Inspection on 01/12/05 for Lester Hall Apartments

This inspection was carried out on 1st December 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Lester Hall Apartments 22/01/07

Lester Hall Apartments 15/08/05

Lester Hall Apartments 13/10/04

Lester Hall Apartments 26/04/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Lester Hall Apartments 15 Elms Road Stoneygate Leicester Leicestershire LE2 3JD Lead Inspector Helen Abel Unannounced Inspection 1st December 2005 10:30 X10029.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 Lester Hall Apartments DS0000006347.V270595.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 and Care Homes for Adults 18 – 65*. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Lester Hall Apartments DS0000006347.V270595.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Lester Hall Apartments Address 15 Elms Road Stoneygate Leicester Leicestershire LE2 3JD 0116 2745400 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) Lester Hall Apartments Limited Mr David Goodwin Care Home 19 Category(ies) of Past or present alcohol dependence (19), Past or registration, with number present alcohol dependence over 65 years of of places age (19), Past or present drug dependence (19), Past or present drug dependence over 65 years of age (19), Dementia (19), Dementia - over 65 years of age (19), Mental disorder, excluding learning disability or dementia (19), Mental Disorder, excluding learning disability or dementia - over 65 years of age (19), Old age, not falling within any other category (19), Physical disability (19), Physical disability over 65 years of age (9) Lester Hall Apartments DS0000006347.V270595.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. No person under 50 years of age falling within categories MD, DE, A or D may be admitted to the home. No person under 55 years of age falling within category PD may be admitted to the home. No person falling within category PD(E) may be admitted to the home when 9 persons of that category are already accommodated within the home. The home may accommodate the person identified in correspondence with the previous registration authority dated 14th June 2000. 15th August 2005 Date of last inspection Brief Description of the Service: Lesterhall Apartments is registered for 19 residents of multi categories. The home is close to local amenities, bus routes and places of worship. The accommodation is made up of spacious apartments and single and double accommodation. The home has a residents users kitchen on the third floor. The home is furnished and decorated to exceptionally high standards with period furniture/furnishings. There is an attractive private garden accessible for service users. A minibus exclusive to residents is also provided with a driver. Lester Hall Apartments DS0000006347.V270595.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced on a Thursday morning over a four hour period. Care and accommodation is offered to both younger and older people. Two residents, staff and managers were interviewed. A full tour of the premises took place and staff and care records were inspected, as well as some policies and procedures. What the service does well: What has improved since the last inspection? 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. Lester Hall Apartments DS0000006347.V270595.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Lester Hall Apartments DS0000006347.V270595.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Each resident has a written contract/ statement of terms and conditions with the home. EVIDENCE: A contract was evident in a residents care plan this was followed by a review of care four weeks later to check the resident was settled and wanted to stay in the home. Lester Hall Apartments DS0000006347.V270595.R01.S.doc Version 5.0 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for the following standard(s): 9,10,11 Residents are protected by the home’s policies and procedures for dealing with medicines; and residents are treated with respect and their right to privacy is upheld. EVIDENCE: Medicine records were examined and were well documented and in order. A resident’s self-administrating risk assessment should be updated to reflect current practice. Lester Hall Apartments DS0000006347.V270595.R01.S.doc Version 5.0 Page 9 Residents spoken with confirmed there privacy and dignity is given. A visitor reported, “ Staff are very attentive and friendly, focused on the resident’s needs.” The Registered Manager gave an example of how support is given to residents around their wishes for death and dying, and every effort I made to ensure the resident receives appropriate attention and pain relief. Lester Hall Apartments DS0000006347.V270595.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These outcomes were inspected at the last inspection and were compliant. EVIDENCE: Lester Hall Apartments DS0000006347.V270595.R01.S.doc Version 5.0 Page 11 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17 Resident’s legal rights are protected from abuse, neglect and self-harm. EVIDENCE: The Registered Manager confirmed attention is given to ensuring residents have access to their solicitors, accountants or other supporters. Evidence of this was confirmed in residents care plans. Lester Hall Apartments DS0000006347.V270595.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,22,24, The premises are well maintained safe clean and comfortable. EVIDENCE: Lester Hall Apartments DS0000006347.V270595.R01.S.doc Version 5.0 Page 13 The premises are in keeping with the local community and have a style and ambience that reflect the home’s purpose. Large attractive artificial flower decorations are displayed in communal areas and changed at seasonal intervals. The lounge and dining areas are decorated to high standards. Chandlers and ornate lighting is used throughout the home. The Astoria lounge is a communal area with mainly period furniture available to residents and visitors. The kitchenette had been recently decorated, but appeared to lack homely touches. The Registered Provider agreed to look into this. Resident’s suites reflect period features and were comfortable, safe and clean. The suites reflected individual residents personal items and pieces of furniture. One resident said, “I can choose to eat in the dining room or my own room, where I like to sit and have peace and quiet.” The Registered Provider discussed having some building work done to create additional provision. She is in the process of discussing this with the fire department and other agencies. A section of the downstairs corridor carpet and part of the tile flooring requires some repair. The Registered Provider confirmed this would be done once the building works take place. Lester Hall Apartments DS0000006347.V270595.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,30 Residents are in safe hands, with staff trained and competent to do their jobs. EVIDENCE: The staffing rota reflects effective deployment of staff throughout the home with the support of a full time Administrator. The Inspector observed a warm and friendly manner from the staff when caring for the residents. Comments received whilst on inspection were: “Staff are wonderful especially the Registered Manager he is like a big brother to me.” “Staff are never off hand, they are always very friendly.” Lester Hall Apartments DS0000006347.V270595.R01.S.doc Version 5.0 Page 15 Staff are offered a range of training, food preparation, moving and handling, first aid and medication management. The aim is for 80 of care staff to achieve National Vocational Qualifications in care. When joining the home new staff receive a competence based Induction programme. The management team are receptive to new training initiatives to meet the experiences and particular requirements of the residents. Dementia care is the next identified training for the staff group. Lester Hall Apartments DS0000006347.V270595.R01.S.doc Version 5.0 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,37 Residents live in home, which is run and managed by a person who is fit to be in charge, of good character and able to discharge his duties responsibilities fully. Residents are consulted and their views underpin the running of the home. EVIDENCE: Lester Hall Apartments DS0000006347.V270595.R01.S.doc Version 5.0 Page 17 The Registered Provider/ Manager is available to the residents and staff over the week. The Registered Manager undertakes the care of residents and oversees staff supervision with the Deputy Manager. The Registered Manager is looking to start the National Vocational Qualification (NVQ) level 4 in January 2006. The management team work very closely with care staff leading by example how care should be provided. Regular staff/ appraisal meetings and written good practise guidance is given ensuring the home is run in the best interests of the residents. At a resident’s review of care meeting, staff will seek individual’s views about the running of the home. Residents have asked for their own resident’s Christmas party. This has been arranged for the 23rd December with invitations due to go out. A resident asked for festive arrangements to be made for Hog Many. Residents have been consulted about increasing the provision and the new changes made to the building. Records are well maintained and up to date. Resident’s records around personal finances were sampled and found to be in order. Lester Hall Apartments DS0000006347.V270595.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 x 2 x 3 3 4 x 5 x 6 x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 3 18 x ENVIRONMENT Standard No Score 19 3 20 3 21 x 22 3 23 x 24 3 25 x 26 x STAFFING Standard No Score 27 3 28 3 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 3 33 3 34 3 35 3 36 x 37 3 38 x Lester Hall Apartments DS0000006347.V270595.R01.S.doc Version 5.0 Page 19 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP9 OP19 Good Practice Recommendations Update the designated residents self medication risk assessment to low risk and include supporting information. For the residents kitchenette risk assess cleaning materials in line with COSHH regulations. This should be carried out as part of a risk assessment framework for all safe working practice topics within the home. This remains outstanding from the last inspection of the 15th August 2005. Consider ways to make the resident’s kitchenette more homely. 3 OP19 Lester Hall Apartments DS0000006347.V270595.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester 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. Lester Hall Apartments DS0000006347.V270595.R01.S.doc Version 5.0 Page 21 - 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!