Inspection on 12/01/06 for Lincolnshire House

This inspection was carried out on 12th January 2006.

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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lincolnshire House 17/04/07

Lincolnshire House 20/09/05

Lincolnshire House 14/02/05

Lincolnshire House 24/08/04

Lincolnshire House 30/03/04

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

CARE HOME ADULTS 18-65 Lincolnshire House Brumby Wood Lane Scunthorpe North Lincolnshire DN17 1AF Lead Inspector Christina Bettison Unannounced Inspection 12th January 2006 10.00 Lincolnshire House DS0000002909.V277855.R01.S.doc Version 5.1 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 Lincolnshire House DS0000002909.V277855.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 Adults 18-65. 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. Lincolnshire House DS0000002909.V277855.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Lincolnshire House Address Brumby Wood Lane Scunthorpe North Lincolnshire DN17 1AF 01724 844168 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) admin@lincshouse.com Lincolnshire House Association Belinda Samantha Jane Parrington Care Home 31 Category(ies) of Physical disability (31) registration, with number of places Lincolnshire House DS0000002909.V277855.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. That the home can only accept the specified service user HC with mental health needs. 20th September 2005 Date of last inspection Brief Description of the Service: Lincolnshire House provides accommodation for 31 adults with a physical disability in several individual purpose built bungalows. The most recent being opened in March 2002. All the bungalows are furnished to a high standard and are self contained incorporating appropriately adapted kitchens, dining rooms, lounges, laundry and bathrooms. All bedrooms are for single occupation with 24 of these having en suite facilities. The remaining 7 bedrooms have a wash hand basin in the room. Particular attention has been given to provide adaptations such as overhead tracking, portable hoists, automatic bathroom lighting, automatic key coded entrance doors and extra wide door access all promoting individuals independence. A new building has been erected in the grounds to replace the old education block, the building is used for educational classes and social events. The grounds are well maintained and fully accessible to wheelchair users. CCTV has been installed to monitor the entrances of the premises for security purposes. The home is close to local amenities and the town centre of Scunthorpe. Lincolnshire House DS0000002909.V277855.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Tina Bettison carried out the unannounced inspection of Lincolnshire House on the 12/1/06. The term resident is used throughout this report, as this is the way in which the people who live at Lincolnshire House prefer to be addressed. Care files, training records and quality assurance records were examined. Managers and staff were spoken to. This report should be read in conjunction with the report of the inspection carried out on the 20/9/05 as the majority of core standards were assessed at that inspection and the majority were met or exceeded the standard. All but one of the requirements made at the previous inspection were met at this inspection. What the service does well: What has improved since the last inspection? Staff working at the home receive all the training they need to do their job. Where residents have particular needs that might be difficult for staff to manage, there is a plan that gives the staff clear direction on how to meet the residents’ needs. Resident’s plans of care are being reviewed every 6 months and changed if needed to ensure they give an up to date picture of what staff need to do to meet residents needs. Lincolnshire House DS0000002909.V277855.R01.S.doc Version 5.1 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. Lincolnshire House DS0000002909.V277855.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lincolnshire House DS0000002909.V277855.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of these NMS were assessed at this inspection, NMS 2 was assessed and met at the previous inspection and there had been no new admissions to Lincolnshire House since the previous inspection. Lincolnshire House DS0000002909.V277855.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 Residents that display behaviours that pose a risk either to themselves or others have behaviour management guidelines to evidence that they or their representatives have agreed to any limitations on facilities, choice or human rights. EVIDENCE: NMS 7 and 9 were assessed and met at the previous inspection therefore they were not assessed at this inspection. Three care files were examined as part of the inspection process and had been developed to cover all aspects of the residents needs. Some of the residents are on occasions difficult to manage and may at times pose a risk to themselves and others. A requirement was made at the previous inspection that where residents exhibit behaviours that are difficult to manage those risks must be assessed, guidance from appropriate professionals obtained and behaviour management guidelines drawn up to ensure a Lincolnshire House DS0000002909.V277855.R01.S.doc Version 5.1 Page 10 consistent approach. This has now been done for those residents that it is relevant for and all plans are now being reviewed 6 monthly. Lincolnshire House DS0000002909.V277855.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Residents are assisted to continue their personal development and have access to the community for a wide range of leisure pursuits. Family contact is maintained and all residents enjoy a healthy diet. EVIDENCE: The inspector was informed that three of the residents are engaged in unpaid work placements; one helps out at Scunthorpe United AFC, one at the Scunthorpe Bus station and the other helps the gardener/handyman at the home. The rest of the residents engage in a wide range of activities to continue their opportunities for personal development. Emphasis is placed on residents taking an active role in household chores and they all have at least one day at home to change their beds, clean their rooms and do their laundry with staff support as required. Lincolnshire House DS0000002909.V277855.R01.S.doc Version 5.1 Page 12 The education centre has recently been rebuilt to provide a fully accessible modern bright facility. Some residents attend and take part in activities such as keep fit, IT, art, communication skills, baking. The sessions are tailored to individual need and the two activity coordinators are led by what the residents would like to be provided. Some of the residents are the tutors in the classes. Adult education tutors attend twice a week to provide numeracy and literacy classes and a lady attends to provide a pottery class. Residents enjoy an active social life which is detailed in their individual care files, such as going to the cinema, theatre, bowling, swimming, shopping, visits to the hairdresser, walks and out for meals at the pub. One resident attends the cricket at Headingley regularly and another enjoys supporting Scunthorpe united. The majority of residents enjoy holidays or weekends away, some abroad and some in this country dependant on their likes/dislikes and needs. They all either visit their parents/relatives homes or are visited by them at Lincolnshire House and contact is welcomed. The manager and staff promote a healthy eating menu but try to balance this with resident’s likes/dislikes and special treats on occasions. There is one resident on a liquidised diet and another who is a vegetarian. The home have a catering manager who regularly goes around the home and speaks to the residents prior to undertaking the ordering, the inspector was informed that on the whole anything residents ask for is catered for. Any restrictions are clearly documented in the care file and agreed to by the resident. Lincolnshire House DS0000002909.V277855.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 Residents are enabled to manage their own medication where this is appropriate, when they need support to do this they are protected by medication policies and procedures and appropriate training for staff. EVIDENCE: NMS 18 was exceeded and NMS 19 was met at the previous inspection, therefore they were not assessed at this inspection. Lincolnshire House has medication policies and procedures that include receipt, storage, administration and disposal of medication. Residents are encouraged to manage their own medication where this is appropriate and for those residents that need assistance this is well managed. The GP regularly reviews resident’s medication and the local pharmacist regular reviews the systems. All new staff are given medication administration induction training, which includes observation and a competency check by senior staff. The majority of staff have received appropriate medication training, there are still a small number to complete it however this is planned and booked. Lincolnshire House DS0000002909.V277855.R01.S.doc Version 5.1 Page 14 Lincolnshire House DS0000002909.V277855.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: NMS 22 and 23 were assessed and met at the previous inspection therefore they were not assessed at this inspection. Lincolnshire House DS0000002909.V277855.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: NMS 24 and 30 were assessed and exceeded the standard at the previous inspection; therefore they were not assessed at this inspection. Lincolnshire House DS0000002909.V277855.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: NMS 32,34 and 35 were assessed and met at the previous inspection therefore they were not assessed at this inspection. Lincolnshire House DS0000002909.V277855.R01.S.doc Version 5.1 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39,42 The manager is supported well by the senior staff in providing clear leadership throughout the home, with all staff demonstrating an awareness of their roles and responsibilities. The safe working practices carried out within the home protects residents’ health, safety and wellbeing. EVIDENCE: NMS 37 was assessed and met at the previous inspection; therefore it was not assessed at this inspection. The manager had started the development of a formal quality assurance/ monitoring system which includes surveys, audits and appraisals. Residents surveys had been undertaken and views of families, friends, advocates and stakeholders in the community have been sought on how the home was achieving goals for residents’. These were all evaluated and actions identified for further improvements to the service provided. Lincolnshire House DS0000002909.V277855.R01.S.doc Version 5.1 Page 19 Regular house meetings that include staff and residents, staff supervision and the key worker system ensure that staff and residents have the opportunity to influence the way the service is delivered. The home had an annual development plan. The home has recently been assessed for the QDS award by the local authority, the inspector was informed by the manager that were some minor improvements to make and then they would be eligible for the Gold award. The Requirement for further development of the formal quality assurance system including a year long plan and evidence of action taken to meet shortfalls remains outstanding. Linconlnshire House has a Health and Safety Policy, appropriate notices were displayed in the home and all staff had received mandatory training. All maintenance checks are routinely carried out and the responible individual carries out monthly regulation 26 visits that highlight any areas of concern, defects in the environment and decorating requirments and these are then attended to. Lincolnshire House DS0000002909.V277855.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 x 2 x 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 x ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 x 33 x 34 x 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 x x x x LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x 3 x x x 2 x x 3 x Lincolnshire House DS0000002909.V277855.R01.S.doc Version 5.1 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. 4. Standard YA39 Regulation 24 Requirement The registered manager must further develop the quality monitoring system to include a yearly plan and evidence action taken to meet shortfalls in the service. Timescale for action 31/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Lincolnshire House DS0000002909.V277855.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Hessle Area Office First Floor 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Lincolnshire House DS0000002909.V277855.R01.S.doc Version 5.1 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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