Inspection on 28/07/05 for Leycester House

This inspection was carried out on 28th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Leycester House 26/09/07

Leycester House 27/09/06

Leycester House 01/02/06

Leycester House 03/11/04

Leycester House 10/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE LEYCESTER HOUSE EDENSFIELD ROAD MOBBERLEY KNUTSFORD CHESHIRE. WA18 7JG Lead Inspector BRONWYN KELLY UNANNOUNCED 28 JULY 2005 09:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. LEYCESTER HOUSE F51 F01 S6512 Leycester House V238525 280705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Leycester House Address Edensfield Road Mobberley Knutsford Cheshire WA18 7JG 01565 872496 01565 880086 leycesterhouse@clsgroup.org CLS Care Services Ltd Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Stephen Maddock Care Home 40 Category(ies) of OP Old Age (40) registration, with number Md Mental Disorder (1) of places DE(E) Dementia Over 65 (1) LEYCESTER HOUSE F51 F01 S6512 Leycester House V238525 280705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 This home is registered for a maximum of 40 service users to include: * Up to 40 service users in the category of OP (old age, not falling within any other category) * 1 named service user in the category of DE(E) (dementia over the age of 65) * 1 named service user in the category of MD (mental disorder, excluding learning disability or dementia, under the age of 65) 2 The service must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection 3 November 2004 Brief Description of the Service: Leycester House is a purpose built home providing care and accommodation for 40 older people. The home is part of CLS Care Services Limited, a ‘not for profit’ organisation that owns a number of care homes in the Northwest area. Leycester House is in the village of Mobberley, close to the local shops, GP, pub, chemist and bus stop. Mobberley is approximately mid-way between the towns of Knutsford and Wilmslow. Leycester House is a two-storey building and there is a passenger lift for access between floors. Residents’ accommodation consists of 40 single bedrooms all with wash hand basins. There are sufficient communal rooms such as lounges, dining rooms, activities area and a smoking lounge. The home also provides day care for up to 5 people per day and a separate lounge is available for this purpose. A central courtyard includes a pleasant garden area with outdoor seating for residents and visitors to use and a new raised patio area. This is fully accessible to service users. LEYCESTER HOUSE F51 F01 S6512 Leycester House V238525 280705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over a period of six hours, commencing at 09.30 am. A tour of the building took place, and with the permission of the residents, a number of bedrooms were seen. Five residents were spoken to individually and privately, and general group discussions took place in lounges and dining areas with a number of other residents. Two visiting relatives were spoken with during the day and a visiting community nurse expressed her opinions on the care in the home. The staff on duty during the inspection were spoken with. This included a care team leader, three care assistants, domestic staff and the cook. The manager of the home was on annual leave. What the service does well: What has improved since the last inspection? Improvements have been made to the décor of the home and new furniture and carpets are in place in some bedrooms. LEYCESTER HOUSE F51 F01 S6512 Leycester House V238525 280705 Stage 4.doc Version 1.40 Page 6 The staffing situation has improved with employment of new staff to fill some of the vacancies. Staff training continues to be encouraged for staff. A new outside patio area has been created for residents. A new hoist has helped staff in the care of the residents 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. LEYCESTER HOUSE F51 F01 S6512 Leycester House V238525 280705 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection LEYCESTER HOUSE F51 F01 S6512 Leycester House V238525 280705 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 3 and 5 Residents receive clear information in order to make a choice about whether or not to live at the home. Their needs are assessed to ensure they can be met at the home and residents and their families are encouraged to visit Leycester House, enabling an informed decision about moving into the home. EVIDENCE: An updated copy of the Service User Guide is available in the home so that residents have full information about living at the home. A copy of this is also available in the hall to visitors. The admission procedure ensures that new residents are fully assessed prior to moving into the home. Records were seen of this, although one was not signed or dated. Staff members confirmed that either the manager or care team leader visits each resident prior to them moving into the home. Two residents spoken with were able to recall that they had visited the home prior to moving in. The staff encourage this, and residents may stay for a short visit or for a whole day if they wish. LEYCESTER HOUSE F51 F01 S6512 Leycester House V238525 280705 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 and 8 Care plans do provide staff with sufficient information in order to meet their needs. Improvement is needed in the time it takes to write the care plans following a new resident moving into the home. Support is provided to ensure the resident’s health care needs are met. EVIDENCE: Four individual plans of care were seen, and three of these contained sufficient information to ensure that all aspects of the residents’ health, personal and social care needs are identified and planned for. The file of a resident who had been living in the home for nearly two weeks did not contain sufficient information in order for staff to satisfactorily carry out care. There was no care plan, risk assessment or any moving and handling information, even though this resident required assistance from staff. There is evidence of reviews of care plans taking place on a monthly basis, but the care plans should show more evidence of resident’s involvement or agreement with the care plans. LEYCESTER HOUSE F51 F01 S6512 Leycester House V238525 280705 Stage 4.doc Version 1.40 Page 10 A visiting community nurse was spoken with. She visits the home most days and was seeing six residents on the day of inspection. She said, “It is a pleasure to come into the home” and talked about appropriate care being given to residents and good communication taking place between the staff group and the surgery. She wrote in the comment card “Leycester House maintains a very high standard of care. All staff liaise well with the District Nursing team and are always more than happy to help us”. The residents’ files seen showed evidence that various medical professionals are called in according to need. Residents spoken with also confirmed that they are able to see a doctor when they feel unwell. LEYCESTER HOUSE F51 F01 S6512 Leycester House V238525 280705 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 and 15 Social activities provided in the home and visits outside the home provide residents with an interesting choice. The meals in the home are good, providing variety and choice for residents. EVIDENCE: A part time activities co-ordinator arranges a weekly programme of activities that is displayed on posters around the home. One lounge area of the home has been turned into a reminiscence area. Two residents were enjoying items of interest from ‘yesteryear’ using touch, feel and smell. The activities cocoordinator spends a lot of time on a one-to-one basis with residents as well as organising group in-house activities. Recent outings have included Tatton Park, Llandudno and a pub lunch. Residents meetings are held monthly, and the minutes seen by residents or read to them. There are opportunities for residents to join in with some of the day-care clients’ activities. Many are acquainted with each other, having lived in the area for a number of years. On admission to the home, residents have the opportunity to compile a life history with contributions from families and friends. LEYCESTER HOUSE F51 F01 S6512 Leycester House V238525 280705 Stage 4.doc Version 1.40 Page 12 Residents spoken with all agreed that the quality and choice of food at Leycester House is good. On the day of the inspection, lunch served was braised steak in gravy, mashed potatoes, broccoli and sweetcorn, with apricot pie and custard or ice cream to follow. Some residents chose an alternative to the main dish of the day. One resident commented, “The food is excellent – we get a choice” Lunch is served in two dining areas, enabling residents to have a choice of where they take their meals. Some residents choose to have all their meals in their bedrooms. LEYCESTER HOUSE F51 F01 S6512 Leycester House V238525 280705 Stage 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 The home has a satisfactory complaints procedure and a ‘comment card’ system, ensuring that any concerns of residents or their families are dealt with promptly. EVIDENCE: The complaints procedure is displayed in the entrance to the home, with contact details for the CSCI. A copy of this is also in the Service User guide. There was evidence that good communication exists between residents, staff and families. Two visitors spoken with were confident that any concerns they had would be taken seriously and acted upon. Residents spoken with said they had the opportunity to voice opinions at the monthly residents’ meetings. There have been no complaints made to the CSCI in the last twelve months. LEYCESTER HOUSE F51 F01 S6512 Leycester House V238525 280705 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 A comfortable and safe standard of accommodation is provided for the residents. EVIDENCE: The home is well maintained and suits the needs of the residents. It is decorated and furnished in such a way as to create a homely environment for the residents. A programme of refurbishment is in place, and bedrooms are refurbished on change of occupier. Since the last inspection, a corridor has been decorated and some bedrooms have had new furniture. The residents’ bedrooms looked comfortable and homely, as they are able to bring in items of their own furniture and possessions with them. All areas of the home were clean and smelled pleasant. There is a courtyard and a new raised patio provided for residents outside, furnished with chairs and brollies. A number of residents said they enjoy this facility. LEYCESTER HOUSE F51 F01 S6512 Leycester House V238525 280705 Stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 The staff at the home are well trained and supported, and employed in sufficient numbers for most of the time to meet the residents’ needs. EVIDENCE: Since the last inspection, a number of new permanent staff have been employed, and this has eased the reliance on the use of bank and agency staff. This should now provide a period of stability for the residents. There are two weekend vacancies for care staff at present, which are covered by bank or agency staff. Sometimes, these staff cancel their shift at the last moment, resulting in only two care staff being on duty instead of three. Some residents commented on this and staff expressed concern. A group of permanent staff have worked at the home for many years, contributing to the continuity of care for the residents. The staff group spoken with said they “work together well as a team”. Residents spoken with were very complimentary about the staff group. It was evident that some good relationships have been built up and communication between residents and staff was seen to be both good humoured and sensitive. Staff and residents were seen to enjoy a pre-arranged game of bingo together in the afternoon. Much laughter could be heard during this. LEYCESTER HOUSE F51 F01 S6512 Leycester House V238525 280705 Stage 4.doc Version 1.40 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 36 and 38 Opportunities are given to residents to express a view on the running of the home and services received. Regular supervision and training in health and safety matters ensures the safety and welfare of both staff and residents. EVIDENCE: Residents’ satisfaction questionnaires have recently been completed, and the results published in the Service User Guide. The manager has included a statement outlining actions that are being taken if any areas require improvement. The results of these surveys will also inform prospective residents and their families of the views of those already living in the home. Staff training in fire safety, moving and handling and first aid is ongoing, ensuring a safe environment for residents. LEYCESTER HOUSE F51 F01 S6512 Leycester House V238525 280705 Stage 4.doc Version 1.40 Page 17 Staff receive one-to-one supervision on a regular basis, ensuring a well supported staff group to care for the residents. CLS is working towards achieving the Investors in People Award. LEYCESTER HOUSE F51 F01 S6512 Leycester House V238525 280705 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 2 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x 3 x x 3 x 3 LEYCESTER HOUSE F51 F01 S6512 Leycester House V238525 280705 Stage 4.doc Version 1.40 Page 19 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 7 Regulation 15 Requirement Each resident must have a care plan that provides staff with clear guidance on how their care needs are to be met. Timescale for action 31/08/05 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 27 Good Practice Recommendations The manager should monitor the number of care staff on duty at the weekends to ensure that all the care needs of the residents can be met. LEYCESTER HOUSE F51 F01 S6512 Leycester House V238525 280705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Unit D, Off Rudheath Way Gadbrook Park Northwich Cheshire CW9 7LT 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 LEYCESTER HOUSE F51 F01 S6512 Leycester House V238525 280705 Stage 4.doc Version 1.40 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. 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