Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 12/05/05 for Lindisfarne Care Home

Also see our care home review for Lindisfarne Care Home for more information

This inspection was carried out on 12th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

The home provides a pleasant, safe and caring environment for the service users and their families. There were 18 comments cards from relatives and visitors received by the Commission, and 9 received from service users. Comments included `I am very happy with the loving care my mother receives` and `this is a well run home with caring and hard working staff`. Comments from service users stated `I`m as safe as I can be here, I would go to the gaffer if I had a problem` and `yes, it`s all very nice here`. A relative spoken to on the day of the inspection described the home as providing `an ambiance of caring`.

What has improved since the last inspection?

The procedure for complaints has improved since the last inspection, and the home has now erected a fence around the garden area. A programme of redecoration is in place, and the staff at the home continue to work very hard to control any unpleasant odours and make sure the home is clean and tidy.

What the care home could do better:

The records for service users could be improved to include all the required assessments, and a comprehensive plan of care for each person living at the home should be complete and up to date. The handling and storage of medication in the home also needs to be reviewed so that all the home`s procedures in this area are followed, and the medical equipment used in the home should be regularly checked.

CARE HOMES FOR OLDER PEOPLE Lindisfarne Care Home Gainford, Whitehill Park Chester Le Street Co Durham DH2 2EP Lead Inspector Debbie White Announced 12 May 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Lindisfarne EMI Care Home B54 S727 Lindisfarne V217380 120505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Lindisfarne EMI Care Home Address Gainford, Whitehill Park, Chester Le Street, Durham, DH2 2EP 0191 3883717 0191 3882808 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Gainford Care Homes Limited Mrs Margaret Roe Care Home 56 Category(ies) of Dementia (56), registration, with number Dementia - over 65 years of age (56) of places Lindisfarne EMI Care Home B54 S727 Lindisfarne V217380 120505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26 October 2004 Brief Description of the Service: Lindisfarne Care Home is registered to provide nursing and residential care for up to 56 service users aged 65 years and over, who experience mental health problems. The home is a purpose built unit, with two floors (ground and first). Each service user has their own bedroom, and there are a number of lounges, quite rooms and a dining area. 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-LeStreet, and is easily accessible by care and public transport. Lindisfarne EMI Care Home B54 S727 Lindisfarne V217380 120505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over one day, and the manager of the home was present for the duration of the visit. The inspector looked around all of the building and inspected policies, procedures and service user’s written records (including case tracking 5 of the service user’s care files). During the inspection, six visitors were spoken to and a number of service users were consulted. The staff on duty during this visit fully contributed towards the inspection, and were asked about how the home cares for the service users. An inspection of the administration of medicines was undertaken. In line with current CSCI policy on ‘Proportionality’, the inspection focused upon a number of core standard outcomes for service users. The core standard outcomes not inspected on this occasion will be assessed during the next inspection. What the service does well: What has improved since the last inspection? What they could do better: The records for service users could be improved to include all the required assessments, and a comprehensive plan of care for each person living at the home should be complete and up to date. The handling and storage of medication in the home also needs to be reviewed so that all the home’s procedures in this area are followed, and the medical equipment used in the home should be regularly checked. Lindisfarne EMI Care Home B54 S727 Lindisfarne V217380 120505 Stage 4.doc Version 1.20 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Lindisfarne EMI Care Home B54 S727 Lindisfarne V217380 120505 Stage 4.doc Version 1.20 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Lindisfarne EMI Care Home B54 S727 Lindisfarne V217380 120505 Stage 4.doc Version 1.20 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3, 4, 5. Pre-admission assessments could be improved. The home actively promotes the involvement of services users and their families when planning admissions. EVIDENCE: The assessment information inspected was incomplete in part, and not all of the pre-admission assessment information was documented in full. In one service user’s file, the nutritional information was missing. The information in the ‘waterlow’ assessments inspected was incomplete. The home was able to evidence that service users referred to the home are invited to spend time at the home prior to admission. Two relatives spoken to during this visit said that the staff and manager at the home had been very welcoming, and helped the families overcome some of the difficulties encountered when placing a family member ‘in care’. One relative described the staff as being ‘very caring and helpful’ and another relative said the ‘the Lindisfarne EMI Care Home B54 S727 Lindisfarne V217380 120505 Stage 4.doc Version 1.20 Page 9 staff had been very supportive’ when their family member had been admitted to the home. Lindisfarne EMI Care Home B54 S727 Lindisfarne V217380 120505 Stage 4.doc Version 1.20 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 9, 10. The records for the service users in the home need to be improved. The systems for the safe storage and administration of medication in the home are inconsistent. The home is very good at treating the service users with dignity and respect. EVIDENCE: A number of the assessments for service users were incomplete. There was little evidence of service user and/or their representative’s agreement in the care-plans inspected. The equipment used for the monitoring of blood sugar and the digital cuffs used to measure blood pressure had not been calibrated, and the suction machine in the home is not regularly checked to ensure it is in working order. There were a number of inconsistencies noted in the stock control of medicines in the home, and drugs that were no longer in use had not been disposed of. Lindisfarne EMI Care Home B54 S727 Lindisfarne V217380 120505 Stage 4.doc Version 1.20 Page 11 Two visitors spoken to were very satisfied that their relatives were treated with dignity and respect. One said that ‘the staff here are excellent, and very caring. I couldn’t ask for better treatment’ and another said ‘the staff really care for the residents, and do everything they can to help the families’. Lindisfarne EMI Care Home B54 S727 Lindisfarne V217380 120505 Stage 4.doc Version 1.20 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13. The home is very good at providing flexible routines to meet the needs of the service users. EVIDENCE: The home provides a dedicated member of staff to provide a range of activities. The home’s approach to meeting the needs of the service users is flexible. Contact with friends and family is actively promoted in the home, and visitors spoken to said ‘we are made to feel very welcome, and can visit anytime’, and ‘the staff here are always friendly and welcoming’. Lindisfarne EMI Care Home B54 S727 Lindisfarne V217380 120505 Stage 4.doc Version 1.20 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16. The home takes any complaints seriously. EVIDENCE: Visitors spoken to said they ‘could talk to the manager about anything’ and ‘the staff are very approachable if you need to talk about any problems’. The home has in place a complaints procedure, and the service users and families are informed of their right to make a complaint. The documentation for complaints was inspected, and apart from some minor issues (which were discussed with the manager), the paperwork was found to be satisfactory. Lindisfarne EMI Care Home B54 S727 Lindisfarne V217380 120505 Stage 4.doc Version 1.20 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 24, 25, 26. The home provides a safe, clean, pleasant, and comfortable environment that meets the needs of the service users. The home has sufficient and suitable lavatories and washing facilities, and specialist equipment to maximise service user’s independence. Service users live in safe comfortable bedrooms with their own possessions around them. EVIDENCE: There were some minor maintenance issues noted during this inspection, but they were dealt with immediately. There are ample bathroom/toilet facilities to meet the needs of the service users. Lindisfarne EMI Care Home B54 S727 Lindisfarne V217380 120505 Stage 4.doc Version 1.20 Page 15 Service users are encouraged to bring into the home their own possessions to individualise their bedrooms. The staff at the home work very hard to maintain a clean and odour free environment. Visitors spoken to were very happy about the environment and said ‘the staff work very hard at making sure the place is kept nice’. Lindisfarne EMI Care Home B54 S727 Lindisfarne V217380 120505 Stage 4.doc Version 1.20 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28. The home provides adequate levels of staff to meet the needs of the service users. EVIDENCE: The home’s staffing rota demonstrated that the home is staffed to meet the needs of the service users. The home actively recruits staff to ensure that a consistent team of people are employed to care for the service users. The staff at the home are offered training opportunities to enable them to meet the needs of the client group. Lindisfarne EMI Care Home B54 S727 Lindisfarne V217380 120505 Stage 4.doc Version 1.20 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 36. The management of the home is consistent with the needs of the service users, and staff are properly supervised. EVIDENCE: The staff and visitors consulted spoke very highly of the manager of the home. One visitor said ‘she is very caring and easy to talk to’ and the staff spoken to said the manager was ‘fair and approachable’. The manager regularly monitors the home’s performance. Staff receive the required amount of supervision. Lindisfarne EMI Care Home B54 S727 Lindisfarne V217380 120505 Stage 4.doc Version 1.20 Page 18 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 2 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 3 3 3 x 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 3 3 x x 3 x x Lindisfarne EMI Care Home B54 S727 Lindisfarne V217380 120505 Stage 4.doc Version 1.20 Page 19 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 3 Regulation 14 Requirement The registered person must ensure that all the required assessments for service users are carried out and recorded in full. The registered manager must ensure that each service user has a plan of care that is generated from a comprehensive assessment. The registered person must ensure that all staff adhere to the procedures for the safe handling of medicimes in the home. Timescale for action 31.07.05 2. 7 15 31.07.05 3. 9 13 31.07.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 9 Good Practice Recommendations The registered person should ensure that the equipment used for the monitoring of blood sugar, and the digital cuffs used to measure blood pressure are regularly calibrated. The suction machine in the home should be regularly checked to ensure it is in working order. B54 S727 Lindisfarne V217380 120505 Stage 4.doc Version 1.20 Page 20 Lindisfarne EMI Care Home Commission for Social Care Inspection No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Lindisfarne EMI Care Home B54 S727 Lindisfarne V217380 120505 Stage 4.doc Version 1.20 Page 21 - 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!