Inspection on 06/07/05 for Limecroft Resource Centre

This inspection was carried out on 6th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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 23/01/06

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 6th July 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. Limecroft Resource Centre F54 F04 s35289 Limecroft v235808 060705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Limecroft Resource Centre Address Whitebank Road, Limeside, Oldham, OL8 3JL 0161 911 3490 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) Oldham M.B.C. Social Services Dept, Civic Centre, West Street, Oldham, OL1 1UW Miss Nicola Jane Keech CRH Care Home 24 Category(ies) of DE(E) Dementia - over 65 Number 7 registration, with number OP Old Age Number 24 of places PD(E) Physical Disability - over 65 Number 7 Limecroft Resource Centre F54 F04 s35289 Limecroft v235808 060705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The home is registered for 24 service users to include: up to 24 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 7 service users in the category of DE(E) (Dementia over 65 years of age). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commision for Social Care Inspection. Date of last inspection 19th January 2005 Brief Description of the Service: Limecroft is a large, purpose built establishment managed by Oldham Metropolitan Borough Council. The home provides short-stay accommodation for up to 25 older people, some of who may have dementia or a physical disability. At the time of the inspection the environment had been changed to accommodate 24 service users. The people who use the services of Limecroft return to their own homes at the end of 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. The establishment is well maintained and provides single accommodation over two floors. Eight bedrooms have ensuite facilities. Each floor has living and dining space. Small domestic kitchens are provided in each dining area for the service users to make themselves snacks and drinks. Adapted baths and toilets are located on both floors. A day care facility also operates from the same building. The service provided by Limecroft supports large numbers of people in the local community. Limecroft 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 F54 F04 s35289 Limecroft v235808 060705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Limecroft provides personal care for up to 24 people over the age of 65. A manager registered by the Commission for Social Care Inspection is in day-today control and was present throughout the inspection. Teams of domestic and catering staff as well as carers are employed at the home. At the time of the inspection there were 12 people receiving short-term care. All the people 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. Four case files and care plans were examined as part of the inspection. One concerned a person newly in receipt of the service, a further one with changing needs, one person who had used the service for a long time and another person with a diagnosis of dementia. Where possible the same residents were invited to talk with the inspector about their experiences of the service. The inspector also observed interaction between the staff and residents during the main meal. Two carers and a senior member of staff described their roles and responsibilities to the inspector during the latter part of the inspection. The requirements made at previous inspections were also checked for compliance. This was an unannounced inspection carried out over a period of seven and a half hours. What the service does well: 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. Limecroft Resource Centre F54 F04 s35289 Limecroft v235808 060705 Stage 4.doc Version 1.40 Page 6 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 F54 F04 s35289 Limecroft v235808 060705 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 Limecroft Resource Centre F54 F04 s35289 Limecroft v235808 060705 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) 3 Systems are in place to ensure the assessed needs of the resident’s can be fully met at the home. EVIDENCE: Initial assessments carried out by the social workers or health care professionals were contained within the four files examined. In addition the home has devised a system of assessment that is also completed by a senior member of staff. By completing such an assessment the home can ensure they can meet the resident’s needs identified at this time. Limecroft Resource Centre F54 F04 s35289 Limecroft v235808 060705 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;8;9;10 The residents care needs are clearly identified and fully met. All healthcare needs are identified and addressed by the appropriate services. Systems are in place to safely handle medication. The resident’s and their families are treated with respect. EVIDENCE: The organisation has devised a comprehensive care planning process. Four care plans were examined they clearly documented the resident’s assessed needs. The details were well documented and observed. There was evidence that the plans were being reviewed at regular intervals. The residents healthcare needs are identified, documented and met by the appropriate personnel. Out patients appointments are also maintained during the residents stay. Nutritional screening is completed on admission and records of weights were in place. Limecroft Resource Centre F54 F04 s35289 Limecroft v235808 060705 Stage 4.doc Version 1.40 Page 10 Four medication administration records were examined and found to be completed in the approved manner. Care plans documented where medication had been reviewed and changed. All carers who are responsible for the administration of medication have received the appropriate training. Staff demonstrated respect and understanding of the need for privacy and dignity. The staff were observed to knock and wait for a response before entering residents rooms. Limecroft Resource Centre F54 F04 s35289 Limecroft v235808 060705 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;13;14;15 The residents individual lifestyles are respected and promoted by the actions of the carers. Visitors are welcomed and encouraged to remain in contact with the residents. Systems are in place to enable residents to exercise control over their financial affairs. Meal times are flexible and relaxed. The menu provided choice, and food is nutritious and well balanced. EVIDENCE: The individual care plans document the resident’s previous lifestyle and interests. The carers in discussion clearly understood the importance of this information when caring for the individual. They were able to recount the daily routine that made allowances for those resident’s who wished to have a lie in or retire to bed at a later time. One resident was clear that his short stay was to enable his wife to have a rest. He used a mobile phone to remain in contact with her. A further person appreciated the company of other residents. Limecroft Resource Centre F54 F04 s35289 Limecroft v235808 060705 Stage 4.doc Version 1.40 Page 12 It was reported that resident’s manage their own financial affairs. The residents guide suggests that the resident takes small amounts of money with them. Limecroft also retains small sums for safekeeping. Where this is the case records of expenditure with receipts are maintained in the appropriate manner. The resident’s who spoke with the inspector stated that the meals were good with a choice at each mealtime. The staff inform the residents of the choice before each meal and this was also clearly displayed in the dining areas. The inspector observed the main meal at lunchtime it was well received, as was the optional choice. The residents were able to tell the inspector what was on the menu for their evening meal. The mealtime was observed to be relaxed and unhurried with the carers providing discreet assistance. Limecroft Resource Centre F54 F04 s35289 Limecroft v235808 060705 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;18 The residents were confident that their complaints would be addressed. Practices in the home protect residents from abuse. EVIDENCE: The complaints procedure was available in the residents guide. The residents who spoke with the inspector were unable to recall having seen the complaints procedure. They were able to tell the inspector how and to whom they would voice their concerns, either to family members or staff. All complaints are logged within the organisations complaints system. Thank you cards containing messages of satisfaction were publicly displayed in the establishment. The staff have undergone training in the protection of vulnerable adults. In discussion they clearly demonstrated their understanding of their responsibilities concerning the protection of vulnerable adults. Systems and policies are also in place Limecroft Resource Centre F54 F04 s35289 Limecroft v235808 060705 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;22;26 Limecroft provides a warm, clean, and well-maintained environment with a good standard of furnishings and fittings. Residents with a disability do not have specialist equipment to maintain their independence. EVIDENCE: The residents 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. At the last inspection there was a requirement that specialist equipment be installed in the en suite toilets in order that people with disabilities could maintain their independence. It was reported that the aids had been purchased and delivered to the establishment. They are awaiting installation. Limecroft Resource Centre F54 F04 s35289 Limecroft v235808 060705 Stage 4.doc Version 1.40 Page 15 Limecroft is maintained in a clean and hygienic state there were no offensive smells noted. Limecroft Resource Centre F54 F04 s35289 Limecroft v235808 060705 Stage 4.doc Version 1.40 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 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;30 The residents receive care from well-trained staff who respond in a respectful manner and are employed in sufficient numbers to meet the residents assessed needs. The organisations recruitment policy and procedure provides protection to the residents from potential abuse. EVIDENCE: From observation the staff were attentive and responded to the residents in a respectful and relaxed manner. The atmosphere was relaxed with plenty of “banter” from the residents to the staff. Recruitment is carried out according to the organisations policies. The staff who spoke with the inspector confirmed they had provided referees and had CRB clearance. A record had been devised to ensure all checks and references had been satisfactorily obtained. It was reported that there were vacancies for carers, domestic and catering staff. A recent recruitment drive had succeeded in identifying potential staff for the vacancies. The organisation continues to support carers to complete the National Vocational Qualification at level two. According to the registered manager the number of carers with a level two or above currently stands at 50 . Limecroft Resource Centre F54 F04 s35289 Limecroft v235808 060705 Stage 4.doc Version 1.40 Page 17 A system of induction and foundation training is also in place. Limecroft Resource Centre F54 F04 s35289 Limecroft v235808 060705 Stage 4.doc Version 1.40 Page 18 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;35;38 The manager of the home has the skills and experience to run the establishment. The use of questionnaires and residents meetings gives the residents an opportunity to influence the running of the establishment. Residents finances are protected. The absence of grab rails renders en suite facilities unusable for residents with disabilities. EVIDENCE: The manager has the appropriate skills and experience to manage Limecroft. She has enrolled onto the National Vocational Qualification level four (registered managers award). She has adopted a relaxed management style and is well supported by a team of senior staff. Limecroft Resource Centre F54 F04 s35289 Limecroft v235808 060705 Stage 4.doc Version 1.40 Page 19 Residents meetings are carried out at regular intervals. Minutes are taken and made available for those residents who were not resident at the time of the meeting. The organisation also ascertains the resident’s views by questionnaires one at the beginning of the stay and a further one at the end. When questioned staff informed the inspector that they felt fulfilled and supported in their work. They said the managers were open and approachable. Despite this there was a climate of rumour concerning the possible closure of the service. The residents and staff mentioned this to the inspector having read about it in the local paper. Limecroft does not handle the residents finances other than small amounts for safekeeping. An administrator is employed to ensure records of any expenditure are retained along with receipts. Accounts are posted to the residents at the end of their stay. The staff confirmed they had received all the mandatory training concerning the health and safety of the residents. The organisation also has a system to ensure the training is current. The maintenance of all appliances and equipment is carried out under contract. Aides to promote independence have been purchased but await installation. The health, safety and welfare is further ensured by the systems in place to report accident and incidents. Limecroft Resource Centre F54 F04 s35289 Limecroft v235808 060705 Stage 4.doc Version 1.40 Page 20 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 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 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 1 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 3 x 3 3 x 2 x 3 x x 2 Limecroft Resource Centre F54 F04 s35289 Limecroft v235808 060705 Stage 4.doc Version 1.40 Page 21 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 22 Regulation Requirement Timescale for action 01/09/05 2. 3. 38 16(1)(2)( The registered person must c)23(2)(n) ensure all facilities are fully accessible and functioning to the service users. 13(4)(a)( The registered person must b)(c) ensure the service users safety and welfare is protected. 01/09/05 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 33 Good Practice Recommendations The registered person must ensure the service users and staff are fully informed of any possible changes to the service. Limecroft Resource Centre F54 F04 s35289 Limecroft v235808 060705 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 2nd Floor, Heritage Wharf Portland Place Ashton under Lyne 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 F54 F04 s35289 Limecroft v235808 060705 Stage 4.doc Version 1.40 Page 23 - 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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