Inspection on 23/01/06 for Limecroft Resource Centre

This inspection was carried out on 23rd January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Limecroft Resource Centre 30/06/09

Limecroft Resource Centre 11/03/08

Limecroft Resource Centre 12/10/06

Limecroft Resource Centre 06/07/05

Limecroft Resource Centre 19/01/05

Limecroft Resource Centre 16/06/04

Limecroft Resource Centre 09/03/04

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 Limecroft Resource Centre Whitebank Road Limeside Oldham OL8 3JL Lead Inspector Janet Ranson Unannounced Inspection 23rd January 2006 09:30 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 Limecroft Resource Centre DS0000035289.V274828.R01.S.doc Version 5.1 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. Limecroft Resource Centre DS0000035289.V274828.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Limecroft Resource Centre Address Whitebank Road Limeside Oldham OL8 3JL 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) 0161 911 3490 0161 911 3501 limecroft.RC@oldham.gov.uk Oldham M.B.C. Mrs Nicola Jane Kershaw Care Home 21 Category(ies) of Dementia - over 65 years of age (14), Old age, registration, with number not falling within any other category (21), of places Physical disability (1), Physical disability over 65 years of age (7) Limecroft Resource Centre DS0000035289.V274828.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for 21 service users to include: *up to 21 service users in the category of OP (Older People not falling in any other category). *up to 7 service users in the category of PD(E) (Physical Disability over 65 years of age). *up to 14 service users in the category of DE(E) (Dementia over 65 years of age) and 1 named service user in the category of PD (Physical disability under 65 years of age). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 6th July 2005 2. Date of last inspection Brief Description of the Service: Limecroft is a large, purpose built establishment managed by Oldham Metropolitan Borough Council. The home has been adapted to provide shortstay accommodation for up to 21 older people, some of who may have dementia or a physical disability. The people who use the services of Limecroft return to their own homes at the end of their stay. The short breaks can also be part of a larger package of care arranged by a social worker in order that the service user is maintained within the local community. A day care facility also operates from the same building but is not subject to inspection. Both the respite and day care service provided by Limecroft supports large numbers of people in the local community. The establishment is well maintained and provides single accommodation over two floors. Eight bedrooms have en-suite facilities. Each floor provides small domestic style living and dining areas. The dining areas are fitted with kitchens for the service users to make themselves snacks and drinks. Adapted baths and toilets are located on both floors and there is a full passenger lift. The building is located within a residential area, close to shops and other community resources. It is understood that the establishment is well served by public transport. There are grounds to the front and side of the building and off road parking is to the front of the property. Limecroft Resource Centre DS0000035289.V274828.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Limecroft provides personal care for up to 21 people over the age of 65. A manager registered by the Commission for Social Care Inspection is in day-today control of the care centre. She was not present at this unannounced inspection that was ably conducted in her absence by the deputy and assistant managers. The inspection was carried out over a period of 5 hours. Teams of domestic and catering staff as well as carers are employed at the centre. All the service users who spoke with the inspector lived either with their extended family or within their own homes. They were also in receipt of additional services to enable them to remain in the community. Since the previous inspection the centre has been further adapted to provide a self contained unit on the first floor for up to 14 service users with dementia. The adaptation has been finished to a high standard and comprises of small lounges and dining areas. The inspector spoke with the service users in this area of the home. The service users were extremely satisfied with their care stating; “It’s very clean.” “The beds are very comfortable – better than at home.” “Staff are very nice, caring and are more like good friends.” “The food is always good.” “I look forward to coming here.” “We all get on well together.” Comment cards were left at Limecroft after the previous inspection. A relative wrote, “I was totally confident that all was professionally yet personally done to keep my Mother happy…. A great weight was lifted from my shoulders.” A further comment from a relative stated, “….. has just said that she couldn’t find a single fault with the whole fortnight (and that is very good).” In addition to speaking with the service users, the inspector spoke with the cook, administrator and toured the building. The requirements made at the previous inspection were also assessed for compliance. What the service does well: Limecroft Resource Centre DS0000035289.V274828.R01.S.doc Version 5.1 Page 6 Limecroft provides a good standard of care to large numbers of vulnerable adults in a pleasant environment. The service enables people to remain in their own homes, and can also provide a break for the primary carers. The staff are well trained, enthusiastic and respectful towards the residents and each other. 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. Limecroft Resource Centre DS0000035289.V274828.R01.S.doc Version 5.1 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 Limecroft Resource Centre DS0000035289.V274828.R01.S.doc Version 5.1 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 Service users are not assured that the service provided at Limecroft can meet their needs. Standard 6 intermediate care is not provided at Limecroft. EVIDENCE: Prospective service users are assessed in the community by health professionals or a social worker. The care centre receives the written assessment and a decision is made to provide a service to the individual. At the time of the inspection a new service user had to move to another home in order that his needs could be met. It was apparent that the initial assessment did not accurately reflect this person’s needs particularly regarding mobility. It is felt that too greater reliance is placed upon the initial assessment with the result that service users perceive the centre will be able to meet their needs and the manager’s assume they will be able to. This situation also applies where service users have previously had respite care and wish to have a further stay. Limecroft Resource Centre DS0000035289.V274828.R01.S.doc Version 5.1 Page 9 It is considered good practice that all prospective service users are visited by a manager of the centre to ensure the individual needs can be met at the centre. Limecroft Resource Centre DS0000035289.V274828.R01.S.doc Version 5.1 Page 10 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): 7,8,9 & 10 Standards 7, 8, 9 and 10 were inspected during the previous unannounced inspection (6th July 2005) when they were judged to meet fully with the standard. EVIDENCE: Limecroft Resource Centre DS0000035289.V274828.R01.S.doc Version 5.1 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): 15 Meal times are flexible, relaxed and sociable. The menu provides choice, and food is nutritious and well balanced. Standards12, 13 and 14 were inspected during the previous unannounced inspection (July 2005) when they were judged to meet fully with the standard. EVIDENCE: The inspector spoke with the cook, examined the menu and toured the kitchen. The cook has worked at Limecroft for a long time she holds a professional catering qualification, is supported by a part time cook and supervised by a manager. The cook is responsible for the ordering of produce, stock control, creating menus and maintaining a high standard of cleanliness. The kitchen is spacious and well equipped. Fresh vegetables, fruit and salad were in evidence and appeared regularly on the menu. Bowls of fresh fruit were to be seen on the units. The main kitchen provides all the meals for the respite centre and also the day care unit. Food is transported to the units in heated trolleys. The units also stocked with breakfast cereals, biscuits and provisions to make snacks and suppers. Limecroft Resource Centre DS0000035289.V274828.R01.S.doc Version 5.1 Page 12 The service users who spoke with the inspector were particularly complementary about the quality and variety of meals provided. The chalkboards on each unit accurately reflected the details in the menu and the choices on offer. It was apparent that meals were very much a social occasion with service users free to sit in different areas. Limecroft Resource Centre DS0000035289.V274828.R01.S.doc Version 5.1 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): 16 The residents and their representatives were confident that their complaints would be addressed by the service. Standard 18 was inspected during the previous unannounced inspection (July 2005) when it was judged to meet fully with the standard. EVIDENCE: A relative noted in the comment card that; “…. never had to make a complaint but know the information could be easily found within the paperwork and procedures provided.” One service user who spoke with the inspector was sure that she could speak to one of the staff if she was dissatisfied. Confirming that she would not return to the centre if she was not happy and satisfied. A further service user stated she would tell her family if she had a problem and had faith that the complaint would be acted upon. Training in the protection of vulnerable adults remains ongoing through the local authority training programme and is made available to staff at all levels. Limecroft Resource Centre DS0000035289.V274828.R01.S.doc Version 5.1 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): 19,22,25 & 26 Limecroft provides a warm, clean, and well-maintained environment with a good standard of furnishings and fittings. Specialist equipment is in place to meet service users assessed needs. EVIDENCE: The service users who spoke with the inspector voiced their satisfaction with their accommodation. The rooms are pleasantly decorated and furnished with pictures and ornaments. All the doors are lockable and there is a secure facility within the bedside locker. A service user said she was aware she could lock her bedroom door but did not feel the need. A security system has been fitted to the doors on the first floor. The system was installed to prevent service users with dementia from accessing the staircase. Should the fire alarm be activated the lock is overridden. At the last inspection there was a requirement that newly purchased grab rails must be installed in the bathrooms, toilets and en-suite facilities. This work has now been completed. Limecroft Resource Centre DS0000035289.V274828.R01.S.doc Version 5.1 Page 15 Service users commented on the high standard of cleanliness, stating this was the standard they had come to expect. Limecroft Resource Centre DS0000035289.V274828.R01.S.doc Version 5.1 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 The residents continue to receive care from over 50 of carers with National Vocational Qualifications at level 2 and 3. Standards 27,28,29 and 30 were inspected during the previous unannounced inspection (July 2005) when they were judged to meet fully with the standard. EVIDENCE: The organisation continues to be committed to the National Vocational Qualification at levels 2 and 3 for the carers. They also have access to further specialist training through the local authority schemes. Additional staffing has been recruited to reflect the service user’s changing needs. Checking systems and processes are in place to ensure the safety of the residents at all times. Limecroft Resource Centre DS0000035289.V274828.R01.S.doc Version 5.1 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): 38 In the main, systems are in place to promote the health and safety of the residents, staff and visitors. Standards31, 33 and 35 were inspected during the previous unannounced inspection (July 2005) when they were judged to meet fully with the standard. EVIDENCE: Good systems are in place to ensure the health, safety and welfare of the service users, staff and visitors. Equipment and aids are regularly maintained under contractual arrangements. It was disappointing to note that the door to the newly created lounge on the first floor was held open by a wood wedge. . It did not appear to be integrated into the fire alarm system in the way the other doors are. Advice was given to the deputy manager concerning this anomaly. Limecroft Resource Centre DS0000035289.V274828.R01.S.doc Version 5.1 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 2 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X 3 X X 3 3 STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 2 Limecroft Resource Centre DS0000035289.V274828.R01.S.doc Version 5.1 Page 19 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 OP3 Regulation 14(1)(d) Requirement The registered person must ensure the care centre can meet prospective service users needs and this is confirmed in writing to the service user or their representative. The registered person must ensure the door to the newly created lounge area is linked to the fire precautions. Timescale for action 30/03/06 2. OP38 23(4) 28/02/06 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 OP4 Good Practice Recommendations The registered person should make arrangements to visit prospective service users at their current situation to assess individual needs and to ensure the centre has the skills to meet them. Limecroft Resource Centre DS0000035289.V274828.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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 Limecroft Resource Centre DS0000035289.V274828.R01.S.doc Version 5.1 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!