Inspection on 10/11/08 for Lindisfarne Care Home

This inspection was carried out on 10th November 2008.

CSCI found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Lindisfarne Care Home 02/11/07

Lindisfarne Care Home 15/03/07

Lindisfarne Care Home 01/11/05

Lindisfarne Care Home 12/05/05

Lindisfarne Care Home 26/10/04

Lindisfarne Care Home 01/06/04

Extracts from inspection reports are licensed from CQC, this page was updated on 29/01/2009.

Inspecting for better lives Random inspection report Care homes for older people Name: Address: Lindisfarne Care Home Gainford Whitehill Park Chester Le Street Durham DH2 2EP The quality rating for this care home is: The rating was made on: two star good 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Carol Haj-Najafi Date: 1 0 1 1 2 0 0 8 Information about the care home Name of care home: Address: Lindisfarne Care Home Gainford Whitehill Park Chester Le Street Durham DH2 2EP 01913883717 Telephone number: Fax number: Email address: Provider web address: cls@gainfordcarehomes.co.uk Name of registered provider(s): Type of registration: Number of places registered: Gainford Care Homes Ltd care home 56 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia 56 Over 65 56 Conditions of registration: Date of last inspection Brief description of the care home Lindisfarne Care Home is registered to provide nursing and residential care for up to 56 people aged 65 years and over, who experience mental health problems. The home is a purpose built unit, with two floors (ground and first). Each person has their own bedroom, and there are a number of lounges, quiet rooms and a dining area on each floor. The garden area provides a pleasant enclosed area, and the general presentation of the home is friendly and welcoming. The home is located within the community in a residential area of Chester-le-Street, and is easily accessible by car and public transport. Care Homes for Older People Page 2 of 9 What we found: We completed an annual service review in October 2008. This highlighted that we did not have enough evidence to make a sound judgement about the care service so we decided to do an unannounced random inspection. One inspector spent four hours at the home. Most people who live at the home have limited communication and cannot tell us if they are satisfied with the service. We talked to one person who lives at the home, one relative, seven staff, the home manager and area manager. We looked around some areas of the home. We observed how staff interact with people who live at the home and looked at care plans, risk assessments, daily records and staff training records. We received three relative surveys and nine staff surveys. Comments from the surveys have been included in the report. Part of the visit was spent in the lounge talking to people and observing the care being given to people. This included how staff interact with people at the home. Everything was done at a relaxed pace. Staff treated people with respect and were kind and courteous. One person who lives at the home said, Im alright. We talked to one relative. They said, The staff are lovely, they look after (name of person) well. We received two relative surveys. They were both happy with the standard of care. When asked what the home does well, one person said, Plenty of talking and listening to relatives and the people who stay here. The general appearance of people who live at the home was good, they were dressed appropriately and attention had been given to their personal care. For example, peoples hair had been brushed and their glasses, shoes and clothing were clean. Staff told us peoples personal care needs are met. They said some people have a bath or a shower daily, others have them less frequently. Staff confirmed that people usually have a bath twice a week. Staff talked about respecting privacy and dignity and gave us good examples of how they do this this. We looked at four peoples individual records but because personal care has not been recorded in sufficient detail we could not establish when people were having a bath or shower. One persons record looked as though they had not received a bath or shower from July to November but it was obvious that this was not the case. The manager and area manager agreed the record keeping should improve because it is important to know when people are receiving personal care. We also looked at the personal care section of four peoples care plan. The information in each plan was general and related more to care practice than to the individual. For example one persons plan said, bedlinen to be changed when required, to be dressed according to the weather, visit hairdresser when necessary. The care plans had been reviewed every month but there was not enough information to carry out a proper review of peoples care needs. Care Homes for Older People Page 3 of 9 The manager sent us their annual quality assurance assessment (AQAA) in October. In the AQAA the manager told us, Our present care planning system needs reviewing to make it more person centred. At the inspection, the manager and area manager said it is their priority to improve the care planning process, and they have already started looking at how they should change their documentation. We talked to staff and management about care during the night. Everyone we spoke to said people receive good care. We asked about the quality of beds, the use of bed rails and techniques used for making sure people are safe. The manager said they always consult with people who live at the home and their relatives to make sure they are happy and record the support that people need in their care plan. Currently the home are using several systems to help make people safe. One person is sleeping on a mattress on the floor, some people have bed rails, and other people have special sheets that prevent them from falling out of bed. The home has recently purchased some new wider beds and ordered some different safety equipment to help reduce risks. The manager acknowledged that some of the current systems are not ideal but said they are assessing peoples needs on an individual basis. They will then make sure when each person is assessed they receive the safest and most appropriate support when they are in bed. We asked staff about meals and meal times. Everyone said the food is good quality and people always have enough to eat. One relative told us the food is good. Another relative suggested the meal choice could improve. Staff confirmed that meal times are evenly spaced out, flexible and people are always offered snacks and a wide range of drinks. One staff member who works in the kitchen said they use good quality provisions and can order any provisions that are specifically requested. We looked around some parts of the home. Communal rooms and the bedrooms we visited were clean and tidy. One room had a strong odour. The housekeeper said they tried many different things to reduce the odour. They have changed the carpet, laid carpet tiles and they shampoo and change carpet tiles everyday. The manager said they had decided to change the flooring again to something that can be cleaned as often as necessary. We asked staff if there are enough staff working at the home. They all said the current staffing levels are good. Some staff said, in the past, on occasions the home had been short staffed and this has sometimes resulted in people not getting the usual standard of care. One person gave an example that people might not have had a bath on the day it was scheduled. Another person said they were so rushed they could not do everything properly. Everyone said staffing levels are no longer an issue and they are happy with how the home is running. We talked to the manager and area manager about staffing. They confirmed that the rota was being managed more effectively which resulted in better staffing levels. We looked at the staffing rotas for the last four weeks. These showed that there had been sufficient staff working at the home, and if staff were absent due to sickness this Care Homes for Older People Page 4 of 9 was recorded on the rota. We asked staff about their training. Everyone said the quality of training was good and they had enough opportunities to attend different courses. A member of staff that has recently started working at the home talked about their induction programme, which they said was very good. We looked at staff training records. These showed us staff training was up to date. The manager said they had recently completed an audit on staff training. Any gaps that were identified had been addressed. We received nine staff surveys. They told us staff are being given the right training to do their job, and they meet regularly with the manager to discuss how they are working. One staff member said, Courses keep us up to date and really help us with our job. What the care home does well: 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 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action 1 19 23(2) Fire escape routes must be kept clear and must not be used to store cleaning materials or other items. (Previous timescale of 30/05/07 not met). Alternative window restrictors, which cannot be easily overridden, must be fitted throughout the home. New locks are required throughout the home to bedroom doors. The temperature of the upper floor must be monitored so that it is safe for staff to work within. The home must employ a manager who is registered with the commission. (Previous timescale of 30/06/07 met in part). Fire escape routes must be kept clear and must not be used to store cleaning materials or other items. (Previous timescale of 30/05/07 not met). Alternative window restrictors, which cannot be easily overridden, must be 30/11/2007 2 19 23(2) 30/12/2007 3 31 9 30/12/2007 4 38 23(2) 30/11/2007 5 38 23(2) 30/12/2007 Care Homes for Older People Page 6 of 9 fitted throughout the home. New locks are required throughout the home to bedroom doors. The temperature of the upper floor must be monitored so that it is safe for staff to work within. Care Homes for Older People Page 7 of 9 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 1 7 Care plans should contain more information about individual needs. This will make sure health, personal and social care needs are met. When people receive help with personal care it should be recorded. This will help make sure peoples peronla care needs are met. People should have more appropriate beds, bedding and equipment that meets their assessed needs. This will make sure they are comfortable and safe during the night 2 8 3 24 Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 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. 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