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Inspection on 14/06/06 for Lindisfarne Care Home

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

This inspection was carried out on 14th 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

The home, being of new build construction is pleasantly decorated and furnished. Bedrooms are bright and airy and of a satisfactory size. In discussion service users were generally in agreement that they received good quality care from staff that were respectful and considerate. However one service user did have some concerns about his care but felt able to pursue any issues with the manager of the home. One service user referred to the home as being "like a holiday camp" and added, "I wouldn`t swap it".

What has improved since the last inspection?

Since the last inspection the home has appointed a new manager and employed an activities co-ordinator. A stable management has produced good effects at the home and benefits from the managers past experience is expected. The introduction of an activities co-ordinator should ensure that service users look forward to a variety of entertaining and worthwhile pastimes. Training in the recognition of abuse of vulnerable adults has been carried out and is progressing.

What the care home could do better:

As identified in the report, the manager had acknowledged the issue of references that had not been obtained by the previous management and this was being addressed. However, the manager and provider should ensure that in future the recruitment process is adhered to and that two references are taken up and received prior to employing staff at the home. Where references are not in place, the manager should ensure that these are obtained as soon as possible.

CARE HOMES FOR OLDER PEOPLE Lindisfarne Care Home Masefield Road Hartlepool TS25 4JY Lead Inspector Stephen Willcock Unannounced Inspection 14th 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 Lindisfarne Care Home DS0000062328.V296908.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. Lindisfarne Care Home DS0000062328.V296908.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lindisfarne Care Home Address Masefield Road Hartlepool TS25 4JY 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) 01429 244020 Gainford Care Homes Ltd Care Home 53 Category(ies) of Dementia (5), Dementia - over 65 years of age registration, with number (48) of places Lindisfarne Care Home DS0000062328.V296908.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th December 2005 Brief Description of the Service: Lindisfarne is a purpose built, 53-bed residential care home, owned by Gainford Care Homes Ltd. It has bedrooms on two floors and further facilities, including an activity room and a hairdressing salon, on a lower ground floor. The home is situated on Rift House housing estate, on the outskirts of Hartlepool, and is on a major bus route with small, local shops and community facilities nearby. The home opened in August 2005 and is registered with the Commission for Social Care Inspection to provide care and accommodation with nursing care. The current scale of charges is £357 and does not include the cost of hairdressing, chiropody and newspapers. Lindisfarne Care Home DS0000062328.V296908.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 14/06/06 over a period of 7 hours and was unannounced. Time was spent talking to service users, relatives and staff including the manager. Before the inspection took place, comments were invited from service users, families and care professionals, using survey forms. Only one comment was received prior to the inspection. What the service does well: What has improved since the last inspection? What they could do better: As identified in the report, the manager had acknowledged the issue of references that had not been obtained by the previous management and this was being addressed. However, the manager and provider should ensure that in future the recruitment process is adhered to and that two references are taken up and received prior to employing staff at the home. Where references are not in place, the manager should ensure that these are obtained as soon as possible. Lindisfarne Care Home DS0000062328.V296908.R01.S.doc Version 5.2 Page 6 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. Lindisfarne Care Home DS0000062328.V296908.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Lindisfarne Care Home DS0000062328.V296908.R01.S.doc Version 5.2 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 the following standard(s): 3 and 6 Quality in this area is good. The judgement has been made using available evidence including a visit to the home. Service users are admitted to the home following a thorough assessment of their needs. The home provides facilities for intermediate care when required. EVIDENCE: A number of service users’ personal files were looked at and found to contain good information about the care needs of service users being admitted to the home. Original social workers assessment documents were seen and included assessments carried out by the home prior to admission. The manager also carries out a review; six weeks after admission to ensure that the service users care needs have not changed. Any changes that are identified are included in the service user’s plan of care and acted upon. The home does not provide intermediate care, but the manager said an area had been made available for occupational therapists to use to aid the rehabilitation of service users returning to their own homes. Lindisfarne Care Home DS0000062328.V296908.R01.S.doc Version 5.2 Page 9 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 and 10 Quality in this area is good. The judgement has been made using available evidence including a visit to the home. Each service user has a care plan detailing care and social needs. Medication is handled correctly and service users are treated with respect. EVIDENCE: Individual service user’s care plans were looked at and found to be good, and contained details of personal care and social activities. Health needs had been noted and the action that was to be taken to provide the correct care was written down. A monthly evaluation of each service user’s care needs was completed to ensure any changes were acted upon. Records held at the home showed that service users’ health care needs were being met. Service users’ notes contained a record of visits to and from their own doctor and by district nursing services in addition to the home’s nursing staff. Lindisfarne Care Home DS0000062328.V296908.R01.S.doc Version 5.2 Page 10 The home had a policy on the handling and administration of medication that was followed by staff members. Medication records for each service user were well documented and accurate. Currently, none of the service users were looking after their own medication. Staff members were seen to be polite and respectful when talking to service users, knocking on doors and waiting to be invited in before entering bedrooms. An enclosed telephone area had been made available for service users to call their families and friends in private. Lindisfarne Care Home DS0000062328.V296908.R01.S.doc Version 5.2 Page 11 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 area is good. The judgement has been made using available evidence including a visit to the home. The home provides an environment for a varied lifestyle and visitors are welcomed at all times. Service users are given opportunities to develop and retain their independence. Meals and mealtimes are flexible to suit service user needs. EVIDENCE: In discussion, service users said they were satisfied with the activities on offer at the home and that an activities co-ordinator was in place. Service users spoke of using the home’s own transport to have day trips out and to go shopping and to visit friends. A service user’s relative confirmed that visiting was flexible and welcomed at any time, and that a good rapport had been developed with the manager and staff. One service user said he was waiting to go out on an arranged trip into the community on the afternoon and was looking forward to it as the regular Lindisfarne Care Home DS0000062328.V296908.R01.S.doc Version 5.2 Page 12 outings were enabling him to retain his independence and give him the confidence to return to his own home. The manager said that some service users have been able to go to their family’s home for an overnight stay or for the weekend. The lunch served was seen to be appetising and fulfilling. One service user said, “the food is very good, I have a daily choice of what to eat”. The manager confirmed that service users were often asked for suggestions when planning menus and alternatives to the menu, were always available. Lindisfarne Care Home DS0000062328.V296908.R01.S.doc Version 5.2 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 the following standard(s): 16 and 18 Quality in this area is good. The judgement has been made using available evidence including a visit to the home. Service users and relatives are confident that any complaint or concern would be taken seriously. Service users are protected from abuse. EVIDENCE: The home operates a complaints policy that is used throughout the organisation’s other homes in the Gainford Care group. Although there had been no complaints recorded since the last inspection, one service user’s relative said she had raised some issues with the manager and was happy to do so. In discussion, service users said if they had any complaints they would be able to talk to the manager and felt their concerns would be taken seriously. The manager was able to give confirmation that staff had training in the Protection of Vulnerable Adults and that this was still ongoing. A training video on adult abuse had been obtained and this was to be provided to night staff. Lindisfarne Care Home DS0000062328.V296908.R01.S.doc Version 5.2 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 the following standard(s): 19 and 26 Quality in this area is good. The judgement has been made using available evidence including a visit to the home. The standard of décor in the home is good and provides pleasant and comfortable surroundings. EVIDENCE: The home is a new building and is well maintained. Individual service users bedrooms were seen to be bright and comfortably furnished. Communal areas offered a number of places where service users can sit and relax in addition to the main lounge areas. The home was clean and free from odour, much to the credit of the domestic staff. Lindisfarne Care Home DS0000062328.V296908.R01.S.doc Version 5.2 Page 15 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 and 30 Quality in this area is good. The judgement has been made using available evidence including a visit to the home. The home employs staff in sufficient numbers and training is provided to meet the needs of the people who live at the home. The home has a recruitment and selection policy to ensure the protection of service users. EVIDENCE: Staffing levels at the home have been increased since the home opened as the number of service users being accommodated has increased. In discussion, one service user said more staff were needed but felt they were cared for “100 ”. The manager had carried out a check of staff files and had noted that some references had not been received. The manager said this was to be rectified as soon as possible and produced letters asking for references to be forwarded. It was noted that all staff had obtained a Criminal Records Bureau check. Eight members of staff had achieved NVQ2 in care and another four staff members were enrolled on the course. Further study to achieve NVQ3 in care was also being done. Lindisfarne Care Home DS0000062328.V296908.R01.S.doc Version 5.2 Page 16 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 and 38 Quality in this area is good. The judgement has been made using available evidence including a visit to the home. The home is run in a competent and capable manner, in the best interests of service users. The financial rights and health and safety of service users are protected. EVIDENCE: The manager has recently been appointed to the post and is applying to the Commission for Social Care Inspection to be registered as a fit person. The manager has gained a lot of experience in her previous roles within other care settings and is a Registered Nurse. Since being at the home, the manager has worked hard to develop a good working relationship with service users, families, staff and other health and social care professionals. Lindisfarne Care Home DS0000062328.V296908.R01.S.doc Version 5.2 Page 17 Quality assurance audits are carried out to ensure that the home provides a good level of care to service users. The manager has sent out surveys to service users’ families and is available to discus any issues raised at any time. Regular checks of the building and surroundings are also carried to ensure the environment is appropriately maintained. The manager said service users’ families usually maintained their financial affairs although the home did provide a facility to safeguard and record service users personal allowances. The health and safety of service users, staff and visitors to the home was given high regard by the manager. Risk assessments had been conducted covering a variety of issues and included regular checking and servicing of equipment and fittings. Lindisfarne Care Home DS0000062328.V296908.R01.S.doc Version 5.2 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. 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 X X 3 X X 3 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 3 X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Lindisfarne Care Home DS0000062328.V296908.R01.S.doc Version 5.2 Page 19 Are there any outstanding requirements from the last inspection? No 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 OP29 Regulation 19 Requirement The Registered Person must ensure that two references are obtained in respect of prospective employees prior to being allowed to work at the home. Timescale for action 01/09/06 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 Lindisfarne Care Home DS0000062328.V296908.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Darlington Area Office 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 Care Home DS0000062328.V296908.R01.S.doc Version 5.2 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. 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