Inspection on 05/05/05 for Lime Court

This inspection was carried out on 5th 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 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

Lime Court 26/11/08

Lime Court 12/12/06

Lime Court 01/11/05

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Lime Court Lime Court, Lime Avenue Dovercourt Essex CO12 4DE Lead Inspector Brian Bailey Final report Unannounced 5th May 2005 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. Lime Court I56 I05 S63091 Lime Ct V223969 UI 6.5.05 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Lime Court Address Lime Avenue, Dovercourt, Essex CO12 4DE 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) 01255 506340 01255 556805 Excelcare Holdings plc Catherine Stronach Care Home (CRH) 38 Category(ies) of OP. Old age, over 65 years of age. Number 38 registration, with number DE (E) Dementia - over 65 years of age. of places Number 24 Lime Court I56 I05 S63091 Lime Ct V223969 UI 6.5.05 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Persons of either sex, aged 65 years and over, who require care by reqson of old age (not to exceed 38 persons) Persons of either sex, aged 65 years and over, who require care by reason of dementia (not to exceed 24 persons) The total number of service users accommodated in the home must not exceed 38 persons. Twenty one service user bedooms with an area of less than 10 sq.m. will be used only following a written assessment. The assessment should include consideration of whether the facilities in the room are suitable for, and acceptable to, the service user, taking into account their mobility needs. The service user plan should reflect the assessment findings. The registered person will maintain staffing levels at those declared at the point of registration. Any subsequent review will be undertaken in consultation with the Commission fand with refernce to the needs of the service user. Date of last inspection 03/11/04 Brief Description of the Service: Limecourt is large purpose built home situated in a quiet residential area at Dovercourt. The home is within easy reach of the sea front and local amenities. Accommodation is provided on the ground and first floor, which is accessed by a passenger lift. There are 30 single bedrooms and 4 shared rooms. The home has a secure central courtyard and garden with patio area that is accessible to service users. Excelcare owns the home and the manager is Catherine Stronach. The home provides 24-hour care to older people with a wide range of dependency levels, who are generally physically and/or mentally frail. Lime Court I56 I05 S63091 Lime Ct V223969 UI 6.5.05 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on Thursday 5th May 2005 between 9.30am and 6.00pm. This was the first inspection of Limecourt in the inspection year 2005/06. During the inspection, the manager, staff, six residents and five visitors gave their views about the home. The majority of residents were seen during the inspection. A tour the building included a check of some bedrooms, bathrooms and the lounges, dining room, kitchen and laundry. Records checked included the home’s statement of purpose and residents’ guide, staff recruitment procedures, staff supervision reports, residents’ care records, health and safety matters and the midday meal was observed. What the service does well: What has improved since the last inspection? The home has continued to make every effort to make the home appear more homely and comfortable. Lime Court I56 I05 S63091 Lime Ct V223969 UI 6.5.05 stage 4.doc Version 1.30 Page 6 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. Lime Court I56 I05 S63091 Lime Ct V223969 UI 6.5.05 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 Lime Court I56 I05 S63091 Lime Ct V223969 UI 6.5.05 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) 1 and 3. The admission procedure is managed well and the new pre-admission procedure will help the manager clarify whether they can meet the needs of residents. Information about the home and the service provided could be clearer. EVIDENCE: The new owners have produced a statement of purpose and a service users guide. The statement of purpose requires further development to include details of room sizes and information on how the home will meet the needs of residents with dementia. Assessments were seen on residents’ files although the information gathered by the home prior to admission varied in content. A new pre-admission procedure has been introduced from April 2005. Four residents said they felt safe living at the home and it met their expectations. One resident said the home was “better than I imagined” and another person said “you can’t find any faults here”. Lime Court I56 I05 S63091 Lime Ct V223969 UI 6.5.05 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, 8 and 10) Residents’ personal and healthcare needs are met with dignity, respect and choice. EVIDENCE: Care records were sufficiently detailed and generally covered all aspects of residents’ health, personal and social care needs. Records showed that reviews of plans were carried out monthly although it was unclear as to who had carried this out. The new owner had produced new procedures and their introduction would ensure care records are consistent in style and layout. Risk assessments were available that showed the home had identified those residents with mobility difficulties and at risk from falls. Records showed that residents’ health care needs were met. Arrangements were in place for residents to have any necessary health care equipment to relieve pressure, aid continence and ensure safe handling. Residents said they had access to opticians, chiropodists, doctors and nurses when their services were required. One resident said that staff were kind and patient and “nothing is too much trouble”. Lime Court I56 I05 S63091 Lime Ct V223969 UI 6.5.05 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) 15 Residents have a balanced varied and enjoyable diet. EVIDENCE: Six residents described the meals provided as very good and confirmed that a choice was always available. The menu showed that a choice was offered and records detailed the selection made by residents at breakfast, dinner and tea. The midday meal observed was appetising in appearance and nicely presented. Cold drinks were provided on the dining tables, which were well laid out. Good food stocks were available. No complaints were made about the food although two residents spoke of the evening meal being too early at 4.30pm. Lime Court I56 I05 S63091 Lime Ct V223969 UI 6.5.05 stage 4.doc Version 1.30 Page 11 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, 17 and 18. Residents enjoy the benefits of a safe and secure setting and with the knowledge that staff listen to their concerns. EVIDENCE: The home has a detailed complaints procedure that is included in the statement of purpose, the service users guide and displayed in the entrance hall. No complaints had been received by the home or the CSCI. There was a comprehensive process for recording any complaints or compliments received. A protection of vulnerable adults policy and a whistle blowing policy document were available. Staff training on the protection of vulnerable adults continues to be provided. Residents said that they had the right to vote but had decided not to. Residents spoken with said they would speak to the staff or their relatives if they had a complaint. One resident said there they had no cause for concern, they felt safe and staff were kind. One person said they felt safe but they were alarmed when another resident had entered their room during the night. They had since decided to lock their room at night and now felt reassured. Lime Court I56 I05 S63091 Lime Ct V223969 UI 6.5.05 stage 4.doc Version 1.30 Page 12 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, 20, 21, 23, 25 and 26. A comfortable and safe standard of accommodation is provided although the current layout presents difficulties for some residents, particularly those with mobility difficulties and residents with dementia EVIDENCE: This is a large purpose built home that is well maintained and decorated and furnished to a good standard. Although there is a passenger lift that provides access to the first floor, the long corridors are not suitable for all residents that wish to be independent and use the dining room and lounges on the ground floor. A tour of the building concluded that the bedrooms, lounges, dining rooms, kitchen and laundry were clean and pleasant smelling. The home has an attractive internal courtyard that is safe and accessible to residents. Residents were seen to make use of the easy access to the area on Lime Court I56 I05 S63091 Lime Ct V223969 UI 6.5.05 stage 4.doc Version 1.30 Page 13 several occasions during the inspection. Residents’ bedrooms were homely and comfortable in appearance. Staff and residents spoken with commented on the “homely” atmosphere and appearance of Limecourt as being an important factor as to why they liked the home. The home has enough bathrooms and toilets for residents although none of the rooms have en-suite toilets. The home has taken precautions to ensure the temperature of hot water is controlled to minimize accidents from scalding. Bathroom and toilet doors have been repainted a different colour to enable residents to recognise them more easily. A development of this scheme would assist those residents with dementia. Lime Court I56 I05 S63091 Lime Ct V223969 UI 6.5.05 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) 29 Residents benefit from an effective staff recruitment procedure. EVIDENCE: The three staff files looked at during the inspection showed that the new manager was following procedures and carrying out all the necessary recruitment checks for new staff. The files were well maintained and kept secure. Criminal Records Bureau disclosure checks were examined. Lime Court I56 I05 S63091 Lime Ct V223969 UI 6.5.05 stage 4.doc Version 1.30 Page 15 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, 36 and 38. The home is managed effectively and residents enjoy the benefits of a safe and secure setting. EVIDENCE: The manager was registered by CSCI in March 2005 and is currently completing the Registered Managers Award. Four visitors and five residents made positive comments about the manager and the care provided. Staff said they felt well supported by senior staff and they received supervision on a regular basis, which was recorded on their files. The records of tests to the fire safety equipment were up to date and heath and safety matters were well managed. Five staff spoken with confirmed they had received training on moving and handling, food hygiene and first aid. Fire training is still required. Equipment is used to ensure safe water temperature and surface temperatures of radiators. Lime Court I56 I05 S63091 Lime Ct V223969 UI 6.5.05 stage 4.doc Version 1.30 Page 16 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 2 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 x x x 3 3 STAFFING Standard No Score 27 x 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 x x x x 3 x 2 Lime Court I56 I05 S63091 Lime Ct V223969 UI 6.5.05 stage 4.doc Version 1.30 Page 17 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 1 Regulation 4 Requirement The Statement of Purpose must be amended to include room sizes and information about how the home will meet the needs of residents with dementia. The meal times must be flexible to meet the needs of residents. Fire training must be provided for staff. (Timescale of 01/01/05 not met) Timescale for action 1st August 2005 2. 3. 15 38 16 23 1st July 2005 1st August 2005 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 15 Good Practice Recommendations The provider should consider how the layout of the home could be improved to meet the needs of residents with dementia. Lime Court I56 I05 S63091 Lime Ct V223969 UI 6.5.05 stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Fairfax House Causton Road Colchester CO1 1RJ 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 Lime Court I56 I05 S63091 Lime Ct V223969 UI 6.5.05 stage 4.doc Version 1.30 Page 19 - 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. 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