Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Lincoln House Community Support Centre Samuel Street Crewe Cheshire CW1 3WH The quality rating for this care home is:
three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Wendy Smith
Date: 1 9 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area.
Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection.
This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home
Name of care home: Address: Lincoln House Community Support Centre Samuel Street Crewe Cheshire CW1 3WH 01270375341 01270501471 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Cheshire County Council care home 34 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: This home is registered for a maximum of 34 service users to include:- * Up to 34 service users in the category of OP (Old age, not falling within any other category) * Up to 5 service users in the category of PD (Physical disability aged between 48 and 65 years) Date of last inspection Brief description of the care home Lincoln House is a community support centre in Crewe that is owned and managed by Cheshire County Council. The main purpose of the home is to enable older people to live in the community by providing a diverse range of support as and when needed. This includes respite care and intermediate care for people discharged from hospital who are not yet ready to go home. The accommodation consists of 34 single bedrooms arranged in four areas, each with its own lounge and dining area. There are pleasant Care Homes for Older People
Page 4 of 29 Over 65 34 0 0 5 Brief description of the care home and attractive grounds for people to enjoy and adequate car parking facilities. The fees payable are based on a financial assessment of the individual. Care Homes for Older People Page 5 of 29 Summary
This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is three stars. This means that people who use the service experience excellent quality outcomes. We visited Lincoln House unannounced on 19 March 2009 as part of this inspection. During the visit we spoke with members of staff and people having a stay at the home. We walked round the building to see all the communal areas and some of the bedrooms. We checked a sample of records kept at the home and spent time talking with the team manager. We also looked at any information that we had received about Lincoln House since our last inspection there in 2007. Before the inspection the manager was asked to complete a questionnaire to give us information about the service. We also sent out survey forms for staff to give us their views about the home.
Care Homes for Older People Page 6 of 29 What the care home does well: Lincoln House provides short-term care for older people who live in the Crewe area. This enables many of the people who use the service to stay in their own home, knowing that this service is available for them when needed. Before any new people come to Lincoln House, information about their needs is sent to the home by their social worker. The care coordinator makes sure that this is still correct before the person comes to stay so that the support staff have up to date information. A range of information is available for people having a stay at Lincoln House and a leaflet Planning for your stay at Lincoln House is posted out to people who are new to the service. There is a copy of a booklet that tells people how the service works and other useful information, including the activities programme, in each bedroom. The support staff have a list of people coming in each day, and one of the support staff is allocated to meet and greet new arrivals. Each person who stays at Lincoln House has a folder that contains their personal information, assessment documents, and an enablement programme, which gives information to the support staff about their care needs. This gives staff the information they need to make sure peoples needs are met in the way they prefer. The staff monitor peoples health and emotional needs daily, and people who were staying at Lincoln House were also receiving appropriate support from visiting health care professionals when needed. The manager receives many thank you letters and comments received from people who have stayed at the home during recent months included: Thank you for all your kindness to me on my stay with you. Your care and help were wonderful. I couldnt find anything at all that I could complain about. Grateful thanks for all the help and kindness you all gave me during the stay I had with you. I really didnt want to come home! My mother was treated with such respect and kindness and the home was always welcoming to visitors. She has been treated as an individual and not just an old lady in a wheelchair. I was totally satisfied with all aspects of my stay at Lincoln House. It was very good and Gran had a lovely time. All staff were helpful and cheerful and made my stay a delight. Care in Lincoln House was exceptional and the staff were most caring and friendly. Surroundings were nice and pleasant and I was made really welcome. Food is excellent. Care Homes for Older People
Page 7 of 29 Routines are flexible and people are able to make choices in many areas of daily living, for example: times of getting up and going to bed; where to spend their time and with whom, and participation in planned activities. An activities organiser works at the home three mornings a week and a person who was staying there told us that the activities organiser does a great job. There is a clear complaints procedure for the home. Records showed that complaints are fully investigated and responded to. People are given a feedback form at the end of their stay at Lincoln House. The replies received are all seen by manager and by the locality manager who does monthly visits to the home. Any negative comments, of which there were very few, are followed up by manager. In the information that was sent to us before our visit, the manager told us Any feedback about the service is welcomed. We would rather know if we appear to be getting anything wrong or have made mistakes. We hope we present an open attitude and support to people who may be unhappy about something whether that be a service user, relative, care manager, other professional or official visitor. The building is well maintained so it provides safe, clean and comfortable surroundings for the people who stay there. Thorough staff recruitment procedures are followed, with all the necessary checks being done, and staff receive training to make sure that the people who stay at Lincoln House are protected from possible harm. The team manager is very experienced and has worked as a manager with Cheshire County Council for many years. The care coordinator and the administrator are also key members of staff who ensure that the very high turnover of people passing through the home is well managed and people receive the care that they need. From April 2009 Cheshire County Council is being split into two new authorities, West and East. Lincoln House will be part of the new East Cheshire. This has led to uncertainty about future plans for the service; however the staff at Lincoln House have continued to support one another and ensure that people using the service are not affected by the reorganisation taking place. There are a number of ways in which peoples opinions about the service are sought. Meetings are held for service users and for staff. A new quality assurance system has been implemented to identify where improvements can be made to the service provided. Support staff have regular one to one meetings with their supervisor. This all helps to make sure that the home is run in the best interests of the people who come to stay there. Risk assessments have been carried out to ensure that the home is safe. All maintenance contracts for plant and equipment are up to date. Any accidents or untoward incidents are recorded on a form and logged onto an index. This all helps to make sure that Lincoln House is a safe place for people to live and work in. The fire record book was up to date and showed that regular checks of the alarm system and emergency lighting were taking place. All staff attend fire drills and fire safety training. A comprehensive fire risk assessment of the building is in place. This Care Homes for Older People
Page 8 of 29 means that staff know what to do if fire occurs. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Information about the home is made available and peoples needs are checked before they come to stay at Lincoln House to make sure their needs can be met there. Evidence: Lincoln House provides short-term care for older people who live in the Crewe area. About half of the people who stay at Lincoln House have a flexi-care arrangement, which means that they are entitled to an agreed number of nights per year for respite care. They can phone the home directly to arrange their stays. Up to five of the places can be used for people having an assessment of their care needs. Four places are funded by the NHS for people leaving Leighton Hospital who require a period of rehabilitation of up to six weeks. On the day we visited, 23 people were having a stay at Lincoln House and three others were due to come in that day. Before any new people come to Lincoln House, information about their needs is sent to
Care Homes for Older People Page 11 of 29 Evidence: the home by their social worker. When people have to come to the home to stay at short notice, information may be received by phone or fax. We saw copies of the original checks on peoples needs, and regular reviews, in their folders. The care coordinator makes sure that this is still correct before the person comes to stay. A range of information is available for people having a stay at Lincoln House and a leaflet Planning for your stay at Lincoln House is posted out to people who are new to the service. In each bedroom there is full information about how the service works and about what activities are taking place that week. The support staff have a list of people coming in that day, and one of the support staff is allocated to meet and greet new arrivals to make them feel welcome and to answer any questions. Care Homes for Older People Page 12 of 29 Health and personal care
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who stay at Lincoln House are very satisfied with the care and support that they receive and good information is kept at the home to help staff make sure that peoples needs are met in the way they prefer. Evidence: Each person staying at Lincoln House has a folder that contains their personal information, assessment documents, and an enablement programme which gives information to the support staff about their care needs. The care coordinator is responsible for getting the folders ready for each person coming into the home and making sure they are up to date. The care folders we looked at had been very well completed and gave a clear account of the care each person needs. While the person is at Lincoln House their care folder is kept in their bedroom. The support staff record detailed daily progress notes. The staff monitor peoples health and emotional needs daily and we could see that people were receiving appropriate support from visiting health care professionals: this included GPs, district nurses, optician, dentist and chiropodist. The post of nurse advisor was vacant at the time of our visit, however there was regular input in the home from district nurses. We saw that end of life care
Care Homes for Older People Page 13 of 29 Evidence: was provided for a person whose condition deteriorated while at Lincoln House. The manager receives many thank you letters and comments received from people who have stayed at the home during recent months included: Thank you for all your kindness to me on my stay with you. Your care and help were wonderful. I couldnt find anything at all that I could complain about. Grateful thanks for all the help and kindness you all gave me during the stay I had with you. I really didnt want to come home! My mother was treated with such respect and kindness and the home was always welcoming to visitors. She has been treated as an individual and not just an old lady in a wheelchair. I was totally satisfied with all aspects of my stay at Lincoln House. It was very good and Gran had a lovely time. All staff were helpful and cheerful and made my stay a delight. Care in Lincoln House was exceptional and the staff were most caring and friendly. Surroundings were nice and pleasant and I was made really welcome. Food is excellent. One of the people we spoke with stays at Lincoln House one night a week. She lives with her family and said that it gives them all a break. She finds that it works very well for them and said, If it wasnt nice I wouldnt keep coming back! People coming into Lincoln House bring their own medicines with them and these are kept in a lockable cabinet in their bedroom. The exception to this is controlled drugs, which are kept in secure storage and signed for in a controlled drugs book. People are encouraged to look after their own medicines if they are able. We saw a selfmedication risk assessment completed for one person who was looking after her own medicines. The arrangements for the administration and recording of medication that we saw during our inspection were satisfactory. However a number of medication errors have been reported over recent months. We saw that all of these incidents had been fully Care Homes for Older People Page 14 of 29 Evidence: investigated and, where appropriate, action taken to prevent them happening again. The night staff are carrying out regular checks of the medication. Medicines are handled only by senior support staff; all support staff have received some training about giving medicines safely, and further training is planned. Care Homes for Older People Page 15 of 29 Daily life and social activities
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Routines in the home are flexible to meet individual needs and social activities are organised for people to take part in so they can keep active and join in social occasions. Evidence: Routines at Lincoln House are flexible and people are able to make choices in many areas of daily living, for example times of getting up and going to bed, where to spend their time and with whom, and choosing whether to take part in planned activities. An activities organiser works at the home three mornings a week and on the day we visited five people were enjoying joining in a casino game. One of them told us that the activities organiser does a great job, and the others agreed. There is a weekly activities programme that is changed each week, and the week we visited included hairdresser, bingo, casino, dominoes, quiz, audio books and movie matinee. There is a religious service in the home twice a month and occasional entertainment. Computers are being set up in the activities room for people staying at Lincoln House to use. Other people were sitting in the lounges, some watching TV. Two people told us that they just enjoy having someone to chat with. Two people had visitors in their bedrooms.
Care Homes for Older People Page 16 of 29 Evidence: Meals can be taken in the dining areas or in peoples own rooms if they prefer. The days menu was displayed and was flexible to meet individual needs and choices. All of the people we spoke with said the food was good and that choices were available. Special diets can be prepared where necessary. One of the support staff told us that the cook tries different dishes, and if people like them they are kept on the menu. There are facilities for people to make their own drinks. Care Homes for Older People Page 17 of 29 Complaints and protection
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good procedures for complaints and safeguarding so people who stay at Lincoln House can be confident that their concerns will be listened to and acted upon. Evidence: There is a clear complaints procedure for the home and this is displayed in the entrance area. It is also included in the information that is put in each bedroom. Two complaints were investigated in 2008 and one so far in 2009. We looked at the records and these showed that a full investigation into each complaint was carried out. Good records were kept including copies of all communication with the complainant. This showed us that complaints are taken seriously. People are given a feedback form at the end of their stay at Lincoln House. These are all seen by manager and by the senior manager who does monthly visits to the home. Any negative comments, of which there were very few, are followed up by manager. In the information sent to us before our visit, the manager told us Any feedback about the service is welcomed. We would rather know if we appear to be getting anything wrong or have made mistakes. We hope we present an open attitude and support to people who may be unhappy about something whether that be a service user, relative, care manager, other professional or official visitor. The home has safeguarding procedures that are provided by Cheshire County Council. Staff have all received training in this area. The guidance and training available mean
Care Homes for Older People Page 18 of 29 Evidence: that staff know what to do to make sure that the people who stay at Lincoln House are protected from abuse and harm. Care Homes for Older People Page 19 of 29 Environment
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Lincoln House is well maintained so that people staying there have safe, clean and comfortable surroundings. Evidence: Lincoln House is in a residential area of Crewe, close to the town centre. It is set in its own grounds and has very pleasant gardens for people who stay there to enjoy. The manager showed us around the building including lounges, communal areas and a number of bedrooms. There are two lounge/dining rooms on each floor and a large activities lounge on the ground floor. All bedrooms are single rooms and two have ensuite facilities. There are an adequate number of toilets and bathrooms throughout the building. Doors are fitted with automatic closers, which means that they can be left open but will close if the fire alarm goes off. There are adaptations for people with mobility problems including bathing and toilet aids, hoists, grab rails and wheelchairs. Recent improvements have been new TVs, new commodes and replacement of some carpets. When we visited, all parts of the building were in a good state of repair and decoration. Everywhere was clean and there were no unpleasant smells. Care Homes for Older People Page 20 of 29 Staffing
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Robust staff recruitment procedures are followed and staff are provided with a wide range of training opportunities to ensure that people using the service are protected from possible harm. Evidence: When we visited, the home had a full staff team. In the mornings there are four support staff on duty with a senior, and during afternoons/evenings, three support staff with a senior. At night there is a senior and a support worker. We received comments cards from seven members of staff and three of them thought there needed to be four support staff throughout the day. One person wrote, at times in the evening staff are rushed and service users are waiting a short while for staff and another said, sometimes we need more staff in the evenings when dependency is high and the home is full. We discussed this with the manager who explained that the hours were reduced when the number of rehabilitation places was reduced. The manager closely monitors the dependency levels of people staying at the home to ensure that staff will be able to meet peoples needs. However if there is a particular issue where the number of staff on duty are unable to meet the needs of the service users then extra staff hours can be used. Care Homes for Older People Page 21 of 29 Evidence: There are also general assistants who ensure that the centre is kept clean and tidy, cooks and kitchen assistants, and a maintenance person is employed 18.5 hours a week for routine maintenance work. There is a full-time care coordinator, a team of administration staff and a part-time activities organiser. We looked at the files for the two most recently appointed members of staff to check on how they were recruited. The files contained information that all the necessary checks had been carried out to make sure the staff were suitable to work with the people who stay at Lincoln House. There is a thorough induction procedure for new staff and the manager has put together her own induction pack which is specifically about Lincoln House. Of the seven staff who replied to us, six considered that their induction had been very good. In the information sent us before our visit, the manager told us that 20 out of the 27 support staff employed at the home have achieved a national vocational qualification in care and others are working towards level 2 and level 3. These are nationally recognised qualifications for people working in the field of care and help to make sure that staff have the knowledge and skills to meet peoples care needs correctly. All of the staff who completed questionnaires confirmed that they receive ongoing training that is relevant to their work. Some staff are doing basic skills courses and a maths lesson was taking place on the day that we visited. Cheshire County Council provides training about mandatory subjects relating to safe working, but the care coordinator told us that there can be a considerable wait for places on these courses. Some of the senior staff are doing a moving and handling trainers course so they will be able to provide in-house training. All staff did moving and handling training during 2008 or 2009. This means they have up to date knowledge on how to help people mobilise safely. Fire safety training is provided every three years by the local authority. There is a fire safety DVD kept at the home for staff to watch and the weekly fire alarm test is used as a training opportunity. Regular fire drills are held including night evacuation practice. This helps to make sure that all staff know what they should do if a fire was to occur. All staff had done first aid training in 2008 or 2009. Senior support workers did level 2 medication training in 2007. Staff are currently completing a valuing diversity training course to help make sure that they are able to understand peoples different needs. There are good training facilities in the home and a room known as The Care Homes for Older People Page 22 of 29 Evidence: Learning Zone has plenty resources for e-learning. Care Homes for Older People Page 23 of 29 Management and administration
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is very well run and managed on a day to day basis. There are appropriate procedures in place to make sure that people are kept safe. Evidence: The team manager at Lincoln House is very experienced and has worked as a manager with Cheshire County Council for many years. She is registered with us as manager of this service. She regularly attends local authority meetings and has helped drafting a new staff handbook. The care coordinator and the administrator are also key members of staff who ensure that the very high turnover of people passing through the home is well managed and people receive the care that they need. From April 2009 Cheshire County Council is being split into two new authorities, Cheshire West and East Cheshire. Lincoln House will be part of the new East Cheshire local authority. This has led to uncertainty about future plans for the service. There are a number of plans and proposals but no decisions as yet. However the staff at Lincoln House have continued to support each other and staff turnover is low. They
Care Homes for Older People Page 24 of 29 Evidence: have made sure that people using the service are not affected by the reorganisation taking place. There are a number of ways in which peoples opinions about the service are sought. People are given a feedback form at the end of their stay at Lincoln House. These are all seen by manager and by the locality manager who does monthly visits to the home. Any negative comments, of which there were very few, are followed up by manager. In the information she sent us before our visit, the manager told us, Any feedback about the service is welcomed. We would rather know if we appear to be getting anything wrong or have made mistakes. We hope we present an open attitude and support to people who may be unhappy about something whether that be a service user, relative, care manager, other professional or official visitor. Monthly monitoring visits to the home, required under the Care Homes Regulations, are carried out by the locality manager of the local authority. Meetings are held for service users and for staff and we were able to see the minutes of these meetings. A quality assurance system has been implemented to identify where improvements can be made to the service provided. This all helps to make sure that any concerns raised by people who stay at the home are acted upon and improvements can be made to make sure the home continues to be run in the best interests of the people who stay there. Support staff have regular one to one meetings with their supervisor. The team manager undertakes the meetings with senior support workers, and each senior has small group of support staff to supervise. We saw records to show that these meetings were taking place and the staff who completed questionnaires confirmed this. These meetings give staff the chance to discuss any problems they may have, to be given support and to discuss their own training and development needs. This regular support and guidance helps them to continue to provide good quality care for the people who stay at Lincoln House. The information leaflet sent to new service users advises them not to bring large amounts of money into the home. Secure storage is provided in each bedroom for small amounts of money or valuables. There is a comprehensive health and safety manual as well as policies and procedures relating to safe working practices. Risk assessments have been carried out to ensure safe working practices. All maintenance contracts for plant and equipment are up to date. Any accidents or untoward incidents are recorded on a form and logged onto an index so they can be checked. They are copied to the local authority and to CSCI Care Homes for Older People Page 25 of 29 Evidence: where appropriate. All this helps to make sure that Lincoln House is a safe place for people to live and work in. The fire record book was up to date and showed that regular checks of the alarm system and emergency lighting were taking place. All staff attend fire drills and fire safety training. A comprehensive fire risk assessment of the building is in place. Care Homes for Older People Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 27 of 29 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 29 of 29 - 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!
