Inspection on 25/05/05 for Life Care Home

This inspection was carried out on 25th May 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

Life Care Home 30/10/07

Life Care Home 27/04/06

Life Care Home 15/11/05

Life Care Home 25/07/05

Life Care Home 19/01/05

Life Care Home 13/05/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE LIFECARE HOME 31 Cressingham Road Reading Berks RG2 7RU Lead Inspector Robert Dawes Unannounced 25 May 2005 10:00 am 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. LIFECARE HOME H51-H01-S11253-Lifecare Home-V229096250505-Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Lifecare Home Address 31 Cressingham Road, Reading, Berks, RG2 7RU 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) 0118 9866371 Mr S S Ahluwalia Care Home (CRH) 16 Category(ies) of Old age, not falling within any other category registration, with number (OP) of places LIFECARE HOME H51-H01-S11253-Lifecare Home-V229096250505-Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: That provision is made for one service user aged under 65 years of age, identified in the application form dated 21.2.05, to be resident in the home. Date of last inspection 19/01/2005 Brief Description of the Service: Life Care home is a residential care home providing accomodation and personal care for sixteen older people both male and female. The home is situated in a residential area approximately two miles from Reading town centre, close to Reading University. The home is near a bus route and local shops. There are 12 single bedrooms and 2 double bedrooms. There are 5 ground floor bedrooms of which one bedroom has en-suite facilities. The ground floor has 2 separate WC’s, 1 assisted bath, 1 walk-in shower and WC. The first floor is accessed by a vertical lift. This floor has twin staircases for fire escape. On the first floor there are 8 single bedrooms and 1 double bedroom. The first floor has 2 assisted bathrooms and 2 separate WC’s. All bedrooms have washbasins, an emergency call point and a smoke detection device linked to an electronic fire alarm system. LIFECARE HOME H51-H01-S11253-Lifecare Home-V229096250505-Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection, which was carried out between 2.0pm pm and 7.15 pm on Wednesday 25th May 2005. The Inspector toured the premises, looked at records and spoke with the proprietor, one staff member, one relative, two visiting professionals and four service users. Seventeen standards were assessed of which sixteen were met and one was nearly met. Three recommendations were made. What the service does well: What has improved since the last inspection? What they could do better: The proprietor needs to seek the views of outside professionals, record the views of service users and produce an annual development plan. LIFECARE HOME H51-H01-S11253-Lifecare Home-V229096250505-Stage 4.doc Version 1.30 Page 6 Regular formal supervision must take place. The proprietor needs to continue looking at ways and means of keeping service users stimulated and occupied. 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. LIFECARE HOME H51-H01-S11253-Lifecare Home-V229096250505-Stage 4.doc Version 1.30 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 LIFECARE HOME H51-H01-S11253-Lifecare Home-V229096250505-Stage 4.doc Version 1.30 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) This section was not inspected. EVIDENCE: LIFECARE HOME H51-H01-S11253-Lifecare Home-V229096250505-Stage 4.doc Version 1.30 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, 9 and 10. All service users have an individual care plan. Service users are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and dignity. EVIDENCE: Every service user has an individual plan which is reviewed monthly. Records were well organised to ensure personal care tasks are undertaken and health issues monitored. No service user self medicates. Records required were in order. A pharmacist visits every three months to inspect the receipt, recording, storage, administration and disposal of medicines. Sufficient staff are trained to administer the medication. A relative, service users and two visiting professionals all said the care is generally good and the majority of staff are respectful, patient and conscientious the majority of the time. LIFECARE HOME H51-H01-S11253-Lifecare Home-V229096250505-Stage 4.doc Version 1.30 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15. Service users’ social and recreational interests and needs are being developed. Service users are able to have visitors at any reasonable time. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome and balanced diet. EVIDENCE: Leisure and social activities are provided by staff i.e. board games, taking service users out for a walk or to the shops, etc; an outside person takes ‘exercise’ classes every two weeks and outside entertainment is provided every three months. A couple of the service users commented that they were bored but the proprietor is conscious of the need to ensure service users are given opportunities for stimulation through leisure and recreational activities and is looking at ways of improving this provision. The Inspector recommended a day centre place is sought for one of the service users. The relative said he can visit at any reasonable time and is made welcome. The proprietor said contact with friends and relatives is encouraged. A visitor from age concern is trying to be arranged for a service user who has no relatives or friends who visit. LIFECARE HOME H51-H01-S11253-Lifecare Home-V229096250505-Stage 4.doc Version 1.30 Page 11 Service users are entitled to bring personal possessions with them, have access to personal records and can handle their own personal finances if they so wish. Discussions with staff and observation during the visit demonstrated that service users’ choice is respected. Service users informed the Inspector that they enjoy the food and there is always a choice of menu. Service users can have their meals in the dining room or their bedrooms. They contribute to the planning of the menu that showed a good range and choice of meals. LIFECARE HOME H51-H01-S11253-Lifecare Home-V229096250505-Stage 4.doc Version 1.30 Page 12 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) This section was not inspected. EVIDENCE: LIFECARE HOME H51-H01-S11253-Lifecare Home-V229096250505-Stage 4.doc Version 1.30 Page 13 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. Service users live in a safe and comfortable environment. The home is clean and hygienic. EVIDENCE: The house is spacious and comfortable. It is gradually being decorated and refurbished. There is a maintenance programme in place. The home was clean and hygienic. LIFECARE HOME H51-H01-S11253-Lifecare Home-V229096250505-Stage 4.doc Version 1.30 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29 and 30. The numbers and skill mix of the staff meets service users needs. Service users are in safe hands at all times but the proprietor must ensure 50 of the care staff achieve NVQ2 or above in care as soon as possible. The registered person operates a thorough recruitment procedure. Staff are trained and competent to do their jobs. EVIDENCE: Three care staff are on duty in the mornings and two care staff are on duty in the afternoons. At night, one care worker is on duty, supported by a ‘sleep in’ worker. In addition the home employs a cook and a domestic. Care staff cover the majority of vacant care hours, consequently agency staff are seldom used. The ratio of care staff to service users is satisfactory to meet the service users’ assessed needs. No member of staff has a NVQ or above in care. Five staff have been enrolled on NVQ courses and one staff member on the NVQ 4 in care course and Registered Manger’s award. The recruitment records seen demonstrated that the proprietor operates a thorough recruitment procedure and has the obtained the necessary documents. LIFECARE HOME H51-H01-S11253-Lifecare Home-V229096250505-Stage 4.doc Version 1.30 Page 15 Induction and foundation training programmes are in place for new staff. A comprehensive training programme has been developed resulting in the majority of staff either have, or will have in the near future, attended courses covering the basic care requirements and courses in topics such as bereavement, dementia, learning difficulties, mental health, first aid and medication. An English teacher visits the home regularly to help foreign members of staff improve their written and spoken English. LIFECARE HOME H51-H01-S11253-Lifecare Home-V229096250505-Stage 4.doc Version 1.30 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) 31, 33, 36 and 38. Although the home is without a registered manager it is meeting its stated purpose, aims and objectives. A quality assurance and quality monitoring system needs to be developed further. A programme of formal supervision is being developed. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: The acting manager has recently left. As soon as the assistant manager has obtained the necessary experience and qualifications the proprietor will appoint her as manger of the home. In the mean time the proprietor will assume responsibility for running and managing the home. LIFECARE HOME H51-H01-S11253-Lifecare Home-V229096250505-Stage 4.doc Version 1.30 Page 17 Satisfaction questionnaires have recently been sent out to relatives and the replies indicated they were satisfied with the care the service users were receiving. The views of service users are routinely obtained and if necessary, meetings are held with the next of kin. No annual development plan has been produced but the proprietor is clear about his plans for the future. The proprietor needs to develop the systems already in place to ensure the views of outside professionals are also sought, the views of service users are recorded and an annual development plan is produced reflecting the aims and outcomes for the service users. Formal supervision of staff has not taken place as required. The proprietor intends to ensure regular supervision and appraisal of staff takes place. The health and safety records seen by the Inspector showed the proprietor ensures so far is reasonably practicable that service users are protected. Every staff member has a health and safety manual. LIFECARE HOME H51-H01-S11253-Lifecare Home-V229096250505-Stage 4.doc Version 1.30 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 x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 3 x 3 x x 2 x 3 LIFECARE HOME H51-H01-S11253-Lifecare Home-V229096250505-Stage 4.doc Version 1.30 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. 1. Standard Regulation None 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. 3. Refer to Standard 12 33 Good Practice Recommendations A day centre place be sought for one of the service users. The proprietor needs to develop the quality assurance systems already in place to ensure the views of outside professionals are also sought, the views of service users are recorded and an annual development plan is produced reflecting the aims and outcomes for the service users. The proprietor should ensure regular supervision and appraisal of staff takes place. 4. 36 LIFECARE HOME H51-H01-S11253-Lifecare Home-V229096250505-Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 1015 Arlington Business Park Theale Berks RG7 4SA 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 LIFECARE HOME H51-H01-S11253-Lifecare Home-V229096250505-Stage 4.doc Version 1.30 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!