Inspection on 17/11/05 for Leolyn Care Home

This inspection was carried out on 17th November 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

Leolyn Care Home 23/01/09

Leolyn Care Home 06/03/07

Leolyn Care Home 22/07/05

Leolyn Care Home 23/11/04

Leolyn Care Home 27/04/04

Leolyn Care Home 10/11/03

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Leolyn 63 Pevensey Road St Leonards On Sea East Sussex TN38 0LE Lead Inspector Liz Daniels Unannounced Inspection 17th November 2005 11:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Leolyn DS0000014013.V261329.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Leolyn DS0000014013.V261329.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Leolyn Address 63 Pevensey Road St Leonards On Sea East Sussex TN38 0LE 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) 01424-422063 01424-718902 New Century Care (Leolyn) Limited Mrs Valerie Fowler Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34) of places Leolyn DS0000014013.V261329.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service Users must be aged fifty (50) years or over on admission The maximum number of service users to be accommodated is thirtyfour (34) Service users with a physical disability only to be accommodated Date of last inspection 22nd July 2005 Brief Description of the Service: Leolyn is a large detached property, situated in a residential area of St. Leonards-On-Sea. It is owned by New Century Care Ltd. and provides nursing and personal care for up to 34 residents aged 50 years or older. Leolyn is set out over four floors with both a chair lift and a passenger lift to provide access to all floors. A large lounge area and a quiet room provide communal space. Road parking enables easy access for visitors to the Home. Leolyn DS0000014013.V261329.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over a period of six hours, beginning at 11.30am. The Inspector met with the Registered Manager for Leolyn, the Area Manager for New Century Care and two other members of staff. Although a full tour was not undertaken on this occasion there was the opportunity to meet with four residents and four relatives before inspecting a range of documentation and key records. This report should be read in conjunction with the report from the first inspection this year, on 22nd July 2005. What the service does well: What has improved since the last inspection? What they could do better: There is no clear evidence as to how much the care plans have been shared with the residents or their relatives; this was a Requirement of the last Inspection. Care Plans and Risk Assessments must be completed to remain contemporary and a working record that staff refer to. The programme to install magnetic door guards and therefore avoid doors being propped open, must be completed. The programme to enable residents to lock their doors and have a lockable facility within their room must be completed to provide privacy for residents. Leolyn DS0000014013.V261329.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. Leolyn DS0000014013.V261329.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Leolyn DS0000014013.V261329.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4 and 6 Leolyn has good processes and training in place to demonstrate that it can meet the assessed needs (including specialist care), of residents admitted to the Home. EVIDENCE: Prospective residents are told verbally during an assessment whether or not the Home can admit them. However, since the last Inspection, a letter has been introduced which is now sent to the prospective resident to confirm the Home can meet their assessed needs. Once the decision has been made for them to be admitted they move in, initially on a trial basis. Emergency and unplanned admissions are avoided where possible. Since the last inspection, Leolyn has changed its conditions of registration to enable residents aged 50years and above to be admitted. If specific care is required, specialist training is put in place to meet their needs. As an Organisation, staff with particular skills support and provide supervision for staff in other Homes. This provides a network of expertise. There is evidence of training in place. Leolyn does not offer intermediate care. Leolyn DS0000014013.V261329.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 9 There is no clear evidence as to how much the care plans have been shared with the residents or their relatives; this was a Recommendation of the last Inspection. Care Plans and Risk Assessments must be completed to remain contemporary and a working record that staff refer to. Good processes are in place for the ordering, administration and disposal of medication. EVIDENCE: Three resident’s files were viewed and the Inspector met with one of those and three other residents. Each resident has an Assessment, on or soon after admission. A Risk Assessment for falls, an observation record, a dependency assessment and an assessment of tissue viability were evident. A continuing assessment is then completed and the care needs identified in a Care Plan. Specialist Health Professionals are accessed as needed and their advice sought for the care prescribed. Some of the documentation had not been completed and there was no record that the planning of care had been shared with the residents or their relatives. Although the administration of medicines was assessed there were no residents who take responsibility for their own medication on the day of Inspection. The clinical room was seen and was clean and well stocked. The medicine charts were seen and were correctly maintained. Policies and procedures are in place for the correct receipt, storage, administration and disposal of medicines. Leolyn DS0000014013.V261329.R01.S.doc Version 5.0 Page 10 Photographs of all the residents are included with the medicine charts. Two nurses check and sign when medicines are ready for disposal. The disposal of the medicines has recently transferred to a Waste Management Company. Leolyn DS0000014013.V261329.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14 and 15 Some good activities are organised for the residents and the good financial management of personal monies is in place. Good practise is evident for the storage of dry ingredients and freezer foods, meeting the Recommendation from the last Inspection. EVIDENCE: A new Activity Co-ordinator has been appointed to Leolyn. A programme is organised that includes trips out, sessions with residents on an individual basis and group activities. The group activities and trips are publicised on the notice board in the main entrance and in the lounge. The co-ordinator maintains records of time spent with individuals. This was discussed during the inspection: a social and emotional assessment to identify individual likes and dislikes could be included with the resident’s care plans enabling activities to be organised for individual’s needs. The Inspector found some residents enjoying a game of Bingo organised in the lounge whilst others were sitting quietly or spending time in their own room. Some of the residents handle their own financial affairs, or solicitors are appointed to act on their behalf. All invoices for fees are managed through Head Office but New Century Care do not act as appointees for any residents. A policy is in place at Leolyn, which confirms the ‘Service User’s rights to Advocacy’ and identifies the agencies that can be accessed. A programme is in place to provide a lockable facility in each room but this has not yet been completed. However, some residents hold their Leolyn DS0000014013.V261329.R01.S.doc Version 5.0 Page 12 own personal money, whilst some relatives or residents prefer to pay personal monies to the Home where it is used to buy sundries as needed. The Manager reported that each resident has a separate balance book that she maintains and money is kept in a locked safe. Any meetings or discussions are held in private with the resident. Menus and the food offered by the Home were not fully inspected on this occasion. However, the Inspector met with the cook and reviewed the food storage. Gloves and scoops are now used to decant dry ingredients from the large food bins. Large packs of frozen food are decanted into smaller bags and then labelled with the ‘Best Before’ date. Leolyn DS0000014013.V261329.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed at this inspection. EVIDENCE: Leolyn DS0000014013.V261329.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23, 24 and 25 All areas of the home seen were well decorated to a good standard and accommodation provided is homely in design. Bedrooms are personalised to suit individual need and taste. The programme to install magnetic door guards and therefore avoid doors being propped open, must be completed. The programme to enable residents to lock their doors and have a lockable facility within their room must be completed to provide privacy for residents. EVIDENCE: Leolyn is situated in a quiet residential area of St. Leonards. It provides spacious accommodation over four floors, with a passenger lift and chair lift to each floor. The Home is accessible for wheelchair users: a range of equipment and aids both provide support for those with reduced mobility and promote independence. Although a full tour was not undertaken on this occasion, the Inspector spoke with staff and residents in the communal areas and in the bedrooms. There is a lounge on the lower ground floor, which is partially divided, providing an area that is used for television watching and also a quiet area where residents can relax with visitors, or read. There is also a quiet room next door with a small library of books: both rooms look out over the garden. A patio area and the garden can be accessed off the lounge. Leolyn DS0000014013.V261329.R01.S.doc Version 5.0 Page 15 There are raised flowerbeds and a greenhouse, enabling residents to be involved with the garden as they wish. A spacious dining room with homely lighting and furnishings is also on the lower ground floor. The bedrooms all appear homely and comfortable. Residents are encouraged to have their own possessions with them to personalise their rooms. Adjustable beds are provided for those residents needing nursing care. For those residents who share a double room, there is curtain screening between the beds to enable their privacy to be maintained. Magnetic door guards are on the bedroom doors enabling residents to choose to have their door open although some of the corridor doors were propped open. The Area Manager reported that a programme of installing the door guards is in place and would be completed within a week of the Inspection. Currently the rooms do not all have a lock or a lockable facility within. However the Manager reported that a programme is in place for both to be fitted. The Manager confirmed that once completed residents would be offered their bedroom door keys to lock their room when they are not in it, or a Risk Assessment would be completed, demonstrating reasons why this is inappropriate. Leolyn DS0000014013.V261329.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 and 30 Leolyn and New Century Care, the Organisation it is a part of, demonstrate a commitment to training care staff in NVQs. Currently over 50 of staff are trained to level 2. New staff receive an Induction followed by Foundation training. EVIDENCE: The Area Manager reported that New Century Care as an organisation, promote the importance of care staff training to NVQ level 2 and therefore build this expectation into their recruitment. All care staff recruited are therefore made aware of the need for them to train to NVQ level 2. They are then recruited with that written into their contract. The Organisation has its own NVQ training manager in post. Currently at Leolyn, 10 out of a total of 16 carers are trained to NVQ level 2. The others are new staff and are undertaking their Induction whilst waiting for registration onto the course. They will then undertake their foundation training, over a period of about six months, before commencing their NVQ training. Leolyn DS0000014013.V261329.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 and 35 The Manager is qualified and competent and manages the Home well. Good financial arrangements for residents’ monies are in place. Notifications of all significant events are now sent to the Commission, meeting the Requirement from the last Inspection. EVIDENCE: The Registered Manager is a Registered General Nurse who has many years of experience with caring for older people in the care home setting. She has completed her Registered Managers Award (RMA). Staff, residents and relatives who met with the Inspector demonstrated that they have confidence in the management of the Home and said that they feel the Manager is helpful and supportive. Some of the residents handle their own financial affairs, or solicitors are appointed to act on their behalf. The Home’s Management Team does not act as the appointee for any of the resident’s financial affairs, nor does the Organisation. The Organisation invoices residents or their appointee monthly. The fees and any sundry items or services are separated out on the invoice. The Home also holds personal monies for sundries and services not Leolyn DS0000014013.V261329.R01.S.doc Version 5.0 Page 18 included in the fees, for those residents who prefer. One resident holds their own personal money in their room. Any money brought in is held in the safe and separate balance books are maintained. The Inspector was able to examine the records, held by the Home, for personal monies. Standard 38 was not fully assessed at this Inspection. However the Commission has received Regulation 37 notifications for residents who have died, any admissions to hospital and any significant event within the Home. This meets the Requirement from the last Inspection. Leolyn DS0000014013.V261329.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x X 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 3 X X 3 2 3 x STAFFING Standard No Score 27 X 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X x Leolyn DS0000014013.V261329.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP19 Regulation 13(4) Requirement Timescale for action 31/12/05 2. OP24 23 12(4)(a) As fire doors must not be propped open, the programme to install magnetic door guards must be completed. The programme to enable 31/12/05 residents to lock their doors and have a lockable facility within their room must be completed to provide privacy for residents. 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 OP7 Good Practice Recommendations Care plans should be shared with the residents or their relatives. (This was a Recommendation of the last Inspection). Care Plans and Risk Assessments should be completed for all residents. Leolyn DS0000014013.V261329.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Leolyn DS0000014013.V261329.R01.S.doc Version 5.0 Page 22 - 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. 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