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Inspection on 20/06/06 for Lindenwood Residential Care Home

Also see our care home review for Lindenwood Residential Care Home for more information

This inspection was carried out on 20th June 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

Since the last inspection the manager had done a lot of work in developing the care plans, and there was evidence that reviews were in the process of being undertaken for each resident. The manager had written to care managers and families to request their participation in the reviews. The home had taken on board concerns raised at the last inspection about the lack of knowledge and understanding on issues surrounding adult abuse. Since the last inspection, the staff in the home had attended training in Adult Protection, and during this visit they demonstrated a good understanding of policies and procedures which were in place to protect residents from abuse and keep them safe in the home. Improvements had been made to recruitment practices to ensure that all staff had appropriate checks and documentation on file.

What the care home could do better:

Lack of a range of activities in the home meant that resident`s social, cultural, religious and recreational activities were not always fully met, and it was recommended that the home develops a programme of activities which meets the preferences and the needs of residents in the home. Some residents highlighted their concerns about lack of activities, one resident said, " There`s not a lot going on, I would like to do more,".

CARE HOMES FOR OLDER PEOPLE Lindenwood Residential Care Home 208 Nuthurst Road New Moston Manchester M40 3PP Lead Inspector Key Unannounced Inspection 20th June 2006 10:00 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 Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 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. Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lindenwood Residential Care Home Address 208 Nuthurst Road New Moston Manchester M40 3PP 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 681 4255 Ann Catherine Smith Maureen Philomena Murphy Andrea Hudders Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Personal care only is provided for a maximum of 16 older people Staffing at the home must comply at all times with the minimum levels set out in the Residential Forum Guidelines for staffing in Care Homes for Older People. Staffing levels must be regularly assessed and increased if necessary depending on service users assessed needs. The service should, at all times, employ a suitably qualified and experienced manager who is registered with the CSCI. 23rd March 2006 Date of last inspection Brief Description of the Service: Lindenwood is an established care home providing personal care only for up to 16 older people. The property is a two storey detached house that has been extended. It is set within its own grounds overlooking the local park area. The property is accessible via steps and ramps. There is a large well-maintained garden to the rear of the property, which is also accessible via ramps. There is parking to the front of the property for approximately six vehicles. The property is situated to the North of Manchester City Centre near the boundary of Oldham. It is close to local amenities including shops, public library, post office and local pubs. There are good public transport links to Manchester and Oldham. Current fees range from £385.09 to £378.84 and charges do not include hairdressing. Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report has been written using information held on the Commission for Social Care Inspection (CSCI) records, information provided by people who use the service, staff in the home and by the provider (i.e. the owner) of the home. A site visit to Lindenwood took place on 20 June 2006 without anyone being told about the visit beforehand. During this visit the inspector had a look around the home and looked at paperwork that must be kept by the home to show that is it being run properly. Another way that was used to find out more about the home was by talking with some of the residents and staff who were in the home on the day of the visit and to people visiting the home. The manager and the owner were also present during the visit and were able to provide assistance and information to the inspector. Residents in the home had been sent care home survey questionnaires by CSCI asking them what they thought about the care in Lindenwood. Five of these were returned before the visit took place. Also, the manager of the home provided the CSCI with some information about how service is delivered to the people living in the home in the form of a care home survey questionnaire that had been completed and returned to the CSCI. All key standards were looked at during this visit. What the service does well: At the start of this visit to the home there was a friendly homely atmosphere and all visitors to the home were made to feel welcome. Through discussions with residents it was evident that they were settled and satisfied with the way they were supported and the way in which the staff related to them. Some residents were unable to express a direct opinion of the services they received; however, they appeared relaxed and comfortable in their environment and seemed to enjoy positive relationships with the staff in the home. One resident said, “ It’s lovely here, the staff are lovely”. This home operates with a stable staff team and there is a very low staff turnover. The staff team demonstrated a commitment to providing residents with a safe comfortable environment. There was a lot of emphasis on involving residents in their own care planning and listening to their views on how they would like their care and support to be given. Residents were supported to access healthcare services and it was pleasing to note that good practice was followed by providing all residents with an escort when attending hospital out patient appointments. In the feedback forms returned by residents in the Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 6 home, it was evident that they felt confident that any of their concerns about health care issues were taken seriously. One resident said, “ Everything is seriously taken on board” and she went on to say that if she needed a doctor the home would arrange it for her. It was evident from discussions with staff that they were well trained in key areas of good practice and recognised the rights of individuals. One member of staff said, “ The home runs on choice, it’s the residents home and its our job to uphold their rights and choice.” Medication records were in order on this visit, and the manager carries out regular audits of medication to ensure that residents are protected by good practice in the home. The manager operated an ‘open door’ policy, and it was evident that both staff and residents felt confident in approaching the manager with any issues of concern. One resident said, “ I’d go to the boss if I had a complaint”. A meal was sampled during this visit and was of a good standard, and all residents who were spoken to said they enjoyed the meals served in the home. The manager has prioritised staff training in the home and uses training and supervision to reinforce good care practice. Staff in the home are making good progress with National Vocational Training. Standards of cleanliness and décor are good, and the home is well maintained. The home provides a pleasant and relaxing environment for residents to enjoy. What has improved since the last inspection? Since the last inspection the manager had done a lot of work in developing the care plans, and there was evidence that reviews were in the process of being undertaken for each resident. The manager had written to care managers and families to request their participation in the reviews. The home had taken on board concerns raised at the last inspection about the lack of knowledge and understanding on issues surrounding adult abuse. Since the last inspection, the staff in the home had attended training in Adult Protection, and during this visit they demonstrated a good understanding of policies and procedures which were in place to protect residents from abuse and keep them safe in the home. Improvements had been made to recruitment practices to ensure that all staff had appropriate checks and documentation on file. Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 7 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. Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 8 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 Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 9 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): 1,3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives are given sufficient information about the home to help them in making a decision about their care arrangement. Residents’ needs are assessed prior to admission to the home. EVIDENCE: Lindenwood had a detailed prospectus and Service User’s Guide that provided details about the home and information on all the services provided. Resident files were examined and included the care manager assessment and the homes own assessment. The assessment carried out by the home went into a lot of detail and gathered together important information to assist the manager and staff to develop the care plans. All aspects of care needs and daily living skills were assessed and emphasis was placed on consulting prospective residents about their views on how they wanted to be supported and cared for. The assessment considered the holistic needs of the individual Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 10 and looked at emotional and social needs, and also sought the views of residents on what leisure activities they wanted to be supported to participate. The manager said that residents are only admitted to the home when all the pre -admission assessments had been carried out, and that this enabled the manager and the staff to make an informed decision as to whether the home could meet the needs of the resident. Three care plan files were examined during this inspection, and all of them contained comprehensive and detailed pre- admission assessments. The home does not provide intermediate care placements. Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 11 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans told staff how to care for residents in a way that promoted choice and respect, and ensured that residents had access to appropriate health care support. Staff adhered to the policies and procedures for the safe handling of medication, which ensured that residents were protected, and that residents receive medication as prescribed. EVIDENCE: Three care plans were examined during this visit and all contained a detailed assessment of need and a working care plan that identified each individual care need and the intervention or support required to meet the need. Risk assessment were also included in the care plan documentation. One care plan provided details and intervention to meet the needs of a resident who had a diabetic condition. In addition to the specific interventions the manager had included a range of information specific to the diabetic condition for staff to use Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 12 as a reference tool and to provide them with additional knowledge and information to assist them with their caring duties. Since the last inspection the manager had done a lot of work to improve the care plans, however, she had two care plans in place for each resident , one was in more detail than the other, and one was used as a quick reference tool for staff to use daily. Discussion took place about the feasibility of using two care plans, and highlighted the fact that in using two systems this was both time consuming and may lead to errors if one of them was not updated. It was strongly recommended that all the detailed information was written in on key document in a format which was easy to use and read. There was evidence that this home had a good system in place to carry out regular reviews of the care plans. There was evidence on care plan files that letters had been sent to all relatives and care managers informing them of, and inviting them to attend reviews. The review form was detailed and comprehensive and provided information about the reason for the review, a record of significant changes in health care and social/emotional care needs, the outcome and any changes required to the care plan. The manager said that she intended to develop this further and to include a section to document the residents views and perception of their care need, and that of any other interested party. The development in this area of the work carried out by the home provides evidence of a commitment to developing a person centred approach, where the resident is central to the care planning process. There was evidence during this visit that residents were supported in having access to healthcare services. Care plan files provided evidence that residents were seen by their G.P and District Nursing services, and during this visit one resident was supported by the owner who escorted her to attend a hospital appointment. The home has a monitoring sheet that shows that residents have regular contact with health support services. Information received in the feedback questionnaires, which were sent to resident prior to the inspection, provided confirmation that the home ensure access to health care support. In one response the resident stated, “ Everything is seriously taken on board”, and went on to say that if she needed a doctor the home would arrange it for her. The home used a monitored dosage system for the administration of medication, and all staff responsible for administration of medication had received training. Records and stock levels were found to be accurate and balanced with the record on the Medication Administration (MAR) sheets. Medication records contained appropriate information including specimen signatures of staff responsible for the administration of medication, and photographs of residents in the home for identification purposes. Good practice was noted in an audit check, which was carried out monthly by the manager to ensure that all medication stock levels balanced with records of Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 13 receipt and disposal of medication. The manager checks records, counts tablets and observes practice. One member of staff was observed in the task of administering medication. The task was carried out in a professional manner with all procedures adhered to. The medication trolley was stored appropriately and securely when not in use. During this inspection visit the staff were observed treating residents with respect by knocking on bedroom door and engaging in meaningful conversations. Staff were seen consulting residents about how thy wanted to be supported and assisted with care tasks. Two thirds of residents in the home were spoken to and all of them commented or appeared satisfied on the professional approach of the staff. One resident said, “ It’s lovely here, the staff are lovely” Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 14 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): 12,13,14,and 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Lack of activities in the home meant that resident’s social, cultural, religious and recreational activities were not always fully met Meals served to residents were of a high quality providing a well presented and nutritionally balanced meal. EVIDENCE: During the inspection staff were observed in one to one consultation with residents about their meal preferences for the lunchtime meal. The choice meals available were listed in the information in the pre- inspection questionnaire completed by the home. However, although it was evident that residents were offered a choice of meals there was no written menu available for redidents to look at. It is recommended that choices are made available are made available in writted format so that those residents who are able could consider the choices available. The meal on the day of inspection was of a good standard and consisted of chicken chasseur new potatoes, fresh carrots and cabbage, and the meal was well presented. Staff were observed providing appropriate, yet discrete interventions to those residents requiring additional Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 15 help and support. All residents spoken to were complimentry about the meals served in the home. One resident said “the food is lovely, gorgeous food”. During this inspection there was mixed responses from residents about activities available in the home. One resident said, “There’s not a lot going on, I would like to do more, like go to Blackpool or something”. The manager said that some entertainment was provided by a visiting singer, and other activities included board games, beauty treatments and a lot of one to one activities with individual residents, so it was clear form this information that the home was taking positive steps to meet the social needs of residents in the home. Pre- admission assessments included a section that asked residents for their interests and preferences regaring leisure activities. It is recommended that a structured leisure activity programme be made available for residents to choose from. There was an ‘open’ visiting policy in the home and residents confirmed that they were able to receive visitors at any time. Visitors were observed coming and going throughout the day and appeared relaxed and at home in the environment. Two visitors who were spoken to during this visit expressed satisfaction about the way the home provided care and support for their relatives. It was clear from discussions with the residents that they were relaxed and settled in their environment and able to exercise choice. Policies within the home state that all residents would be encouraged to live the lifestyle of their choice and exercise control over how they spend their time. This positive philopophy was reinforced by the manager who said that staff were trained appropriately so that they adopt this key aspect of good practice. It was evident from discussions with staff that this way of thinking had been adopted by staff in the home. One member of staff said “ The home runs on choice, it’s the residents home and its our job to uphold their choice and rights and we are trained to stand by that”. Five residents returned feedback forms about the home, and it was pleasing to note that these had not been completed by staff. Some of the residents had completed the form independently whilst otheres had received the support of their relatives. The manager said that the home offered use of advocacy services which was available to residents as approropriate or as required. It was evidents that residents are encouraged to bring some of their own personal possessions into the home to make their bedroom feel homely and comfortable. Residents who were spoken to expressed satisfaction about the quality of their rooms. Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems were in place to support residents in making a complaint and to protect them from abuse. EVIDENCE: During this visit there was a positive open exchange of communication between residents and staff, and residents appeared confident in expressing their views openly. One resident said she would tell “ the boss”, if she had concerns. The complaints procedure was made available in the Service User Guide and a copy was available in the entrance hall and in every bedroom. The home held a file to record any complaints made about the service which included details of the investigation and the outcome and action taken as a result of the findings. The Commission for Social Care Inspection had received one complaint about the home since the last inspection and this was fully investigated by the provider who provided an open transparent account of the issues of concern. The complaint was not upheld. Since the last inspection staff had attended training in Adult Protection. During this visit, staff were able to demonstrate an understanding of issues surrounding abuse. Some staff were more confident than others in explaining the procedures for reporting an allegation of abuse. It was noted that systems were in place to reinforce good practice in key areas of care practice. There Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 17 was evidence that the manager uses the supervision process to reinforce training and to assess staff knowledge of key important areas of practice, for example understanding of Adult Protection. Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 18 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): 19.26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a clean well maintained environment with pleasant outdoor facilities. EVIDENCE: There is an emphasis in this home on providing a homely environment. The home has a passenger lift and appropriate aids and adaptations to promote and encourage independence. The home is maintained to a high standard throughout. The home has a private patio and to the rear of the property are extensive garden areas with groundcover and attractive floral displays which provide a safe place for relaxation. Residents said how much they enjoyed the gardens. One resident said she enjoyed sitting in the garden with her visitors. Accommodation is provided in single bedrooms and double rooms, one bedroom has en suite facilities. Double rooms were provided with privacy Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 19 screens for residents using these rooms. Most residents had taken to opportunity to personalise their bedroom space. There was evidence of an ongoing programme of routine maintenance and decorating. Information in the pre-inspection questionnaire provided evidence that a new central heating system had been installed in the home. A number of bedrooms and communal areas had been decorated since the last inspection. The outside of the building had been painted. All hot water outlets in resident accommodation had been fitted with thermostatic devices to control the temperature of the hot water delivered and all radiators were fitted with a guard to prevent accidental injury. The home’s policies and procedures in respect of infection control are extremely robust. All staff receive training in infection control and the manager promotes safe working practices at all times. All staff have to use alcohol hand wash after each task. There was a high standard of cleanliness throughout the home. All areas of the home were clean and free from any offensive odours. Laundry facilities were sited away from the kitchen and dining areas. The washing machine had appropriate programmes to ensure that all linen was cleaned at the temperatures required to control the risk of cross infection. Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 20 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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs were being met by a staff team with a good skill mix and recruitment practices used by the home ensured the health safety and well being of residents in the home. EVIDENCE: During the inspection there were sufficient numbers of staff on duty to meet the needs of residents in the home. One of the relatives made a comment about the staffing levels in the home, he said, “There always seems enough staff to care for the residents, they are always nice and helpful”. On the day of inspection there was the manager, the owner, three care staff one domestic and one cook on duty. Each member of staff has an individual training portfolio and systems are in place in the home to monitor training needs and attendance on courses. There as evidence of ongoing training and development to include mandatory training, e.g. moving and handling, POVA and health and safety courses. There was evidence of staff attendance on NVQ courses, and during this visit one member of staff was working with her NVQ assessor. All staff appeared highly motivated and keen to develop their knowledge, one senior member of staff has secured a place on the Registered Manager Awarsd Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 21 Three staff files were examined and all contained the appropriate documentation including two written refences.Since the last inspection the manager has ensured that all staff have an up to date Criminal Record Bureau (CRB) check on file. All these were evidenced during this visit. The home had policies and procedues on recruitment practices. During this visit residents were very positive and complimentary about the support they received from staff. All feedback forms from residents living in the home spoke highly about the support provided by staff , one stated ,” the staff do listen and they are so committed to their job”, another stated, “ staff are always at hand”. Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 22 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): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager provides clear leadership, and systems are in place ensure the home is run in the best interests of residents. EVIDENCE: The home owner and the manager work closely together and are both experiences in caring for the elderly. The manager is registered with the Commission for Social Care Inspection and is appropriately qualified. During this visit, the manager demonstrated her commitment to developing the service and to ensuring that staff have access to appropriate training. The manager herself keeps up to date with current good practice and changing legislation by reading appropriate periodicals, and accesses information via the internet. She also maintains her own training portfolio and keeps her practice up to date. Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 23 The residents in the home benefit from a committed staff team, and from the low turnover of staff. The manager operates an open management style, and encourages residents and staff to make use of the ‘open door’ policy. At the heart of this style of management is a person centred approach where the focus is on how the individual service user wants their care needs to be met. All residents spoken to during the course of this inspection expressed satisfaction on the way the home was run and the quality of the services delivered by the staff in the home. All staff spoke highly of the informal and formal support that they received from the manager. One member of staff said, “The manager is always there to support us even if it is just a talk”. There was evidence on staff files to indicate that staff received formal monthly supervision and evidence that staff booked their supervision on a regular basis. There was evidence of a monitoring programme for supervision and to review staff work performance, training needs and future targets. Residents looked after their own finances either independently, with support of their family or social services. The home does not manage any of the finances for residents. Information in the home’s pre-inspection questionnaire provided confirmation that all health and safety checks were current and up to date. Information confirmed that fire safety training was provided to all staff. A fire risk assessment is in place which is supported by regular checks on the fire alarm system. Quality monitoring systems were evidenced which include feedback forms to residents and their relatives. Information from these surveys were then analysed and enabled the manager to address any concerns and to use the information to develop the service. Discussions with the manager provided evidence of an open and transparent management style where any issues highlighted in the inspection visit were seen as an opportunity to improve the service. There was a strong focus on developing the staff team and an emphasis on consulting with residents informally and formally in order to improve the service. Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 24 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 3 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 Standard No Score 16 3 17 X 18 3 3 X X X 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 3 X 3 X 3 X X 3 Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action 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 OP7 Good Practice Recommendations It is strongly recommended that one care plan should be used for each resident, and that each plan contains sufficient information and guidance for staff to use when supporting residents in the home. It is recommended that the home develop a programme of activities which meets the preferences and the needs of residents in the home. It is recommended that the daily choice of meal available is made available in written format so that those residents who are able could consider the choices available. 2 OP12 3. OP15 Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Lindenwood Residential Care Home DS0000045504.V298887.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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