability (PD) 8 No persons falling within the category PD can be accommodated at Lenthall House when there are 8 persons who fall within the category residing at the home. Sensory Impairment over 65 years of age SI(E) 4 Sensory impairment (SI 4 No persons falling within the category SI(E) or SI can be accommodated at Lenthall House when there are 4 persons who fall within these categories/combined categories are already residing at the home. The maximum number of service users to be accommodated within Lenthall House is 40 Date of last inspection Brief description of the care home Lenthall House is a care home providing personal care and accommodation for up to forty older persons, who may have associated conditions, which may include dementia, mental disorder, learning disability, physical disability and sensory impairment, and an additional two places offering respite, with a further seven respite places being available within the specialist Evergreen Suite offering respite for those with a diagnosis of Dementia. The home is easily accessible by private or public transport. The forty single bedrooms being single without en-suite facilities. The home has a large patio area with raised flowerbeds and a summerhouse that service users can access. Large pleasant gardens surround the home. Accommodation is provided over two floors with access between the floors being via stairs or a passenger lift. Communal areas are provided on both floors of the home. Information is located on site detailing the range of services offered, which includes the Statement of Purpose, in addition to this Lenthall House has copies of the Commission of Social Care Inspections, Inspection Reports, which are located on a table in the foyer. Care Homes for Older People Page 5 of 30 Care Homes for Older People Page 6 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We as it appears throughout the Inspection Reports refers to The Commission for Social Care Inspection. The inspection process consisted of pre-planning the inspection, which included reviewing the Annual Quality Assurance Assessment (AQAA), which is a selfassessment tool completed by a representative of the service, reviewing previous Inspection Reports, and any information we have received. We sent surveys to people who use the service, their relatives, health and social care professionals who support people living at Lenthall House and staff working at the home. The unannounced site visit commenced on the 27th October 2008, and took place between 09:30 and 17:30. Care Homes for Older People Page 7 of 30 The focus of the inspection is based upon the outcomes of people who use the service. The method of inspection was case tracking. This involved identifying people with varying levels of care needs and looking at how these are being met by the staff at Lenthall House. Four people accessing services were selected. Discussions were held with two people, along with four other people living or staying at the home, and we spoke with visiting relatives. Staff members were spoken with along with the Registered Manager. What the care home does well: What has improved since the last inspection? What they could do better: Information available to people, including the complaints procedure could be improved, to enhance the understanding of people by providing information in a format which is easier for them to understand. Information held in care plans could be expanded upon, where people have Dementia, so that staff can provide individual and tailored support, this requires staff to have access to training which updates their knowledge and understanding of Dementia and their role in providing care and support. Care Homes for Older People Page 9 of 30 The range of activities provided, particularly for those people with additional needs such as Dementia need to be improved and tailored to ensure that everyone has the opportunity to take part in worth while pursuits which are part of their care plan. The support people receive who stay in the Evergreen Suite could be improved by decorating the unit in a manner which supports people in orientating themselves and reducing their confusion, and by the introduction of props which provide people with information about the day and time, staff caring for them, and information individual to each person, as identified within their care plan and assessed needs. Staffing levels within the Evergreen Suite need to be constantly reviewed to ensure that the changing population of the unit, are supported by sufficient staff to provide individual personal care needs and worth while activities including daily living skills. Surveys we sent to people asked for their views as to what the service could improve upon, and we received the following comments:Provide more staff so we can concentrate on individuals needs more. For staff to have more confidence and ability to manage challenging behaviour. By having more staff, then maybe the carers could sit more with the residents, and have a chat with them. Having newspapers delivered, every day and magzines. Having a new mini-bus as the residents love and outing. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 10 of 30 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 11 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Lenthall House enables people who require residential care to make an informed decision as to whether the home is appropriate to their needs by providing information about the service is provides and through its assessment process. Evidence: We wanted to look at the information provided to people who use the service to find out whether it was detailed and answered all their questions, and to find out how the service passed on the information. We spoke with people who live at Lenthall House and individuals who were visiting relatives on the day of the site visit, all said they had been given information when they arrived at the home. Surveys we sent to people who use the service and their relatives, told us that information was available to them which enabled them to make an informed decision that Lenthall House was the right place for them. Care Homes for Older People Page 12 of 30 Evidence: Information about the home and services has not been developed with consideration as to the needs of people, in that it is available in a printed format, but has not considered that those with a sensory impairment may benefit from the information being provided in larger print, or that the use of photographs may provide an easier reference guide. We looked at the records of four people living at Lenthall House, and found that individuals had had their needs assessed by a Social Worker, before moving into the home, this enables the Registered Manager to look at the information provided and decide whether their needs can be met by the staff and facilities at the home. Care Homes for Older People Page 13 of 30 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual needs, choices and expectations of care, and the principles of respect, dignity and privacy are put into practise. Evidence: We wanted to find out how the health and personal care needs of people living at the home were met. We spoke with people living at the home, and observed the care and support provided by staff, we also looked at the care plans and records of four people, and looked at the information recorded in surveys, which we sent out to people who use the service, their relatives and health care professionals. When we asked people about the care they received they told us Ive been here since July, and I cant fault it. Whilst someone else said The care is great and so are the staff. We spoke with a someone visiting their relative and they told us The approach and attitude of staff is good, as is the personal attention they provide, which is helped by a consistent staff team. A relative wrote in the survey Lenthall House is the best Care Homes for Older People Page 14 of 30 Evidence: home I could with for my mum the staff are great. Care plans begin by providing some information about a persons life before moving into the home, this includes information about their work and family life, hobbies and interests, and significant events and dates. The amount of information could be increased by formally requesting information from individuals family and friends, explaining that the information provided enables staff to support a persons individual lifestyle, this is particularly important where individuals cannot provide the information themselves. Individuals who have Dementia, would benefit from a care plan, which provides information as to how their condition affects their day to day lives, including trigger points for anxiety and stress, and the role of staff in provding tailored support. Records we looked at showed us that people living at the home have access to a range of health care professionals, and that additional areas are assessed to ensure that people receive the care and support they need. We observed the interaction between people living at the home and staff throughout the site visit, their was good rapport, which during the day was in the main provided by the Activities Organiser. Staff were sensitive to the needs and wishes of people, and supported them in receiving care and support in a manner they preferred. We observed the administration of medication at lunchtime, and found this followed the policies and procedures of the home. Staff responsible for the administration of medication have attended a course, which provides them with the necessary information as to how to manage peoples medication. Recent changes to legislation mean that the Registered Manager needs to check that the way in which the home stores and manages Controlled Drugs is satisfactory. Care plans we looked at stated that staff are responsible for the management of individuals medication. Assessments and care plans need to detail the wishes and choices of people with regards to the management of their medication, to ensure that peoples independence is promoted. Care Homes for Older People Page 15 of 30 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Opportunities are available for people to engage in activities, but these are not far ranging and specific to indivdual needs. Lenthall House provides a wholesome and varied diet. Evidence: We wanted to find out about how people spend their day, and how the staff working at the home support people to make decisions and stay in contact with relatives and friends, we did this by observing people throughout the day, talking with people living at the home, and visitors, reading the information provided in surveys we sent out, and by looking at the care plans and records of four people. We visited the Evergreen Suite which is a facility within Lenthall House that provides respite care to people with Dementia. We visited after lunch and found that the television was turned on, no one appeared to be watching. With the exception of one person, others were asleep after eating lunch, and the member of staff sat at the dining table completing records. We spoke with someone who had arrived that day for their first visit, and walked around the unit with them. The persons family had provided photographs of themselves for staff to refer to and to provide reassurance for Care Homes for Older People Page 16 of 30 Evidence: their relative, we spent time with the person looking at their photographs. On our second visit to the Evergreen Suite, before tea, we found everyone was awake, some walking around. Their was one member of staff on duty, who was fully occupied in providing personal care, and reassurance to people staying in the unit, their was no evidence of activities taking place. We spoke with a visitor who was visiting their relative who told us that they have seen people involved in memory games, dominoes and arts and crafts. The visitor also said that it was unfortunate that Lenthall House no longer had a mini-bus as people are no longer able to go out on trips which they used to enjoy, such as meals out, visits to garden centres and trips on the canal. Our observations in the morning were concentrated in the main lounge on the ground floor of the home, the Activity Organiser engaged a group of people in various activities, which included movement to music, target bean bag throwing and bingo, everyone taking part had fun, some finding it difficult to maintain their interest and motivation. A number of people required support, which was facilitated by the Activities Organiser, individuals would benefit by being supported by other staff, so that the activity was not overly drawn out so as not to their loose interest. Care plans and staffing arrangements could be improved to enable individuals to be supported in engaging in worth while daily living activities such as dusting, setting the tables at meals times, and by participating in hobbies and interests which they pursued prior to moving into the home. We sat and joined in the lunchtime meals with a group of people in the dining room, and asked them what they thought about the food provided. One person said its good, I especially like the puddings. One person told us always a good choice. Staff were available to provide support where necessary, and the dining experience was unhurried and relaxed, and people sat and talked with each other. During the lunchtime meal staff and people living at the home spoke of the visit from members of the Baptist Church, the previous evening, and the singing of hymns. Care Homes for Older People Page 17 of 30 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Lenthall House are able to express their concerns, and have access to a complaints procedure, and are protected from abuse by a supportive and knowledgeable staff team. Evidence: We wanted to find out how the staff of Lenthall House promote the safety and welfare of people who use the service, written information supplied by the Registered Manager before our visit told us about the policies and procedures staff have to follow, to safeguard vulnerable people. Newly appointed staff undertake a period of induction which takes places over three months, and includes training as to their roles and responsibilities in ensuring people in their care live a life free of abuse. We spoke with care staff who were aware of their responsibilities in whistle blowing should they have any concerns about the welfare of anyone living at the home, discussions identified that not all managerial staff are aware of how to manage information when an allegation or suspicion of abuse was reported to them, this was discussed with the Registered Manager who said they would ensure that managerial staff access the necessary training course. We looked at the record of complaints received by Lenthall House in the last 12 months, which included an anonymous concern referred to the Registered Manager by Care Homes for Older People Page 18 of 30 Evidence: the Commission for Social Care Inspection. Records showed that the concerns had been recorded, along with any changes in practice and actions required to address the concerns. We spoke with people living at the home and asked them if they knew who to speak with if they were unhappy or wished to complain, some people said they would speak with a member of the office team, whilst others said they would speak to a relative when they visited. One relative told us I know how to make a complaint, I have raised small concerns in the past, and these were managed well. Information about how to complain is displayed within the home, but would benefit from including information and contact details for advocacy services. We spoke with staff and looked at records to find out about the training care staff receive, all staff receive training which promotes the safety and welfare of people, including training on reporting concerns or complaints expressed to them. Care Homes for Older People Page 19 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Lenthall House provides, a comfortable and homely environment and is well maintained. Evidence: We had a tour of Lenthall House, including the Evergreen Suite, which provides respite care for people with Dementia. The decor of the Evergreen Suite has not been undertaken in such a way that reduces the level of confusion and disorientation of people staying in the Suite, for example by emphasising doors by the use of colour, which the home wishes people to use, or by introducing notice boards and information to enable people to know what day it is, what the member of staffs name is and what they look like, and information about when someone would be going home. The Evergreen Suite has as smaller quiet lounge/dining room, as well as the main lounge/diner, bedrooms are decorated to a good standard, and their is a small kitchenette, bathing and bedroom facilities. Lenthall House is decorated to a good standard and has a large lounge on the ground floor, which overlooks the front and rear of the home and its gardens. Attempts have been made by arranging chairs and furniture in such a way as to create smaller seating areas which are more intimate and homely within the large lounge. The privacy Care Homes for Older People Page 20 of 30 Evidence: of people in the lounge is difficult to maintain due to its size, and the fact that it is used to access other areas of the home, such as the kitchen and dining room. The ground floor also has a small lounge for people living at the home who wish to smoke, and the main dining room. There is a smaller lounge/diner on the first floor. Access to the first floor is via a stairwell or passenger lift. The gardens at Lenthall House are well maintained and include mature plants and shrubs, bedding plants, a greenhouse, summer house, seating areas and small water fountain and are accessible to people living at the home, the Evergreen Suite has a patio area which is secure, leading from the patio doors of the lounge/diner. Care Homes for Older People Page 21 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live a Lenthall House are supported by staff who have undergone a robust recruitment process and are supervised, and are experienced and trained, staffing levels are not always sufficient to provide the individual support people require. Evidence: We wanted to find out how staff are recruited and whether the recruitment of staff promoted the health and well-being of people who use the service. We looked at the records of some staff and found that they had undergone a robust recruitment process, which included an interview, the seeking of two satisfactory written references and a check as to a persons suitability to work with vulnerable people, which includes finding out if they have a criminal record. This means all staff have had a Criminal Record Bureau (CRB) disclosure. Information provided to us by the Registered Manager before out site visit states that 50 of the care staff have a National Vocational Qualification (NVQ) in Care, and that staff receive training in various topics which are directly related to their role in providing care and support, including topics related to health and safety. Training received by staff includes, fire awareness, food hygiene, medication training, and training in dementia awareness. Staff we spoke with said they were generally satisfied with the training they received, but would like to have greater access to training about Care Homes for Older People Page 22 of 30 Evidence: Dementia care. The Registered Manager also provided us with information about staffing levels, stating that their are four staff on duty throughout the day, with two staff on duty at night, their is always a Manager on site twenty-four hours a day providing support and direction to staff. The Registered Manager and staff we spoke with said that recently it had been difficult to maintain staffing levels due to staff sickness, however new staff have recently been appointed, and would commence work soon. Our observations were that staff were busy throughout the day providing care and support, and whilst the personal care needs of people were met little or no time was available to spend with people, supporting them in activities or sitting talking to them. The member of staff on duty in the Evergreen Suite was very busy during our second visit, we noted that they were dealing with a Social Worker visiting a person staying in the unit, a relative visiting someone staying in the unit, one lady who was very unsteady on their feet and needed direct supervision and care, whilst supporting two other people who were confused as to what they should be doing, and where they should be going and were seeking reassurance. Information gathered from surveys sent to the staff of Lenthall House, show that staff are satisfied with the training and managerial support they receive. One person wrote training is very good. Surveys completed by staff recorded that staff would like to spend more time talking with people living at the home, and providing activities, which in their view is not possible with current staffing levels. Care Homes for Older People Page 23 of 30 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management of Lenthall House encourages and includes people who live at the home, their relatives and its staff to share their views to ensure that the home is run in the best interests of people who use the service. Evidence: The Registered Manager of Lenthall House, Jill Wright has worked at the home for many years, and has gained a National Vocational Qualification (NVQ) at level 4 and has attained the Registered Managers Award. Questionnaires are sent out to people who use the service, their relatives and supporting health and social care professionals, these are audited and used to develop and improve the service. We looked at the most recent quality assurance report, which detailed that people who receive a service and others involved in their care are happy with the level of care provided. Care Homes for Older People Page 24 of 30 Evidence: Staff meetings take place, and staff we spoke with said that they receive supervisions and take part in performance reviews, and indicated that they are generally satisfied with the support they receive from the Management Team. Information the Registered Manager supplied prior to the site visit details the regular maintenance of equipment and systems in the home, including heating and electrical systems along with fire fighting equipment and systems. Care Homes for Older People Page 25 of 30 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 30 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 7 13 The Registered Manager to establish whether the cabinet which stores Controlled Drugs at Lenthall House complies with the Misuse of Drugs (Safe Custody) Regulations 1973. It it is found current storage facilities do not meet the regulation then a storage system, which does comply with the Misuse of Drugs (Safe Custody) Regulation 1973 is to be purchased and installed. To ensure the safe storage of Controlled Drugs. 28/01/2009 2 16 13 The Registered Person to 28/11/2008 ensure that all staff who are responsible for the day to day management of the home understand their role and responsibility in dealing with allegations or suspicions of abuse reported to them. Care Homes for Older People Page 27 of 30 To ensure the safety and welfare of people receiving a service. 3 27 18 A review of staffing levels to be undertaken to establish whether staffing levels are sufficient to meet the individual needs of people, including those accessing services in the Evergreen Suite. To ensure the personal care and safety of people at Lenthall House is maintained. 28/11/2008 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 1 The format of information provided to people who use the services of Lenthall House should take into account the needs of people who use the service, and be produced to encourage and enables individuals to have a greater understanding of its contents by the use of large print, signs, symbols and photographs. Care plans specific to the needs of people with Dementia to be developed, which includes information about their preferred lifestyle, triggers for anxiety and stress, and the role of staff in providing tailored support. The wishes and abilities of individuals moving into Lenthall House should be determined with regards to the management of their own medication, to ensure peoples choices and independence are promoted and respected. The robust system for the receipt, management and disposal of Controlled Drugs to be supported by the purchase and use of a Controlled Drug Register. A review to be undertaken as to the range and suitability of activities available to people with specific needs such as Dementia, by seeking advice from specialist organisations, and reviewing how person centred activities could be 2 7 3 9 4 9 5 12 Care Homes for Older People Page 28 of 30 introduced. 6 16 The complaints procedure to be reviewed and distributed to include contact details of advocacy services, and be produced in a format which considers the needs of people who use its services by the use of large print, photographs and symbols. Advice should be sought and acted upon as to how the decor of the Evergreen Suite and the introduction of personalised information can be implemented and provided to support people with Dementia, by reducing there level of confusion and disorientation. 7 19 Care Homes for Older People Page 29 of 30 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 30 of 30 - 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!